Why all the talk about baby poop?

"A lot happens in a baby’s body during those first few weeks of life. Poop changes in texture, color, and smell multiple times. Many parents feel reassured when their baby’s tummy is working well—so they naturally keep an eye on the poop", says pediatric nurse Annica Källström.

How often should a newborn poop?

"Pooping habits vary a lot from baby to baby. In general, newborns poop frequently and irregularly during the first 10 weeks", explains Annica Källström.
"Some babies poop several times a day, others just once or twice, and some may only poop every 14 days or less. What matters most is how your baby seems overall—if your baby is alert and happy, then things are likely fine. By around 2 months of age, most babies settle into a poop routine, often pooping at the same time each day—and they typically stop pooping at night."

What does a newborn’s first poop look like?

"During the first few hours after birth, it’s common for babies to only pee since they’ve primarily been consuming amniotic fluid. Once they start feeding, the first poop, known as meconium, typically appears. Meconium has been sitting in the baby’s intestines during pregnancy and is usually dark green, almost military green."

TIP! If your baby seems uncomfortable, infant tummy drops can help calm their stomach and make it easier for them to poop.

What does poop look like after the meconium?

"This varies from baby to baby. Poop color can range from green, yellow, and neon green to brown. Some babies might even have small streaks of blood in their poop (it might look like tiny flakes of pepper). Blood in poop is rarely a concern and is often caused by small tears in tiny blood vessels. However, if blood appears more than once, it’s a good idea to talk to your pediatrician."

What about the consistency?

"A newborn’s poop can be runny, sticky, or slightly firmer. Many parents worry their baby has diarrhea, but that’s often not the case," says Annica Källström. "Newborns often have very loose, sometimes grainy poop. It can also be foamy or slimy. While this is typically nothing to worry about, it’s worth mentioning to your pediatric care provider."

Does breastfeeding or formula affect poop?

"Yes, babies fed with formula may poop less often and their stools can be slightly firmer compared to breastfed babies."

What should baby poop smell like?

"Newborn poop tends to have a sour smell, somewhat like yogurt or cultured milk. Some parents even find the smell surprisingly mild or pleasant."

My newborn’s stomach looks swollen—is that normal?

"Yes, completely normal! A baby’s tummy can often appear puffy, almost drum-like. This is because their intestines fill quickly after eating, and their stomach grows rapidly. I often tell parents that babies 'eat a Christmas feast every meal', meaning they get full each time they eat."

TIP! If your baby seems to struggle with gas, a gas-relief valve can help.

How do I know everything is fine?

"Keep an eye on your baby’s overall well-being. If your baby is growing and gaining weight, it’s a good sign that things are going well. If your baby cries excessively, seems uncomfortable, or isn’t gaining weight, you might want to check if they’re sensitive to something. Bring this up with your pediatric care provider", says Annica Källström.

When should I be concerned?

"Gastrointestinal issues are very rare in newborns and young babies. Stomach troubles are usually not dangerous but can be challenging for both baby and parent. If you’re worried, contact your pediatric care provider for advice and support."

4 tips for an upset baby tummy

1. Belly massage: Gently massaging your baby’s tummy can help their intestines move in the right direction. Use a mild, organic baby oil (available at pharmacies). Massage when your baby is calm and content, not when they’re in discomfort. Your pediatric care provider can show you the right technique.
2. Stomach drops: Giving infant tummy drops once a day can help your baby develop a healthy gut flora, which supports digestion and makes pooping easier. Drops can also soothe colic. Many parents report great results.
3. Gas-relief valve: Sometimes, babies clench their rectum instead of relaxing, making it hard for poop and gas to pass. You can use a gas-relief valve to help, but don’t use it more than three times a day.
4. Dairy-free diet for mom: If you’re breastfeeding, try cutting out cow’s milk protein for at least two weeks (and take calcium supplements). If your baby is formula-fed, consider switching to a dairy-free option. Always consult your pediatrician before making dietary changes.

Always consult your healthcare provider or pediatrician if you have concerns about your baby’s health or development. The information provided in this article is for general guidance only and should not replace professional medical advice.