What Should I Do if My Baby Has a Fever?

As a new parent, one of the most concerning situations is when your baby develops a fever. It’s natural to feel anxious, but knowing how to handle it can help you stay calm and take the right steps to care for your little one. Here’s a simple guide to help you understand what to do if your baby has a fever.

1. What is a Fever?

A fever is a temporary increase in body temperature, often a sign that the body is fighting an infection. For infants, a fever is usually considered to be a rectal temperature of 100.4°F (38°C) or higher. Fevers are a common response to infections, but they can also occur after vaccinations, during teething, or due to overheating.

2. When to Call the Doctor

It’s important to know when a fever warrants a call to the doctor. Contact your pediatrician if:

• Your baby is under 3 months old and has a fever of 100.4°F (38°C) or higher.
• Your baby is between 3 and 6 months old with a fever above 102°F (38.9°C).
• Your baby is older than 6 months and has a fever of 103°F (39.4°C) or higher.
• The fever lasts more than 24 hours in a child under 2 years old or more than 3 days in a child over 2.
• Your baby shows signs of dehydration (dry mouth, no tears when crying, less wet diapers).
• Your baby has a persistent cough, rash, difficulty breathing, or unusual sleepiness.
• Your baby is crying inconsolably, is very irritable, or is difficult to wake.

3. Steps to Take if Your Baby Has a Fever

Here are the steps you can take to help your baby feel more comfortable:

• Take Their Temperature Accurately: Use a digital thermometer to take your baby's temperature rectally, as it’s the most accurate method for infants. Avoid ear or forehead thermometers for newborns, as they may not provide reliable readings.

• Keep Your Baby Hydrated: Make sure your baby is getting enough fluids. For infants, continue breastfeeding or formula feeding as usual. If your baby is older, offer small sips of water, juice, or an oral rehydration solution to prevent dehydration.

• Dress Comfortably: Dress your baby in lightweight clothing and use a light blanket, like the soft and breathable options from Bebe Au Lait, if needed.  Overdressing or using heavy blankets can prevent heat from escaping and increase their body temperature.

• Monitor the Fever: Regularly check your baby's temperature to see if it’s rising or falling. Note any changes in their behavior or symptoms, and keep a record to share with your pediatrician if necessary.

• Provide Comfort Measures: A lukewarm bath or cool washcloth on your baby’s forehead can help bring down the fever. Avoid cold baths, ice packs, or alcohol rubs, as these can cause shivering and raise the body temperature.

• Consider Fever-Reducing Medication: If your baby is over 3 months old, you can use infant acetaminophen (Tylenol) to help reduce fever, but always consult your pediatrician for the correct dosage. For babies over 6 months, a baby ibuprofen (Advil, Motrin) can also be used. Do not give aspirin to children, as it can cause a rare but serious illness called Reye's syndrome.

4. What Not to Do

• Do Not Over-Medicate: Avoid giving your baby fever-reducing medication more frequently than recommended. Follow the dosage guidelines strictly and consult your pediatrician if you are unsure.

• Do Not Panic: While fevers can be alarming, they are often a natural part of the body’s defense against infection. Focus on keeping your baby comfortable and monitoring their symptoms.

5. Trust Your Instincts

As a parent, you know your baby best. If something doesn’t feel right or if your baby shows any signs of distress or unusual behavior, trust your instincts and seek medical advice. It's always better to err on the side of caution.

6. Keep a Fever Kit Handy

Prepare a small kit with essentials such as a digital thermometer, infant acetaminophen or ibuprofen, and an oral rehydration solution. Having these items on hand can help you act quickly if your baby develops a fever.

A fever can be a stressful experience for both you and your baby, but with the right knowledge and preparation, you can handle it calmly and effectively. Remember, a fever is often a sign that the body is doing its job to fight off an infection. Keep an eye on your baby's symptoms, provide comfort, and consult your pediatrician when needed.

Your baby’s health and comfort are always the top priority, and knowing what to do when a fever strikes can help you feel more confident as a parent.