The first year

What should I do with my newborn when they're awake?

Quick answer

Keep it simple. Newborn awake time is short, and the best things to do fit inside it: hold your baby so your face fills their view, talk and pause for a reply, narrate diaper changes, sing, do a few minutes of tummy time and step outside. Watch their cues, and stop when they look away.

On this page
  1. Why simple is enough
  2. Seven ideas for awake time
  3. How long newborns stay awake
  4. Follow their lead
  5. What you can skip
  6. On the hard days
  7. Do this
  8. When to ask your doctor
  9. People also ask

Why simple is enough

If you're staring at an awake newborn wondering what you're supposed to be doing, you're in good company. The answer is gentle: your face, your voice and a few seconds of patience. You need no equipment.

Your newborn's brain is wiring itself from what happens to it. Harvard's researchers call the key ingredient serve and return. Your baby "serves" with a look, a sound or a kick, and you "return" it with a smile, a word or a touch. Each round strengthens connections your child will later use to talk, learn and get along with people. Learn the basics in serve and return with babies.

Seven ideas for awake time

1. Face to face

Newborns study faces up close. Hold your baby during a calm, alert moment so your face fills their view, as during a feed. Make one slow expression, such as a big wide-eyed "oh." Hold it two seconds. Wait. If they widen their eyes or move their mouth, smile and say, "You're talking to me!"

2. Narrate the diaper change

Name each step slowly as you do it: "Legs up! Wipe, wipe. Cold! Now the clean diaper." Pause after each line. Within months your baby will kick or squeal at the familiar parts. Treat that as their line.

3. A few minutes of tummy time

Start the day you bring your baby home with 2 to 3 short sessions of about 3 to 5 minutes. Tummy-down on your chest counts, as long as you stay awake. See how much tummy time a baby needs.

4. Sing

Any song you know works, and your voice beats any speaker. Try a traditional rhyme like "Row, Row, Row Your Boat," sung slowly while you rock. If you sang to the bump, sing the same songs now.

5. Read the same book

Your newborn won't follow the story, but they'll follow your voice. If you read a book to the bump in pregnancy, keep going: the rhythm is already familiar.

6. Step outside

Wind, moving leaves and the sound of birds give the senses a feast no room can match. Name what you see. For babies under 6 months, keep them out of direct sun, in shade, with a brimmed hat and clothes that cover arms and legs.

7. Carry them with you

A sling or soft carrier keeps your baby close to your voice, face and movement, and frees your hands. Talk about what you're doing: "Now we're choosing apples. This one's red." Keep their face visible, their chin off their chest, and hold them upright and snug, close enough to kiss the top of their head. Carriers aren't for routine sleep, especially under 4 months. If your baby was born early or small, or has a cold or breathing trouble, check with your pediatrician first.

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How long newborns stay awake

Not long. WHO's guideline for 0 to 3 months is 14 to 17 hours of sleep in 24 hours, in short pieces around the clock. So most "awake time" is feeding, changing and a few calm, alert minutes. Feeds are prime time: you're already face to face, so keep most of them phone-free and chat.

Watch for sleepy cues: staring into space, slower movements, a yawn, rubbing eyes. Start winding down then, because an overtired baby is harder to settle. For sleep, always place your baby on their back, on a firm, flat surface in their own crib, bassinet or play yard, with nothing soft in it. The baby sleep by age page has the full picture.

Follow their lead

A baby who is ready to play has bright, wide eyes, looks at your face and moves smoothly. A baby who needs a break turns their head away, arches, yawns or hiccups during play, frowns or fusses. When you see those, do less: stop talking for a moment, hold them close and let them look away. Here's more on signs of an overstimulated baby.

One thing you might hear: that newborns copy your faces. A large study of 106 babies found no reliable copying in the first 9 weeks, so if yours doesn't stick out their tongue back at you, nothing is wrong. Keep copying them anyway. They still enjoy the attention.

What you can skip

Flashcards, baby videos and gadgets that promise to teach. WHO advises no screen time under age 2, and babies learn far less from a screen than from the same thing done live. Video calls with family are the exception, because Grandma can answer back. You also don't need a packed schedule. A clean floor, your face and a few kitchen objects later on are the whole kit.

On the hard days

Some days, survival mode is the plan, and that's fine. Pick one feed, put the phone away and answer every sound your baby makes. That alone is dozens of turns. If you need ten minutes to shower, put your baby in a bouncer just outside the shower curtain and sing.

If you notice that you rarely feel like interacting, or that joy has drained out of your days, that may be postpartum depression. It's common and treatable. Talk to your doctor or midwife this week. If you ever have thoughts of harming yourself or your baby, call 988 (in the US) or 911 now.

Do this

  • Hold your baby face to face during one calm moment today and wait for their reply.
  • Narrate every diaper change out loud, with a pause after each line.
  • Do 2 to 3 short tummy-time sessions, on your chest or on the floor.
  • Keep at least one feed a day phone-free and chat through it.
  • Step outside for a few minutes, in the shade, and name what you see.

When to ask your doctor

Check with your doctor or midwife first if…

  • your baby was born early or small, before using a sling or carrier
  • your baby has a cold or any breathing trouble and you plan to use a carrier
  • your baby always turns their head the same way

Call your doctor now if…

  • your baby under 3 months has a temperature of 100.4°F (38°C) or higher
  • your baby has trouble breathing, or is floppy or hard to wake
  • your baby is very sleepy and won't feed, has few wet diapers or is getting more yellow
  • your baby doesn't startle at loud sounds or react to your voice

This page is general information, not medical advice. Every pregnancy and every child is different. Ask your doctor, midwife or pediatrician before changing supplements, diet or care.

Grow a Genius, Max Sidorov
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Grow a Genius

In the book: Chapter 16: Serve and Return

Chapter 16 gives you ten serve-and-return games by age, from face to face at birth to point, name, bring at 12 months, and the Talk to Me guide adds 101 more for every stage.

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People also ask

How long should I play with my newborn each day?

There's no set number. Newborns sleep 14 to 17 hours in 24 (WHO), so awake time is short. A few minutes of face-to-face time, talking through diaper changes and chatting during feeds add up. Stop when your baby turns away or fusses, and start again at the next calm, alert moment.

Is it okay to just hold my newborn?

Yes. Holding, cuddling and carrying are part of how a baby learns the world is a good place. Add your voice and you're doing serve and return. Just stay awake if your baby is on your chest, and never doze with them on a sofa or armchair.

Can newborns watch TV?

WHO advises no screen time under age 2, and babies learn far less from screens than from people. Background TV during play is worth turning off too. Video calls with family are the exception, since the person on the screen can answer back.

What toys does a newborn need?

Almost none. Your face is the best toy in the first months. A baby-safe mirror at floor level for tummy time and a high-contrast picture are nice extras. Simple toys like balls, blocks and board books become useful as your baby starts to reach and grab.

Keep reading

What is serve and return with babies?Serve and return is the back-and-forth between a baby and a caring adult. Your baby "serves" with a look, a coo, a kick or a point, and you "return" it with a smile, a word or a touch, then wait for their next turn. Harvard researchers say each round strengthens connections a child later uses to talk and learn.How much tummy time does a baby need?Build up to 15 to 30 minutes a day by about 7 weeks, then at least 30 minutes a day until your baby crawls. The AAP suggests starting the day you come home with 2 to 3 sessions of about 3 to 5 minutes. WHO sets the 30-minute daily minimum for babies not yet crawling. Tummy time is always awake and supervised.How can I tell if my baby is overstimulated?An overstimulated baby usually turns their head or eyes away, arches their back, makes jerky arm and leg movements, yawns, sneezes or hiccups during play, frowns, stares into space, spreads their fingers wide, fusses or cries. When you see these, do less, not more: go quiet, dim the lights, hold your baby close and let them rest.How much sleep does a baby need by age?Newborns up to 3 months need about 14 to 17 hours in 24 hours. Babies 4 to 12 months need 12 to 16 hours, toddlers 1 to 2 years need 11 to 14, and children 3 to 5 need 10 to 13, naps included. These are ranges from WHO and the AASM, and healthy babies sit all over them.When should I start reading to my baby?From birth. The American Academy of Pediatrics encourages shared reading beginning at birth and continuing at least through kindergarten, because it helps build language, early literacy and your bond. A newborn won't follow the story, but they'll love your voice and your face up close. If you haven't started yet, start today. It's never too late.What are the best toys for a baby's brain development?The best toys for a baby's brain are simple ones: blocks, balls, pots and wooden spoons, nesting cups, a baby-safe mirror, board books and a cloth for peekaboo. They make your baby do the work and keep you talking. In one study, parents and babies used fewer words with electronic toys. Put out 4 to 6 things at a time and rotate them.

Max Sidorov is the author of Grow a Genius, a brain-first plan from 3 months before conception to age 6, built on more than 500 sources from over 35 countries.

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