My baby's forehead is covered in spots!

Your questions answered by Sharon Trotter of Greatvine.com

My baby is covered in little spots! She’s two weeks old and her forehead is covered. Should I see a doctor?

It is not unusual for babies to suffer from skin problems in the early weeks of life. Some will resolve with no treatment while others may need to be seen by a health professional. If you have any worries then speak to your midwife, health visitor or doctor.
Common skin conditions seen in babies include:

Erethema neonatorum

This is a non-infective rash that is commonly seen in the first few weeks of life. There is no treatment and it usually clears within a few days. Great care must be taken to avoid all manufactured skincare products or contact with carer’s make-up and perfumes, as these can also be a cause of irritation to newborn skin.

Miliaria (also known as milk spots)

Due to obstruction of the sweat glands and are seen in babies who become overheated. This will resolve once normal temperature control is maintained.

Heat spots

This is similar to the erythema rash but the cause is overheating and the rash is more evident around skin folds. Take care to dress a baby in layers so you can add or remove them in order to maintain a stable temperature. A baby’s room should be kept at a constant 16 - 20°C. Do not cover a baby’s head, avoid duvets and if possible use lightweight baby sleeping bags to avoid overheating.

Infantile eczema

A diagnosis for this condition is not made until three months old. The cause is unknown but reactions to harsh ingredients in skincare products are known to exacerbate the condition. Atopic eczema is the commonest type seen in babies and can also signal an allergic reaction to proteins such as milk, eggs or wheat. Treatment includes finding the source of the allergy and avoiding contact with such allergens plus maintenance of the delicate epidermal barrier by way of emollient treatments.

Nappy rash (ammoniacal dermatitis)

Usually confined to the nappy area and caused by the skin’s reaction to high levels of ammonia from urine and faeces. Frequent nappy changes, gentle but thorough washing (using only water for neonates) plus a thin layer of barrier cream will help to avoid and control this condition.

Sticky eyes (conjunctivitis)

This is a very common condition-affecting neonates, which often necessitates treatment with chloramphenicol eye drops or ointment. A simple remedy is the application of a few drops of fresh colostrum. Colostrum and breast milk are known to contain many anti-infective properties. They are commonly used to treat eye infections in developing countries.

If you need any further advice, please feel free to contact me, or another qualified and experienced midwife or health visitor, via Greatvine.com.

Sharon Trotter ©2009

Sharon Trotter

Sharon Trotter is a Registered Midwife with over 24 years of professional experience. Friendly and approachable, Sharon specialises in breastfeeding and baby skincare. Her work on baby skincare has helped to change NHS policy within maternity units nationwide and her book 'Breastfeeding: the essential guide' is a top-10 best seller. A mother of five, Sharon is looking forward to helping you. For individual advice from Sharon, by phone, book a private call at www.greatvine.com/sharon_trotter.  For more information go to www.tipslimited.com.

For help with baby skincare, speak with Sharon Trotter and other parenting experts at Greatvine.com