The baby girl wrapped only in a towel fell roughly 7ft and survived “by a miracle” in temperatures of 1C, locals in Budyonnovsk, Russia, said.
A neighbour, Natalia Buslova, reportedly heard the baby’s faint cries, ran out into the yard and noticed the child’s legs on grass under the window.
She said she immediately called the ambulance and brought the screaming child - who suffered a head injury - into her flat.
The child is now fighting for her life in hospital while the mum, named in local reports as Lyudmila Muradova, is facing an attempted murder investigation, according to reports.
“When I unwrapped the baby, the umbilical cord was so long,” Ms Buslova, in her 50s, said.
“Medics who arrived with the ambulance treated the child and took her away.
“The girl was breathing and crying, a regular girl.”
Doctors say the baby suffered a “serious head injury” in the fall from the window.
“The child is on a ventilator and our doctors are doing everything necessary and possible to save her health and life,” chief medic Rustam Yesenakayev said.
Ms Muradova has been quoted as saying: “I was scared and shocked."
She is known to have split from the father of her child, but her grandmother was ready to care for the baby, say reports.
The grandmother said she could not understand “how this happened”.
Yet the granny has not yet visited the baby in hospital, it was reported.
Russian childcare authorities will now determine the fate of the child.
NTV reported that the mother asked police the length of the sentence she might receive, but did not inquire about the health of the baby.
A video shows the young mother at a police station and a policewoman visiting her baby.
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