While in the operating room, your baby will receive a pain medicine injected into the incision. This should allow them to feel and appear comfortable for about six to eight hours after surgery. If necessary, you may give acetaminophen (medication such as Tylenol) to help ease discomfort.
Nothing should be given by mouth for the first two hours after surgery. Two hours after surgery, home feeds (breast milk or formula) are started. Feedings are continued even if the baby has two to three episodes of vomiting. If vomiting continues, all feedings should be held for two hours, and then restart feedings. The baby may be discharged when three consecutive goal feedings are tolerated. Goal feedings are usually 2 to 4 ounces every three hours and based on the amount advised by your primary care physician prior to surgery.
Although a baby often vomits for 24 to 48 hours after surgery, this usually disappears without any further treatment. Small amounts of the feeding being spit up is normal. If the baby vomits most or all of their feeding more than two times daily, contact your surgeon.
Your baby's incision should be kept clean and dry, and you should not bathe them in a tub for one week after surgery. The incision may be closed with tissue glue or Steri-Strips (bandage-like tape). If Steri-Strips are used, leave them in place and only remove them according to the instructions of your pediatric surgeon. They are generally left in place for seven to 10 days.