Winnie Palmer Hospital for Children in Orlando (Image: Google)
Pauline Martin, 33, confessed to horrified officers that she has been in a sexual relationship with her brother for five years.
She gave birth to a baby with severe medical problems in Leesburg, Florida, in November last year.
The child was immediately transferred to a specialist unit, the Daily Commercial reports.
Medics called in police after genetic tests revealed the parents were closely related.
Martin had not filled in the father's name on the birth certificate or on health insurance forms.
She was arrested after being interviewed at the fast food restaurant where she works last Thursday.
The Brevard Times reports Martin told police she was going to end the relationship because "she knew it was wrong".
However, she also confessed to having had sex with her brother as recently as the day before.Martin has been charged with incest and resisting arrest without violence.
She faces at least five years in prison.
Police said they are actively trying to trace the brother to interview him.
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