Newborn Illness - How to Recognize

Is this your child's symptom?

Newborns are at higher risk for infections. Infections may present at any time during the first month. Watch your baby carefully for signs of illness. This is especially crucial during the first 7 days of life.
Newborns that get a blood infection (sepsis) can get very sick quickly.
The symptoms of serious illness in newborns can be subtle. The question below deals with sick newborns:
"Age under 1 month old (newborn) and starts to look or act abnormal in any way." Look for this question in the "Call Your Doctor Now" section. It is listed in at least 10 topics.
Feeding is the one reliable measure of a newborn's well-being. Newborns should be eating machines. If your baby isn't feeding well, call your baby's doctor. Also, call if your baby has an abrupt change in his feeding pattern. Exception: never a good feeder, but takes enough milk and nothing has changed.
If how your baby looks or acts changes and it's not normal, call now. Don't wait to call your baby's doctor for expert advice.

When to Call for Newborn Illness - How to Recognize
Call 911 Now Can't wake up Not moving or very weak New moaning or grunting noises with each breath Bluish (or gray) lips, tongue or face now You think your child has a life-threatening emergency Call Doctor or Seek Care Now Any symptoms of illness such as coughing, diarrhea or vomiting Changes in feeding. Signs are having to wake up for feeds or can't finish feeds. Sweating during feedings Sleeping more than normal Change in color (such as pale, bluish or gray arms and legs) Soft spot on top of head looks swollen Fever in baby less than 12 weeks old. Caution: do NOT give your baby any fever medicine before being seen. Low temperature less than 96.8° F (36.0° C) rectally that does not go up with warming You think your child needs to be seen, and the problem is urgent	Contact Doctor Within 24 Hours Urine color is pink, orange or peach You think your child needs to be seen, but the problem is not urgent. Child has none of the urgent symptoms listed above. You have other questions or concerns	Self Care at Home Your baby is feeding, moving and sleeping normally There are no signs of illness Your newborn is well

Any symptoms of illness such as coughing, diarrhea or vomiting
Changes in feeding. Signs are having to wake up for feeds or can't finish feeds.
Sweating during feedings
Sleeping more than normal
Change in color (such as pale, bluish or gray arms and legs)
Soft spot on top of head looks swollen
Fever in baby less than 12 weeks old. Caution: do NOT give your baby any fever medicine before being seen.
Low temperature less than 96.8° F (36.0° C) rectally that does not go up with warming
You think your child needs to be seen, and the problem is urgent

Urine color is pink, orange or peach
You think your child needs to be seen, but the problem is not urgent. Child has none of the urgent symptoms listed above.
You have other questions or concerns

Based on this review, your baby doesn't have any signs of illness right now.
The symptoms of serious illness in newborns can be subtle. Watch your baby carefully for signs of illness. If how your baby looks or acts changes and it's not normal, call now.
During the early weeks of life, careful watching is always the best approach.

Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

Reviewed: 3/30/2025 Updated: 1/25/2025