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It's okay! Changes during the first month of life
New Parent

It's okay! Changes during the first month of life

2 min read
Key takeaways
2 min
  • Recognize that 50% of babies develop milia (small white bumps) on their face, which disappear naturally within months without treatment.
  • Understand that cradle cap affects 70% of infants and resolves on its own within weeks or months, regardless of treatment used.
  • Avoid squeezing, piercing, or using harsh treatments on baby's skin conditions as this can cause inflammation and complications.
  • Expect temporary hair loss on the back of baby's head during months 2-3, which is completely normal and unrelated to sleeping position.
  • Allow these skin changes to resolve naturally as your baby's skin adapts to life outside the womb.

Common newborn skin changes include milia (white bumps on 50% of babies), cradle cap (yellow scales on 70% of infants), and temporary bald spots. These conditions are completely normal, resolve naturally within months, and don't require treatment as baby's skin adapts to life outside the womb.

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Babies experience many things as they get used to life outside of their mother's body. However, these are all typical adjustments that will go with time.

Small white bumps (cysts)

50% of babies develop mila, which are small white cysts that appear on the chin, forehead, and nose [1]. The skin condenses its outer layer as it adjusts to the outside air. The sebaceous glands' secretion becomes trapped because the pores have not yet opened. Hence, small white bumps appear. These dots will disappear on their own in a few months [1]. However, attempting to treat them (squeeze, pierce, dry with lotions, or cauterize with alcohol) can cause inflammation. Serious treatment is necessary in this case.

Cradle cap

Crusty scales of a yellow color appear on the heads of 70% of infants in the first couple of months after birth. Pediatricians call them milk crusts, or "cradle cap." The official name is seborrheic dermatitis of childhood [2].

They are caused by the same factors as milia: increased sebaceous gland activity and skin adaptation. These crusts typically do not itch or cause hair loss. However, they don't wash off with regular shampooing, which causes concern among parents.

There are many cradle cap remedies on the market. However, studies show that the problem resolves within a few weeks or months, regardless of the treatment used or whether it was used at all [3].

Bald spot on the back of the head

Many newborns have a bald spot on the back of their head in the second or third month of life, as if their hair has been wiped off from lying on their back all the time. However, research has demonstrated that baldness in infants is unrelated to sleeping posture. It is actually a physiological norm. There's no need to worry about it, as it cannot be prevented [4]. After two or three months, all signs of baldness will disappear as new hair grows in.

Photo: Lisa Fotios / Pexels


Frequently asked questions

These are called milia, tiny white cysts that appear on 50% of babies' chins, foreheads, and noses. They're caused by trapped sebaceous gland secretions and disappear naturally within a few months without treatment.

No, cradle cap is completely harmless and affects 70% of infants. These yellow, crusty scales don't itch or cause hair loss and resolve naturally within weeks or months, with or without treatment.

This is a normal physiological condition that occurs in many newborns during months 2-3. Despite common belief, it's not related to sleeping position and new hair will grow back naturally.

No, avoid treating milia or cradle cap with lotions, squeezing, or harsh products as this can cause inflammation. These conditions resolve naturally as your baby's skin adapts to the outside environment.

Contact your pediatrician if you notice signs of inflammation, infection, or if conditions worsen after attempting treatment. Normal newborn skin changes like milia and cradle cap don't require medical intervention.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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Medically reviewed content

Reviewed by healthcare professionals · Updated September 6, 2024

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