Health Topics

Some general warning signs with newborns include, but are not limited to, the following:

• No urine in the first 24 hours at home. This can be difficult to assess, especially with disposable diapers.
• No bowel movement in the first 48 hours.
• Rectal temperature over 100.4° F (38° C) or less than 97.5° F (36.5° C).
• Rapid breathing rate over 60 per minute, or a blue coloring that does not go away. Newborns normally have irregular respirations, so you need to count for a full minute.
• Retractions, or pulling in of the ribs with respirations.
• Wheezing, grunting, or whistling sounds while breathing.
• Odor, drainage, or bleeding from the umbilical cord.
• Yellow coloring of the eyes, chest, or extremities.
• Crying, irritability, or twitching which does not improve with cuddling and comfort.
• A sleepy baby who cannot be awakened enough to nurse or nipple.
• Any signs of sickness (i.e., cough, diarrhea, pale color).
• The baby's appetite or suck becomes poor or weak.
• Apnea -- any pause in breathing lasting 15-20 seconds -- and your baby’s color changes. Seek help immediately.

Every child is different, so trust your knowledge of your child and call your child's physician if you see signs that are worrisome to you.