Common newborn problems

During the first two weeks, a splotchy red rash with tiny pimples comes and goes and then disappears. This is called "erythema toxicum" and is normal. Peeling of the skin in the first two weeks also is common. Baby lotion is not necessary but a hypoallergenic one may be used. At approximately 1 month of age, most babies get small bumps on the face, scalp and neck that resemble acne called "neonatal acne." This rash is related to hormone changes and excessive oiliness of the skin. Wash with a mild soap one to two times per day; this rash resolves by 6 to 8 weeks of age. Almost all babies get diaper rash at some point. A zinc oxide based cream (such as Destin) applied to the rash with each diaper change usually leads to resolution within several days; if not, call your doctor.

Boys: Normally, the circumcision site looks sore and red for one to two days, then yellow and sticky for one to two days and then a dry, yellow scab forms. Bleeding should be minimal and the circumcision site should not hurt (even though it looks sore). Healing should be complete by the end of the first week. Gently sponge the circumcised area with a wet washcloth during the first week's diaper changes. If uncircumcised, there is nothing special to do until age 4 or 5 years when boys should be taught to retract the foreskin with bathing.

Girls: Part the labia with each change and sponge off debris using a wet washcloth or baby wipe. Newborn girls normally have a white discharge for several days and then sometimes a small amount of blood for one to two days during the first week.

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