Baby and Child Health

Breast enlargement in babies and children is not that uncommon and usually do not need investigation. But you should go to see your GP to assess your child. Here is what you need to know:

1. Neonatal Breast Enlargement is common, seen in up to 70% of newborns, and is linked to maternal hormones. Typically appearing within the first 1-2 weeks after birth, it naturally reduces within six months and can occur on one or both sides.
2. Premature Thelarche: This describes the development of a small amount of breast tissue in girls, usually within the first two years of life or between the ages of six and eight. It may be one-sided or on both sides. This development does not progress to other puberty signs.

What your GP will check for

1. Medical History and Examination: The doctor will ask about your child’s health and family history and conduct a physical examination to assess the presence of breast tissue, signs infection, and any signs of early puberty like hair growth or changes in external genitalia.
2. Growth Chart Analysis: The doctor will plot your child’s growth on a chart to help track and check for excessive growth
3. Monitoring: In most cases, further testing isn’t required. The doctor may suggest a follow-up appointment in 6 months to monitor any changes in breast development or signs of early puberty.

Should my GP refer my child to a paediatrician?

Your GP will seek paediatrician advice if the breast enlargement is accompanied by an unusual features such as signs of puberty or excessive growth