Lip and face edema due to face presentatio

A 3100 g male appropriate for gestational age baby was born at 40 weeks to a healthy mother by normal spontaneous vaginal delivery. Apgar scores were 9 and 10 at the 1st and 5th minutes, respectively. Physical examination of the infant’s respiratory system, cardiovascular system and his abdominal examination were normal; neurological examination revealed no abnormality. Suspicious syndromic facial appearance with modarete edema at the baby’s lips and face was evident and he had bruising on the left nasolabial groove and on both cheeks. We aimed to emphasize the fact that facial edema due to soft tissue trauma seen in newborns born with face presentation may be misinterpreted as a sign of a syndrome. However, careful anamnesis, thorough physical examination, and close follow-up could ensure the diagnosis of birth trauma.