When to contact your doctor
Concern | What to do/normals | Call provider if... |
---|---|---|
Fever; baby feels hot or is fussy. | Take the baby’s rectal temperature or temperature under the arm | Temperature more than 100.4 |
Feeding poorly; sleeping longer than normal | Newborns sleep up to 16 hours a day; take the baby’s temperature | You notice behavioral changes, the baby does not appear alert or has no energy to eat |
Breathing difficulties | Occasional fast or slow breathing is normal | Flaring nostrils, labored breathing, wheezing, coughing, lips or tongue are blue or gray |
Stuffy nose | Sneezing is normal if drainage is minimal or clear | Unable to sleep or feed because of stuffiness or colored mucus drainage |
Mouth | Small, white round spots on the top of the roof of the mouth are normal; they are called Epstein Pearls | Redness and/or white patches on the tongue and sides of the mouth can be thrush |
Eyes | Clear tears or crusty areas. Be sure to wipe the eye from the inner canthus to the outer canthus | Swelling, redness, or colored drainage |
Frequent dry diapers | Newborns have fewer dry or dirty diapers in the first three days | Beyond four-five days less than six-eight wet diapers |
Diarrhea | Newborns have frequent watery stools for six-12 days | Stools are all liquid, bloody, contain mucus or have an unusual odor |
Vomiting | Spitting up is common | Baby is projectile vomiting or vomiting continuously |
Umbilical cord | Keep the cord dry. Clean the base of the cord three-four times a day using a cotton ball with rubbing alcohol on it | Swollen, smelly, red, bleeding or if the skin around the cord is red and peeling |
Skin rash | Babies can have red bumps on their face and body. This is normal and called newborn acne. Babies can have white bumps on their nose and face. This is normal and called milia. | If you notice rash spreading or red and inflamed |
Source: American Academy of Pediatrics
Safe sleeping for your baby
Back to sleep
- Always place babies on their backs when sleeping
- Always place babies in a safety approved crib with a firm mattress
- Always remove soft fluffy bedding, stuffed toys, and pillows from the sleep area
- Always check to see that the baby’s head is not covered during sleeping
- Always place baby in a light clothing to avoid overheating
Shaken Baby Syndrome
- Shaking a baby does not calm her when she is crying
- Shaking only causes harm
When a baby cries:
- Take care of basic needs
- Gently rock
- Offer pacifier
- Take the baby for a walk
- Give the baby a soothing bath
If you get frustrated with the baby crying:
- Take a deep breath and count to 10
- Call a friend or relative to help
- Put the baby in a safe place and walk away for a few minutes
- Hug a pillow
Shaking results in serious injuries
- Blindness or eye damage
- Hearing loss
- Mental retardation
- Seizures
- Developmental problems
- Paralysis
- Cerebral palsy
- Broken bones
- Death
Signs of Shaken Baby Syndrome
- Constant crying
- Stiffness
- Sleeping more than normal
- Unable to awaken
- Seizures
- Dilated pupils
- Decreased appetite
- Nausea or vomiting
- Trouble breathing
- Bloody spots in the eyes