Management of Fever in Infants & Children

Caregivers almost always worry when their babies have a fever. Fevers can be a symptom of another condition or sometimes they are caused by immunizations or teething. Usually, a baby's fever can be managed at home. However, very high fevers need to be evaluated by a doctor.

Normal Baby Body Temper

• According to the American Academy of Pediatrics, a baby's normal body temperature can range from 97 to 100.4.

Taking the Baby's Temperature

• The most accurate method to measure baby's temperature is with a rectal thermometer; however, most parents do not choose to use this method. Other methods include using a pacifier thermometer, ear thermometer or by taking the temperature under the arm with a regular digital thermometer. Caregivers should add 1 degree to under-arm temperature to get a more accurate result.

Fever Reducers

• Fever may be reduced by using Tylenol or Motrin. Some babies respond better to one medicine or the other. A doctor may recommend alternating doses of Tylenol with Motrin. Read the package carefully for proper dosing according to baby's age and weight.

Prevent Dehydration

• Babies with fever are at risk of suffering from dehydration. They should be offered breast milk or formula often.

Keep the Baby Comfortable

• A fever will generally feel warm so the baby should be dressed coolly and should not be bundled up in blankets while sleeping as long as the fever persists. Also, a lukewarm bath may help to bring the baby's temperature down and make her more comfortable.

When to Call the Doctor

• If the baby is younger than 3 months old, the caregiver should call the doctor anytime the temperature goes above 100.4 F. If the baby is 3 to 6 months old, the caregiver should call the doctor if the temperature reaches 101 F or higher. For babies over 6 months old, call the doctor if the temperature reaches 103 F or higher.