How Your Baby Normally Appears After Birth
If you are an expectant mother who eventually has to undergo uncomplicated vaginal delivery
, chances are high for you to be able to hold your child within minutes immediately after delivery. Keep in mind that when you get to see your baby for the first time, there may be some features that may make your newborn look strange, yet normal. It is important to understand what these features are and fully grasp that most of them are just temporary and should not cause you to panic.SKIN
Newborns are normally coated with thick, pasty white material, called vernix caseosa. This is made up of fetus' skin secretions and shed skin cells, and functions to protect the fetus skin from maceration while in utero. Vernix typically disappears after a few days but generous amounts may be rubbed off gently during the first bath. Vigorous removal, however, should be avoided as it may injure our baby's tender skin and become a source of infection.
Lanugo hair, is another noticeable skin finding in newborn. These are fine, soft body hair present on the face, shoulder, and back. This hair should disappear in a few weeks.
Through the first and second week of life, it is normal and expected for the top layer of the child's skin to flake off. Peeling skin does not need any special care.
Mottling of the skin is also evident in babies especially when body is exposed to cold. This is due instability of the blood flow in the newborn, that disappears as the baby gets older.
Some infants additionally come with a birthmark. Others have Mongolian spots which appear as flat patches of blue-green shade which resemble ink stains. These blemishes have no significance and pretty much always fade after many years.
Several harmless rashes may also appear in newborns. Tiny, flat, white spots on the nose and chin are referred to as milia. Small, raised red bumps that have white or yellow head are known as miliaria (infant acne). A rash with hive-like appearance is called erythema toxicum. All these types of rash should go away soon after a number of weeks with normal skin care.
HEAD
The new child's head may look unusual as to its form immediately after vaginal delivery. This is due to the fact the child's head, as it moves through the birth canal, undergoes some degree of molding. The new child's cranium is made up of separate bones that have not yet fused. In the course of delivery, these bones shift and overlap, giving the infant's head a bizaare appearance.
There can also be swelling of the scalp on top of the head toward the back, known as caput succedaneum. If during the delivery, the fetal head has received too much pressure against the mom's pelvic bones, cephalhematoma may result. This is a collection of blood that has seeped under the outer covering of the skull bone. Both caput succedaneum and cephalhematoma neither point out harm to the infant's brain.
Normally, your infant's head has two delicate spots referred to as fontanels. These fontanels eventually close as the skull bones fuse together. The little one is located further back on the head and closes earlier at about 6 months. The bigger one is found toward the front of the head and closes a little bit later at 12 to 18 months.
FACE
Don't be shocked to see the child for the first time with a puffy face. This is simply due to the accumulation of fluid and the trauma during delivery as it passes through the birth canal.
EYES
Most infants can open their eyes few minutes after delivery, while others, due to the puffiness of their eyelids, may not be able to open their eyes wide right away. A normal newborn's eye is about 65-75% adult size. What they can see best are black and white. Their visual acuity is still at 20/200-20/400. Your newborn at this point can't concentrate well, that's why his eyes may seem cross-eyed at times. Visual focusing and fixation is attained at 3 to 4 months of age.
CHEST
The child's chest remains thin so you may observe his chest move with every heartbeat. This is normal. Whether the infant is a girl or a boy, he or she can have breast engorgement. This is due to the natural female hormone estrogen which is passed from the mother to the fetus while in utero. Once again, this is normal.
BOYS AND GIRLS
The sexual organs of male and female may appear big and swollen due to hormonal exposure. In reality, due to maternal hormones, some female infants will have vaginal mucus discharge for few days, but this isn't a cause for concern.
There is a great advantage of knowing what to generally expect from your newborn. Definitely, your first glimpse of your bundle of joy can be a lot more pleasant and memorable.
by: Steven Chang
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