Parents often believe that applying oil to a newborn's delicate skin is a traditional and beneficial practice. However, a recent cautionary case shared by a paediatrician highlights that this common habit can lead to significant skin problems. Dr. Deepa Aggarwal has raised an alarm about the harmful effects of over-oiling and over-moisturising an infant's sensitive skin, based on a troubling incident from her clinic.
A Case of Concern: Red Spots from Oiling
Recalling the incident on social media, Dr. Aggarwal described a worried mother who brought her one-month-old baby to the Outpatient Department (OPD). The infant had numerous red spots on her face. The mother was distressed, thinking they were severe acne rashes, and had even applied an anti-acne cream, but the condition did not improve. Upon examination, the key finding was an excessive amount of oil on the baby's forehead and head. When Dr. Aggarwal inquired, the mother explained, "Everyone at home says that oil should be applied on the forehead." This well-intentioned advice was, in fact, exacerbating the baby's skin issue.
What Not to Do for Newborn Acne
Dr. Aggarwal provided clear instructions on what parents must avoid when dealing with newborn acne. Firstly, oil should not be applied to the forehead and scalp. She emphasised that the more oil applied to these areas, the more the acne will increase. Secondly, parents should refrain from using any over-the-counter creams, lotions, or adult acne treatments on the baby's face. These products are formulated for mature skin and can be too harsh for a newborn.
Understanding Newborn Acne: Common and Harmless
Explaining the phenomenon, Dr. Aggarwal stated that newborn acne is a very common condition, occurring in about 30% of all newborns. It typically appears as red spots on the face within 2 to 4 weeks after birth. The good news is that these spots are completely harmless and usually resolve on their own within 3 to 4 months. While the exact cause is not known, it is often linked to maternal hormones or the over-stimulation of the baby's oil glands.
Proper Care for Delicate Baby Skin
For general skin care, Dr. Aggarwal advised keeping the baby's skin clean but not overwashing it. If washing is needed, use a hypoallergenic baby cleanser and avoid rubbing the skin harshly. The skin should be gently patted dry. A mild, gentle baby lotion can be used if necessary. The core principle is minimal and gentle intervention.
When to Seek Medical Help
While most cases resolve independently, Dr. Aggarwal outlined specific signs that warrant a visit to the doctor:
- If the acne is very extensive and spreads below the nipple line.
- If the baby becomes restless or irritable due to the acne.
- If there is a yellow discharge from the spots.
- If the acne appears as big, inflamed lesions.
In such severe cases, a paediatrician might prescribe a very mild steroid cream for treatment. For mild acne, however, no treatment is needed.
Dr. Deepa Aggarwal's final advice is simple yet crucial: Avoid oil on the baby's scalp and face, and remember that newborn acne is a normal, harmless phase that passes with time and proper care.
