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Warning-sign checks

Group B streptococcal septicemia of the newborn: 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

    Possible sepsis in a newborn is an emergency.

    Call emergency services now if a baby:

    • Has severe difficulty breathing or repeated pauses in breathing
    • Has blue, grey, or very pale skin
    • Is floppy, unresponsive, or cannot be woken
    • Has a seizure
    • Appears to be rapidly getting worse

    These concerns are important but are different from the emergency signs above.

    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

    Do not wait for a routine appointment if a baby under 3 months has a temperature of 38°C or higher, feels unusually cold, feeds poorly, is much sleepier than normal, or develops breathing changes.

    Seek urgent medical assessment even if the symptoms seem mild.

    Contact the follow-up team sooner if feeding worsens, expected skills are lost, movements seem unusual, or there are concerns about hearing or vision.

  3. 3

    Does any of this apply?

    Book an appointment

    After hospital discharge, routine follow-up is used to check growth, feeding, hearing, and development.

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