Surviving Baby's First Cold and Flu Season

Truth: Your baby will get sick this winter. Still, there's plenty you can do to keep those doctor visits to a minimum.
Mother pushing baby stroller

Thayer Allyson Gowdy

My son, Noah, was born during the harshest of Januarys, between two blizzards. I suffered a mild case of cabin fever, but at least it was easy to keep him in for those first couple of months -- away from all the unwelcome germs I just knew were lurking outside my door. I was right to be concerned: Infants don't have the antibodies to fight off most colds and gastrointestinal infections -- making them more likely not only to get sick but to stay that way longer.

"In the first year, babies come down with about six to 12 infections, most lasting seven to ten days," says Mary Anne Jackson, M.D., a pediatric expert at Children's Mercy Hospital and Clinics, in Kansas City, Missouri. "That's up to 120 days of the year they may be sick."

During those first few months, a rectal temperature higher than 100.4 degrees F means an automatic call to the doctor. And if your baby is under 1 month, she may need to be readmitted to the hospital. "For that reason, we'd love to keep newborns from becoming sick," says Theoklis Zaoutis, M.D., associate chief of the division of infectious diseases at The Children's Hospital of Philadelphia. Unfortunately that's just not realistic.

So what's a mom to do? A lot! Put these germ-fighting habits into play and you could help your sweetie dodge an illness this winter or at least make those sick days more bearable for both of you.

Treat the first two months differently.

"Until your baby has his first round of shots at 2 months, you should be extra cautious," says Mary Ian McAteer, M.D., a pediatrician in Indianapolis. It's best for newborns to avoid crowds, so leave him at home.

Keep Baby close.

When you do venture out, stay six feet from anyone who's coughing or sneezing, and wear your cutie in a carrier. Strangers are less likely to touch your babe's hands and face when she's attached to you. If she's in a stroller, keep the canopy down, and cover it with a light blanket.

Mind the company your family keeps.

Ask guests who have been sick to hold off on visiting until they no longer have symptoms and are fever-free for at least 24 hours (without using a fever reducer). Allow little kids to look at the baby but not to touch him.

Suds up.

"A lot of germs are carried on your hands," Dr. Zaoutis says. Scrub for at least 20 seconds -- "Happy Birthday," twice -- every time you come in from a public place, use the bathroom, eat, or change a diaper. Stool is full of bacteria, and if it makes its way to your infant's mouth, it can cause diarrhea and vomiting.

Keep nursing.

Serious colds and ear and throat infections are reduced by 63 percent in infants who breastfeed exclusively for six months, studies show. Babies who nurse are also much less likely to come down with respiratory tract infections and stomach bugs.

Slather on the sanitizer.

Stash alcohol-based hand sanitizer in your bag and next to the changing table, and keep some out for guests. It's convenient and just as effective as hand-washing, unless your hands are visibly soiled, Dr. Jackson says.

Disinfect surfaces.

Germs can live for hours on things like shopping carts, so keep a package of sanitizing wipes in your diaper bag.

Take precautions at the pediatrician's office.

The waiting room is filled with germs -- even if there are separate sick and well rooms, Dr. Jackson says. Request the first or last slot of the day, when you're less likely to be met with a crowd of coughing kids. Or ask to sit in an exam room with Baby, rather than in the waiting area.

Don't delay or skip any of your baby's vaccines.

"Following the vaccine schedule is the best way to prevent illnesses like the measles, meningitis, and chicken pox," Dr. McAteer says. "Because we don't see these illnesses frequently, parents think we don't need these vaccines, but no -- that's the proof that they're doing their job." If you wonder whether it's safe to give so many shots so close together, the answer is yes, according to a study from the Institute of Medicine.

Get your shots too.

In particular, moms and moms-to-be need the flu and pertussis (whooping cough) vaccines. Getting the flu shot when you're pregnant passes antibodies on to your fetus that should last her for about six months, Dr. Jackson says. (Babies don't get the flu vaccine until they're 6 months old.) Flu can be deadly in newborns, making any side effects you may experience from the jab (low-grade fever, nausea) minor in comparison. The Centers for Disease Control and Prevention recommends that expectant moms also get vaccinated against whooping cough between 27 and 36 weeks so they don't pass the disease to their unvaccinated newborn. Everyone in your baby's circle needs immunized.

Boost your immunity.

It's hard to get enough sleep when you have a newborn who's up every two hours, but do what you can to get shut-eye, even if that means napping during the day. Make sure you eat well too. Keeping your body humming will help you fight off illnesses that could get passed to your little one.

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