When Your Baby's Skin Looks Blue (2024)

Parents should investigate any bluish color they spot on their baby's skin. Blue skin means the underlying blood has a blue cast rather than the nice pink color of blood with lots of oxygen in it. Fortunately, in most cases it's quite normal and harmless as long as it's temporary.

What's the Underlying Problem When Baby's Skin is Blue?

There are two reasons why the blood under you baby's skin might look blue:

  1. The lungs are not getting enough oxygen. Since oxygen is what makes blood turn red, blood cells without oxygen remain blue ("cyanosis").
  2. The underlying blood is moving sluggishly, so the normal veins underneath that carry blue, oxygen-poor blood back to the heart are more noticeable.

You can tell if there is insufficient oxygen in the blood by checking the color of the skin all over your baby's body. If there is a bluish cast everywhere (especially in areas with a lot of blood flow, like the lips, tongue, and vagin* or scrotum), this could mean all of the blood is blue and there could be a problem with the heart or lungs.

More commonly, it's only certain areas -- like the hands, feet, or area around the mouth -- that look blue some of the time. This is usually perfectly normal.

Tips for Concerned Parents

If you are concerned about a blue tinge to your baby's skin, check their entire body. An off-and-on blue cast to the hands and feet, with pink skin elsewhere, is not a sign of a problem, but rather just a little bit of immaturity of the circulatory system, which will go away over time.

When to Worry About Baby's Blue Skin

If there is a bluish cast over the entire body, the blood may be lacking sufficient oxygen. Blue primarily around the lips may also indicate low blood oxygen. This is very worrisome and you should seek medical attention immediately. It’s also concerning if you notice any blueness at all when it seem like your baby might be having trouble breathing.

But you don't need to worry if your baby's hands and feet turn blue for a short period of time when the rest of the body is pink and your baby is breathing normally.

When Your Baby's Skin Looks Blue (2024)

FAQs

Why is my baby's skin turning blue? ›

Infant methemoglobinemia is also called “blue baby syndrome.” It is a condition where a baby's skin turns blue. This happens when there is not enough oxygen in the blood. Parents should immediately contact a physician if baby's skin is unusually bluish in color.

How long can a baby be deprived of oxygen before brain damage? ›

Generally, brain damage becomes possible after only 3 to 5 minutes without breathing. After 10 minutes, an infant may suffer serious brain damage. Any longer and there is a significant risk of death due to the lack of oxygen.

What do babies look like when they turn blue? ›

Mottling occurs when the baby's skin looks blue or pale and blotchy. There may also be a bluish marbled or weblike pattern on the baby's skin. The parts of the skin that are not blotchy may be very pale (this is called pallor). Mottling is not uncommon in premature or ill babies in the neonatal intensive care unit.

What age does blue baby syndrome occur? ›

Nitrates are most common in drinking water in farming communities that use well water. This contamination is due to the use of fertilizers and manure. Infants younger than 3 months are at highest risk for blue baby syndrome, but it can also occur in other populations.

Can blue babies survive? ›

Blue baby syndrome can be scary, but medical advancements have made it possible for doctors to achieve amazing results when treating congenital heart defects. The majority of babies and children who receive medical care for heart defects can go on to live long, normal, and healthy lives.

Is it normal for skin to turn blue? ›

People whose blood is low in oxygen tend to have a bluish color to their skin. This condition is called cyanosis. Depending on the cause, cyanosis may develop suddenly, along with shortness of breath and other symptoms. Cyanosis that is caused by long-term heart or lung problems may develop slowly.

How can you tell if a baby has brain damage? ›

The baby may exhibit tremors or muscle spasms or even develop paralysis in certain parts of the body. Extreme fatigue can also be a sign of brain damage. As a baby grows, brain damage may cause delayed physical development. A baby may be slow to crawl, sit up, stand up, and walk.

Can a brain recover from lack of oxygen? ›

A full recovery from severe anoxic or hypoxic brain injury is rare, but many patients with mild anoxic or hypoxic brain injuries are capable of making a full or partial recovery. Furthermore, symptoms and effects of the injury are dependent on the area(s) of the brain that was affected by the lack of oxygen.

What are the symptoms of lack of oxygen to the brain in babies? ›

Signs of brain damage due to a lack of oxygen are more pronounced at Grade 2, including: Lack of movement or energy. Reduced muscle tone and paleness. Decreased reflexes.

How long do babies stay blue? ›

At birth your baby's eyes may appear gray or blue due to a lack of pigment. Once exposed to light, the eye color will most likely start to change to blue, green, hazel, or brown over a period of six months to one year.

Do SIDS babies turn blue? ›

The risk of SIDS may be increased by events occurring after birth, such as lack of oxygen, exposure to high levels of carbon dioxide, or overheating. Infants can have periods of absent breathing for up to twenty seconds, which is normal. They should not turn blue, however, during this period.

When a baby turns blue stops breathing? ›

Many young children hold their breath when upset, turn blue, but don't pass out. This is common and normal. Frequent spells can happen in children who have anemia (low red blood count). This can happen if your child doesn't eat enough foods with iron.

Why is my baby's arm purple? ›

What is Cyanosis in Infants and Children? Cyanosis refers to a bluish-purple hue to the skin. It is most easily seen where the skin is thin, such as the lips, mouth, earlobes and fingernails. Cyanosis indicates there may be decreased oxygen attached to red blood cells in the bloodstream.

What is the GREY baby syndrome? ›

Gray baby syndrome is an adverse reaction to chloramphenicol that is characterized by abdominal distention, hemodynamic collapse, and ashen-gray skin discoloration in neonates.

What are the long term effects of blue baby syndrome? ›

Cerebral palsy, epilepsy, and nerve damage can impact a child's ability to move independently. They might also suffer muscle spasms throughout their lifetime.

What was the cure for blue babies? ›

The operation joined an artery leading from the heart to an artery leading to the lungs, giving the sick child a vital oxygen supply and taking the necessary first step toward a complete surgical cure. The success of this procedure, known as the Blalock-Taussig shunt, made medical history.

How many babies get blue baby syndrome? ›

Tetralogy of Fallot (TOF) is the most common cyanotic heart defect, occurring in approximately 400 per million live births and the most common cause of blue baby syndrome. It occurs slightly more often in males than in females. Its cause is thought to be due to environmental or genetic factors or a combination.

What does blue skin indicate? ›

Blue skin and lips is usually caused by low blood oxygen levels or poor circulation. It can be a sign of a serious problem. Call 999 or go to your nearest emergency department immediately if you notice an adult or child suddenly turning blue.

What does blue skin indicate a lack of? ›

Poor circulation or inadequate oxygen levels in your bloodstream can also cause your skin to turn bluish. This skin discoloration is known as cyanosis. Cyanosis can affect any part of your body, including your: fingers, toes, and nails.

What does blue tinged skin mean? ›

Blue or grey skin or lips (cyanosis) happens when there's not enough oxygen in your blood, or you have poor blood circulation. It can be caused by a serious problem with the: lungs, like asthma or pneumonia. airways like choking or croup. heart, like heart failure or congenital heart disease.

Can infants recover from brain damage? ›

Can an Infant Recover from Brain Damage? For mild cases of brain damage at birth, the prognosis is favorable. Fortunately, most cases are mild, and children recover well with minimal or no complications.

How do you check a baby's brain? ›

Ultrasounds during your pregnancy will allow your doctor to monitor brain development and make sure each part is growing according to schedule.

What is lack of oxygen in newborns? ›

Asphyxia (as-FIX-ee-uh) means lack of oxygen and blood flow to the brain. Birth asphyxia happens when a baby's brain and other organs do not get enough oxygen and nutrients before, during or right after birth. This can happen without anyone knowing. Without oxygen and nutrients, cells cannot work properly.

Can a brain damaged person hear? ›

Usually, coma patients have their eyes closed and cannot see what happens around them. But their ears keep receiving sounds from the environment. In some cases, the brains of coma patients can process sounds, for example the voice of someone speaking to them [2].

How long can someone live with low oxygen saturation? ›

Most people will die within 10 minutes of total oxygen deprivation. Those in poor health often die much sooner. Some people may suffer other medical catastrophes, such as a heart attack, in response to oxygen deprivation.

What does lack of oxygen look like in a baby? ›

Low oxygen levels may cause an increase in heart rate. Color changes. A bluish color seen around the mouth, on the inside of the lips, or on the fingernails may happen when a child is not getting as much oxygen as needed. The color of the skin may also appear pale or gray.

What are the two most common causes of lack of oxygen in infants? ›

During or before birth, some of the most common causes include insufficient blood flow from the placenta or low blood oxygen in the mother. After birth, common causes of oxygen deprivation include respiratory problems and low blood pressure in the newborn.

Can lack of oxygen cause autism? ›

There is some evidence to suggest that brain damage caused by oxygen deprivation at birth may increase an infant's risk of developing disorders such as autism. A recent study in the US estimated that complications at birth may increase the risk of ASD in children by as much as 10%.

Why do babies go blue and floppy? ›

Since blood carries oxygen, less oxygen is delivered to the body. As a result, a child may appear blue or bluish. The colour is caused by high levels of reduced (deoxygenated) hemoglobin in the blood near the surface of the skin. Hemoglobin is the molecule that allows red blood cells to carry oxygen.

Which parent determines eye color? ›

Your children inherit their eye colors from you and your partner. It's a combination of mom and dad's eye colors – generally, the color is determined by this mix and whether the genes are dominant or recessive. Every child carries two copies of every gene – one comes from mom, and the other comes from dad.

When do babies start crying real tears? ›

When do real tears appear? Around 2 weeks old, your baby's lacrimal glands will begin increasing their production of tears, though you still may not notice much change. Sometime between 1 and 3 months of age is typically when babies actually start shedding more of the salty stuff when they cry, creating visible tears.

What are 3 things that can cause SIDS? ›

Risk factors for SIDS include:
  • placing a baby on his side or stomach to sleep, rather than on his back.
  • premature or low birth weight babies.
  • overheating the baby during sleep.
  • sleeping on too soft a surface, with loose blankets and bumper pads.
  • having a sibling who died of SIDS, or a family history of failure to thrive.

When is SIDS risk highest? ›

The peak incidence of SIDS occurs between 1 – 4 months of age; 90% of cases occur before 6 months of age. Babies continue to be at risk for SIDS up to 12 months.

What is near miss SIDS? ›

Infants who were found apparently dead and who required vigorous stimulation or mouth-to-mouth resuscitation to revive them were said to have near-miss SIDS. The most common finding was apnea, often with pallor.

Do babies react when they can't breathe? ›

During breath-holding, your child may: cry and then be silent while holding their breath. open their mouth as if going to cry but make no sound. turn pale, blue or grey.

Do babies turn blue when cold? ›

Acrocyanosis happens when small blood vessels shrink in response to cold. This is very normal in infants during the first few days after birth. In older children, circumoral cyanosis often appears when they go outside in cold weather or get out of a warm bath. This type of cyanosis should go away once they warm up.

How do you know when a baby is failing to breathe? ›

Trouble Breathing: Symptoms

Tight breathing so that your child can barely speak or cry. Ribs are pulling in with each breath (called retractions). Breathing has become noisy (such as wheezing). Breathing is much faster than normal.

What is the blue mark on my baby's arm? ›

Dermal melanocytosis is the name of a kind of birthmark that is flat, blue, or blue-gray. They appear at birth or in the first few weeks of life. Dermal melanocytosis was formerly called Mongolian blue spots.

What to do if your baby turns purple? ›

This condition is known as cyanosis. What should you do? “If your baby is turning blue, calling 911 is very appropriate,” Drazba says.

Why are my 2 week old's legs purple? ›

This is a normal response to a newborn's immature blood circulation. Blue coloring of other parts of the body is not normal. Occasionally, a baby's face or lips and mouth may turn purplish with very intense crying. However, this should turn back pink when the baby stops crying.

How rare is blue baby syndrome? ›

Cyanotic heart disease
PathologyBrief DescriptionEpidemiology
2. Transposition of the great vesselsThe positions of the pulmonary artery and the aorta are switched, with the aorta connecting to the right ventricle and the pulmonary artery connecting to the left ventricle.1-5/10,000 births
4 more rows

What is chloramphenicol blue baby syndrome? ›

Chloramphenicol accumulates in the baby, causing hypotension (low blood pressure), cyanosis (blue coloring of lips, nail beds, and skin from lack of oxygen in the blood), and often death. Chloramphenicol is therefore usually not given to newborns or premature babies.

What's it called when a baby is born yellow? ›

Newborn jaundice is when your baby's skin and the white parts of his eyes look yellow. It's caused by the build-up of a substance in the blood called bilirubin.

What is the baby blues? ›

Baby blues are feelings of sadness that you may have in the first few days after having a baby. Up to 4 in 5 new parents (80 percent) have the baby blues. It can affect new parents of any race, age, income, culture or education level.

How do you know if your baby has cyanosis? ›

The most common symptom of cyanosis is blue skin, especially where the skin is thin, such as the mouth, lips, fingernails, and earlobes.

Is blue baby syndrome common? ›

Blue baby syndrome is rare in industrialized countries, but it does occasionally occur in rural areas. Babies born in developing countries with poor water supply continue to be at risk for the condition.

Why does my baby's skin look bruised? ›

Seeing a blue or blue-grayish spot on your baby's skin might raise a red flag, especially if the mark doesn't seem to go away. But these bruise-like marks actually aren't bruises at all — they're birthmarks called congenital dermal melanocytosis (formerly known as Mongolian spots). And — phew!

What does blue or cyanotic skin in a child indicate? ›

Blue skin and lips is usually caused by low blood oxygen levels or poor circulation. It can be a sign of a serious problem. Call 999 or go to your nearest emergency department immediately if you notice an adult or child suddenly turning blue.

How long does blue baby syndrome last? ›

Studies show that the long-term survival of "blue babies" and other patients with congenital heart defects is reasonably good. Over 90 percent of the patients are alive 20 years after the first conduit operation, while the mortality rate within 30 days after the operation is less than 1 percent, reoperations included.

Why do babies legs and feet turn blue? ›

More commonly, it's only certain areas -- like the hands or feet -- that has a blue tint. This is usually perfectly normal and just reflects the baby's somewhat immature blood circulation.

What causes blue gray skin? ›

The answer is C: argyria. Argyria is a rare skin condition associated with chronic exposure to products containing silver. The silver is typically deposited diffusely in skin, fingernails, oral mucosa, and conjunctival membranes.

Why is my baby's skin purple and blotchy? ›

CMTC is a rare condition that mainly affects the blood vessels of the skin. It is usually seen at birth or soon after. CMTC includes a mottled pattern on the surface of the skin. This purplish pattern is similar to the fishnet-looking blotches seen in young infants when they are cold.

When should I be concerned about my baby's skin? ›

When to call the pediatrician? If the rash doesn't get better within a few days, spreads further, becomes oozy or if your baby develops fever — a sign of infection — it's time to see a doctor.

When is cyanosis serious? ›

Cyanosis may signify a serious medical condition, especially if it occurs suddenly. Seek immediate medical help if any of the following accompanies cyanosis: Chest pain. Breathing becomes harder or faster.

How do I know if my baby is cyanotic? ›

What are the symptoms of cyanosis? The most common symptom of cyanosis is blue skin, especially where the skin is thin, such as the mouth, lips, fingernails, and earlobes.

Can cyanosis go away? ›

Summary. The medical term for the hands, feet, fingers, and/or toes turning blue is peripheral cyanosis. People of any age can develop this temporary condition, which usually disappears after the affected area is warmed or massaged. If it doesn't, there may be an underlying issue that needs diagnosis and treatment.

How do you overcome blue baby? ›

You don't have to do anything, per se, to treat the baby blues — most people find that as they adjust to their new role and settle into a routine with their baby, they begin to feel more like themselves. That said, the postpartum phase is tough, and it's important to take care of yourself as best you can.

What happens to blue babies? ›

Some babies are born with blue-tinged skin, gums, or fingernails. Normally, their blood becomes fully oxygenated after five to ten minutes, and the blue disappears. However, when the blue tint does not disappear, a baby may not be receiving enough oxygen and they may require immediate medical attention.

Why are my 4 month old's hands and feet blue? ›

If you are concerned about a blue tinge to your baby's skin, check their entire body. An off-and-on blue cast to the hands and feet, with pink skin elsewhere, is not a sign of a problem, but rather just a little bit of immaturity of the circulatory system, which will go away over time.

Is cyanosis common in babies? ›

Cyanosis is a common clinical finding in newborn infants. Neonatal cyanosis, particularly central cyanosis, can be associated with significant and potentially life-threatening diseases, including pulmonary, cardiac, metabolic, neurologic, infectious, and hematologic disorders (table 1).

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