---
name: new-baby-preparation
description: |
  Provides timeline-anchored preparation checklists for welcoming a new baby, organized into phases: 12 weeks before due date, 4 weeks before, 1 week before, and first week home. Covers medical preparation, home setup, logistics, supplies, and partner/family coordination.
  Use when the user asks about preparing for a new baby, creating a baby preparation checklist, setting up a nursery timeline, or planning for the postpartum period.
  Do NOT use for medical advice about pregnancy, diagnosing complications, or replacing guidance from an OB-GYN or midwife.
license: Apache-2.0
metadata:
  author: foundry-skills
  version: "1.0.0"
  tags: "parenting checklist planning"
  category: "family-relationships"
  subcategory: "caregiving"
  depends: ""
  disclaimer: "none"
  difficulty: "beginner"
---
# New Baby Preparation

Preparing for a new baby is one of the most logistically complex transitions a household will undergo -- and most of the stress comes not from lack of love or intention but from missing information about sequencing, prioritization, and the gap between what the baby industry tells you to buy and what actually matters. This skill provides timeline-anchored, expert-level practical guidance for welcoming a newborn. Medical questions about pregnancy, labor, and newborn health belong with the OB-GYN, midwife, or pediatrician. Everything else -- what to set up, when to set it up, what to buy, how to organize support, and how to survive the first week -- is covered here.

---

## When to Use

**Use this skill when:**
- The user is currently pregnant (any trimester) and wants a phased preparation timeline anchored to their due date
- The user asks what to buy, set up, or arrange before a baby arrives and needs help separating essential from unnecessary
- The user wants to prepare their home for infant safety, logistics, or a sibling transition
- The user is a non-birthing partner, grandparent, or support person asking how to help and what their specific role should be
- The user wants to plan postpartum logistics -- meals, visitors, childcare coverage, leave timing -- before the birth rather than scrambling after
- The user is overwhelmed by baby product marketing and wants a clear essentials-only framework
- The user has a specific complicating factor: tight budget, planned cesarean, premature delivery risk, single-parent household, multiples, or a second-plus baby

**Do NOT use when:**
- The user asks medical questions about pregnancy symptoms, complications, or high-risk conditions -- direct to their OB-GYN or midwife
- The user asks about infant feeding from a clinical or medical perspective (breast anatomy, milk supply issues, tongue tie, formula composition) -- direct to a lactation consultant or pediatrician
- The user is experiencing a mental health crisis postpartum -- direct to their healthcare provider or a crisis line; this skill covers logistics, not mental health treatment
- The user asks about diagnosing or treating a sick newborn -- that is exclusively a pediatrician conversation
- The user needs help processing grief related to pregnancy loss -- use the grief support skill instead
- The user is asking about adoption preparation -- some overlap exists but the timeline, legal tasks, and emotional preparation differ substantially; use the adoption preparation skill if available

---

## Process

### Step 1: Establish the Context Variables

Before generating any checklist, collect four pieces of information. These determine which phase to start in, what to skip, and what to add.

- **Weeks until due date:** This is the primary anchor. Ask directly if not stated. If the user says "I'm 32 weeks," that means approximately 8 weeks remain. If they say "third trimester," default to 12 weeks and note the assumption.
- **First baby or subsequent baby:** First-time parents need the full gear acquisition and education track. Second or third babies need far less gear focus and more sibling preparation and logistics focus.
- **Delivery type (if known):** Vaginal delivery vs. planned cesarean section changes the postpartum recovery supplies list and the partner task load significantly.
- **Support system:** Two-parent household vs. single parent vs. extended family nearby changes the support network planning section entirely.

If the user has not provided all four, use what is given and note assumptions explicitly in the output. Do not refuse to generate a checklist because of missing information -- make reasonable assumptions and flag them.

---

### Step 2: Map to the Correct Phase Entry Point

Use the weeks-until-due-date to determine which phases apply and how urgent each one is:

- **28+ weeks remaining (early third trimester or second trimester):** Begin Phase 1 immediately. All phases apply. Leisurely pace is possible.
- **12-27 weeks remaining (mid to late third trimester):** Phase 1 should start now and be completed within 2 weeks. Phase 2 begins at week 36. This is the normal entry point.
- **4-11 weeks remaining:** Phase 1 tasks that are not yet done must be compressed. Car seat, pediatrician, and hospital registration are the non-negotiable first three. Phase 2 and 3 overlap.
- **Less than 4 weeks remaining:** Emergency compression mode. Generate the "bare minimum weekend list" first, then layer in the full checklist. Every task must be classified as: do today, do this week, or defer until after birth.
- **Baby has already arrived:** Skip to Phase 4 (First Week Home) and the postpartum logistics section. Add a catch-up list for any Phase 1-3 items not yet completed.

---

### Step 3: Build the Phase-Anchored Checklist

Organize tasks into four phases. Each phase has a rationale -- explain why tasks belong in that window, not just what to do. This prevents the common pattern of doing everything at once in week 39.

**Phase 1 (12 weeks before, or earlier) -- Big Infrastructure Decisions:**
- These are tasks with long lead times: daycare waitlists, insurance paperwork, car seat installation, pediatrician selection
- Mistakes here are hard to fix last-minute
- The goal is: no major decision is left unresolved when labor begins

**Phase 2 (4 weeks before, weeks 36-37) -- Setup and Packing:**
- Hospital bag is packed and by the door
- Nursery or baby sleep area is functional (not decorated -- functional)
- Feeding station is set up wherever the parent will spend the most time
- Visitor expectations are communicated

**Phase 3 (1 week before, weeks 38-39) -- Final Check and Stocking:**
- Freezer has 10-15 ready-to-heat meals
- House is stocked with consumables (paper products, cleaning supplies, pantry staples) for 3 weeks
- All contingency plans are confirmed (pet care, sibling care, hospital route)
- Postpartum recovery supplies are ready and accessible

**Phase 4 (First week home) -- Survival Logistics:**
- Feed the baby, keep the baby safe, rest whenever possible
- Everything else is secondary
- The partner or support person is the logistics manager; the recovering parent is the patient and primary caregiver

---

### Step 4: Build the Supplies List with Priority Tiers

Separate all supplies into three tiers. Never present a flat list -- the baby product industry creates enormous anxiety by implying everything is essential.

**Tier 1 -- Absolute Must-Haves (cannot leave the hospital without these):**
- Rear-facing infant car seat installed in the car
- A safe sleep space: firm, flat mattress, fitted sheet, nothing else inside (no bumpers, pillows, positioners, weighted blankets, or stuffed animals)
- 8-10 onesies in newborn AND 0-3 month sizes (newborns are often already too large for newborn sizing)
- Diapers: 1 pack newborn, 2 packs size 1 (newborns average 10-12 diapers per day in the first weeks)
- Unscented fragrance-free wipes
- Feeding supplies appropriate to the intended feeding method (bottles + formula if formula feeding; a manual hand pump as backup even if breastfeeding)

**Tier 2 -- Strongly Recommended (get before week 38):**
- Changing pad with 2-3 waterproof covers
- 4-5 swaddle blankets or sleep sacks (the velcro/zipper wearable sleepers are easier for night changes)
- 6-8 burp cloths (more is better; a newborn can soil 3 in an hour during a cluster feeding session)
- Baby bathtub or sink insert
- Thermometer (rectal is the most accurate for infants under 3 months; have one even if you hope not to use it)
- Infant nail file or soft-tipped nail scissors (newborn nails are surprisingly sharp and grow fast)
- Nasal aspirator (the Frida-style hospital bulb-sucker replacements outperform the standard bulb syringe; newborns cannot blow their nose)

**Tier 3 -- Nice to Have, Not Urgent:**
- Swing or bouncy seat (some babies love them, some do not -- borrow before buying if possible)
- Baby monitor (necessary only if baby sleeps in a different room from parents)
- Nursing pillow (useful for breastfeeding positioning; also useful for bottle-feeding support)
- White noise machine (a fan works equally well; apps work; a dedicated device is not necessary)

**Skip or defer entirely:**
- Wipe warmer (creates bacteria-friendly environment; not recommended by most pediatricians)
- Bottle sterilizer (dishwasher with heated dry cycle is sufficient; or boiling water)
- Baby shoes (newborns cannot walk; shoes are decorative only; socks with grips suffice)
- Nursery decor, mobiles, wall art (babies cannot focus beyond 8-12 inches for the first weeks; this is entirely for the parents)
- Diaper pail (a regular small trash can with a lid, emptied daily, is functionally equivalent)

---

### Step 5: Build the Postpartum Logistics Plan

The first week home is the most logistically intense period and the most commonly under-planned. Treat it as a distinct planning domain.

**Meals:**
- Target 10-15 freezer meals prepared before birth -- casseroles, soups, burritos, pasta dishes in single-meal portions
- Accept every offered meal from friends and family; route them through a meal signup sheet so you do not receive 5 lasagnas on day 3 and nothing on day 8
- Stock the pantry with zero-prep or minimal-prep foods: crackers, peanut butter, cheese, hummus, granola bars, pre-cut fruit -- the recovering parent will be eating one-handed at 3 AM

**Visitor Management:**
- Establish a visiting policy before the birth and communicate it in the birth announcement
- A reasonable default policy: no visitors in the first 48-72 hours home; after that, scheduled 1-2 hour visits during a specific afternoon window
- Visitor rules that are non-negotiable for infant health: wash hands upon arrival, do not visit if sick (any cold, flu, or gastrointestinal symptoms), do not kiss the baby on the face or hands (respiratory syncytial virus and herpes simplex are serious risks in infants under 3 months)
- Helpful visitors bring a meal, do a specific task (fold laundry, wash dishes, walk the dog), and leave when cued. A visitor who requires hosting, entertaining, or emotional labor is the wrong kind of visitor for week 1.

**Sleep division:**
- The most effective evidence-supported approach for two-parent households: divide the night into two shifts
- Example: Parent A handles 8 PM - 2 AM (all feeds, all diaper changes); Parent B handles 2 AM - 8 AM
- Each person gets one continuous 5-6 hour sleep block -- far more restorative than both parents waking at every feed
- The recovering/breastfeeding parent may need to wake once during their off-shift for milk production, but their partner handles the logistics of that feed where possible

**Pediatrician appointment:**
- The first well-baby visit typically occurs 3-5 days after birth (some practices prefer 2-3 days for breastfed babies to verify weight and latching)
- Confirm this appointment before leaving the hospital
- Track: every feed (time, duration if breastfeeding or ounces if bottle), every wet diaper, every bowel movement in the first week -- the pediatrician uses this data to assess feeding adequacy

---

### Step 6: Create the Partner/Support Person Action Track

The non-birthing partner or primary support person needs their own task list. Do not merge it with the main checklist -- they have distinct responsibilities.

**Before birth:**
- Install the car seat (this is often the partner's primary installation task)
- Pack your own hospital bag items (separate from the birthing parent's bag): phone charger, snacks for a 24+ hour hospital stay, change of clothes, toothbrush, your own comfort items
- Memorize the hospital route and identify the nighttime entrance and parking
- Coordinate the support network: who covers what during the hospital stay (pet care, older sibling pickup, house check)
- Learn what a postpartum hemorrhage, infection fever (temperature above 100.4°F in the first few weeks), and severe mood change look like -- not to diagnose, but to know when to call the provider

**First week home:**
- Handle 100% of non-baby household logistics: cooking, dishes, laundry, groceries, pet care, taking out trash
- Manage the visitor schedule and all visitor communication -- the recovering parent should not have to be the one to say "please leave"
- Take the overnight shift (or a portion of it) as described above
- Monitor the recovering parent for warning signs requiring medical attention: fever, unusual pain, wound changes (if cesarean), or emotional changes that are intensifying rather than fluctuating (normal baby blues peak around day 3-5 and resolve; postpartum depression does not follow that pattern)
- Handle the first pediatrician appointment logistics: transportation, paperwork, knowing the baby's current weight at discharge

---

### Step 7: Customize for Specific Circumstances

Adjust the standard output based on confirmed situational flags:

**For cesarean delivery:** Add recovery-specific items to Phase 3 supplies -- high-waisted underwear or postpartum recovery shorts that sit above the incision, a step stool to assist getting into bed, stool softener starting the day after surgery, a pillow to hold against the abdomen when coughing or laughing. The partner's task load in weeks 1-4 is higher because the recovering parent will have a 6-week lifting restriction (nothing heavier than the baby) and significant abdominal pain for the first 7-14 days.

**For premature delivery risk:** Front-load all Phase 1 tasks to 28-30 weeks. The bare minimum list -- car seat, safe sleep space, 5 basic outfits, and pediatrician selected -- should be complete by 30 weeks. Hospital bag should be packed by 30 weeks.

**For second or third baby:** Remove the majority of gear acquisition focus. Add a dedicated sibling preparation section. Reduce the medical infrastructure section (they already have a pediatrician). Focus on: what gear is expired or needs replacement, who handles the older child during labor and in the first weeks, and how to structure the older child's first interaction with the baby.

**For single-parent households:** Replace "partner tasks" with "support network tasks." Identify 2-3 specific people who will fill the partner function during the first two weeks. Be concrete about what help looks like -- "can you come Tuesday from 2-6 and hold the baby while I sleep?" is more effective than "let me know if you can help." Plan for contingencies: who is the backup if Person A is sick?

**For twin or higher-order multiples:** This checklist significantly under-serves multiples preparation. Key additions: double all supply quantities, set up two independent sleep spaces from the start, plan for professional postpartum support (a night doula or postpartum doula is often necessary rather than optional), and consult with the NICU team if prematurity is likely.

---

### Step 8: Deliver the Output and Offer Follow-Up

After generating the checklist, offer specific follow-up:

- "Would you like me to go deeper on any specific phase or category?"
- "Do you want a partner-only version of this checklist?"
- "Would a budget-constrained version be helpful -- showing what to prioritize if you're working with under $500?"
- "Do you want me to build out the freezer meal list with specific recipes?"

Do not ask all follow-up questions at once. Identify the most likely gap based on what the user said and ask one targeted question.

---

## Output Format

```
## New Baby Preparation Checklist
### [X weeks until due date] | [First baby / Subsequent baby] | [Any specific flags noted]

---

### ⚡ Start Immediately (If Under 4 Weeks Remaining)
- [ ] Car seat installed and inspected
- [ ] Pediatrician selected and first appointment pre-scheduled
- [ ] Hospital pre-registration complete
- [ ] Hospital bag packed
- [ ] Safe sleep space set up

---

### Phase 1: 12 Weeks Before Due Date
*Purpose: Resolve big decisions that have long lead times. These cannot be done at the last minute.*

**Medical and Safety Infrastructure**
- [ ] [Specific task]
- [ ] [Specific task]

**Home and Sleep Setup**
- [ ] [Specific task]
- [ ] [Specific task]

**Financial and Insurance Logistics**
- [ ] [Specific task]
- [ ] [Specific task]

**Childcare (If Applicable)**
- [ ] [Specific task]

---

### Phase 2: 4 Weeks Before Due Date (Weeks 36–37)
*Purpose: Everything should be physically ready. Pack bags, set up stations, communicate the visitor plan.*

**Hospital / Birth Center Preparation**
- [ ] Hospital bag packed (contents listed below)
- [ ] Route to hospital confirmed; backup route identified
- [ ] Birth preferences discussed with partner and provider

**Home Setup**
- [ ] [Specific task]

**Support Network**
- [ ] [Specific task]

**Older Sibling Preparation (If Applicable)**
- [ ] [Specific task]

---

### Phase 3: 1 Week Before Due Date (Weeks 38–39)
*Purpose: Final check. Stock the house. Confirm all contingency plans.*

**Final Checklist**
- [ ] [Specific task]
- [ ] [Specific task]

**Freezer Meal Status**
- Goal: 10-15 ready-to-heat meals
- Current count: [fill in]

**Contingency Plans Confirmed**
- [ ] Pet care: [who / where]
- [ ] Older sibling care: [who / timing]
- [ ] Hospital route: [route + parking confirmed]

---

### Phase 4: First Week Home
*Purpose: Survival mode. Feed the baby, keep the baby safe, rest whenever possible. Everything else is secondary.*

**Feeding**
- [ ] [Specific to feeding method]

**Safe Sleep**
- [ ] [Specific task]

**Sleep Division Plan**
- Parent A covers: [shift]
- Parent B / Support person covers: [shift]

**Visitor Policy**
- Visiting window: [time]
- Requirements: [handwashing, no illness]
- Gatekeeper: [who manages this]

**Pediatrician Tracking**
- First appointment date: [confirm before leaving hospital]
- Track each feed: [yes/no, what to record]

---

### Partner / Support Person Task Track

**Before Birth**
- [ ] [Specific task]

**During Hospital Stay**
- [ ] [Specific task]

**First Week Home**
- [ ] [Specific task]

---

### Essential Supplies by Priority Tier

| Tier | Category | Specific Items | Quantity | Buy New / Used / Borrow |
|------|----------|---------------|----------|--------------------------|
| Must-Have | Sleep | Crib or bassinet, firm mattress, fitted sheets | 1 crib + 3 sheets | Mattress: buy new; frame: used OK if slats under 2.375 inches apart |
| Must-Have | Transport | Rear-facing infant car seat | 1 | Buy new or verify expiration date (most expire 6-10 years from manufacture) |
| Must-Have | Diapering | Newborn + size 1 diapers, fragrance-free wipes, diaper cream, changing pad | 1 pack NB, 2 packs size 1 | Any source |
| Must-Have | Clothing | Onesies (NB + 0-3 month), sleep sacks or swaddles, socks | 8-10 onesies, 4-5 sleep sacks | Used is fine; wash before use in fragrance-free detergent |
| Must-Have | Feeding | Bottles, formula (if formula feeding) OR manual pump (if breastfeeding) | 4-6 bottles | Bottles: new; pump: check insurance coverage |
| Strongly Recommended | Health | Rectal thermometer, nasal aspirator, infant nail file | 1 each | Buy new |
| Strongly Recommended | Feeding Support | Burp cloths, nursing pillow | 6-8 cloths, 1 pillow | Used OK |
| Nice-to-Have | Comfort | Swing, bouncy seat, baby carrier | 1 | Borrow first to test preference |
| Skip for Now | Decor | Wall art, mobile, themed nursery items | -- | Defer |

---

### Budget-Conscious Notes
- **Non-negotiable new purchases:** Car seat (expiration + safety standards), crib mattress (firmness standards), rectal thermometer
- **Secondhand is fine:** Stroller, clothing, baby bathtub, books, swing, bouncy seat, carrier
- **Check if insurance covers:** Breast pump (many insurance plans cover 100% with a prescription), postpartum doula hours (some HSA/FSA plans)
- **Accept every hand-me-down:** Clothing (babies outgrow sizes in 4-8 weeks), burp cloths, swaddles
- **Skip entirely for now:** Wipe warmer, bottle sterilizer machine, diaper pail, bottle warmer, baby shoes

---

### Postpartum Warning Signs (For the Support Person -- Know When to Call the Provider)
*These are not for the AI to diagnose -- they are prompts to contact the healthcare provider:*
- Fever above 100.4°F in the recovering parent at any point in the first 6 weeks
- Incision site that is increasingly red, warm, swelling, or has unusual discharge (cesarean)
- Mood changes that are intensifying after day 5, rather than fluctuating (postpartum depression vs. baby blues)
- Difficulty bonding or intrusive thoughts (contact provider, not a judgment -- postpartum anxiety and OCD are common and treatable)
- Baby with a fever above 100.4°F rectally in the first 3 months -- this is always an emergency room visit, not a "wait and see"
```

---

## Rules

1. **Never provide medical advice.** Every question about pregnancy symptoms, labor signs, newborn illness, or infant feeding difficulties must be redirected to the appropriate medical professional (OB-GYN, midwife, pediatrician, or lactation consultant). This is a logistics and preparation skill, not a clinical skill.

2. **The timeline anchor is mandatory.** Every task must have a "when to do this" designation, not just a "what to do" designation. A flat list of tasks is nearly useless for a pregnant person who is tired, overwhelmed, and cannot evaluate urgency on their own.

3. **Always separate Tier 1 from Tier 2 from nice-to-have.** The baby product industry generates approximately $12 billion annually in the United States by convincing new parents that everything is essential. Clarity on what is actually required versus what is convenience versus what is decorative is one of the highest-value outputs this skill provides.

4. **Phase 4 (first week home) must always be included.** Most baby preparation content stops at birth. The first week home is the most logistically and emotionally intense period for most families. Omitting it is a significant failure of the skill.

5. **Car seat rules are non-negotiable.** Car seat must be rear-facing, installed in the rear seat (never front seat with an active airbag), installed before week 36 at the latest, and verified by a certified child passenger safety technician if possible (most fire stations offer this free). Car seat expiration dates are real -- most seats expire 6-10 years from manufacture date stamped on the seat. A secondhand car seat is acceptable only if the expiration has not passed and the seat has never been in a collision.

6. **Safe sleep guidance must be accurate.** The safe sleep space is: firm flat mattress, fitted sheet, nothing else inside the sleep space. No exceptions for bumpers, sleep positioners, weighted sleep sacks (not the same as standard sleep sacks), bed-sharing products, or incline sleepers. Many of these products are sold commercially and have been associated with infant deaths. The AI must not soften this guidance.

7. **Budget-conscious guidance must be specific, not vague.** Saying "buy secondhand where possible" is not useful. Specifying exactly what is safe to buy used (clothing, stroller frame, swing) versus what must be bought new (car seat if expiration or unknown history, crib mattress) gives actionable guidance.

8. **Visitor management must be addressed proactively.** Failure to establish visitor boundaries before birth is one of the most commonly cited sources of postpartum stress in surveys of new parents. The skill must include specific, concrete visitor guidance -- not just "set limits."

9. **The partner/support person track must be a separate, specific list.** Merging partner tasks with the main checklist results in both being done by the same person. The non-birthing partner or primary support person needs their own task track with their own priorities, which are fundamentally different from the birthing parent's priorities.

10. **Second and subsequent babies require adjusted checklists.** The gear acquisition track for a first baby takes approximately 80% of Phase 1 effort. For a second baby, it takes 20%. Providing an identical checklist for a second-time parent wastes their time and buries the actually important new tasks (sibling preparation, gear audit, logistics for managing two children) in irrelevant gear shopping guidance.

---

## Edge Cases

### Premature Delivery Risk (Preterm Labor History or High-Risk Pregnancy)

If the user mentions a history of preterm labor, preterm birth, or a condition associated with early delivery (cervical incompetence, multiples, placenta previa), front-load the entire checklist.

- The "bare minimum operational list" -- car seat installed, safe sleep space set up, newborn clothing washed, pediatrician selected -- must be complete by **30 weeks**, not 36
- Hospital bag should be packed by **28-30 weeks**
- All financial and insurance logistics should be complete by **28 weeks**
- Generate a specific "This weekend, do these 5 things" list if the user is already past 28 weeks
- Note explicitly: NICU preparedness is a conversation to have with their medical team, not this skill. But logistically, a NICU stay means the home setup has more time to complete -- the car seat, however, must still be installed before the baby comes home regardless of gestational age at birth.

### Second or Third Baby with an Older Sibling

The gear and medical infrastructure tracks shrink significantly. New content to add:

- **Sibling preparation:** Age-appropriate explanation of the new baby (for children under 4, concrete and immediate works best: "the baby will sleep a lot, cry a lot, and cannot play yet"); for children 4-7, books about new siblings can help; for children 8+, involve them in preparation tasks
- **The hospital stay logistics:** Who handles pickup from school? Where does the older child sleep if the birth happens overnight? Who is the backup if the primary caretaker is sick?
- **First introduction:** Have the partner bring the older child to meet the baby rather than the recovering parent holding the baby when the older child arrives; this allows the parent to give full attention to the older child first
- **Gear audit:** Re-examine the car seat -- most infant car seats expire in 6-10 years, and secondhand seats may be past expiration; the crib mattress should be replaced if it has sagged or developed odors; clothing is fine to reuse after washing

### Tight Budget (Under $500 Total)

When the user explicitly states budget constraints, restructure the supplies section entirely around a priority stack:

1. **Car seat ($80-200):** This is the only item that is legally required to leave the hospital. Do not compromise here. A new basic infant car seat is available for under $100. Do not buy a used car seat of unknown history.
2. **Safe sleep space ($50-150):** A pack-and-play with a bassinet insert ($80-130) is AAP-approved, folds for small spaces, and serves as both a bassinet and a transition crib. A secondhand crib is acceptable if slats are under 2.375 inches apart and a new mattress is purchased.
3. **Diapers and wipes ($40-60 for the first month):** Accept any brand. Buy store brand.
4. **Clothing ($0-30):** Accept every hand-me-down. Babies outgrow newborn sizing in 2-6 weeks.
5. **Feeding supplies ($0-40):** If breastfeeding, check insurance coverage for a breast pump first -- most ACA-compliant insurance plans cover a breast pump with a prescription at no cost. If formula feeding, hospitals typically provide formula for the first 1-2 days.

Total achievable under $350. Everything beyond the above is negotiable.

### Planned Cesarean Section

Add a specific recovery logistics section to Phase 3:

- **Supplies to have ready:** High-waisted postpartum underwear or recovery shorts that sit above the incision line (low-cut underwear contacts the incision site painfully); a bed step stool if the bed is high; a pillow to hold against the abdomen when coughing, sneezing, or laughing (reduces pain significantly); stool softener starting the day after surgery (narcotics and anesthesia cause significant constipation; straining is painful with an abdominal incision)
- **Lifting restriction:** Most OB-GYNs prescribe nothing heavier than the baby (approximately 8-10 lbs) for 6 weeks. This means the partner or support person must handle: carrying the car seat carrier, loading the stroller, carrying groceries, picking up older siblings
- **Driving restriction:** Typically 2-4 weeks post-cesarean due to reaction time impairment from pain medication and the physical reflex of pressing an accelerator or brake. Someone else must drive for all initial pediatrician appointments.
- **Partner task load:** Higher than for vaginal delivery in weeks 1-4. The partner needs to know this in advance, not as a surprise.

### Single Parent Without a Regular Partner

Reframe the partner/support person section as a "support network construction" task.

- Identify 2-3 specific people who will take on partner-equivalent roles in the first two weeks; these are not vague offers of help but committed, scheduled commitments
- Create a specific ask menu so when people say "let me know what you need," you have a concrete list: "Can you come Thursday from 2-5 PM and hold the baby while I sleep?"; "Can you bring dinner Tuesday?"; "Can you do a grocery run on Saturday?"
- For the overnight shift issue: some single parents use a postpartum doula for overnight shifts (1-3 nights per week is a common and cost-effective option); check if any portion is covered by insurance or HSA/FSA
- Build redundancy into all contingency plans: the NICU trip, the pediatrician appointment, the middle-of-the-night fever -- who is the backup when the primary support person is unavailable?

### Twins or Higher-Order Multiples

This checklist requires significant expansion that is beyond the standard output. Flag this clearly.

- Double all supply quantities (2 car seats installed, 2 sleep spaces, double the clothing and diapering supplies)
- A postpartum doula or night nurse is strongly recommended, not merely optional -- the logistics of two newborns simultaneously exceeds most couples' capacity without professional support
- Feeding logistics are significantly more complex and the user should connect with a lactation consultant before birth if breastfeeding is intended
- NICU preparation is a realistic scenario for twins and higher-order multiples; the user should have a conversation with their medical team about what that looks like logistically
- Sleep schedules: synchronized feeding and sleeping is the single most effective strategy for managing multiples; research this before birth, not in week 2

---

## Example

**Input:** "I'm 28 weeks pregnant with my first baby. I feel like I haven't done anything to prepare and I'm starting to panic."

**Context extracted:** 28 weeks pregnant = approximately 12 weeks until due date. First baby. No specific flags mentioned. Status suggests a standard full-course checklist is appropriate. Emotional tone (panic) warrants reassurance upfront.

---

## New Baby Preparation Checklist
### 12 Weeks Until Due Date | First Baby | Standard Delivery

You are right on time. Most families do their preparation between weeks 28 and 38, and you have the full window ahead of you. Here is a phase-by-phase plan -- organized so that everything is done at the right time, not all at once.

---

### Phase 1: Do Now Through Week 32
*Purpose: Decisions with long lead times. These are the tasks that cannot be done at the last minute.*

**Medical and Safety Infrastructure**

- [ ] **Select a pediatrician.** Call 2-3 practices near you. Ask: Do you accept my insurance? Are you accepting new patients? What is the process for after-hours calls? When is the first newborn visit (should be 3-5 days after birth)? Schedule a "meet the doctor" visit if the practice offers it -- many do, at no charge.
- [ ] **Pre-register at your hospital or birth center.** This completes the intake paperwork before you arrive in labor. Most hospitals allow online pre-registration. Call the labor and delivery unit to confirm what is needed.
- [ ] **Install the car seat.** Buy or receive a rear-facing infant car seat now and install it. Do not wait until week 38. Many local fire stations offer free car seat inspections by certified child passenger safety technicians -- call yours and schedule one. The seat must be in the rear seat of the car, never the front passenger seat if there is an active airbag.
- [ ] **Review your insurance coverage.** Call your insurance company and ask these three specific questions: (1) What do I owe for the hospital delivery? (2) When can I add the baby to the plan, and how many days do I have after birth to do so? (3) Does my plan cover a breast pump with a prescription? The third question is often yes under ACA-compliant plans and can save $200-400.

**Childcare Logistics**

- [ ] **Research daycare or childcare options if you plan to return to work.** Waitlists at licensed daycare centers in many areas are 6-12 months long. Get on the list now even if your return-to-work date is 3-4 months away. You can decline later; you cannot manufacture availability that does not exist.
- [ ] **Clarify parental leave coverage.** Talk to HR or review your policy. Understand: how many weeks you have, whether any of it is unpaid, and the process for extending or supplementing with FMLA if applicable. Your partner should do the same.

**Home and Sleep Setup**

- [ ] **Set up the safe sleep space.** This is the highest-priority home setup task. Whether you use a crib or a bassinet, the setup is identical: firm flat mattress, one fitted sheet, nothing else inside. No bumpers, pillows, positioners, incline wedges, or stuffed animals. Where will the baby sleep for the first 3-6 months? Most pediatricians recommend room-sharing (baby in the same room as parents) but not bed-sharing for the first 6 months.
- [ ] **Set up the diaper changing station.** This can be a dedicated changing table, a changing pad on a dresser, or a waterproof mat on the floor -- wherever you will actually use it. Stock it now: 1 pack newborn diapers, 2 packs size 1 diapers, fragrance-free wipes, zinc oxide diaper cream, 3 waterproof changing pad covers. Newborns average 10-12 diapers per day in the first weeks.
- [ ] **Wash and sort baby clothing.** Wash all newborn and 0-3 month clothing in fragrance-free, dye-free detergent. Sort by size into two groups only: newborn (0-9 lbs, often skipped if your baby is average sized) and 0-3 months. Put everything else in storage -- you will not need 3-6 month sizes for at least 8-12 weeks.

**Freezer Meal Strategy**

- [ ] **Begin the freezer meal program.** Every time you make dinner in the next 10 weeks, double the recipe and freeze half in a labeled, dated container. Target: 10-15 fully prepared meals in the freezer by week 38. Recommended formats: soups and stews in quart freezer bags (lay flat to freeze, stack to store), casseroles in foil pans, burritos wrapped individually. Avoid anything that does not freeze well (pasta with cream sauces, salads, anything with fresh herbs added before freezing).

---

### Phase 2: Weeks 36–37 (4 Weeks Before Due Date)
*Purpose: Everything should now be physically ready. Pack bags, set up stations, communicate the visitor plan.*

**Hospital Bag -- Pack This Now**

Pack two bags: one for the hospital stay, one for the car seat + going-home outfit.

*Birthing parent's bag:*
- [ ] ID, insurance card, and pre-registration confirmation number
- [ ] Phone charger (long cable -- hospital outlets are rarely convenient)
- [ ] Lip balm (you will use it more than almost anything else during labor)
- [ ] Hair ties and a headband
- [ ] Your own toiletries (hospital-provided soap is often harsh)
- [ ] Going-home outfit: maternity-sized comfortable pants and a loose top -- your body at discharge will be approximately 6 months pregnant in size
- [ ] Comfortable robe or loose cardigan for laboring and walking the halls
- [ ] Snacks for early labor (clear liquids may be restricted later; early labor can be long)
- [ ] Postpartum items: your own heavy pads if preferred (hospitals provide them but theirs are bulky), high-waisted postpartum underwear

*Partner's bag:*
- [ ] Phone charger
- [ ] 36 hours of snacks (the hospital cafeteria closes; vending machines get expensive)
- [ ] A full change of clothes and toiletries
- [ ] Entertainment for potentially long early labor (hospital WiFi exists but is unreliable)

*Baby's going-home supplies (keep in the car):*
- [ ] One outfit in newborn OR 0-3 month size (bring both sizes, because you will not know which fits until birth)
- [ ] A swaddle blanket
- [ ] The car seat, already installed

**Feeding Station Setup**

- [ ] **Set up your primary feeding station.** Wherever you will spend the most hours feeding the baby -- usually a couch or rocking chair -- place: a water bottle (breastfeeding dramatically increases thirst), snacks that can be eaten one-handed, a phone charger within reach, 3-4 burp cloths, a small lamp or book light for nighttime feeds, and a nursing pillow or standard pillow for positioning support.

**Support Network**

- [ ] **Identify your first-two-weeks support team.** List 2-3 people who will help in weeks 1 and 2. Be specific about what you are asking for: bring a meal on [specific day], come hold the baby for 2 hours on [specific day] while I sleep, do a grocery run. Vague offers of help expire; specific asks get fulfilled.
- [ ] **Set up a meal coordination system.** A shared meal signup sheet (a simple spreadsheet shared via email works; dedicated apps like MealTrain also exist) prevents the situation where you receive 5 meals on day 2 and none in week 2.

**Visitor Policy**

- [ ] **Decide on your visitor policy and communicate it before the birth.** A reasonable default: no visitors for the first 48-72 hours home; after that, 2-hour afternoon visits by appointment only. Include in your birth announcement: visitors must be healthy (no cold, flu, or GI symptoms in the past 7 days), must wash hands upon arrival, and should not kiss the baby's face or hands. Communicating this before the birth prevents awkwardness afterward.

---

### Phase 3: Weeks 38–39 (1 Week Before Due Date)
*Purpose: Final check. Stock the house. Confirm all contingency plans.*

**Final Checklist**

- [ ] Car seat installed and inspected -- do not wait until you are in labor to discover a problem
- [ ] Hospital bag by the door, not in the nursery
- [ ] Freezer has at least 10 ready-to-heat meals -- count them today
- [ ] Pantry stocked with zero-prep foods: crackers, peanut butter, granola bars, nuts, cheese, pre-cut fruit. You will be eating at 3 AM with one hand.
- [ ] House stocked with 3 weeks of household consumables: toilet paper, paper towels, dish soap, laundry detergent, shampoo. You will not want to shop during the first two weeks.
- [ ] Postpartum recovery supplies ready: heavy pads, a peri bottle (many hospitals provide one but have your own), fragrance-free stool softener (start it the day after birth -- pushing causes pain; straining makes it worse), comfortable loose underwear

**Contingency Plans -- Confirm All of These Today**

- [ ] **Pet care during the hospital stay:** Who has a key? Who is feeding and walking the pet? What is the plan if the birth happens at 2 AM?
- [ ] **Hospital route confirmed:** Drive it if you have not recently. Identify the nighttime entrance (it is often different from the daytime entrance). Know where to park. Know which floor labor and delivery is on.
- [ ] **Emergency contact list:** Your OB-GYN or midwife's after-hours number, the labor and delivery triage line, and your pediatrician's after-hours line should all be saved in both parents' phones right now.

---

### Phase 4: First Week Home
*Purpose: Survival. The goal is: feed the baby, keep the baby safe, and rest whenever possible. Every other standard is suspended.*

**Safe Sleep -- Non-Negotiable**

- [ ] Baby sleeps on their back, every time, on a firm flat surface with nothing else in the sleep space
- [ ] If you are exhausted and worried you might fall asleep while feeding, put the baby down in their safe sleep space rather than continuing to hold them on a soft surface -- a brief cry is safer than accidental suffocation
- [ ] Room temperature: 68-72°F is the recommended range; a baby who is too warm is at higher risk for SIDS; dress the baby in one more layer than you are wearing

**Feeding**

- [ ] If breastfeeding: feed on demand, which means every 2-3 hours in the first weeks (8-12 times per day). Feed when the baby shows hunger cues (rooting, hands to mouth, turning head) rather than waiting for crying -- crying is a late hunger cue and a harder latch is the result. If you are struggling, call a lactation consultant. Difficulty in the first week is extremely common and is not an indication that breastfeeding will not work.
- [ ] If formula feeding: 1-2 oz per feed in the first 24-48 hours, increasing to 2-3 oz per feed by the end of the first week. Sterilize bottles before first use (boiling water for 5 minutes or dishwasher with heated dry cycle). Store prepared formula in the refrigerator for up to 24 hours.
- [ ] **Track every feed for the first week.** Record: time of feed, duration in minutes (breastfeeding) or ounces consumed (bottle). Also record wet diapers (expect 6+ per day after day 4) and bowel movements. Your pediatrician will ask for this data at the first visit, which should be 3-5 days after birth.

**Sleep Division Plan**

The most effective approach for maintaining minimum viable function in both adults:

- **Partner A covers:** 8:00 PM to 2:00 AM -- all feeds, all diaper changes, all nighttime logistics
- **Partner B covers:** 2:00 AM to 8:00 AM -- all feeds, all diaper changes, all nighttime logistics
- Each person gets a guaranteed 5-6 hour sleep block. This is more restorative than both parents waking at every feed and both being perpetually sleep-deprived.
- If breastfeeding, the breastfeeding parent may need to pump or feed once during their off-shift to maintain milk supply -- the partner handles the logistics of that feed (changing, burping, re-settling) while the breastfeeding parent feeds and immediately returns to sleep.

**Visitor Management**

- [ ] Visiting window is 2:00 PM - 4:00 PM only; communicate this to anyone who asks about visiting
- [ ] The partner manages all visitor scheduling and communication this week -- the recovering parent is not the one saying no to people
- [ ] Helpful visitors: bring a meal, do one task (fold laundry, wash dishes, take the dog for a walk), and leave when cued without requiring extensive hosting
- [ ] It is acceptable to cancel any visit, at any time, for any reason. "We're resting" is a complete sentence.

---

### Partner / Support Person Task Track

**Weeks 28-36 (Do These Now)**
- [ ] Install the car seat and schedule a fire station inspection
- [ ] Pack your own hospital bag (separate from the birthing parent's bag)
- [ ] Drive the hospital route; memorize the nighttime entrance and parking
- [ ] Coordinate pet care and any older sibling coverage for during the hospital stay
- [ ] Learn the postpartum warning signs to watch for: fever above 100.4°F in the recovering parent, unusual pain or incision changes, mood changes that intensify rather than fluctuate after day 5. Know that these require a call to the provider, not your own assessment.

**During the Hospital Stay**
- [ ] You are the logistics manager; the recovering parent should not have to manage anything
- [ ] Manage communications -- update family, manage the "when will you know?" texts so the birthing parent does not have to
- [ ] Advocate for rest: limit early visitors at the hospital; the first 24 hours after birth are for recovery and bonding, not hosting

**First Week Home**
- [ ] Own 100% of non-baby household tasks: cooking, dishes, laundry, groceries, trash, pet care
- [ ] Manage the visitor schedule; you say "now is not a good time" when needed
- [ ] Take your assigned overnight shift with full ownership -- the recovering parent does not manage you during this time
- [ ] Confirm and handle transportation to the first pediatrician appointment (typically day 3-5 post-birth)
- [ ] Monitor the recovering parent. If you observe fever, unusual pain, a wound that appears infected, or a mood that is deteriorating rather than fluctuating after day 5 -- contact the provider. You do not need to diagnose anything; you need to make the call.

---

### Essential Supplies by Priority Tier

| Tier | Category | Specific Items | Notes |
|------|----------|---------------|-------|
| Must-Have | Sleep | Crib or bassinet, firm flat mattress, 3 fitted sheets | Mattress: buy new. Frame/bassinet: used OK. Nothing else in the sleep space. |
| Must-Have | Transport | Rear-facing infant car seat | Buy new or verify expiration date (stamped on the seat; most expire 6-10 years from manufacture). Never buy used if you cannot verify it has never been in a collision. |
| Must-Have | Diapering | 1 pack newborn diapers, 2 packs size 1, fragrance-free wipes, zinc oxide diaper cream, changing pad + 3 covers | Newborns: 10-12 diapers/day. Do not overbuy newborn size -- babies often skip it. |
| Must-Have | Clothing | 8-10 onesies (NB + 0-3 mo), 4-5 sleep sacks or zip swaddles, socks | Velcro or zip sleep sacks are easier for night changes than blanket swaddles. Wash in fragrance-free detergent before use. |
| Must-Have | Feeding | Bottles (4-6), formula if formula-feeding OR manual pump as backup if breastfeeding | Check insurance for breast pump coverage before buying. |
| Must-Have | Health | Rectal thermometer (most accurate under 3 months), nasal aspirator, infant nail file | A rectal temperature above 100.4°F in an infant under 3 months is an ER visit. Have the thermometer before you need it. |
| Strongly Recommended | Feeding support | 6-8 burp cloths, nursing pillow, bottle brush and drying rack | You will use burp cloths constantly. 6 is the minimum. |
| Nice-to-Have | Comfort | Swing or bouncy seat | Borrow one first if possible -- some babies love them, some do not respond. |
| Nice-to-Have | Monitoring | Baby monitor | Only necessary if baby sleeps in a separate room. A simple audio monitor is sufficient. |
| Defer | Decor | Nursery art, mobile, themed items | Babies cannot focus beyond 8-12 inches for the first weeks. This is entirely for you. Do it after the baby arrives and you know how much time you have. |

---

### Budget-Conscious Notes
- **Must buy new:** Car seat (or verify expiration and collision history), crib mattress (firmness degrades; firm surface is a safe sleep requirement), rectal thermometer
- **Fine to buy secondhand:** Stroller, clothing, baby bathtub, swing, carrier, books
- **Accept every hand-me-down:** Clothing (outgrown in 4-8 weeks), burp cloths, swaddles, crib frames (verify slat spacing under 2.375 inches)
- **Check before buying:** Breast pump (most ACA-compliant insurance plans cover with a prescription -- call your insurance company)
- **Skip entirely for now:** Wipe warmer, bottle sterilizer appliance, diaper pail, bottle warmer, baby shoes, nursery decor

---

### Know These Numbers

| Situation | Threshold | Action |
|-----------|-----------|--------|
| Infant fever (under 3 months) |
