First Month: Physical Appearance and Growth(Part1)

When your baby was born, her birth weight included excess body fluid, which she lost during her first few days.

 

Most babies lose about one-tenth of their birth weight during the first five days, then regain it over the next five, so that by about day ten they usually are back to their original birth weight. Most babies grow very rapidly after regaining their birth weight, especially during growth spurts, which occur around seven to ten days and again between three and six weeks. The average newborn gains weight at a rate of 2⁄3 of an ounce (20–30 grams) per day and by one month weighs about ten pounds (4.5 kg). She grows between 1 1⁄2 and 2 inches (4.5 to 5 cm) during this month. Boys tend to weigh slightly more than girls (by less than 1 pound, or approximately 350 grams). They also tend to be slightly longer than girls at this age (by about 1⁄2 inch, or 1.25 cm).

 

Your pediatrician will pay particular attention to your child’s head growth, because it reflects the growth of her brain. The bones in your baby’s skull are still growing together, and the skull is growing faster during the first four months than at any other time in her life. The average newborn’s head circumference measures about 13 3⁄4 inches (35 cm), growing to about 15 inches (38 cm) by one month. Because boys tend to be slightly larger than girls, their heads are larger, though the average difference is less than 1⁄2 inch (1 cm).

 

During these first weeks your baby’s body gradually will straighten from the tightly curled position she held inside the uterus during the final months of pregnancy. She’ll begin to stretch her arms and legs and may arch her back from time to time. Her legs and feet may continue to rotate inward, giving her a bowlegged look. This condition usually will correct itself gradually over the first year of life. If the bowlegged appearance is particularly severe or associated with pronounced curving of the front part of the foot, your pediatrician may suggest a splint or a cast to correct it, but in most instances these circumstances are extremely unusual.

 

If your baby was born vaginally and her skull appeared misshapen at birth, it soon should resume its normal shape. Any bruising of the scalp or swelling of the eyelids that occurred during birth will be gone by the end of the first week or two. Any red spots in the eyes will disappear in about three weeks.

 

Last Updated 8/1/2009

Source Caring for Your Baby and Young Child: Birth to Age 5 (Copyright © 2009 American Academy of Pediatrics)

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.