When it comes to small babies, even tiny problems can be concerning, particularly if they occur in the middle of the night. It can be tricky knowing when it's best to wait to see a doctor, when to call NHS Direct, or when to take your baby to hospital. Of course, any answer will always depend on your baby and circumstances, but here's some advice to help you choose the right course of action.
get to know the system
Before your baby is born, sign up with your local GP. The way the health service operates varies from area to area, so it's a good idea to find out in advance how your local GP manages the appointments system and what arrangements they have for weekend and after-hours care.
meet the experts
Your health visitor is a nurse trained in the care of families with children. She will do regular health checks and can advise on minor problems such as nappy rash or, if she thinks it appropriate, suggest you see the GP. She will visit you at home at some point during your pregnancy or soon after, and keep in regular contact after the birth.
They also offer help and advice on:
Your child's growth and development
Common infections in childhood
Common skin problems
Breastfeeding, weaning, healthy eating, hygiene, safety and exercise
Behavioural difficulties: sleeping, eating, potty training, temper tantrums and teething
seek advice
If you're not sure whether to make a doctor's appointment, you could talk to your health visitor or NHS Direct first. It is generally better to see your GP than to turn up in casualty for something that isn't really an emergency. A GP can always refer you to your local hospital or paediatrician if necessary.
stay calm
Often your baby's behaviour and your own instinct will be the best guide as to whether your baby is mildly or seriously ill. A baby who is eager for his feeds, smiles and is generally himself is unlikely to need urgent medical attention, even if he has a cold.
However, if your baby's symptoms persist or get worse, (things can change quickly in babies) make an appointment to see your GP, particularly if your little one has persistent vomiting, dehydration, a raised temperature or a reluctance to feed.
When you phone the surgery describe the symptoms and confirm your baby's age, as most GPs will prioritise babies. Diarrhoea, for instance, is generally more serious in a baby of two months than in a child of four years.