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Skin Transformations, Bizarre Behavior and Other Perfectly Normal Oddities that Worry First-time Parents
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At 4 weeks old, Andrew Crawford's face broke out in tiny red bumps. Worried
that something was terribly wrong with her newborn, Andrew's mother called
his doctor. "That's not something I had read or they had even mentioned in
the hospital," explains first-time mom Elizabeth Crawford of Cottage Grove,
Minn. "They tell you not to bathe them too often, so you don't, but you're
not sure why your baby is getting all these little red bumps." Andrew's
doctor assured her that the unsightly condition, known as infant acne, is
common and would most likely disappear on its own within a few weeks. Sure
enough, Andrew's face returned to its angelic state by the time he was 6
weeks old.
"Parents are naturally going to tend to worry, but I would stress that they
not be shy about bringing concerns up with their doctor," says Dr. Eric
Barth, a pediatrician at Allina Medical Clinic – Ramsey in Ramsey, Minn. He
also recommends writing down your concerns so you don't forget anything at
your baby's next check-up. "The vast majority of time we're going to be able
to assure you it's normal."
The following are some of the often frightening, yet common, things
first-time parents may encounter in their newborn.
Infant Acne Milia Cradle Cap Umbilical Hernia Crossed Eyes and Quivering Chin Fontanels Bowel Movements
After getting used to her son having seven bowel movements a day for the
first month and a half, Ager was startled when he began having only a couple
of dirty diapers a day. Ager, who is nursing, and her husband, Todd, decided
to call their doctor. They discovered that breastfed babies' stools usually
taper off over time. Indeed, both bottle-fed and breastfed babies experience
changes in this area, Barth says. "There's a lot of variability in terms of
the number of stools a baby has a day and it can change over time," he
explains. Whether a baby goes several times a day or only a few times a
week, Barth says there's nothing to worry about as long as the stool is soft
and doesn't appear to cause the baby discomfort.
Eye color is determined by the amount of pigment – called melanin – in
the iris of the eye. The more pigment, the darker the eye color. Contrary
to popular belief, not all babies are born with blue eyes. Caucasian
newborns generally have slate-blue eyes, but can be born with any shade of
the other eye colors. African-American and Asian babies are generally born
with gray-brown eyes.
As a newborn's eye develops, the pigment increases. In babies who are born
with dark colored eyes, permanent eye color may develop in the first few
months of life. Babies with lighter eye color at birth may average about six
months to develop their permanent eye color. However, as is true with most
infant development stages, some babies take much longer to achieve their
permanent eye color and may go through several intervals of change before
reaching final development.
Perfectly normal changes in newborns, whether they are blemishes, a belly
bulge, crossed eyes or a number of other occurrences, are scary for many new
parents. Even when prepared for "anything," a new parent's heightened sense
of protectiveness and anxiety can get the best of them when their newborn
begins to look and act a bit like a Frankenstein creation. Strange rashes,
crusty scales on the scalp, tarry bowel movements and a scabbed belly
button – what parent wouldn't be a bit nervous?
Many people are surprised to see blemishes on babies, perhaps because of the
images of infants in magazines and on television showing flawless skin,
Barth says. "What I try to stress to parents is that babies don't have
perfect skin. It's an unrealistic expectation," explains Barth. The red
spots, which may pop up on the upper chest and back as well as the face,
typically last for a few weeks – although they can persist for up to eight
months. While unsightly, infant acne does resolve on its own without the
need for treatment.
Tiny white, pearly bumps commonly found across the bridge of the nose,
cheeks and chin are called milia. Although they resemble acne, this type of
blemish is more like a tiny cyst. Like baby acne, no treatment is necessary.
The bumps generally disappear around the second or third month of life.
Known to show up in the first several months after birth, cradle cap
involves flaking of the scalp. Like infant acne, parents don't need to treat
cradle cap; the condition should go away on its own. "It's more of a
nuisance-type of problem," Barth says. "If it's really, really thick, it
can be troubling for the parents." While some parents use mineral oil or
baby oil to remove the flakes, Barth suggests another method for severe
cases: dandruff shampoo. Parents must keep in mind, however, that these
shampoos aren't tearless. If parents choose this route, Barth advises them
to use the shampoo only two or three times a week. "And as with anything you
put on the skin, watch for reactions," Barth says.
Some babies have a soft bulge at their belly button consisting of fluid from
the abdominal cavity or small loops of bowel. "It's actually a small defect
in the abdominal wall," Barth says, adding that the majority of cases
improve over time. "It really is extremely uncommon to cause any problems."
Parents worry that the bulge bothers their babies. "One question I get a lot from
parents is, 'Is it painful?' The answer is no," says Barth. The condition
simply is more noticeable when the baby is upset. "When baby happens to be
crying, it increases the pressure within the abdomen and you see it very
prominently."
Umbilical Cord Stump
First-time parent Trisha Ager wondered if she was doing something wrong when
her son Jacob's umbilical cord stump remained intact long after his birth.
"At 3 weeks it still hadn't fallen off," Ager, of Traverse City, Mich.,
recalls. "Every time I put the alcohol on it, I thought it would fall off –
but it didn't." A visit to the doctor calmed her fears. "He said every baby
is different and don't worry about it. He assured me it would fall off."
Pouring alcohol onto the stump, something her doctor suggested,
helped. A couple of days later, as she played with Jacob on the couch, Ager
noticed the stump had fallen off. Barth says he often notices babies with
their cord stump intact at their 2 week checkup. "If it stays on for more
than a month, that can be cause for concern," he says.
Newborns delight their parents by opening their eyes and gazing back at
them. But when the baby's eyes suddenly appear crossed, parents may wonder
if something is amiss. Barth says crossed eyes are normal in newborns up to 2
months. "They are learning to focus their eyes, and training the muscles of
their eyes to align properly," explains Barth. Parents also may notice a
slight twitch in their newborn's chin – another instance where the baby is
getting used to its body. "A little bit of quivering is quite normal," Barth
says. "It's immaturity of the nervous system."
Babies have two soft spots, or fontanels, on top of their heads: one in back
and one in front. These spots, which should be handled carefully, are spaces
between plates of bone. The soft spot in the back of the baby's head will
close quicker than the front one, which is evident until about 15 to 18
months of age. New parents often are concerned about the size of these
spots. "There's a wide variety of normal in terms of size," Barth says.
Another common question is whether a baby's soft spot is sunken, which may
signal dehydration. While this is important to watch for, Barth says some soft spots simply are more sunken in nature than others.
A newborn's first bowel movement catches many parents off guard. The thick,
blackish-green, tarry and extremely sticky stuff, called meconium, is
generally expelled in a few bowel movements during the first 24 to 48 hours.
Meconium coats the baby's intestines during pregnancy and consists of
amniotic fluid, lanugo (the soft, fine hair that covered the baby's body
before birth), mucus and bile. After the meconium passes, regular bowel
movements begin.
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