The happiness and love that your first baby brought into your life is beyond measure, and now you're thrilled to learn you are expecting another child. Although you've been through feeding and breast-feeding, changing diapers, handling illness - will seem like second nature to you instead of a full-blown crisis.

How Will It Affect You?

Bringing home a new baby will affect you in many ways - some physically and others emotionally. Increased exhaustion and mild anxiety is a normal occurrence after having a child.

Physically, you are likely to be sore and very tired, particularly if you had a difficult birth or cesarean delivery. This makes all-night feeding sessions especially tough for you, if you have decided to breast-feed your child.

Seeking the help of a postpartum "doula" during the day can allow you to catch up on sorely needed rest and sleep. A postpartum doula is a specially trained woman who cares for mother and baby during the first couple of weeks after delivery.

If you work outside the home, you may be unsure about the future of your career. Making a decision about whether to return to your job is an important one; enlist the support of your family and friends when weighing all of your options.

Don't be surprised if you feel concerned about bonding with your new child. It may be difficult to understand that you will have just as much love for your new arrival as you do for your older child - but you will. As moms and dads often report, a parent's love somehow doubles when another child is born.

You will notice that you have little or no time for yourself during the first few months following delivery. Sleepless nights and everyday tensions can be overwhelming, so be sure to make "alone time" a priority for you. Likewise, you and your partner will notice that you're rarely spending time together, so be sure to have an occasional date once things settle down.

Helping Your First Child Adjust

Your first child may experience a range of emotions, from jealousy to excitement and even resentment. Younger toddlers are unable to verbalize their feelings, and their behaviors may regress after the new child is born. They might suck their thumb, drink from a bottle, forget their recent potty training skills, and communicate using baby talk in an effort to get your attention.

Older toddlers and children might express their feelings by testing your patience, misbehaving, throwing tantrums, or refusing to eat. These problems are usually transient, and a little preparation can go a long way in helping your older child adjust to the idea of welcoming a new sibling. A good idea is to play up the role of older sibling. There are a number of things that can help you achieve this, such as:

• Letting your older child help pick out items for the new baby's room. If your children will be sharing a bedroom, this is particularly important.
• Finding a special gift that your older child might like to share with the baby, such as a favorite book or toy, or a photo of the sibling for the baby's room. You might also want to pick out something for your older child too, such as a special chair just for him or her that he or she can sit in while you're feeding the baby.
• Arranging special time just for you and your older child. This might involve a trip to the library, grocery store, or simply reading a few extra stories at bedtime. Your partner can help you by caring for the baby during these times.
• Role-playing or reading stories to your child that will help him or her understand what is happening in the family. There are several books written especially for toddlers that can help. Check a local bookstore or ask your librarian for specific titles.
• Preparing your child for what to expect when the baby comes home. This includes explaining that a new baby cries, sleeps, and needs diaper changes frequently. Assure your older child that although the new baby needs lots of attention, there will still be plenty of time and love for him or her.
• Reinforcing your older child's role in the family. Tell your child that he or she will be the "big brother/sister" to the new baby, and let your child revel in this new role. Consider taking your child on one of your prenatal visits or letting him or her be present for an ultrasound. If you're giving birth in a hospital setting, ask about sibling visitation after the baby is born.

The arrival of a new child represents a big shift in your older child's life, so you might want to hold off on introducing other major changes. This is probably not the best time to start

Household Tips

Stock the house with dry foods or quick, easy dinners. If you feel up to cooking, make double portions and freeze them, because finding energy at the end of the day will be difficult once the baby is born. Keep a few menus of take-out food restaurants readily available, including a few that deliver.

Reorganize your laundry room, using one hamper per family member or a basket for each child so it's easier to sort and fold clothing. Laundry is usually the biggest complaint of a new mom - it seems to quadruple when another child arrives, so now is the time to prepare.

If possible, make use of the items you already have on hand (or that family members are willing to share with you) rather than feeling as if you have to go out and buy all new things. Hand-me-downs such as cribs, bassinets, strollers, high chairs, and clothes can help save time and money.

Treat yourself to a few movies, and don't watch them until the baby is born. It will help get you through those late-night feedings.

Stock the car with a diaper bag filled with all the necessary extras so you'll always be prepared. Many mothers keep a toy bag in the car for the older child and a diaper bag with diapers, wipes, and an extra blanket for the baby.

Keep a book or toy bin handy in your bedroom, family room, and even the bathroom or laundry room, to keep your children busy for a few precious moments if an unexpected problem crops up.

Ask a family member to spend time with you right after the baby's birth, if you feel comfortable doing so. Not only will he or she enjoy it, but you may be able to get some much-needed rest.

Use babysitting services or a housekeeper, if possible, who can come in once a week for a month or two to help you with chores that are too strenuous and exhausting.

Look to your community or place of worship for support. There are countless programs and classes available that provide activities and social support for families with young children.

Don't forget to take care of your own needs. Pamper yourself, even if it's something as simple as a haircut or a bath with candles and music, to help you relax after a trying day.

Once you and your family members get accustomed to the idea of another child, you can enjoy the many positive aspects of a larger family.

Reviewed by: Aviva Katz, MD