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Dr. Komarovsky on the development of newborns and babies by month. Massage and gymnastics of newborns using the technique of doctor Komarovsky How to develop a baby at 1 month Komarovsky

A baby was born in the family. Joyful calls, congratulations, a solemn discharge, balloons in the sky, gifts and flowers ... All this is left behind, the guests have left, and a serious question arises before the young parents in all their frightening glory. They don't know what to do. Left alone with a newborn, newly-made mothers and fathers are somewhat lost. The well-known children's doctor Komarovsky is in a hurry to help them, who talks in detail about who a newborn is and what he really needs, as well as how to properly organize the first weeks of a child's life.

About babies

In medicine, newborns are considered children from the moment of cutting the umbilical cord until they reach the age of 28 days. These four weeks are the most responsible for parents. Newborns need special care and attention.

Yevgeny Komarovsky emphasizes that the conditions in which the baby brought from the hospital will fall will largely determine the state of his health in the future.

At the very beginning of life, a person is fragile and gentle, but not so much as to immediately create "hothouse" conditions for him. Dressing warmer, protecting from every breeze, feeding better are the most common mistakes of parents who, after 4-5 years, begin to complain to the pediatrician that their child is often sick and practically does not get out of sick leave.

Parents, of course, prepare for the appearance of the baby in advance - they read a lot about caring for newborns, listen to the advice of "experienced" ones. At the same time, they do not even approximately imagine what a baby who is only a few days old can do, what he is capable of, and also very vaguely understand what he wants and what he is afraid of.

Of course, all babies are very different. They differ in the state of health, the degree of maturity. Premature babies need special care. Today we will talk about quite full-term babies born on time. The medical statement that all mothers receive will indicate how many points on the Apgar scale the baby scored at birth.

It is quite easy to figure out what exactly is hidden behind these points. A special scale for assessing the condition of babies was proposed by a doctor with the surname Apgar. According to this method, several criteria are assessed: heartbeat, breathing, skin color, muscle condition and tone, reflexes. For each doctor, the crumbs are assigned from 0 to 2 points.

The result is the amount that is put in the certificate. As a rule, a healthy baby is the one to whom the doctors gave from 8 to 10 points on Apgar.

However, few of the parents are able to convince the incomprehensible numbers of an incomprehensible scale; after returning from the hospital, they immediately begin to examine the baby. Here (thanks to the help of grandparents, as well as other relatives) shortcomings and oddities begin to come to light. The kid is too red (pale), he is crying heart-rendingly (or too quietly), his eyes squint (look in different directions), his movements, as his grandmother put it, “too nervous and some kind of twitchy”.

Doctor Komarovsky urges to refrain from such assessments: since the child was discharged home, it means that he certainly does not have any terrible diseases. If the crumbs had pathologies, then the young mother with him would have to move from the hospital ward to the ward of the neonatal department of the children's hospital. If they let go, everything is fine.

What does the baby feel?

To imagine exactly what a newborn feels, you need to know some of the physiological characteristics of the neonatal period. You should not show him bright toys that relatives and friends gave for discharge, since he still cannot see them in all their glory. The baby in the first days (due to insufficient formation of the optic nerve, eye muscles) still cannot see objects well. However, he distinguishes well between light and darkness. It turns out that he sees night and day, but not grandmother and dad.

If it seems that the baby's eyes are looking in different directions or squinting - this is a normal physiological phenomenon, a little later he will be able to focus his gaze, and everything will work out, says Komarovsky.

The newborn can hear perfectly. At birth, hearing is always slightly below normal, but by the third day the air is already filling the auditory organ, and the baby is able to hear everything that adults hear. The kid does not demonstrate this skill in any way, because he does not understand what exactly is being conveyed to him. If the sound is very loud and harsh, the newborn will shudder. And that's all for now.

The child in the first days of life still does not distinguish smells. However, if it smells harsh, he will feel and react with a change in facial expressions. That is why it is not recommended for nursing mothers to use a sharp saturated perfume. From birth, the child perfectly discerns taste nuances - sweet calms him down, and bitter disgust.

Physiological features

The skin of the baby is red because the blood supply is very intense ... However, the sweat glands are underdeveloped, and therefore it is very dangerous to overheat the child. Komarovsky emphasizes that the ability to heal, which is amazing in its speed, is associated with the active blood supply to the skin. In babies, scratches and wounds heal really faster than in adults.

Parents are often frightened when they hear that their tiny child has increased muscle tone. Evgeny Komarovsky says that this is normal. Tonus is a sign of underdevelopment of these very muscles, which is also completely normal for newborns.

From the moment the child takes the first breath in the delivery room, he has pulmonary respiration, like in adults.

The peculiarity of newborns is that both the nasal passages and the trachea are rather narrow, and the body supplies the mucous membranes with blood so actively that it is very easy to injure them. If you overheat in a children's room, they will dry out very quickly, and problems with a runny nose and cough will begin.

Parents often ask what to do if a newborn "grunts" his nose when breathing. Evgeny Komarovsky explains that this happens again because of the narrow airways, in which the mucus produced to soften the mucus simply gets stuck and accumulates.

The heart of a newborn is perhaps the strongest and wealthiest organ. It works with full force from the first minutes of life. The heart beats more often than in adults. On average, during the neonatal period, it decreases 110-150 times per minute. This indicator is not stable, since any external stimulus (loud sound, bright light, blowing breeze) causes an increase in the heartbeat.

The baby's digestive tract is developing at an incredible pace, because every week the baby can eat more and more breast milk or formula. The tract remains sterile for the first few hours after birth, then bacteria appear in the intestines, whose vocation is to help digestion. The color of the stool changes from black (meconium) to brown and greenish, and then to light, yellowish. Already on the 5-6th day, the consistency changes - the feces become mushy, a sour smell appears.

The nervous system of the crumb is imperfect, and it is she who will face the most significant changes in the first weeks of a person's life. Something that is not considered normal for an adult may be the most common thing for a newborn - for example, tremors (tremors of the limbs).

There are reflexes that are peculiar only to newborns. As the child grows, they will fade away until they disappear completely. In order for mom and dad to calm down about the "normality" of their child, Komarovskaya advises to check it yourself. Healthy babies can do the following:

  • Grab it. If you bring your finger to the palm of a newborn, he will definitely grab it tightly.
  • "Hug"... If on the changing table, on which the baby is lying, you hit hard with your palm (or easily knock on the child's thighs and buttocks), then he will first bend up, spread his arms, and then return them to the position at the chest.
  • "Crawl". Of course, newborns do not know how to crawl in the full sense of this word. If you put the child on his tummy, he will start to push off with his legs, as if trying to crawl.
  • "Walk". If you take the baby under the arms and rest his legs on a hard surface, he will definitely rest against them. If you tilt it forward a little, it will begin to make the movements that a person performs when walking.

A child is given an amazing ability from birth - to quickly adapt to changing environmental conditions. If parents immediately create a home "greenhouse" for him, in which it is hot and stuffy, in which there are no drafts, everything is sterilized twice, washed in antiseptics, then this natural ability will no longer exist. As a result, then the caring mom and dad are forced to admit that the child has weak immunity. Komarovsky emphasizes that immunity is also formed in the first weeks of life, and the best that parents can do to help is not to interfere.

What does he want?

A newborn is perfectly able to distinguish what is good and what is bad, about which he immediately notifies with a cry. The child will cry for various reasons: from hunger, cold, heat, pain, if he is uncomfortable and uncomfortable, if he has wet diapers.

Gradually, parents will learn to distinguish one demand from another by the nature of crying. In the meantime, you need to respond to the cry by the method of elimination. If crying, check the diaper, change if necessary. If you have not calmed down - measure the temperature, see if the stomach is not puffy. If everything is ok, offer water.

And only in the last place is it worth feeding. There are parents who shuffle every cry of a newborn with their mother's breast, believing that the child is constantly hungry. This is a mistake, which will then be too expensive, says Yevgeny Komarovsky, because overfeeding provokes a lot of childhood ailments.

Basic principles of care according to Komarovsky

The air temperature in the children's room should not exceed 18-20 degrees. Air humidity - 50-70%.

There should be no objects in the room that accumulate a large amount of dust - large soft toys, carpets with a long pile. Wet cleaning should be daily, but without adding detergents to the water.

Newborn clothes and bed linen should be made from natural fabrics without textile dyes. They should be washed with a special baby powder, the composition of which is hypoallergenic; after washing, always rinse additionally.

Do not wrap your child up. It should be worn as much as an adult.

The child does not need a pillow. However, a firm orthopedic mattress that does not squeeze is very much needed.

Bathing should be daily... It is better to start the procedures after the umbilical wound has healed. Before that, the child can be wiped off with moist sanitary napkins without perfumery to avoid diaper rash on the skin.

You can feed on demand, or you can enter the mode by the hour. Evgeny Komarovsky strongly recommends a kind of "golden mean" - mixed feeding.

The intervals between meals should be at least 2.5-3 hours, but the child himself should give the signal that it is time to eat. You can not overfeed the baby, as overeating provokes the so-called "gaziki" (intestinal colic).

Such feeding will give the mother confidence that the child is full, and it will help the child to enter a well-functioning diet as soon as possible.

Even if breast milk is low, you should not give up breastfeeding. There are many methods for stimulating lactation.

If for some reason the baby cannot feed on breast milk, choose infant formula carefully. It must be necessarily adapted, preferably hypoallergenic. To prevent the baby from overeating (and this is a fairly common situation for artificial people), give the baby a mixture from a bottle with a small hole so that he makes some effort, sucking food.

Walking should be mandatory and daily. Even during illness, you should not give up on this - naturally, provided that the crumbs do not have a temperature.

A newborn can sleep up to 22 hours a day. Try to set a night's sleep time right away, so that later it will be easier for your child to adapt to the daily routine. A newborn can eat up to 2 times at night. Immediately after feeding, he should be put back in the crib. At the time of feeding, you should not turn on a bright light, since the baby must intuitively understand that now is the night.

A newborn needs to do gymnastics and massage every day. All exercises should be based on light touching, stroking and patting. Be sure to massage your tummy clockwise and lay the baby on your tummy.

Do not forget to process the umbilical wound until it is completely healed. Every day, the newborn should be washed, the nasal passages should be cleaned with cotton turundas, and the ears should be kept clean. Crumbs' nails grow quickly, they are sharp, they can be seriously scratched. They should be trimmed with special children's scissors with blunt edges.

Possible problems

Even if the parents organized everything correctly and created the optimal conditions for the newborn's healthy growth, this process is not complete without problems. Adults should remember that there are urgent problems when an ambulance is urgently needed. If there are problems with breathing, the child has difficulty breathing, there are long delays, immediately call "03". Exactly the same should be the actions of parents with convulsions, severe vomiting in a newborn (not to be confused with regurgitation), at a high temperature (above 38.0).

If the child cries for a long time and piercingly, this may indicate discomfort in the intestines - for example, he cannot poop. Monitor the frequency and nature of your stool. The most common problem in newborns is "blooming" of the skin. If a rash appears, your cheeks turn red, be sure to check if you did everything correctly in organizing the baby's living space (microclimate, absence of allergens). Pay attention to what the baby was fed with. It is possible that the chosen mixture does not suit him. Be sure to check with your doctor.

In today's article we will talk about an extremely important and responsible moment in the life of a newborn and his mother - the nutrition of the baby in the first months of life (0-3). And the doctor of the highest category, popular in Russia, Yevgeny Komarovsky, who is familiar to many from the TV show "School of Doctor Komarovsky", will help us in this.

Content of the article:

How often to feed your baby

As soon as the baby is born, it is immediately applied to the mother's breast. While the woman is in the hospital, the baby feeds on her own request, and the nursing mother carefully watches him, his reactions and studies the character of the baby.

It is best if the woman in labor writes down when and at what time the baby receives milk. Having carefully analyzed his vital needs, a schedule of hours of consumption of breast milk is drawn up, which must be adhered to at home.

The first month, the frequency of latching to the mother's breast is 7-10 times, depending on the state of health and individual characteristics of the little person. The break between meals is 2, 5 - 3, 5 hours.

But sometimes it can decrease up to 2 hours and increase up to 4 hours. It depends on the state of the baby and the sleep pattern, which can be disturbed due to various factors: illness, temporary ill health, overexcitation, prolonged sleep.

Also, the fat content of human milk will affect the amount of food intake by the child. The poorer it is, the more often the baby wants to eat.

It is advisable not to feed the baby at night, but still prioritize his health and doctor's recommendations.
Not all children can endure such a break at night. Especially in the first days of life, and sometimes for health reasons, the baby is given a breast at night and at a later date, this happens when the baby's teeth are teething or after emotional overexcitation.

The opinion of Dr. Komarovsky

The well-known Russian pediatrician Yevgeny Olegovich Komarovsky believes that the break between feedings can be from 2 to 3.5 hours, or the mother can feed at the request of the baby. The main thing is that the family is happy and everyone is healthy. A nursing mother decides for herself how often and when to feed her little child.

During feeding, the baby often falls asleep and the mother thinks that he is full, but this is not the case. Monitor the duration of active sucking and wake up the baby. Gently touching the cheek or taking the baby by the handle.

How much breast milk do you need

In the very first feeding, the baby drinks 1, 5 - 2 ml of colostrum. In the first weeks of life - up to 100 ml of mother's milk at a time. The amount depends on its height and weight. Measure these parameters regularly and ask your doctor. It is considered normal if the baby pees in the first month of birth at least 11 times a day, and then at least 12 times until six months of birth

What to do if mom doesn't have milk

First, consult a pediatrician and try lactation drugs. If necessary, resort to artificial nutrition. The baby will eat fewer times. But it will be full. An experienced specialist will help you in choosing an infant formula. There is a large assortment of breast milk substitutes in stores for any parent's wallet and child's age.

If a woman has milk, but it is not enough, then the child should be fed with an adapted mixture from a syringe or spoon. The main thing is not to stop natural feeding and not completely switch to artificial baby food. The process of lactation formation is often completely restored after a certain period of time.

When and how much to introduce complementary foods

Children who are on artificial feeding begin to be fed with vegetable, fruit purees and cereals much earlier, from about 4 months, than breastfed babies who receive additional types of food from 6 months.

But if the baby does not eat well, gains little weight and is capricious after feeding, you can offer vegetable puree and a mixture from 5 months, or even earlier, after consulting a doctor and establishing the true cause.

For children who eat artificial breast milk substitutes, in the first month of life the amount of complementary foods is 550 - 650 ml, in the second month 750 - 850 ml. Over 8 weeks, you can increase the volume of milk formula according to the Shkarin method: that is, add 50 ml every next month.
Pay attention to the information on the product packaging and the advice of your doctor.

Artificial feeding

Now let's talk about what Dr. Komarovsky thinks about artificial feeding of a baby. It is impossible to produce something similar to mother's milk, even with the help of all the means of modern science. For it contains the presence of hormones, nutrients, enzymes and immune globulin in optimal sufficient quantities.

But breastfeeding cannot be of high quality if the mother smokes or drinks alcohol, in this case, you need to resort to purchasing infant formula, which should always be available in stores in your location. The number 1 will be indicated on the packaging for ages up to 6 months. Always consult a qualified doctor when choosing baby food, he can provide you with a baby up to 1 year old.

The most important procedure for caring for a newborn is daily massage.

It has a beneficial effect on the overall well-being of the baby, and also forms and strengthens his emotional contact with parents.

Dr. Komarovsky is sure that massage is of great importance for the health of the child.

Komarovsky Evgeny Olegovich- a pediatrician of the highest category, candidate of medical sciences, host of his own television project "School of Doctor Komarovsky", as well as the creator of the "Komarovsky Club" network.

His hometown is Kharkov, Ukraine. The father and mother of Evgeny Olegovich worked as engineers at the plant all their lives, so it was a surprise for everyone that he was passionate about medicine.

The doctor received his education at the Kharkov Medical Institute, at the pediatric faculty.

Komarovsky has been practicing for over twenty years... He has published many scientific articles and books on the health and education of children.

The most popular edition - "The health of the child and the common sense of his relatives" - was reprinted more than twenty times in Ukraine and Russia

Komarovsky's videos have earned unshakable authority among parents. They are watched, listened to, trusted.

Komarovsky gained a reputation as an excellent specialist, who has his own original point of view on everything.

Massage newborns before bathing

The duration of this procedure reaches half an hour.... The complex of classes before water procedures consists of massage and gymnastic elements. They are held on a special table.

What does a massage before bathing consist of?:

  1. Stroking... The back of the hand or palm gently strokes the baby's skin.
  2. Kneading... You should start with the legs, after which there is a transition to the upper limbs and abdomen. The final manipulation will be kneading the buttocks.
  3. Gymnastic exercises... Gymnastics provides kneading of the joints. The masseur takes the child's shin in his right hand, and his big toe with his left hand. Further, with delicate movements, bends of the joints of the leg are made, tilts in different directions. Gymnastics of the handles consists in bending the elbow joints.

Below for you is a visual video guide from the doctor on how to bathe babies. Very useful information for young parents.

Conclusion

Massage of newborns according to Komarovsky deservedly received the love of thousands of parents, because with its help you can strengthen the muscles of the crumb and restore blood circulation.

It is also the best way to establish a strong emotional bond with a child who needs attention and affection.

This is especially true of the very first months of life, when the baby is just beginning to get acquainted with the world around him.

WORLD OF A CHILD

In the previous chapter, we talked about how communication occurs between a newborn and a parent. Now we will observe the development of these relationships during the second month of a child's life, when the baby becomes more receptive to the surrounding reality and more clearly manifests its reaction to the behavior of adults. At the same time, we will see how the child's coordination of movements and his ability to respond to visual images and sounds improve.
As the baby's ability to perceive and assimilate new information develops, parents begin to treat him as a person. Already at the age of one month, it is possible to determine the individual character traits of the child that distinguish him from his peers. Talking with your baby one-on-one, you can tune in to his natural rhythm and feel when you can work with him, and when you need to give him a rest. You will learn how to handle your baby when he is overexcited and screams violently. You will discover new ways to help your baby maintain a state of peace and vigor, calm down before bed.
One way you can help your baby is by teaching him how to suck on a pacifier. Some babies start to suckle on the pacifier instinctively, others stubbornly refuse it. If the baby resists and spits out the pacifier, be persistent. Try to give it to your child by rocking him and singing some melody. Buy two or three different nipples so you can determine which one he likes best. After a while, your efforts will be rewarded - with the help of the nipple, the baby will learn to calm down and fall asleep on its own. A pacifier is a tool that both you and your child will appreciate in the near future.

Motor skills

A month-old baby is already beginning to control his body. His convulsive, chaotic twitching disappears, and the movements of his arms and legs gradually become more even and orderly. Nervous tremors, which are so characteristic of newborns, also disappear.
The first change that can be noticed in a child's behavior is the ability to move his head. If the baby is placed on his stomach in the crib, he can effortlessly turn his head from side to side.
Some, especially strong children, even pick it up and look around. The child's ability to move his head is especially evident when you are holding him against your shoulder. However, no matter how strong your child is, he is far from fully in control of his movements. When taking your baby out of the crib or carrying him around the room, be sure to support his head with your hands. As a rule, one-month-old babies are not able to move independently, but occasionally there are such active babies who, wriggling and fidgeting, get to the corner of the crib or roll over from their belly to their back. Sometimes even the most passive children are able to make unexpected movements. Therefore, just in case, it is better not to leave even the tiniest baby alone on the table or in another high place.
Having reached the age of one month, the child begins not only to turn his head, but also to master the muscles of the arms and legs much better. He is able to move them not only smoothly and rhythmically, but also speed up or slow down the pace depending on the rhythm of human speech. When you speak to your child in a calm and even tone, his movements are calm and even. Try to speak quickly, excitedly, and you will see how the baby begins to vigorously move his arms and legs.

The ability to see, hear, feel

The previous chapter dealt with the degree of excitability in newborns. We talked about the fact that you can notice how differently they feel depending on their environment, asleep and awake. The condition of a month-old baby is much easier to determine. It is already possible to understand whether the baby is sleeping soundly or, conversely, restlessly, and when he wakes up, whether he is calm or excited.
In a state of wakefulness, a month-old baby is able to follow a moving object with his gaze. He concentrates and looks with interest at some object or drawing in front of him at a distance of 12-30 centimeters. If the kid especially likes something, he even starts to "hum". Then, after a few minutes, he looks away. This process is called "familiarization". The child seems to say: "Yes, now I know what it is." If you change the object or, without removing the first one, show the baby another, he will repeat his actions.
For a month-old baby, new sounds are just as interesting as new sights. He can distinguish speech from other sounds and at the same time gives a clear preference for the human voice. With an unfamiliar sound, the child becomes alert, freezes, and it seems that he is listening to it attentively. If the sound is repeated several times, the child stops paying attention to it. To re-interest the child, you can change the sound, for example, instead of ringing a bell, let the child listen to a rattle or a toy that can squeak.
During this period, the connection between what he saw and what he heard is strengthened in the child's mind. After a little practice, he will look at the bell hanging over his crib every time it rings. Your baby reacts differently to different sounds. Music calms him down, loud noise scares him, and whistling or ringing arouses interest.

Understanding your child

From the moment of birth, each child is a distinct personality with characteristic distinctive features. However, only by the end of the first month of a baby's life, parents begin to really recognize him. Now they can tell a lot about their child, including the entire spectrum of his behavior: what he is like when he is calm or excited, when he is in a good mood or naughty, resting or moving, whether he calms down easily or not, his actions are predictable or not, quickly or slowly, he reacts to what is happening around him. Parents know how best to hold him in their arms and how to calm him down and put him to bed. They can determine when he is screaming in pain, when from hunger, and when his cry means: "Nothing terrible has happened. I just want to be petted."
In a month-old baby, the sleepy wandering look characteristic of newborns disappears. Now the baby is able to stay awake for quite a long time before and after feeding, but he is still not ready for impacts of a sharp nature. If he hears too loud sounds, sees a bright light, feels too energetic touches, he is unable to separate one sensation from another. Overloaded with impressions, the baby begins to get nervous and irritated. Indeed, at this age, many children during the day have certain periods when they unexpectedly quickly overwork and begin to be capricious. At such moments, one baby can be reassured by picking up, shaking or rhythmically patting on the back. The other will stop crying and fall asleep if wrapped in a blanket or snug in a stroller.
However, it happens that a very active or restless baby does not respond to any efforts on the part of the parents and his unremitting crying creates a tense atmosphere in the house. Such a child needs to be given some time to scream so that he can free himself from internal tension. We hope that the following methods will help you calm your restless toddler.
1. Try to end daily activities such as feeding, swaddling, bathing, and massage before bed in a balanced, calm state.
2. Sit in a rocking chair in a dim room. Take the baby in your arms and gently sway, humming a melody. If the baby is tense and arching, place him belly-down on your lap, or place him in a large, comfortable stroller and swing gently. Hum something in a low voice.
3. Swinging for a while, listen to the scream. Has he begun to subside? Maybe it became not so shrill and loud? If you feel your crying has become more sleepy and quieter, continue swinging for another five minutes.
4. It also happens that crying does not subside, but, on the contrary, intensifies. In this case, gently place the baby on its stomach in the crib. Turn on some soft music, such as a radio or a music box, and tiptoe out of the room.
5. If the screaming continues for more than 10 minutes, return to normal activities. Be confident in yourself and do not forget that, while doing things, you need to maintain their usual sequence, calmness and balance.
6. Finally, if you see that your child always has difficulty falling asleep, see a pediatrician.
A month-old baby is not yet ready for contact with others, nevertheless, he strives for communication. Try playing a one-on-one game with your baby: you and your baby gaze intently into each other's eyes, then take them aside and meet again. In this simple way, parents develop a child's communication skills, which becomes for him the first step to a spoken language. And after a while the child begins to "walk". Although his sound repertoire is not rich and is limited to one or two front vowels, he learns to speak in the fullest sense of the word.
It is very fun to watch parents who are passionate about talking with their baby. An adult raises his eyebrows high, opens his eyes wide and rounds his mouth, or, conversely, frowning, squints his eyes and compresses his lips. He may nod his head and bend close to the child's face, or throw his head back slightly. Through such grimaces and movements that at first glance seem unnatural, parents introduce the child to sign language, which serves as an integral part of the spoken language. An open gaze, a face turned to the baby, testifies to the desire of an adult to communicate with a child, cause him to dialogue. Conversely, if the expression on the face of an adult becomes detached and he turns away, this means that now there will be a pause in the conversation.
These conversations, however short they may be, usually proceed in a specific sequence. First, the dad or mom will raise their voice to get the baby's attention. When the baby begins to make different sounds in response, this encourages the adult, and the conversation is animated, which, in turn, causes a strong arousal for the child. Then, as the toddler's excitement subsides, the adult's voice gradually decreases and he looks away. After a few seconds, the "interlocutors" again look at each other, and the conversation resumes. Over time, these conversations can create a daily ritual in your family that is enjoyable for both baby and parents.

LESSONS WITH A CHILD

Practical advice

Conversation with the child
Most of all, the child loves to listen to the human voice. Greet him as you enter the room and take every opportunity to speak to him. Speak loudly when you want to get your baby's attention, and quietly when you need to reassure him. By changing the timbre of the voice from low to high and vice versa, you can maintain the child's interest for a long time.
Daddy's games
Mom and Dad play with the child in different ways. Since each of them contributes something different to the communication with the baby, it is important that both of them participate in his upbringing. Change the position of the child. Try to position your child in such a way that a wide variety of objects surround him. For example, if you take him for a ride in the car, put something flashy on the seat of the car to spark his imagination. (Whenever you are in a car together, be sure to check that the car is equipped with all the necessary devices to ensure the safety of your child during the trip.)

Game time
Vision
"A doll from a plate"
Make a doll for your baby by drawing a face on a paper plate and attaching a handle to it on the side. Move the plate in different directions at a distance of 25 centimeters from the child's face. After a while, the baby will begin to follow the toy, and a smile will appear on his face.
Observation of the subject
Have your child watch a rattle, flashlight, or brightly colored toy. Move the object from left to right at a distance of 25-30 centimeters from the baby's face. When he learns to follow him, moving his eyes horizontally, start moving vertically, from the baby's forehead to the chin. Finally, try rotating the object in a circle. Remember to monitor your baby's mood and be ready to stop playing if you feel tired or bored.
Look at me
Let the child watch your face. As you move from left to right, your baby will follow your gaze and turn his head.
Skipjack
Sew a rubber band onto the small stuffed animal at one end. Attach the other end to the ceiling. Place your child so that the toy is directly above him and make the toy animal jump up and down. Having become older, the baby will be able to reach it with his hands and grab it.
View from the crib
If the walls of the crib are made of transparent plastic, the child will be able to look through them at the surrounding objects.
Moving toy
Hang a toy over the crib that can be easily moved. When choosing a toy, imagine how your baby will perceive it. Let it hang on one side of the crib for a few days and then on the other. When the baby gets used to it and you notice that he is able to hold his gaze for a few moments, hang other toys on the sides of the crib.
Perception of sounds
Children's poems
Introduce your child to poetry rhythm and meter.
Tell him some familiar and favorite children's poems, for example: "One, two, three, four, five, a bunny came out for a walk ..." or make up your own. Take any song and just change the words.
Booties with a bell
Tie bells to baby booties. Each time you move the leg, the baby will hear the ringing of a bell.
Where I am?
Talk to the baby in the crib while moving around the room. By watching your movements, he will develop vision and hearing.
Feel
Massage your baby's fingers and toes
Massage each finger separately. Thanks to this pleasant sensation, the child will feel his body better.
Development of touch
Rub your child's arms and legs with mittens made from different materials - silk, corduroy, satin, wool, flannel or terry cloth.
Soft touch
Pat the baby gently with a brush, feather, or cotton wool. He will love these gentle touches.
Pleasant smells
Dip cotton balls in a variety of scented liquids, such as cologne, mint, or vanilla eau de toilette. Let your baby smell them - it will help in the development of his sense of smell.
Exercises
Raise and lower your baby's arms
Place the baby on his back, gently lift his arms over his head and lower them down, then cross them in front of the chest and spread them to the sides. At the same time hum some song.
A walk on the bike
Put the baby on his back, gently move his legs, imitating the movements of the legs of a cyclist. During the exercise, sing a song, for example: "We are going, we are going, we are going to distant lands ..."
Looking up
Place your baby on the floor with his tummy down. Sit next to him and, calling him by name, show him a bright toy. The kid will try to raise his head, thereby developing the muscles of the neck, back and arms.
Look at mom
Do the same exercise, only this time you have to lie on your back and put the baby on your stomach. When calling your child by name, try to get him to raise his head and look at you.

Daily grandfather

Feeding time
Change the position of the child
When breastfeeding, you naturally change the position of the baby. However, if you are feeding a baby with a bottle, try to do so so that he sees the surrounding objects from different angles.
Wrap a baby horn
If your baby is sucking from the bottle, wrap the bottle in a cloth and have the baby touch it while eating. You can buy a case for a horn at a store or make it out of a brightly colored sock.
Bright towel
Before you start feeding your baby, place a brightly colored towel or a bright scarf on your shoulder. Your child will love to look at your face from time to time and then at the towel. If the sight of a bright item distracts your baby, do not show it until you are finished feeding.

Bathing time
Soft touch
Continue to massage your child. Sing a quiet lullaby as you massage his little body. Your touch and singing will help your baby relax and feel safe.
Wrap up baby
After redeeming and wrapping the baby in a towel, play hide and seek with him. (Hide your face behind the edge of the towel, and then look out and say "Ku-ku".)

Swaddling time
Entertainment
Hang some light toys over the baby changing table. For a while, the child will calm down by studying each toy.
Breathe over your baby's arms and tummy
Warm your baby's arms and tummy with your breath. By focusing on different parts of his body, he gets to know himself better.

Time relax
Fluttering ribbons
Attach short colored ribbons to the plastic ring. Hang them next to your crib. Open a window or turn on an electric fan so the ribbons flutter. Before going to bed, the child will be pleased to watch them.
Short rest
If you have a free moment, relax with your child. Sitting comfortably on a bed or soft rug, place your baby on your chest. Your calm, rhythmic breathing will calm your baby, and both of you will be satisfied with the time spent together.

The birth of a child is a wonderful event for all parents. And it seems that nothing can darken this joy.

But the baby requires constant self-care.

  • A rash on the face of a newborn: why pimples appear and how to treat them
  • Symptoms and causes of rashes
  • Simple rules for skin care
  • Treatment
  • Video materials for moms and dads
  • Acne in newborns
  • Food allergy
  • Drug rash
  • Atopic dermatitis
  • Infectious rash
  • Flowering babies: causes, symptoms, differential diagnosis, treatment
  • Causes of acne in newborns
  • How does a hormonal rash manifest in infants
  • Diagnosis of neonatal acne
  • What treatment is required for newborns to bloom?
  • Hormonal rash in a baby Komarovsky
  • Acne in babies: what to do?
  • What is acne and what does it look like?
  • Causes of acne in newborns
  • Diagnosis treatment
  • Clarification of the diagnosis by a dermatologist is carried out using:
  • To make an accurate diagnosis, the doctor:
  • Important rules for caring for skin with acne in infants:
  • And if it's an allergy?
  • Rash on the face of a newborn: what to do?
  • Acne in newborns
  • Food allergy
  • Drug rash
  • Atopic dermatitis
  • Toxic erythema of newborns
  • Infectious rash
  • Toxic erythema of newborns
  • Physiological erythema
  • Causes and signs of toxic erythema of newborns
  • Treatment of erythema in infants
  • Video about acne in the child of Dr. Komarovsky
  • Rash on the face of a baby (Komarovsky)
  • Algorithm for identifying the cause of the rash
  • Causes of the rash:
  • When is a rash on the face of a baby a reason to call a doctor?
  • Rash on the cheeks of a baby or diathesis
  • Video with Dr. Komarovsky about rashes in children

And, for example, when a rash appears on the face of a newborn, a young mother is immediately seized by fear. Do not be alarmed, because figuring out what the matter is is not so difficult.

Symptoms and causes of rashes

A child's rash can look different. From the presented photos, you can easily determine whether the resulting skin irritation is dangerous.

Hormonal changes. At birth, the baby's hormones have not yet been adjusted. Therefore, when it forms, a rash appears on the face and head of the newborn in the form of small pimples that do not contain pus. It is called neonatal acne. The color can be red or white.

Food allergy. It is observed in children who eat breast milk, when the mother consumes allergenic foods. Sometimes the allergy manifests itself when switching to the mixture. In this case, you can try to pick up a product from a different brand. Pimples appear, mainly after feeding, on the cheeks. If the allergen is not excluded, then sores and crusts appear on the skin.

Contact allergy. Formed immediately after contact, for example, with clothing, various objects. It occurs mainly on the body.

Prickly heat. It occurs when the skin overheats both on body parts and on the face. It is an irregular, pink or red pimple. They appear, for example, with stuffy air in the room, too warm clothes, from diapers, with poor skin care.

At birth, the sebaceous glands are gradually regulated. Therefore, daily hygiene is important, as well as only natural breathable fabrics.

Roseola. The rash results from an infection with herpes viruses. At the same time, the high temperature lasts for three days, after which red pimples appear on the skin.

Pustulosis. With this disease, the skin relief changes, this can only be noticed by touch. Small pimples do not fester. This is a fairly rare skin disorder.

Simple rules for skin care

In order to avoid such a nuisance as a rash, to prevent its development, it is necessary to take care of the baby every day by performing the following steps:

  1. Diet for Mom: When breastfeeding, do not eat allergenic foods, exotic fruits, chocolate, bright red vegetables and fruits.
  2. Daily hygiene: This includes washing your face in the morning and evening, and bathing only in boiled water before bed for at least 1 month after birth. At the initial stage of the onset of a rash, infusions of antiseptic herbs can be added to the water: string, chamomile.
  3. Maintain the microclimate of the room with optimal parameters: temperature, degree, humidity 60-70%. It is necessary to ventilate the room more often, use a humidifier in winter, as the air becomes dry during the heating season.

The famous doctor Komarovsky, who has written many books on the care and upbringing of children, advises to show the child to a specialist. Only he will be able to determine the cause of the rash and choose the correct treatment.

Do not self-medicate. When deciding to alleviate the condition of the skin, it is important to know what it is strictly forbidden to treat a child without a doctor's instructions. These are antihistamines, hormonal ointments and alcohol solutions.

Neonatal acne usually goes untreated, meaning the pimples go away on their own in a few weeks.

To exclude contact allergies, use a special baby powder without fragrances and additives for washing clothes. For hygiene, you need to choose products without a pungent odor, as they can lead to inhalation allergies. Also, the first time it is recommended to get rid of houseplants with a strong odor.

With prickly heat, the rash does not require treatment. Taking proper care of your skin will help you get rid of it. Do not forget about daily air baths, use a diaper only at night and for walks.

Pimples with roseola go away on their own after a week.

Video materials for moms and dads

A source:

Acne in newborns

Food allergy

Drug rash

Atopic dermatitis

Infectious rash

A source:

Flowering babies: causes, symptoms, differential diagnosis, treatment

The phenomenon, which is popularly called "flowering babies", is nothing more than neonatal cephalic pustulosis, or hormonal rash. According to statistics, it appears in almost every fourth baby.

Common synonyms:

  • millet specks;
  • acne in newborns;
  • miles of newborns;
  • three weeks of rash.

This condition does not pose a threat to the health of the baby, so the parents of the child do not have much to worry about.

Causes of acne in newborns

Blooming newborns, as a rule, are not the result of improper care of the baby's skin, and certainly not at all associated with infections or hypersensitivity reactions (allergies).

The appearance of such rashes on the skin is the result of fluctuations in the hormonal background, which are reflected in the activity of the still imperfect sebaceous glands of the crumbs. Their dysfunction is due to an increased concentration of estrogen. The child receives these female sex hormones from the mother; before birth, they come in blood through the umbilical cord, and then in breast milk. As estrogen levels decrease, flowering ceases.

Note: it is believed that the leading factor contributing to the appearance of such a rash in newborn boys is precisely the intake of estrogens in breast milk. In girls, the increased functional activity of the sebaceous glands is more conducive to flowering.

A "three-week rash" is quite typical for the period of adaptation and cleansing of maternal hormones. It is regarded as a variant of the physiological norm.

Usually, the flowering of newborns begins to appear in the second or third week of life, and disappears without a trace by the 3rd month. The average duration of the phenomenon varies from three weeks to one and a half months.

Important: a possible reason for the development of acne in a baby may be an insufficient level of hygiene, but such a problem can appear at any age. Acne develops when the ducts of the sebaceous glands are blocked by dust and microscopic scales of the epithelium.

How does a hormonal rash manifest in infants

In this condition, small red elements (pustules) with whitish or white-yellow spots, similar to pustules, appear on the baby's skin. The rashes can coalesce into groups. Comedones. that is, white or black papules, indicating a blockage of the sebaceous gland duct, are usually not detected. The predominant localization of the rash is the facial area (cheeks, forehead, eyelids, chin). Primary elements can also be found on the neck, behind the ears, and on the upper torso, and in male infants, on the genitals. In parallel with the appearance of characteristic skin rashes, abundant discharge from the sebaceous glands is usually noted. The skin of the facial area is covered with a thin layer of fat. Pimples on the trunk are smaller than those on the face.

Important: In rare cases, acne appears before birth. Cases have been recorded when a hormonal rash persists in 6-month-old and even one-year-old children, and in severe cases, even longer.

The spontaneous disappearance of rashes occurs as the organs of the digestive tract mature and the overall adaptation of the baby's body to the environment.

Important: the rash, unlike allergic rashes, does not cause any concern to the baby.

Diagnosis of neonatal acne

Parents who notice rashes in their baby, one way or another, need to consult a pediatrician. Red pimples may well be one of the clinical manifestations of food allergies. A qualified pediatrician should be able to carry out differential diagnostics of flowering infants with a rash indicating a particular pathology.

Most often, neonatal acne is confused with diathesis, which may be the result of inaccuracies in the diet of a nursing mother.

Note: diathesis is not a disease, and not a diagnosis, but a term denoting an increased propensity of a child to inflammatory and allergic diseases.

There is reason to suspect diathesis if the appearance of the rash coincided with the appearance, for example, of intestinal colic or other problems from the digestive system (increased gas production, vomiting, diarrhea, etc.).

The main difference between flowering and allergic rashes is the localization of the rash. With a hypersensitivity reaction, primary elements are found throughout the child's body. Externally, individual pimples are different; with allergies, there are no white tops in the center. Against the background of allergic inflammation, the child's restless behavior is noted, since the skin is itchy. Sleep disturbances and decreased appetite are also common. which is absolutely not typical for flowering babies.

Important: it should be remembered that a hormonal rash never flakes!

If neonatal pustulosis is mistaken for an allergy or a manifestation of another disease, pharmacological agents are unreasonably prescribed to the baby, which negatively affects the child's body.

Hormonal rash should also be distinguished from prickly heat. With prickly heat, small pimples appear like subcutaneous tubercles. They give the baby a lot of discomfort, as they constantly itch. It is important to consider localization; prickly heat most often develops in the groin, gluteal folds, armpits, as well as in the elbow and knee folds.

Differential diagnosis of a three-week rash is carried out with an infectious lesion - pyoderma of newborns.

What treatment is required for newborns to bloom?

Since the flowering of newborns is, in fact, completely normal, in most cases no specific therapy is needed. After a short period of time, the rashes disappear by themselves, and even the slightest traces do not remain in their place.

Treatment is only required for very severe types of hormonal rash. In such situations, the help of a specialist dermatologist or endocrinologist is required.

You should never squeeze out white dots on the baby's skin, since such actions can lead to infectious complications and cause scarring. It is also not necessary to treat pustules with alcohol solutions and other antiseptics (potassium permanganate, furacilin, etc.). Competent care of the delicate skin of a newborn involves only ensuring its dryness and cleanliness.

It is advisable to wipe the rash with decoctions of medicinal herbs - string, calendula or chamomile. but only after conducting tests to make sure that there is no allergy to these herbal remedies. On the recommendation of a doctor, you can lubricate the pustules with Bepanten ointment. Treatment with this tool is carried out 1 time in 3-4 days to dry the skin elements.

With long-term pustulosis, pediatricians prescribe agents for external topical use - ointments, the active ingredient of which is ketoconazole. To create a reliable barrier against microbes, with abundant rashes, antiseptic ointments with zinc are shown.

Note: fat-based anti-acne ointments are categorically contraindicated, since they create an airtight film on the baby's skin, which only worsens the situation.

It is important to keep the room impeccably clean and at optimal humidity. Proper nutrition of a nursing mother contributes to the rapid adaptation of the infant's gastrointestinal tract and the normalization of the infant's hormonal levels.

Dr. Komarovsky talks in more detail about the various types of rashes in children:

Plisov Vladimir, medical columnist

A source:

Hormonal rash in a baby Komarovsky

Acne in babies: what to do?

Some mothers do not even suspect that a baby may not have smooth and clean skin, but a face or body partially or completely covered with pimples. If it happens that the baby has acne almost from birth, it is possible that he has acne of newborns. As a rule, this disease manifests itself in the first six months from the birth of a child.

Unfortunately, in real life, pediatricians do not always have an accurate idea of ​​what acne looks like and often simply cannot make the correct diagnosis, confusing it with allergies or atopic dermatitis. Therefore, it is better if parents are informed what acne is. is it dangerous for the baby, what are the methods of treatment.

What is acne and what does it look like?

Infant acne (acne neonatorum) is diagnosed in 20 percent of children in the first days of their life. Distinguishing features: neonatal acne symptoms have punctate papules or pustules of white (pearlescent) with a yellowish tinge.

Most often, comedones are absent. Simply put, it is an inflamed acne with damage to the sebaceous glands or their excretory ducts. All points are grouped and sometimes merge into large spots.

Children in the first and second year of life may also develop acne (acne infantum) associated with an increase in the amount of testosterone in the blood plasma, probably due to metabolic disorders and temporary gonadal activation.

This acne manifests itself in a child in a specific lesion of the skin of the face, more often in boys older than 3 months. The disease persists sometimes up to 3-4 years. The papules are grouped and inflamed, sometimes leaving scars.

Attention! Be sure to show your child to a doctor to rule out prickly heat and allergies!

Most often, the rash is located in the following places:

  • eyelids, cheeks. chin, forehead;
  • tip and wings of the nose, nasolabial folds;
  • skin in the occipital region;
  • penis (in boys);
  • scalp (less often);
  • neck (less often);
  • the top of the chest (less often).

Causes of acne in newborns

Under the influence of maternal hormones, acne occurs: its causes are still being studied. Let's select only the proven ones:

  • excess of the mother's hormones that the baby still has;
  • restructuring of the child's hormonal system;
  • excess secretion of the child's sebaceous glands;
  • blockage of pores and skin follicles;
  • excessive proliferation of lipophilic yeast, leading to inflammation.

Diagnosis treatment

In case of neonatal acne, treatment is carried out only after a diagnosis has been made by a doctor: a pediatrician, dermatologist or allergist-immunologist. The diagnosis of acne in infants is made after excluding numerous other dermatoses that occur during the neonatal period:

  • infections: viral, fungal, bacterial;
  • transient pustular melanosis;
  • miles;
  • toxic erythema of newborns;
  • miliary (prickly heat);
  • hyperplasia of the sebaceous glands;
  • bilateral comedonic nevus;
  • acneform rash from the use of medications, steroids, lithium medications, or phenytoin medications used by the mother during pregnancy. And also the presence of a virilizing luteoma in a pregnant woman

Clarification of the diagnosis by a dermatologist is carried out using:

  • dermatoscopy of the rash;
  • pH-metry of the skin;
  • bacteriological examination (if there are signs of infection).

To make an accurate diagnosis, the doctor:

  • examines family history;
  • examines the child to assess congenital adrenaline hyperplasias and other endocrine pathologies;
  • if hyperandrogenism is suspected, DHEAS is screened;
  • evaluates adrenal function;
  • determines the level of testosterone.

Important! If any doctor has any doubts about acne, allergies. endocrine disruption or acne, it is best to consult a competent pediatric endocrinologist.

Komarovsky talks in detail about many types of rashes and acne in newborns in his video programs.

The disease usually resolves spontaneously over a period of several weeks to 3 months. However, occasionally the rash lasts up to six months or a year or takes on complex forms.

Most often, acne does not require special treatment. It is not necessary to smear the baby's pimples with brilliant green, fucorcin, a solution of potassium permanganate and chlorophyllipt. It is enough to lubricate them with bepanten or an ointment containing zinc once every couple of days, it will dry pimples. For true acne in children, treatment consists mainly of proper skin care.

Important rules for caring for skin with acne in infants:

  • regular hygiene procedures;
  • air and sun baths;
  • it is not recommended to smear your face with baby cream, oils and lotions;
  • keep the skin clean and dry;
  • pimples cannot be squeezed out. this can lead to infection of the sebaceous glands and inflammation.

Complex forms of acne in infants acquires if one of the parents had this disease in childhood. When acne is infected, treatment is carried out according to the main therapeutic method for treating skin infections:

  • the skin is treated with antiseptics, disinfectant solutions, antibacterial drugs;
  • if necessary, add general strengthening procedures: vitamin therapy and correction of immunity;
  • sometimes internally prescribed retinoids in small quantities;
  • even the use of local laser therapy is possible.

And if it's an allergy?

If it is difficult to determine acne or newborn allergies in a baby, then you should pay attention to other signs of an allergic nature:

  • rough round spots on the body;
  • redness of the cheeks in the evening;
  • deviations in bowel movement;
  • worsening acne;
  • excessive dry skin or wet areas;
  • colic, regurgitation and vomiting;
  • stomach ache;
  • strong gassing.

Unfortunately, at an early age it is extremely difficult to determine the cause of the rash: acne allergies are very similar in symptoms. Any product, even hypoallergenic, can cause allergies.

There is a case where a 3-year-old child was covered in acne while receiving seemingly non-allergic food. An allergen test showed that it was a true wheat allergy that caused a continuous rash all over his body.

Excluding wheat and products that contain it, parents literally a week later saw the baby's cleansing skin. We repeat once again, the diagnosis should be clarified by a doctor (allergist and gastroenterologist) based on modern research methods:

  • analysis of feces for carbohydrates (lactose deficiency is excluded or confirmed);
  • a general blood test (an increase in eosinophils indicates allergens in the blood);
  • allergen analysis (for children over 6 months old).

If it is still acne, then time is the only doctor. Wait patiently, acne will definitely go away on its own. Remember that the baby is going through all the mother's emotions. Acne is not dangerous, moreover, it does not cause any particular inconvenience to the child, which is also important.

Rash on the face of a newborn: what to do?

Already from the first days of life, various rashes can be found on the skin of a newborn, which need to be able to correctly assess in order in some cases to immediately prescribe treatment or adjust the mother's diet, and sometimes, on the contrary, absolutely no measures will be taken with the correct tactics.

A small rash on the face of a newborn is most often benign, but it always causes concern for parents. Adults need to understand that in the first weeks and months, the baby's skin, like any other organ, undergoes adaptation to living conditions in a non-sterile environment, as it was before birth. Therefore, its reaction to the colonization of opportunistic microorganisms is quite expected. On the other hand, one should be careful, since rashes on the face of a newborn are the result of the manifestation of an infectious process, and therefore the observation of a neonatologist in such cases is a mandatory rule.

Acne in newborns

The most common rash on the face of a newborn (from 20 to 30% of all children) is neonatal acne, its second name is neonatal acne. It manifests itself most often in the first weeks of a child's life and goes away on its own up to 3 months. Acne in newborns is not an infectious disease and is not contagious. What does acne look like on a newborn's face? Photos of pustules are easy to find on the Internet - they have a slightly reddish tint and are located mainly in the neck, face, and scalp. Most often, such pimples are not even visualized, but appear in the form of an altered skin relief. Experts associate their appearance with the hormonal background of the newborn, which must also adjust itself. The second factor is the appearance of yeast-like fungi on the baby's skin, which were not present during the period of intrauterine development. They are part of the healthy flora of the human skin and are not dangerous. As a rule, such a rash is not intensely inflammatory in nature, and therefore does not require treatment.

To speed up the process of skin restoration in such cases, it is recommended to adhere to the following rules:

  1. keep the air temperature in the nursery no higher than 21 ° C with a humidity range of 40 to 65%;
  2. do not change the menu of a nursing mother (there is no allergic component in the occurrence of this rash);
  3. with a significant intensity of the process, in some cases, the neonatologist may prescribe a cream based on ketoconazole to speed up the recovery process.

Food allergy

This type of rash most often appears on the cheeks or chin of a child, has the character of red spots that can peel off. If the influence of the allergen on the child's body does not stop, the affected areas of the skin may get wet and crusts appear. As a rule, such rashes are formed in response to dietary errors on the part of the mother (if the child is breastfed). That is why every mother is advised to keep a food diary and not introduce new foods into her diet more often than once every three days. There is also a list of the most allergenic foods that are recommended to be excluded from the diet when such rashes appear: red fish, walnuts, all citrus fruits, veal, tomatoes.

If the child is artificial, then when rashes occur, special attention should be paid to the mixture. If there is a need to replace the baby's milk mixture, then to prevent allergic reactions, a new product should be introduced gradually, keeping an eye on the baby's skin.

Drug rash

These rashes are not allergic in nature, but arise as a side effect of taking antibiotics, certain vitamins, hormonal drugs, fluoride, iron and many herbal preparations. In this case, the rash can appear not only on the face, but also in the lower abdomen, on the limbs and on the back. If a reaction is noticed on taking any of the medications, it should be canceled immediately.

Atopic dermatitis

This disease belongs to the group of allergic diseases. It can be caused by errors in the mother's diet, improper hygiene procedures, dysbiosis, some cosmetics and even water containing chlorine. Hereditary predisposition also plays an important role. Typically, atopic dermatitis first appears on the cheeks or forehead as a reddish, swollen patch, which subsequently grows, may peel off and cause itching, disturbing the baby.

Treatment of this condition should be prescribed only by a pediatrician, having established a diagnosis. The most important thing in this case is to identify and neutralize the effect of the allergen. Antihistamines are used to reduce the symptoms of dermatitis. In the fight against dysbiosis, the mother is recommended to use fermented milk products, and the child is prescribed drugs containing live cultures of lacto- and bifidobacteria. Artificial children in such cases are often transferred to mixtures with a soy base.

Toxic erythema of newborns

These rashes are characteristic of 40-70% of full-term babies and look like insect bites (pinkish spots with a papule in the center, which later turns into a vesicle). Most often, the skin of the face, trunk and extremities (except for the back of the feet and palms) is affected in a child. It should be noted that the etiology of this rash is still not known. It goes away on its own for a week and does not require any treatment.

Infectious rash

Sometimes the cause of a rash on the skin of a newborn can be an infection transmitted by airborne droplets: baby roseola, scarlet fever, chickenpox, measles, or an enterovirus infection. In such cases, the rash spreads not only to the face, but also to other parts of the child's body and is accompanied by a high fever and other symptoms characteristic of each of these diseases. Only a doctor can correctly diagnose and prescribe treatment, so you should not postpone calling him.

A rash on the face of a newborn - how to treat? This question is often asked by young parents when they see unfamiliar spots on the skin of the crumbs. The algorithm in this case is simple: self-medication is categorically unacceptable. First of all, a doctor's consultation. In parallel, you should think about allergies and exclude all possible sources of it. The doctor will come, examine the child and will probably establish the cause of the appearance of the rash. In most cases, treatment is not required at all, or the doctor will recommend making adjustments to the mother's diet. But in the presence of an infectious disease, therapy is absolutely indispensable, and only a qualified specialist can prescribe it.

There is an immutable rule for parents if they notice a rash on the face of a newborn. Komarovsky always insists in his programs that this is one of those cases when a child needs to be urgently shown to a doctor. Therefore, you should listen to his opinion.

Toxic erythema of newborns

Photo of toxic erythema in infants

In a newborn child, in the first month of life, the body adapts to the environment - to food, air, water. Against this background, manifestations of erythema can often be observed in infants.

Erythema is the redness of the skin that occurs as a result of the expansion of the superficial capillary vessels.

Distinguish erythema in newborns:

Physiological erythema

Physiological redness of the skin can spread only to the legs or arms of the baby, or it can cover the entire body. In this case, the expansion of the skin capillaries is a natural sign of the body's adaptation to the new environment. Such erythema does not require treatment. Almost 50 percent of all children born are exposed to it. Most often, redness occurs in the first two or three days of life. Symptoms of physiological erythema normally last for about a week or ten days. Then they go by themselves.

If at the same time signs of peeling appear on the skin, it is recommended to lubricate dry areas of the child's body with a soft baby cream.

Causes and signs of toxic erythema of newborns

Physiological erythema may not go away after ten days, but develop into a toxic form. For a number of reasons, toxic erythema also occurs as an independent pathological state of the body.

The reason for this condition, in fact, is one - a large amount of biologically active substances are produced in the child's body, which are transmitters of an allergic reaction.

And there may be several reasons for such a reaction:

  • the mother's toxicosis during pregnancy;
  • taking any medication by a pregnant woman;
  • hereditary factor;
  • if the woman who gave birth worked in hazardous industries;
  • the presence of such diseases in the mother as diabetes mellitus, obesity, dysfunction of the thyroid gland or ovaries;
  • if this pregnancy is not the first for a woman;
  • intrauterine infection of the infant;
  • if the fetus has been exposed to prolonged hypoxia in the womb;
  • when the baby's first breastfeeding occurs later than 12 hours after birth.

The main signs of toxic erythema:

  • general anxiety of the child;
  • redness of the baby's skin in the form of red, slightly compacted spots;
  • grayish-yellowish tubercles or vesicles are observed in the center of the spots;
  • rashes are localized, as a rule, on the chest and buttocks, on the extensor surfaces of the legs and arms, in the places where the joints are located;
  • itching may occur in the area of ​​the rash.

In fact, redness of the skin is an external, visual manifestation of toxicosis, or poisoning, occurring in the baby. Toxicosis may be accompanied by an increase in the child's body temperature and some enlargement of the lymph nodes.

Babies who are breastfeeding are most susceptible to allergic reactions. In children receiving artificial nutrition, the phenomenon of toxic erythema is rarely observed.

Toxic erythema in newborns may be accompanied by edema, a rash in the form of papules in the sebaceous ducts, and an accumulation of leukocytes.

With prolonged erythema or with its extraordinary manifestations, it is recommended to make the child a blood test and examination of the upper layers of the skin.

An analysis of breast milk should also be done. All this will help to identify allergens that provoke toxic erythema.

The reasons why children sweat a lot -in this article →

Treatment of erythema in infants

Toxic erythema, like physiological, usually does not need treatment. It goes away gradually by itself. The rashes do not leave any marks on the skin. Normally, in order to stop the process, it is enough to observe the hygiene of the child:

  • bathe it daily in water with the addition of a decoction of a string, chamomile or potassium permanganate;
  • change baby's clothes more often;
  • prevent the child from overheating;
  • make sure that his bedding is clean;
  • give your child regular air baths;
  • control that the clothes on the baby are loose, do not squeeze his body;
  • lubricate dry areas of skin with peeling areas with baby cream or oil;
  • do not rub the baby's skin with a towel after bathing, but gently blot it with light movements.

If erythema is protracted or complicated, then drug treatment is required. In this case, the baby is prescribed antihistamine drugs, bifidobacterin or similar drugs to maintain the microflora of the stomach and intestines, B vitamins, vitamin E, ascorbic acid, rutin.

To reduce the symptoms of itching, you can lubricate red rashes with antiallergic ointment prescribed by your doctor.

With a severe pustular rash, the rash is treated with preparations containing zinc oxide, brilliant green or manganese.

For a lactating woman, it is important to switch to a dietary diet during the period of treatment for a newborn with toxic erythema.

Well-adjusted hypoallergenic nutrition of the mother will help the newborn to cope with toxic erythema faster.

With properly organized care and nutrition, the rash on the baby's skin will pass safely without causing complications.

Video about acne in the child of Dr. Komarovsky

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Rash on the face of a baby (Komarovsky)

The appearance of a rash in a child raises many questions for mom. The main ones are: where did it come from and how to react to it. Doctor Komarovsky helps us to understand the topic - read the article and watch the video.

Another common cause of rashes on the face of an infant is overheating. It causes sweating (read about it on the portal). thrush in the mouth, accompanied by a rash on the mucous membrane.

  • the child is less than six months old;
  • sprinkled the whole family;

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This entry was posted in Symptoms.

The baby is born, but contrary to the popular belief that his skin should be soft and clean, on his tiny face, to the horror of moms and dads with little parenting experience, whitish or yellowish pimples appear - acne. They can be single or multiple, covering a fairly large area of ​​the forehead or cheeks. With the question of who is to blame and what to do with these rashes now, parents often turn to the famous pediatrician of the highest category Yevgeny Komarovsky.

What it is?

Neonatal acne (neonatal cephalic pustulosis) is not uncommon. It occurs in about 30% of all newborn babies. White or yellow pimples appear on the crumbs in the forehead, around the nose, on the cheeks, on the chin, in the scalp. These are the most common acne sites.


Much less often, a rash can be observed in the area of ​​the ears and neck. Evgeny Komarovsky calms down - this acne rash is most often of a physiological nature, and does not require any special treatment.

The fact is that the child is influenced by the residual hormonal background of the mother, which was natural for him during the nine months of being in the tummy. The "instigator" of pimples in this case is the estrogen hormone, which is produced in huge quantities in the maternal body in the last trimester of pregnancy and during childbirth. It allows the baby to gain subcutaneous fat, and also contributes to the appearance of acne.

In addition, after birth, the sex glands of a new person are activated, this also causes acne in newborns. Especially if you remember that the child's sebaceous glands are not yet able to function in the correct "debugged" mode.

Most often, such a rash is either present at birth or appears in the first six months of a child's independent life after birth. There is a fairly widespread opinion among pediatricians that infant acne is a way for baby's skin to adapt as much as possible to a rather aggressive environment, in which there are many bacteria, fungi and other pathogens.

How to distinguish from other diseases?

Attentive parents, according to Komarovsky, are quite capable of figuring out on their own what exactly popped up on the baby's skin - neonatal pimples or rashes with allergies. With a food or other allergic reaction, the rash will be all over the body, with acne in newborns - only on the face.

And now, in fact, Dr. Komarovsky will tell us what children's acne is, how this disease is explained and about the rules of proper skin care.

An allergic rash, as a rule, gives the child a lot of unpleasant sensations, itches, itches, the baby begins to behave restlessly, be capricious, cry for no apparent reason. Acne of newborns does not cause any obsessive and unpleasant effects, the child does not feel it.

Acne in babies can be in the form of papules (reddish seals), comedones (whitish, as if "closed" rash) or pustules (reddish seals with a light top, pus). In case of an allergic rash, the rashes and the places around them have a pronounced red tint, without purulent "heads", whitish tops.

Doctor Komarovsky recommends, when a rash is detected, to carefully look at that part of the child's priests, which is always hidden under the diaper. She does not come into contact with any allergens, and therefore if the rash is not there, then it is not worth talking about food allergies. If it is, then we are most likely not talking about harmless pimples, but a real allergic reaction.

We present to your attention another interesting thematic issue of the program of Dr. Komarovsky.

Sometimes acne is confused with prickly heat. If the baby is entangled, daily bathing is neglected, then the rash on the face will actually initially resemble acne (this ailment is also called blooming of the face). It can be distinguished by its prevalence - prickly heat spreads through the body faster than acne, and, as a rule, does not have purulent heads.

Even more often, acne can be confused with dermatitis. The difference can only be determined by the doctor, and therefore Komarovsky recommends in any case to show the baby to the pediatrician.

Doctor Komarovsky's advice

As we already said, no special treatment for acne in a newborn is required, but there are some nuances that Evgeny Olegovich recommends that all young mothers learn and learn.

  • It is strictly forbidden to squeeze out pimples for a baby! Firstly, it hurts, and, secondly, pathogenic bacteria can enter the wounds and cause an inflammatory process. Then, in place of such "complicated" wounds, ugly scars will remain, which is no longer possible to get rid of.
  • If parents use cosmetics for children, they must be labeled "From the first days of life." It is not necessary to cauterize acne with brilliant green, iodine, alcohol and alcohol-containing solutions. Ointments with antibiotics, and even an ordinary baby cream, are also banned, because it is quite oily. You should not try to solve the problem with powder, it is useless. If there are a lot of rashes, you can use zinc ointment or "Sudokrem", they effectively "dry" pimples.
  • If acne does not go away for a long time, the rash becomes larger and more and more areas of the baby's face are covered with it, be sure to consult a doctor. Such pimples may not have a hormonal root cause, but an infectious one.
  • A mother who is breastfeeding should be less worried about the stress hormone cortisol from entering the milk. It also contributes to the development of skin problems in a child. In addition, a nursing mother should reconsider her diet.
  • A child with newborn acne needs sun and air baths, tempering. In the warm season, a baby with problem skin should be exposed to the air more often. Herbal medicine is acceptable - bathing in water with the addition of a decoction of chamomile and string. You can wash your baby's chamomile several times a day, avoiding the broth getting into the eyes, nose and ears.
  • With the right approach, according to Evgeny Komarovsky, acne disappears without a trace on its own in a fairly short time - from several weeks to 3 months.

When to see a doctor?

  • If acne appears after a year, this is a very good reason to contact a pediatrician, and then an allergist and dermatologist.
  • If a child with a severe acne rash loses appetite, disrupted behavior, sleep, the skin becomes dry and rough, this is also a reason for undergoing a thorough examination by specialists.
  • If it is not possible to determine the origin of the rash. If it is not possible to understand whether she is allergic or physiological as an infant, Komarovsky advises to visit a doctor. A specialist will be able to quickly resolve all issues and give the necessary recommendations.

Algorithm for identifying the cause of the rash

It can sprinkle for a number of reasons. Before moving on to action, you will have to devote time to analytical work, remember where you were and what you did in the last day or two before the incident.

The first two are popular. An infectious rash is preceded by contact with the source of infection, an acute onset of the disease (fever, deterioration in health).

If there is a problem, but there is no temperature, the nature of the phenomenon is allergic. Allergies are respiratory, food, contact. Remember what you breathed, what you ate, what you touched.

Another common cause of rashes on the face of an infant is overheating. It causes sweating (read about it on the portal), thrush in the mouth, accompanied by a rash on the mucous membrane.

When is a rash on the face of a baby a reason to call a doctor?

In some cases, the appearance of rashes requires contacting a doctor:

  • the child is less than six months old;
  • the rash is accompanied by a temperature;
  • the rash does not fade with pressure;
  • after a rash, the baby's skin peels off;
  • sprinkled the whole family;
  • there is a suspicion that this is a reaction to drugs.

Dr. Komarovsky asks to remember one case when seeking help is required immediately. This is meningococcal meningitis. In rare cases, the causative agent of the disease can enter the bloodstream and begin to multiply there. The walls of blood vessels are damaged, and a small rash in the form of asterisks from internal hemorrhages appears on the skin.

When pressed, such pimples do not brighten. Also, this condition is characterized by an acute onset, high fever, there may be nausea and vomiting. The disease is treated with antibiotics, but it is important to be in the hospital on time, since from the first symptoms to death, a day is enough. Every ambulance team has the necessary medications, so it is important to report your symptoms by phone when you call doctors.

Rash on the cheeks of a baby or diathesis

Diathesis is not a disease, it is not in the pediatric reference book. This word is used to refer to the predisposition to inappropriate responses to standard stimuli, which depends on the genetic characteristics and lifestyle of the newborn.

Diathesis causes redness, covers the cheeks, arms and body of the child, occurs on the head and ears. From a medical point of view, it is allergic dermatitis (skin inflammation). The allergen comes in through the air, food or in direct contact with the skin.

Food is the first cause of allergies. Not even a specific type of food, but its quantity. There is no need to overload the intestines, that is, overeat.

The second factor is sweat. The drier and warmer the room, the more the child sweats and the more problems appear.

The last factor is external contacts. You can understand whether this is relevant or not by comparing the surface of the priests under the diaper with the state of the open skin. If your glutes look better, check the quality of the clothing, powder, or water. Clean, cool, fresh air is also important. Light, delicate skin especially does not tolerate dryness.

Dr. Komarovsky clarifies that the whole body reacts with food allergies. If only the priest turns red, you need to study what is in contact with the skin in this place.

On the Internet, there is an advice: you need to treat damaged areas with tetracycline ointment - an antibiotic. The indications for the use of the drug say that it is used against bacterial infections. Diathesis is an allergic reaction, not a bacterial infection. Therefore, tetracycline ointment may not be effective in treating this symptom.

The cause of the rash lies within the body, pay attention to its identification and elimination. Lubricating the baby's face with drugs does not affect the cure. We can only talk about measures that will help reduce itching if it accompanies an ailment. Read our article on chickenpox for ways to ease irritation. Be healthy!

Tell us about your ways to cope with a rash on your baby's face and body in the comments. Your experience will be useful to our readers.

Video with Dr. Komarovsky about rashes in children

During the first weeks of life, the baby's skin undergoes significant changes. One of the most common problems is rash on the face of a newborn aged 1 month, the main causes and treatment, which can be different. A rash on a child's face can be in the form of spots, reddish acne, blisters that appear on healthy skin.

Rash on the face of a newborn 1 month causes

If skin rashes appear, the child needs to be shown to the doctor in order to find the exact cause of the occurrence and pass the appropriate tests. But parents are also advised to have certain knowledge that will help them identify the cause of the rash. Rash on the face of a newborn at 1 month may have causes, very diverse in nature:

  • Hormonal rash. Usually they appear as small, red pimples with pimples in the center that occur in the cheek area;
  • Prickly heat. Appears as a rash of red dots. The cause of prickly heat is non-observance of the basic rules of personal hygiene of the baby;
  • Allergic reactions. Such reactions appear in the form of red spots due to the mother's improper diet during pregnancy and lactation. In this case, a strong irritant is the protein found in cow's milk;
  • Infectious diseases. An infectious reddish-pink rash appears due to contact with the source of infection. The onset of the disease is accompanied by fever, deterioration in health.
  • Dermatitis(contact, atopic, diaper) manifests itself in the form of redness, blisters, peeling, small rashes on the surface of the skin. Dermatitis can be caused by external allergens: washing powder, wool, synthetics, prolonged skin contact with wet cloth, animal saliva.

Most of the rashes are benign and disappear within a period of time. Other types of skin rashes require medical diagnosis.

Rash on the face of a newborn 1 month old what to do

If you find rash on the face of a newborn at 1 month of age, what necessary make in this case? Before panicking at the sight of spots in a baby, you need to understand the cause of the rash and start treating them on time.

What skin rashes often bother babies and how to help them

Diaper rash- This is redness of the skin on the bottom, in the groin and between the baby's buttocks, arising from moisture and friction. Therefore, for the comfort of the child, it is advisable to change the diaper every 3-4 hours. Apply non-greasy baby cream or talcum powder to sensitive areas.

Prickly heat- This is the most common problem in babies, accompanied by itching and rash. Methods of dealing with prickly heat can be as follows: bathing the baby, moisturizing the skin with baby lotion, and regularly airing the room.

Hives Is an allergic rash in the form of red blisters that appears on the cheeks and chin of the baby. To avoid hives, mothers need to exclude allergens from the diet: citruses, nuts, cow's milk, fish, tomatoes, seafood.

Chicken pox Is a benign rash in the form of red blisters with fluid inside. You can cure chickenpox with brilliant green, a concentrated solution of potassium permanganate and yellow rivanol.

If the rash persists or the baby's condition worsens, an urgent need to consult a pediatrician.

Rash on the face of a newborn 1 month treatment

The method of treating a skin rash depends on the cause and the severity of the skin rash. If there is rash on the face of a newborn at 1 month of age, its treatment can be a lengthy process. Sometimes the rash goes away on its own and is usually quick and painless for the baby.

The most correct treatment and prevention of rashes will be elementary adherence to the rules of personal hygiene.

  • It is necessary to bathe the baby every day, preferably with decoctions of herbs: chamomile, string, sage, nettle, lavender, juniper;
  • It is recommended to trim the baby's nails as they grow, so that he does not scratch the inflammatory places and does not introduce infection into the wounds;
  • In a newborn's bedroom, you need to maintain a comfortable air temperature of 20-22 degrees. At the same time, in the room where the baby is located, the air humidity should be in the range of 70-80%;
  • A flaky rash can tighten the skin, making your baby uncomfortable. In this case, it is imperative to lubricate the skin with a moisturizer, which has a wound-healing property;
  • Rashes with signs of infection are treated with antibacterial and antiviral drugs prescribed by a doctor;