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Newborn Appearance. They aren’t always “cute” at birth!. Molded head. Molded head, continued.

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Newborn Appearance

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    1. Newborn Appearance

    2. They aren’t always “cute” at birth! •

    3. Molded head •

    4. Molded head, continued • During childbirth, pressure from the tight birth canal may cause your baby's skull bones to shift and overlap. This may result in an elongated or cone-shaped skull at birth — particularly if you had a long labor or a vacuum extractor was used during delivery. You can expect your newborn to have a more rounded head within a few days. • Babies born buttocks or feet first or by C-section are more likely to have round heads at birth.

    5. Facial features—puffy eyes •

    6. Puffy eyes •

    7. Facial features, continued • Pressure on the face during delivery may leave your newborn's eyelids puffy or swollen. Sometimes small blood vessels in the eyes break during birth, which may cause red spots on the whites of your newborn's eyes (called subconjunctival hemorrhage). Also, life in a crowded uterus may leave your newborn with a nose that's flattened or pushed to the side or ears that seem folded over. Don't worry. These issues are usually temporary.

    8. Folded ears •

    9. Ear fold •

    10. Positional Nasal Deformity •

    11. A newborn's legs and feet often look bowed or bent, thanks to the cramped quarters of the womb. As long as your newborn's legs and feet are flexible and can easily be moved about, there's no need for concern. The curves typically straighten on their own as the baby becomes more mobile. Legs and feet bowed/bent

    12. Umbilical cord at birth

    13. This infant is 7 hours old. The cord is plump and pale yellow in appearance. One of the umbilical arteries is visible protruding from the cut edge. A normal cord has two arteries (small, round vessels with thick walls) and one vein (a wide, thin-walled vessel that usually looks flat after clamping). Umbilical cord

    14. Umbilical cord, stained with iodine •

    15. Umbilical cord, continued • The stump of a newborn's umbilical cord is usually yellowish green at birth. If the stump is treated with iodine, it may look blue as in the previous photo. As the stump dries out and eventually falls off — usually within two weeks after birth — it will change from yellowish green to brown to black. In the meantime, keep the stump clean and dry. Expose the stump to air to help dry out the base, and stick to sponge baths while the area is healing. Swab the stump with rubbing alcohol several times a day.

    16. Umbilical cord drying up • After a couple of days, the cord is a stiff, dry stump. The bulge of skin around the edge is a normal variant and does not represent an abnormality. •

    17. Umbilical stump, hard and dry •

    18. Cord stump separation • Just minutes after the cord falls off, some of the remaining moist debris is still visible on the skin. A spot of blood or a slight amount of moist, yellow material may be present on the diaper or clothing after cord separation. Any bleeding or discharge that persists should be reported to the doctor. •

    19. Complexion • You may notice white spots on your newborn's face that look like tiny pimples. These harmless spots are known as milia.

    20. Milia • The white spots on this baby's chin and cheeks are milia. Milia are keratin filled epithethial cysts which occur in up to 40% of newborns. Spontaneous resolution is expected within a few weeks. Parents will occasionally mistake these lesions for neonatal acne, but milia are present at birth and have no inflammatory component. Newborn acne, even though caused by maternal hormones, does not generally appear until after 2 weeks of age. •


    22. Baby/Newborn acne • Later, your newborn may develop small red bumps on his or her face. This is sometimes known as newborn acne. Milia typically disappear within a few weeks. Newborn acne may stick around for several months.

    23. Baby Acne •

    24. Baby acne •

    25. A dry, flaky, peeling appearance of the skin is very common in newborns. Although this can be distressing to parents, it does not need treatment and will spontaneously resolve. Dry skin

    26. Normal peeling •

    27. Normal peeling •

    28. Dry skin • The top layer of a newborn's skin flakes off shortly after birth. You may notice plenty of dry, peeling skin for the first few weeks.

    29. Normal peeling •

    30. Skin, lanugo •

    31. Lanugo • Some newborns are covered by fine, downy hair at birth. Known as lanugo, it is found most often on the baby’s back, shoulders, forehead, and temples. Tiny hairs may also appear on your newborn's ears or in other spots. Lanugo is most common in premature babies. It typically wears off from normal friction within several weeks. •

    32. Lanugo •

    33. Slate Grey Patches (Mongolian Spots) • These dark blue-grey areas are most commonly seen in darker-skinned infants. These dark patches tend to fade over several years but may not completely disappear. No treatment is needed. They can be easily differentiated from bruises by the absence of other colors associated with bruises -- red, purple, green, brown or yellow. •

    34. Newborn Rash • Newborn rash starts on day 1 or 2 and increase over the next several days, followed by spontaneous resolution in about a week. Even newborns who have hundreds of spots are not symptomatic and need no treatment. Nearly half of all newborns will develop this rash. •, •

    35. 98&slide=6 You may notice reddish or pink patches above the hairline at the back of the neck, on the eyelids, or between your newborn's eyes. These marks — sometimes nicknamed stork bites or angel kisses — are caused by collections of blood vessels close to the skin. Marks between the eyes usually fade with time. Marks on the nape of the neck usually remain, although they may become less noticeable as your baby gets older. Stork bites and angel kisses

    36. Cradle cap • Cradle cap appears as thick, yellow, crusty or greasy patches on a baby's scalp. Cradle cap is most common in newborns and usually clears up on its own within a few months. In the meantime, wash your baby's hair once a day with mild baby shampoo. Loosen the scales with a small, soft-bristled brush before rinsing off the shampoo. For stubborn scales, rub a few drops of mineral oil onto your baby's scalp, wait a few minutes, and then brush and shampoo your baby's hair. If cradle cap persists, consult your baby's doctor. •

    37. Crossed eyes (dysconjugate eye movements) •

    38. Crossed eyes

    39. Crossed eyes(dysconjugate eye movements) • During the first few months of life, newborns will frequently have dysconjugate eye movements, where the eyes appear to move independently. Eyes may appear crossed. This phenomena is particularly noticeable when the infant is falling asleep or being awakened from sleep. Unless one eye is fixed (one eye is always out, or always in, relative to the other), this is a normal finding and will spontaneously resolve.

    40. Umbilical Hernia • When the umbilical ring is weak or large, an umbilical hernia can result. With increased abdominal pressure (the infant was crying for this photo), a bulge of intra-abdominal contents through the ring can be seen. This does not require treatment, as most hernias of this type resolve spontaneously during the first year of life. Surgical correction is only considered for those who have large defects that are still open at several years of age. •

    41. Umbilical Hernia • In this view, the hernia has been reduced with slight digital pressure on the bulged area. The infant is now quiet, and intra-abdominal pressure low, so the hernia is no longer visible. Parents are often concerned about the size of the bulge, but the severity of the hernia is determined solely by the size of the umbilical ring. The visibility of the bulge is related to intra-abdominal pressure and is therefore constantly changing. •

    42. Hips • Hips are assessed by looking at the symmetry of the height of the knees when the infant is supine (on his/her back). Unequal knee heights suggests a dislocated hip. The infant in this photo does NOT have dislocated hips. •

    43. Normal Hips • With a side few of the same infant in the previous photo, the knees still appear symmetric, meaning the hips are not dislocated •

    44. Dislocated Hip • With both feet placed firmly on the table, this infants knees are not symmetric. This is usually an indication of a dislocated hip. In this case, the left hip was the abnormal one. •

    45. Dislocated Hip • This is the side view of the same infant as in the previous photo. Again, the left knee is slightly lower than the right, indicating a dislocated hip. •

    46. Pavlik Harness • When instability of one or both hips is identified, an orthopedic consult should be obtained. In many cases, a Pavlik harness will be placed on the infant before he/she is discharged from the hospital. •

    47. Hips (breech position) • When an infant has been in breech position in utero, the legs have a tendency to remain in this position for the first few days. As with any positional deformity, spontaneous resolution is anticipated. •

    48. Breasts and Genitals • Before birth, the mother's hormones pass through the placenta and into the baby's system. This may lead to swollen breasts and genitals at birth in both boys and girls. • Newborn girls may have a swollen vulva and light vaginal discharge as well. The swelling typically disappears within two to four weeks without treatment. The vaginal discharge may last only several days. • Newborn boys often have a very large scrotum at birth. Pressure of the uterine contractions may aggravate the condition. In some infants, the testes do not descend into the scrotal sac until after birth. Swelling will resolve without treatment.

    49. Genital area/normal (male) •

    50. Swollen genital area/male •