How to handle your baby’s first fever
Few moments are as worrying for parents as feeling your baby’s forehead warm for the first time. A fever in a tiny body can be unsettling, especially when you’re unsure what it means or how serious it is. The good news is that fevers are a common part of childhood, and in many cases, they are simply a sign that your baby’s immune system is doing its job. Knowing what to look for and how to respond can help you stay calm and provide the comfort your little one needs.
What Counts as a Fever?
A fever is generally defined as a body temperature of 38°C (100.4°F) or higher. It’s the body’s natural response to fighting off an infection, such as a cold, flu, or other minor illness.
- Normal baby temperature: Around 36.5°C to 37.5°C (97.7°F to 99.5°F).
- Low-grade fever: 37.6°C to 38°C (99.6°F to 100.4°F).
- Fever: 38°C (100.4°F) or above.
Common Causes of Fever in Babies
- Viral infections (like colds or flu).
- Ear infections.
- Teething (can cause a slight temperature rise but usually not above 38°C).
- Recent vaccinations.
- Urinary tract infections or other bacterial infections.
Signs and Symptoms to Watch For
Along with a raised temperature, your baby may show:
- Fussiness, irritability, or unusual crying.
- Poor feeding or refusal to eat.
- Sleepiness or difficulty waking.
- Rapid breathing or fast heartbeat.
- Flushed skin, sweating, or chills.
When to Call the Doctor Immediately
It’s important to seek medical advice promptly if:
- Your baby is under 3 months old with a fever of 38°C or higher.
- The fever reaches 39°C (102.2°F) or above at any age.
- Your baby has trouble breathing, a stiff neck, persistent vomiting, or seizures.
- The fever lasts longer than 2–3 days.
- You notice a rash, especially one that doesn’t fade when pressed.
How to Comfort and Care for Your Baby at Home
- Keep Them Hydrated
- Offer extra breastfeeds or formula feeds.
- For older babies, small sips of water may be appropriate (if advised by your doctor).
- Dress Lightly
- Avoid bundling your baby in heavy blankets or clothing.
- A single light layer is usually enough.
- Create a Comfortable Environment
- Keep the room cool and well-ventilated.
- Use a fan on a low setting if needed, but don’t place it directly on your baby.
- Check Temperature Safely
- Use a reliable digital thermometer.
- Rectal thermometers are most accurate for infants, but underarm readings can also be used.
- Medication (If Recommended by a Doctor)
- Infant paracetamol (acetaminophen) may be used for babies over 2 months, but always follow medical guidance.
- Ibuprofen may be suitable for babies over 6 months.
- Never give aspirin to children.
- Plenty of Rest and Comfort
- Hold, cuddle, and soothe your baby as much as they need.
- Trust your instincts—if your baby doesn’t “seem right,” call your healthcare provider.
Taking Care of Yourself Too
Seeing your baby unwell can be emotionally draining. Remember that fevers are often the body’s way of fighting infection, not a sign of something immediately dangerous. Reach out for support from your partner, family, or healthcare team, and know that seeking reassurance from a doctor is always okay.
Final Thought
Your baby’s first fever may feel overwhelming, but with careful monitoring, comfort measures, and guidance from your healthcare provider, most fevers pass without complication. Each experience builds your confidence as a parent, teaching you how resilient both you and your baby can be.