How to Tell if Your Baby is Really Sick

Use the ABCT Fluids In, Fluids out system:

A is for Arousal, Alertness & Activity.

A baby is at much higher risk if it is more drowsy than usual, cannot wake properly, does not respond to normal stimulation and is less active. The more drowsy, the more serious is the illness. If there are periods of normal activity and alertness, serious illness is less likely.

B is for Breathing difficulty.

This is characterised by a heaving chest with indrawing of ribs and sternum or grunting with breathing.

C is for Circulation.

Poor circulation is shown by being suddenly and persistently pale all over or having cold legs up to the knees.

T is for Temperature.

If your baby has a Temperature 38oC or & 36.4oC then seek medical advice.

Fluids In:
Feeding less than half normal over 24 hours.

If a baby is breast fed then consider the frequency of feeding and the duration of active sucking over 24 hours. If bottle feed, count up the volume of milk taken over 24 hours and compare it with the baby’s normal intake.

Fluids Out:
Fewer than 4 wet nappies per 24 hours.

In babies under 6 months of age this is an indication of increasing risk of dehydration.

Remember:

- The more of these symptoms present, the higher the risk of serious illness.

- Review is essential with babies: If any doubt with babies seek medical advice.