If a mom has a cold with a newborn, she should continue breastfeeding (if applicable) as it passes protective antibodies to the baby, practice strict hygiene (handwashing, mask-wearing), rest, and stay hydrated; the baby might still catch the cold (as viruses spread before symptoms), but usually recovers quickly, while mom needs support to recover and care for the baby.
How to look after your baby when you're not feeling well
You can continue to breastfeed when you have a cough, cold, the flu or COVID-19. Your child will not catch the infection from your breastmilk. Your milk will contain antibodies to the infection, which may protect your child.
Someone with a cold who touches a baby's hand can spread the cold virus to the baby. The baby then can get the virus by touching the eyes, nose or mouth. Surfaces. Some viruses live on surfaces for two hours or longer.
There is currently no clinical evidence to suggest that the virus can be transmitted through breastmilk. Infection can be spread to the baby in the same way as to anyone in close contact with you.
Most illnesses are not dangerous, but more of a nuisance, and only last a few days. Still, you can avoid passing on germs by washing your hands frequently and avoiding sneezing or coughing near your baby.
The "4-4-4 rule" for breast milk is a simple storage guideline: fresh milk is good for 4 hours at room temperature (up to 77°F/25°C), for 4 days in the refrigerator (39°F/4°C or colder), and up to 4-6 months (or longer) in a standard freezer (0°F/-18°C). It's a handy mnemonic, though some organizations like the CDC recommend up to 6 months in the freezer and the AAP up to 9 months, with deeper freezers offering even longer storage.
Here are some effective ways to prevent spreading illness to your newborn baby when others are sick in the home.
Kissing, sharing drinks, or transferring things from mouth to mouth can transmit RSV. Washing your hands, covering your coughs and sneezes, and avoiding contact when you are sick will decrease the spread and help protect our littlest family members.
Hand washing is the most important way to reduce the spread of colds:
People who become infected with RSV show symptoms within four to six days after the virus enter the body. Initial signs of RSV are similar to mild cold symptoms, including sneezing, runny nose, fever, cough and decrease in appetite. Very young infants may be irritable, fatigued and have breathing difficulties.
The 7 key danger signs for newborns, often highlighted by organizations like the WHO, are not feeding well, convulsions, fast breathing, severe chest indrawing, lethargy/unconsciousness (movement only when stimulated), high or low temperature, and jaundice (yellow skin/soles) or signs of local infection like an infected umbilical stump, requiring immediate medical attention.
The hardest week with a newborn is often considered the first six weeks, especially weeks 2-3, due to extreme sleep deprivation, constant feeding demands, learning baby's cues, postpartum recovery, and a peak in inconsolable crying (the "witching hour"), making parents feel overwhelmed as they adjust to a new, exhausting routine. While the first week is tough, the challenges often intensify as the baby becomes more alert but still fussy, with major developmental hurdles like cluster feeding and increased fussiness peaking around 6-8 weeks.
You should contact your GP when: Your baby is less than three months old and has a temperature of 38°C or above, or is between 3-6 months and has a temperature 39°C or above. Their symptoms last more than 3 weeks. Their symptoms are getting worse, rather than better.
To decrease the chance of spreading the illness to them: Make sure you wash your hands before touching your baby. Wear a mask when holding or breastfeeding your baby.
The newborn 5-5-5 rule is a postpartum guideline for new mothers to focus on healing and bonding in the first 15 days home, dividing rest into 5 days in bed, followed by 5 days on the bed, and then 5 days near the bed, encouraging minimal chores, visitors, and activity to prioritize recovery from childbirth and establishing the new family unit, drawing on traditional postpartum rest practices.
Try to avoid visiting babies while you have a fever, cough and cold symptoms or diarrhea. It may not be possible to distance yourself if you're a baby's sole childcare provider. Use extra caution if you must care for a baby when you're sick. Wash your hands before touching a baby if you have diarrhea or a cold.
Providing breast milk, whether through breastfeeding or exclusive pumping, also helps you return to your pre-pregnancy weight faster. No studies have specifically compared breast pumping to nursing. But we know both methods provide the same antibodies and nourishment to help your baby stay healthy.
Why Does SIDS Peak at 2-4 Months? The widely accepted explanation for the SIDS peak has to do with the timeline of brain development. “Up to 4 months old, the part of the brain that controls breathing and wakefulness is under a lot of development,” Juliet explains.
For babies 5 months and older, aim to follow the 80/20 rule. That means, 80% of the time we try to have naps at home in an “ideal” sleep environment, and 20% of the time we can be flexible with naps outside of the crib or on-the-go.
At 2 weeks old, babies have not yet developed the ability to consistently self-soothe, so they rely on external comfort to fall and stay asleep. It's completely normal for infants at this age to need frequent help with sleep.
As newborns get older, they'll nurse less often, and may have a more predictable schedule. Some might feed every 90 minutes, whereas others might go 2–3 hours between feedings. Newborns should not go more than about 4 hours without feeding, even overnight.
Alcohol levels are usually highest in breast milk 30 to 60 minutes after a woman consumes an alcoholic beverage. Alcohol can be generally detected in breast milk for about 2 to 3 hours per drink after it is consumed. The more alcohol a mother consumes, the longer alcohol can be detected in breast milk.
At 4 months old, your baby's feeding schedule may start to space out naturally. You may notice longer stretches between nursing sessions—often every three to four hours—but feeding on demand is still important.