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Worries · first 3 months

Is this normal for a newborn?

Checked against current guidance on October 8, 2026. General information, not medical advice.

Illustration of a parent smiling at a sneezing newborn.

The 10-second answer

  • Most newborn surprises are normal: sneezing, hiccups, noisy breathing, startles, spots and peeling skin.312
  • Short pauses in breathing during sleep, up to about 10 seconds, are normal in newborns (periodic breathing).63
  • Trust your instinct: a baby who is hard to wake, isn't feeding, or is working hard to breathe needs urgent help. If your baby is struggling to breathe or won't wake, call your local emergency number.42519

General information from published guidance, not a diagnosis or medical advice for your baby. If you are worried, call your doctor, midwife or local health line, whatever this page says. In an emergency, call your local emergency number.

Tap what you noticed

Sneezing a lot

Why it happens: Newborns sneeze a lot, and it helps keep their small noses clear. On its own, sneezing is not a sign of a cold.

Get help if there is also fever, fast breathing, or a blocked nose makes feeding hard.34

Hiccups

Why it happens: Very common, often after feeds. They don't bother most babies and stop by themselves.

Get help if hiccups come with forceful vomiting or your baby seems distressed.326

Noisy breathing, snorting and grunting

Why it happens: Newborns breathe through narrow noses and make lots of noises, especially asleep.

Get help if there is grunting with every breath, flaring nostrils, skin pulling in between the ribs, or more than 60 breaths a minute at rest. Call your local emergency number.3425

Pauses in breathing while asleep

Why it happens: Short pauses of up to 10 seconds followed by quick breaths (periodic breathing) are normal in newborns.

Get help if a pause lasts longer than 20 seconds or your baby turns blue, grey or limp. Call your emergency number.67425

Sudden jerks and startles

Why it happens: The startle (Moro) reflex: arms fly out, then come back in. It peaks in the first month and starts to fade after about 2 months.

Get help if rhythmic jerking doesn't stop when you gently hold the limb, or comes with stiffness or staring. That can be a seizure: call your emergency number.89

Trembling chin or hands

Why it happens: The nervous system is still maturing, and trembling while crying is common.

Get help if trembling happens a lot when your baby is calm, or with poor feeding.9

Crossed or wandering eyes

Why it happens: Eyes often drift in or out in the first 3-4 months while the eye muscles learn to work together.

Get help if an eye is turned all the time, or it still happens after 4 months, or a pupil looks white in photos.1011

Sticky or watery eye

Why it happens: Usually a blocked tear duct. Wipe from the inside corner outwards with cotton wool dipped in warm water, using a fresh piece for each eye. Most clear by 1 year.

Get help if the eyelids are red or swollen, or there is yellow-green pus. In the first month, get an urgent appointment the same day.121314

Tiny white spots on the nose (milia)

Why it happens: Blocked oil glands. They disappear by themselves within weeks. Don't squeeze them.

Get help if the spots become red, swollen or filled with pus.12

Baby acne

Why it happens: Small red or white spots on the face, usually in the first 6 weeks (often weeks 3-5). Harmless and clears by itself. Just wash with water.

Get help if there are blisters, or your baby has a fever or seems unwell. Under 3 months, a temperature of 38°C or more needs help now: see the fever guide.252527

Blotchy red rash with small bumps

Why it happens: Often erythema toxicum: red blotches with little yellow-white bumps in the first days. It comes and goes and is harmless.

Get help if your baby has a fever, blisters or seems unwell: get medical advice now. If the rash doesn't fade under a pressed glass, call your emergency number.12

Peeling, dry skin

Why it happens: Very common, whether your baby was born early, late or on time. It usually needs no treatment.

Get help if the skin is cracked and bleeding, or very red.1

Pink patches on the eyelids or neck

Why it happens: Stork marks (salmon patches). Those on the face fade in the first year or two; neck patches may stay but are harmless.

Get help if a mark is raised and growing quickly, or is near the eye and getting bigger.115

Blue-grey patches on the back or bottom

Why it happens: Slate-grey patches, common in babies with darker skin. They are harmless and usually fade over the years. Ask your doctor to note them in the record.

Get help if new patches appear later, or a patch is swollen or painful.115

Swollen breasts or genitals

Why it happens: Hormones from pregnancy can make breasts and genitals swollen, and a little milky fluid can leak. It usually settles within a week or two. Don't squeeze.

Get help if a breast becomes red, hot or hard: call today. With a fever, get advice now.1

A little discharge or blood (baby girls)

Why it happens: Hormone changes can cause white discharge or a little blood from the vagina in the first week or two.

Get help if it continues after 2 weeks or there is more than a little blood.1

Cone-shaped or uneven head

Why it happens: The skull bones overlap during birth. The head usually rounds out within days to weeks.

Get help if the soft spot is bulging or sunken: get medical help now. Call your doctor if a flat spot is getting worse.1161719

The soft spot pulses

Why it happens: You can sometimes see your baby's heartbeat in the soft spot (fontanelle). It is protected by a tough membrane, and gentle touching is safe.

Get help if the soft spot bulges when your baby is calm and upright, or looks sunken. Get medical help now.16119

Blue hands and feet

Why it happens: In the first days, blood flow favors the center of the body, so hands and feet can look bluish, especially when cool.

Get help if the lips, tongue or face look blue or grey. Call your emergency number.5425

Straining and going red to poop

Why it happens: Babies are still learning to coordinate pushing. Grunting and turning red is normal if the poop is soft.

Get help if poop is hard pellets, there is blood, or your baby seems in pain.20

Yellow, flaky scalp (cradle cap)

Why it happens: Greasy yellow scales on the scalp are harmless. Rub in a little plain emollient, mineral oil or coconut oil, then brush gently with a soft brush and wash off with baby shampoo.

Get help if it spreads, looks inflamed or weeps, or your baby seems itchy.2122

Yellow skin or eyes

Why it happens: Mild jaundice from day 2-3 is common. Read the jaundice guide.

Get help if it starts in the first 24 hours, or your baby is very sleepy, floppy or not feeding: call your local emergency number now. Yellow after day 1: tell your midwife or doctor the same day.2324

Add a note in Ella with the time, so you can show the doctor when it started. Open Ella

Get medical help now if

  • breathing pauses longer than 20 seconds, or blue or grey lips, tongue or face76425
  • your baby is floppy, unresponsive or very hard to wake25
  • jerking or stiffening that doesn't stop when you hold the limb9
  • your baby is under 3 months with a temperature of 38°C or more2519
  • your baby is feeding much less or has fewer wet diapers418

Call your doctor or midwife today if

  • your baby has a rash, spots or a mark that is changing and you are not sure what it is215
  • something just doesn't seem right to you19225

If your baby stops breathing, turns blue or grey, is floppy or cannot be woken, call your local emergency number now.

The details

Why newborns seem so strange

A newborn's breathing, skin, nervous system and digestion are all still adjusting to life outside the womb. That shows up as noises, twitches, rashes and color changes that look worrying but are part of normal development.

31

Your instinct matters

You know your baby best. Doctors take a parent's sense that something is wrong seriously, and you never need a reason from a list to ask for help.

19225

Questions parents ask

Why does my newborn sneeze so much?

Newborns sneeze a lot, and it helps keep their small noses clear. It isn't a sign of a cold unless there is fever, fast breathing or trouble feeding.3

Is it normal for a newborn to grunt while sleeping?

Yes, newborns are noisy sleepers. Grunting with every breath, flaring nostrils or ribs pulling in is not normal and needs a doctor.34

Is it normal for a newborn to stop breathing for a few seconds?

Pauses of up to 10 seconds during sleep, followed by quick breaths, are normal. Pauses longer than 20 seconds, or color changes, are an emergency.67

Is it normal for newborn eyes to cross?

Yes, on and off in the first 3-4 months. An eye that turns all the time, or crossing after 4 months, should be checked.1011

Why does my newborn have hiccups so often?

Hiccups are very common in newborns, often after feeds, and don't bother most babies. They stop by themselves. Call your doctor only if they come with forceful vomiting or distress.263

Is baby acne normal?

Yes. Small red or white spots on the face in the first weeks (often weeks 3-5) are common and clear by themselves. Wash with plain water and don't squeeze them.52

Why are my newborn's hands and feet blue?

In the first days, blood flow favors the center of the body. Bluish hands and feet are normal. Blue lips, tongue or face are an emergency.5425

Is a sticky eye normal in a newborn?

Usually it's a blocked tear duct. Wipe it with cotton wool dipped in warm water, from the inside corner out. Red, swollen eyelids or yellow-green pus need a doctor, urgently in the first month.121314

Ella

Write it down when you notice it

Add a note in Ella with the time. If you need to see a doctor, you can show exactly when it started and what else happened that day.

Sources

  1. AAP, HealthyChildren.org: How your newborn looks
  2. NHS: Rashes in babies and children
  3. AAP, HealthyChildren.org: How your newborn behaves
  4. AAP, HealthyChildren.org: Common conditions in newborns
  5. AAP, HealthyChildren.org: Physical appearance and growth in the first month
  6. AAP, HealthyChildren.org: Phases of sleep (normal periodic breathing)
  7. AAP Committee on Fetus and Newborn: Apnea of prematurity (Pediatrics, 2016)
  8. AAP, HealthyChildren.org: Newborn reflexes
  9. Huntsman RJ, Lowry NJ, Sankaran K: Nonepileptic motor phenomena in the neonate (Paediatrics & Child Health, 2008)
  10. AAP, HealthyChildren.org: Warning signs of vision problems in children
  11. NHS: Squint
  12. American Association for Pediatric Ophthalmology and Strabismus (AAPOS): Nasolacrimal duct obstruction
  13. NHS: How to bathe your baby
  14. NHS: Conjunctivitis
  15. NHS: Birthmarks
  16. AAP, HealthyChildren.org: Your baby's head
  17. AAP, HealthyChildren.org: Positional skull deformities and torticollis
  18. AAP, HealthyChildren.org: Dehydration
  19. NICE guideline NG143: Fever in under 5s
  20. AAP, HealthyChildren.org: Infant constipation
  21. AAP, HealthyChildren.org: Cradle cap
  22. NHS: Cradle cap
  23. AAP, HealthyChildren.org: Jaundice in newborns
  24. NHS: Newborn jaundice
  25. NHS: Sepsis (symptoms in babies and children)
  26. AAP, HealthyChildren.org: Burping, hiccups and spitting up
  27. NHS: High temperature (fever) in children

Guidance can differ between countries. Where it does, we show both. Follow your own doctor or health service.

Checked against current guidance on October 8, 2026. General information, not medical advice. Written by the Ella team at Muchita AI from published guidance by the AAP, NHS, NICE, WHO and CDC, with AI-assisted drafting and translation checked against those sources by our team. These organisations have not reviewed or endorsed this page. General information, not a diagnosis or medical advice. If you are worried about your baby, trust your instinct and call a doctor.

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