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Warning-sign checks

Group B streptococcal infections in newborns: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services immediately if the baby:

    • Is struggling to breathe, grunting, or having pauses in breathing
    • Has blue, grey, very pale, or blotchy skin
    • Is floppy, unresponsive, or very difficult to wake
    • Has a seizure
    • Appears to be getting worse quickly

    After recovery, routine follow-up is different from emergency care.

    Keep scheduled hearing, newborn, and developmental appointments.

    Contact the child’s usual healthcare professional if feeding, growth, hearing, movement, or development causes concern but the child is otherwise well.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek urgent medical assessment if a baby younger than 3 months has a temperature of 38°C or higher, an unusually low temperature, poor feeding, marked sleepiness, unusual irritability, or a clear change from their normal behaviour.

    Do not wait for every symptom to appear.

    Newborns may have serious infections without a fever.

    And for anyone, someone who:

    • has a fever with a stiff neck, a rash that does not fade under pressure, or severe headache
    • has a wound that is hot, spreading red, or leaking pus
  3. 3

    Does any of this apply?

    Book an appointment

    Possible infection in a newborn is not suitable for a routine appointment.

Every sign above is quoted from the sofidex article on Group B streptococcal infections in newborns. If you are not sure, err upward — it is always reasonable to be checked.