Genitalia and Anus
In the female infant, the vaginal opening is visible and a mucoid discharge, which might be bloody secondary to estrogen withdrawal, is not uncommon. The labia minora and clitoris are prominent, but in the term female, the labia majora cover the clitoris and the labia minora.
In the male newborn, the testes might not be fully descended at birth, especially if the baby is premature. Hydroceles and inguinal hernias are common. The prepuce adheres to the glans penis and should not be retracted. The meatus should be located at the tip of the penis.
Any apparent abnormality in the size or shape of the genitalia mandates a consultation with the pediatric urologist and/or endocrinologist.
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Ambiguous Genitalia |
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The anus should be checked for patency, position, and the anal reflex. |
