Newborn and Infant Care

Care of The Skin

Your baby's navel cord will come off spontaneously, usually by two weeks of age. There may subsequently be drainage with slight bleeding. If drainage is not decreased by 3 to 4 days after the cord comes off, notify the doctor. Belly bands are not recommended.

Until the navel cord drops off, do not bathe the baby. Instead, once a day, wash or sponge bathe the baby with clear water with or without a plain, non-medicated soap. In addition, wipe the skin surrounding the drying navel cord with rubbing alcohol.

A healing circumcision will do very well if you apply Vaseline® to the end of the penis. Do not be alarmed at a red appearance with areas of yellowish scab - this represents normal healing. No covering is necessary for the circumcision site.

After the navel and circumcision are healed, tub baths may be started. A plastic tub is most convenient for this. Most babies receive a bath every day or two with tepid water with or without a mild non-medicated soap.

Mild skin irritations or rashes, especially on the face, are common during infancy. They are of no concern, and usually clear spontaneously after several weeks.

The scalp may be washed once or twice a week. The “soft spot” is not a dangerous area, and may be scrubbed as vigorously as the rest of the head.

Cradle cap, consisting of yellowish crusts and scales on the scalp, is a common and harmless condition which usually requires no specific treatment.

Babies of either sex may have some swelling of the breasts, and possibly a clear fluid drainage from the nipple. This is normal and should not be squeezed or treated in any way.

Infants often have slight swelling around one or both eyes with a clear to whitish discharge from the eye. This is usually due to blockage of the tear duct, and it requires no specific therapy. If there is “pink eye” or a persistent yellowish-green discharge from the eye, we should be notified.

Following each stool, cleanse the diaper area with plain water or a baby wipe. If the skin is reddened, it may help to apply Desitin® or A and D Ointment® after each stool. In cleansing a girl, always wipe from front to back, so that you do not wipe bacteria from the rectal area toward the urinary opening.

Occasionally a slight bloody vaginal discharge may be seen in the female newborn. This is a normal occurrence, due to hormonal changes, requires no treatment, and resolves by one week of age.

For dry skin, bland moisturizers such as Eucerin® cream or Dermatology Formula Cream can be applied three times each day.

©The Maryland Pediatric Group, L.L.C.