A fever in a newborn can be very worrying for parents, especially since the baby cannot describe how they feel. A baby may run a fever due to various causes—ranging from a mild infection to a reaction after vaccination. Understanding the possible causes and safe at-home responses can help you feel more confident in caring for your little one. This article offers detailed, practical, and safe guidance for parents, along with the red flags that warrant medical attention.
What Causes Fevers in Newborns?
A fever is the body’s way of responding to something—though it doesn’t always signal a serious illness. Here are the most common causes of fever in newborns:
Viral or bacterial infections.
Viruses such as the common cold or flu, or bacterial infections like an ear infection or urinary tract infection, can lead to elevated body temperature in infants. These often accompany symptoms like fussiness, poor feeding, or difficulty sleeping.
Post-vaccination fever.
It is not uncommon for newborns and young infants to run a mild fever after a vaccination. This is typically a normal immune response and usually resolves within 1–2 days. However, if the fever persists or is accompanied by concerning symptoms—such as seizures—contact your pediatrician immediately.
Other causes.
A baby may develop a fever if they are overdressed, in a room that’s too warm, or occasionally when teething (though true teething fevers are rare in infants under 6 months). Environmental triggers, such as allergens or dust, can also contribute. Identifying the specific cause helps determine the most appropriate care.
When to Contact a doctor
Not all fevers require an emergency medical visit—but for newborns especially, vigilance is key. Be sure to seek medical care if you observe the following
Dangerous temperature levels.
For babies under 3 months old: any rectal temperature of 38 °C (100.4 °F) or higher should prompt evaluation by a physician. For infants ages 3–6 months: a fever above 39 °C (102.2 °F) or a fever lasting over 24 hours is a sign to call your doctor.
Warning symptoms accompanying the fever.
These may include:
Persistent, inconsolable crying or poor feeding
Pale or mottled skin, a rash, or unusual red spots
Difficulty breathing, rapid breathing, or wheezing
Seizures, extreme drowsiness or unusual fidgetiness
Ongoing vomiting or diarrhea
If any of these are present, seek medical attention right away.
How to Safely Reduce a Fever in a Newborn at Home
When the fever is mild and your baby appears otherwise well, you can take safe steps at home to help them feel more comfortable
Cool the baby with lukewarm water.
Use a soft cloth dipped in lukewarm water (about 90–95 °F / 32–35 °C), wring it out, and gently wipe your baby’s forehead, armpits, groin, and back. Avoid cold water or rubbing alcohol, as these can constrict blood vessels, raise internal temperature, or harm baby’s skin. Repeat every 15–20 minutes and check the temperature regularly.
Ensure adequate fluid intake.
Fever can lead to mild dehydration in infants, especially if they are breastfeeding or formula feeding. Make sure to feed your baby more frequently to maintain hydration and energy. If your baby has begun solids, your pediatrician may suggest offering a little water—but don’t force large amounts at once.
Use fever-reducing medication as directed.
Medications such as acetaminophen (paracetamol) may be used in infants—but only under the guidance of a physician and based on the baby’s weight, not just age. Do not use ibuprofen or aspirin in babies under 6 months of age because of increased risk of side effects. Always read the label and consult your doctor before administering.
Provide a comfortable environment.
The surroundings hugely impact how comfortable your baby feels during a fever. Keep the room well-ventilated and at a comfortable temperature (about 77–80 °F / 25–27 °C). Dress your baby in lightweight, breathable clothing and avoid wrapping them in heavy blankets or thick layers. Place them somewhere calm, away from harsh lighting or loud noises, so they can rest.
Advice for Parents
Caring for a newborn with a fever requires patience and attentiveness. Here are a few helpful tips:
Monitor temperature consistently. Use a reliable digital thermometer, and keep a log of when the fever started, the highest temperature recorded, and any associated symptoms.
Stay calm. A fever is often a normal immune response—not always a sign of danger. Focus on comfort and monitoring.
Seek professional guidance when unsure. If you ever feel uncertain about your baby’s condition, don’t hesitate to call your pediatrician or visit a clinic for evaluation and advice.
Conclusion
Fevers in newborns are common, and many can be managed safely at home with the right approach. This article has outlined safe home care methods—such as lukewarm water cooling, ensuring adequate fluids, using medicines correctly, and maintaining a comfortable environment—as well as key warning signs when you should contact a doctor. With thoughtful care and correct knowledge, you can help your baby recover safely and comfortably from a fever.
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