13 October, 2021

Fever In Newborn

Normal body temperature is 98.6 F or 37 C (+/- 0.5 C).

Any body temperature greater than 99.5 F or 37. 5 C is termed as fever in newborns.

Fever is the body’s defense mechanism that helps to fight infection or inflammation.

How to measure fever: By using a digital thermometer in the axilla (armpit) or with the help of an infrared thermometer which measures the skin temperature (usually measured from the forehead)

Causes of fever: 

  • Dehydration (due to poor feeding)
  • Hot environment or proximity to sunlight
  • Wrapping the baby in too many clothes
  • Infection
  • Postvaccination
  • Maternal fever at the time of delivery

Symptoms: The baby may be irritable, appear flushed, have either fast breathing or decreased breathing efforts, have dull activity, abnormal tone, and decreased intake of feeds

Untreated fever or infection may lead to seizures and has increased risk of mortality. 

What to do when your baby has fever:

First unwrap the baby and keep the baby in a normal environment (25-28 C). Try to give breastfeed/expressed breast milk as spoon feed to the baby. Recheck the temperature after 20-30 minutes. 

If baby’s temperature is normal and baby is feeding adequately, ensure frequent feeds. A properly fed baby sleeps comfortably between two feeding sessions, passes urine 8-10 times in a day and gains weight consistently.

If the baby is still having a temperature of > 99.5 F, or having any other symptoms mentioned above, approach the doctor as early as possible for complete evaluation of dehydration/ infection. 


Normal body temperature in adults is maintained by metabolism (through brown fat stored inside the body) as well as by shivering.

Babies, before they were born, lie inside the mother’s womb, where the amniotic fluid keeps the baby warm.

Normal body temperature of newborns measured in the axilla(armpit) is between 36.5 C- 37.5 C.

After birth babies tend to become hypothermic due to the cold environment and also because of not able to generate appropriate shivering response.

Low body temperature leads to dull activity, poor feeding, increased risk of infections and also increased risk of mortality.

How to avoid hypothermia (or low body temperature) in term babies:

  • Immediately after birth baby should be dried fully with a clean towel and placed on the mother’s chest/ abdomen.
  • Breast feeding should be initiated within 1 hour of birth and baby should be roomed in with the mother throughout the day.
  • Breast feeding should be encouraged every 2nd hourly, in the first few postnatal days.
  • Avoid bathing the baby until the cord falls off.
  • Keep the baby always covered with cap, socks, mittens and dress.
  • Keep the baby wrapped properly all the time.
  • Maintain the room temperature between 25- 28 C.
  • Avoid placing the baby near open window or doors where there might be exposure to cold air/draught.
  • The palms and soles of the baby should be as warm as the chest when the skin temperature of the baby is felt by the back of the parent’s hand. 
  • If the soles of the baby feel cold compared to chest, baby is in cold stress and needs to be clothed and wrapped properly
  • If for any reason, baby’s skin feels cold, or baby is dull with decreased intake of feeds, contact the health care personnel.


Premature infants are more vulnerable to low body temperature because of:

  1. A higher skin surface area compared to weight.
  2. Thin skin with no subcutaneous fat which leads to evaporative heat loss.
  3. Less brown fat and poor vasomotor control.
  4. Inability to establish full feeds at birth due to gut immaturity

Therefore premature babies need to be cared for in the Neonatal Intensive Care Unit (NICU), where the babies will be placed under radiant warmers to maintain body temperature.

Very premature babies are usually placed inside incubators where the humidity of the baby’s environment can also be controlled to prevent evaporative heat losses through the skin.

Premature babies, if they need respiratory support are provided with heated and humidified air through bubble CPAPs or ventilators. 

Kangaroo mother care, initiated as soon as the baby is stable also keeps the baby warm.


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02 February, 2022

The Ultimate Guide to Taking Care of Toddlers in the Winter

With the cold weather already here, you may be thinking about whether it’s safe for your toddler to play outside or not. However, no matter if the temperatures outside are decreasing, toddlers during the winter require physical activities because they are great stress relievers for them when they are cooped up inside their house for so many hours. Thus, it is safe for a toddler to play outside during the cold weather. The American Council of Exercise even recommends that the children should receive approximately 60 minutes of physical activity each day. So you may allow your toddler for outdoor play in different intervals by providing them breaks after 10 to 20 minutes.  Here are several other tips that will facilitate outdoor play for your toddlers while keeping them safe. Dressing Them Properly During Cold Weather Toddlers during the winter should be sent outside to play only after dressing them in layers.  The layered dressing will help to keep the body warm of your toddler with scarves, boots, hats, earmuffs, socks or mittens. Additionally, the layers will not only protect your child while they’re playing outside but will also help to retain their body heat through the air pockets present in the different clothes. Though your child may become sweaty through outdoor play, you can always take off one layer. It is even recommended to dress your child in an extra layer as compared to an average adult.
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29 January, 2022

Common Diseases and Issues: Caring For a Baby And How To Prevent Them.

Caring for a baby is very crucial because during the initial first year the baby’s immune system is quite weak. Due to this, there are amplified chances for him or her to develop several common diseases in babies or sickness in infant. But with the right care, you can treat common diseases in babies easily. However, new parents and caregivers may have several questions related to their infants’ healthcare. So this guide will help you to know how to care for your baby and prevent the common diseases in babies and sickness in infant. Now let’s have a look at the common diseases in babies worth one year or less and how to care for them, or how to prevent them earlier only.  Bowel movements Keeping track of the bowel movement of your infant is crucial because this can help you to know if your infant is likely to develop any disease. So the different factors you need to consider regarding the bowel movement of your baby are as follows. Consistency. Initially, the consistency of your kid’s stool will range from loose, runny or soft. However, infant or formula-fed may have stools with a tan yellow shade and firmer as compared to the infants who are breastfed. All you need to consider while checking the consistency of your infants’ stool is that it should not be hard or very
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24 January, 2022

Baby’s First Year – Feeding Schedule and Nutrition Tips

You’ve happily clicked a snap of your little munchkin eating messily! That’s great, but now are you worried about how to provide the best nutrition to your baby in the first year? Fret not, here’s a guide on the feeding schedule for baby in the first year. Keeping in mind the fact that different infants require a different amount of nutrition, the nutrition you provide to your infant depends on his or her age, appetite, and body weight. So let’s have a glance at the healthy food for baby according to their age in the first year of birth. Newborns. As you must know, infants should receive the nutrition and calories only through breast milk or formula.  So let’s know the feeding schedule for baby with both these items. Breast milk According to the American Academy of Paediatrics, an infant should drink one to two ounces of breast milk per feeding. However, once your baby is at least two weeks old, the amount of this quantity will amplify to two to three ounces.  Generally, you need to feed breast milk to your newborn every two to three hours ass it proves to be a healthy food for baby. Formula. If you’re opting to include a formula in the feeding
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