Newborn Symptoms
When to Call the Doctor vs. When to Breathe Easy
Welcome to parenthood! This guide will help you distinguish between normal newborn behaviors and signs that require medical attention.
Normal Newborn Behaviors
Startle Reflexes
Sudden jerky movements are normal. Babies often appear startled for no reason.
Unusual Noises
Grunting, sneezing, and hiccups are common. These sounds rarely indicate problems.
Eye Crossing
Occasional eye crossing is normal until 3-4 months. Persistent crossing needs evaluation.
Irregular Breathing
Newborns naturally breathe in irregular patterns. Brief pauses (under 10 seconds) are normal.
Temperature Concerns
Normal Temperature
97.5°F to 99.5°F (36.4°C to 37.5°C) is the normal range.
Call Doctor Immediately
Any fever above 100.4°F (38°C) in newborns under 3 months.
Emergency Situation
Temperature above 102°F (38.9°C) or below 97°F (36.1°C).
Taking Temperature
Rectal thermometers provide the most accurate readings for newborns.
Breathing Patterns
Normal Patterns
- Periodic breathing (brief pauses)
- Newborns breathe faster (40-60 breaths/minute)
- Occasional sneezing or hiccups
- Nasal congestion with clear mucus
Concerning Signs
- Breathing pauses longer than 10 seconds
- Persistent rapid breathing over 60 breaths/minute
- Grunting, flaring nostrils
- Blue coloration around lips or face
- Retractions (chest sinking under ribs)
Breathing Concerns
If you notice any unusual breathing patterns that worry you, don't hesitate to contact your healthcare provider immediately.
Feeding Issues
Normal Patterns
- 8-12 feedings daily
- Cluster feeding periods
- Spit-up after feedings
Healthy Signs
- 6+ wet diapers daily
- Regular bowel movements
- Gaining weight steadily
Warning Signs
- Refusing multiple feedings
- Forceful vomiting
- Fewer than 4 wet diapers
- Projectile vomiting
- Blood in vomit
- Signs of dehydration
Feeding Guidance
Trust your instincts about your baby's feeding patterns. If something doesn't seem right, consult your pediatrician without delay.
Skin Conditions
| Normal Condition | Appearance | When to Call Doctor |
|---|---|---|
| Baby Acne | Small red or white bumps on face | Rarely needed; resolves on its own |
| Cradle Cap | Scaly patches on scalp | If severe or spreads beyond scalp |
| Diaper Rash | Red, irritated skin in diaper area | If bleeding, blistering, or very painful |
| Milia | Tiny white bumps on nose/chin | Never; resolves within weeks |
| Erythema Toxicum | Blotchy red rash with white bumps | If accompanied by fever or lethargy |
Skin Care Tips
Most newborn skin conditions are harmless, but if you're concerned about any rash or skin change, your pediatrician can provide reassurance.
Sleep Behaviors
Normal Sleep Patterns
- Newborns sleep 14-17 hours daily in short periods
- They wake frequently for feedings
- Day/night confusion is common
Sleep Development
- Sleep cycles mature around 3-4 months
- Some babies may start sleeping longer stretches by 2-3 months
Safe Sleep Practices
- Always place baby on back
- Use firm mattress with fitted sheet
- Keep crib free of blankets, pillows, and toys
Concerning Signs
- Extreme lethargy or difficulty waking for feedings
- Excessive irritability when awake
- Trouble breathing during sleep
Sleep Safety
Always follow safe sleep guidelines, and consult your pediatrician if you have any concerns about your baby's sleep patterns.
Building Parental Confidence
Create a Healthcare Plan
- Keep doctor contact information visible
- Know the nearest emergency room location
- Save nurse hotline numbers in your phone
Build a Support Network
- Connect with experienced parents
- Join new parent groups
- Identify trusted sources for reliable information
Track Symptoms
- Use a notebook or app to record concerns
- Note timing, duration, and related factors
- Take photos of rashes or unusual conditions
Trust Your Instincts
When in doubt, call your doctor. Better safe than sorry. You know your baby best.
