Urgent Newborn Warning Signs

Seek medical attention if baby is experiencing any of the symptoms listed below.

Call 911Go to Hospital or Urgent CareCall Healthcare Provider

CALL 911 if baby:

Is not breathing

Begin CPR immediately

Is unresponsive

Floppy or limp like a rag doll and can’t wake up

Has a seizure

May look like unusual body, eye, or facial movements you can’t stop

GO TO THE HOSPITAL OR URGENT CARE if baby has:

Sudden change in color

Blue, grey, or pale, especially around the mouth/lips/tongue

Difficulty breathing

A pause in breathing that worries you · Breathing fast (more than 60 breaths per minute) · Noisy while breathing (wheezing or whistling sounds) · Sucking in below or between the ribs and/ or in the neck with each breath

Green spit-up

May be a sign of a surgical emergency

CALL HEALTHCARE PROVIDER if baby:

Has a low or high temperature

Below 97.7°F  or above 100.4°F

Has yellow eyes or skin

May be signs of jaundice

Is crying more than usual

Excessively fussy and difficult to comfort

Is not eating well

Unusual vomiting · Less than 8 feedings in 24 hours · Regularly needs to be awakened for feedings · Refuses several feedings · Unable to suck and swallow well · Eating for shorter periods of time or taking less than usual from a bottle

Has a change in wet or dirty diapers

Decrease in the number of wet diapers per day · Stomach seems rounder and harder than usual · Blood in the diaper

Shows signs of illness or infection

Redness or drainage from the umbilical cord· Bleeding or discharge from the circumcision site · Cough · Runny or stuffy nose

Patient Handout

Urgent Newborn Warning Signs and Safe Sleep for Babies

This handout supports consistent education for parents and caregivers on signs that may indicate a newborn needs urgent medical attention, when and where to seek care, and recommended safe sleep practices.

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Safe Sleep Practices

Share these safe sleep practices with everyone who cares for baby.

These simple steps can help keep baby safe while they sleep.

Back to Sleep

For every sleep, including naps and night, place baby on their back, face up. Caregivers can offer a pacifier, with no attachments, during sleep times.

Firm, Flat, Clear Sleep Surface

Baby should sleep on safety-approved crib, bassinet, or bedside sleeper with a fitted sheet. Surfaces should be firm, flat, and clear of toys, pillows and blankets, and soft bumpers.

Share Your Room, Not Your Bed

Give baby their own sleep space in your room. After snuggles and night feedings, or if you feel sleepy, put baby in their space. Never fall asleep together on a bed, couch, chair, or other soft surface.

Comfortable, Clean Environment

To prevent overheating, dress baby in one extra layer than you’d wear. Keep baby’s head and face uncovered. Avoid loose blankets and use a sleep sack instead.

Safe Sleep Surfaces Only

Car seats, infant carriers, and swings are not intended for routine sleep. Baby’s head can fall forward and make it difficult to breathe. If baby falls asleep in a car seat, carrier, or swing, move them to a safe, flat sleep surface as soon as you can.

Set Up Sleep Support for Yourself

It’s okay to ask for help. A trusted partner, family member, or friend can care for baby while you get some rest. Make sure everyone caring for baby is alert and not impaired by alcohol, marijuana, medications, or other substances that cause drowsiness.