Fever in babies less than 3 months of age is much more likely to be due to a serious infection requiring urgent treatment compared to fever in an older child. For this reason, all children under 3 months of age with a temperature above 38°C / 100.4°F should be urgently reviewed by a healthcare professional. The only exception is if they have a fever in the 48 hours following their first set of vaccines (given at 8 weeks of age) – in this situation, it is OK to give them paracetamol without seeking medical advice if your baby is otherwise well.
How to take your baby’s temperature:
You should measure your baby’s temperature under their armpit. Hold their arm against their body to keep the thermometer in place for however long it says in the manufacturer's instructions – usually about 15 seconds; some digital thermometers beep when they're ready. You should not measure their temperature on the forehead or in their ear – it will not be accurate in young children.
Go to the nearest Hospital Emergency (A&E) Department or phone 999
Please ring your GP surgery or call NHS 111 - dial 111
Additional advice is also available for families to help cope with crying in otherwise well babies.
Continue providing your child’s care at home. If you are still concerned about your child, call NHS 111 – dial 111
To make your baby more comfortable, you may want to lower their temperature using liquid paracetamol (e.g. calpol/other brands). This should be given only on the advice of a health professional as most babies under 3 months of age with fever will need medical attention.
Do not give more than the maximum recommended daily dose of medicine. However, remember that fever is a normal response that may help the body to fight infection and paracetamol will not get rid of it entirely. Medicines are helpful in reducing the discomfort associated with fever.
Avoid sponging your baby with tepid water – it doesn’t actually reduce your baby's temperature and may cause hypothermia ( Low body temperature). Babies with fever should not be underdressed or overwrapped.
Encourage them to drink plenty of feeds.
If a rash appears, do the glass test.
Health visitors are nurses or midwives who are passionate about promoting healthy lifestyles and preventing illness through the delivery of the Healthy Child Programme. They work with you through your pregnancy up until your child is ready to start school.
Health Visitors can also make referrals for you to other health professionals for example hearing or vision concerns or to the Community Paediatricians or to the child and adolescent mental health services.
Contact them by phoning your Health Visitor Team or local Children’s Centre.
Health visitors also provide advice, support and guidance in caring for your child, including:
For more information watch the video: What does a health visitor do?
School nurses care for children and young people, aged 5-19, and their families, to ensure their health needs are supported within their school and community. They work closely with education staff and other agencies to support parents, carers and the children and young people, with physical and/or emotional health needs.
Primary and secondary schools have an allocated school nurse – telephone your child’s school to ask for the contact details of your named school nurse.
There is also a specialist nurse who works with families who choose to educate their children at home.
Before your child starts school your health visitor will meet with the school nursing team to transfer their care to the school nursing service. The school nursing team consists of a school nursing lead, specialist public health practitioners and school health staff nurses.
They all have a role in preventing disease and promoting health and wellbeing, by:-
Each member of the team has links with many other professionals who also work with children including community paediatricians, child and adolescent mental health teams, health visitors and speech and language therapists. The school health nursing service also forms part of the multi-agency services for children, young people and families where there are child protection or safeguarding issues.
If you’re not sure which NHS service you need, call 111. An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you straightaway to the best service for you in your area.
A&E departments provide vital care for life-threatening emergencies, such as loss of consciousness, suspected heart attacks, breathing difficulties, or severe bleeding that cannot be stopped. If you’re not sure it’s an emergency, call 111 for advice.