A normal temperature in babies and children is about 36.4C (97.5F), but this can vary slightly. A fever is usually considered to be a temperature of 38C (100.4F) or above.
Your baby may have a fever if they:
- feel hotter than usual to the touch - on their forehead, back or stomach
- feel sweaty or clammy
- have flushed cheeks
If you think your baby has a fever, it's best to check their temperature with a thermometer. This will help you work out whether you need to get medical advice.
How do I take my child's temperature?
Ideally, you need a digital thermometer to get a fast, accurate reading.
You can buy these online or from pharmacies and most large supermarkets.
To take your child's temperature:
- hold them comfortably on your knee and put the thermometer in their armpit - always use the thermometer in the armpit with children under five
- gently but firmly, hold their arm against their body to keep the thermometer in place for however long it says in the manufacturer's instructions - usually about 15 seconds; some digital thermometers beep when they're ready
- the display on the thermometer will then show your child's temperature
How can I make sure the reading is accurate?
If you use a digital thermometer under your child's armpit and follow the manufacturer's instructions carefully, you should get an accurate reading.
There are a few things that can slightly alter the reading - for example, if your child has been:
- wrapped up tightly in a blanket
- in a very warm room
- very active
- cuddling a hot water bottle
- wearing a lot of clothes
- having a bath
If this is the case, allow them to cool down for a few minutes, but don't let them get cold or shivery, then take their temperature again to see if there's any change.
Other types of thermometer
You can buy other types of thermometer, but they may not be as accurate as a digital thermometer for taking a baby or small child's temperature:
- ear (tympanic) thermometers - these allow you to take a temperature reading from the ear, and are quick but expensive; they can give misleading readings if you don't put them in the ear correctly, which is more likely to happen with babies because their ear holes are so small
- strip-type thermometers - these are held against the forehead and aren't an accurate way of taking a temperature: they show the temperature of the skin, rather than the body
You should never use an old-fashioned glass thermometer containing mercury. These can break, releasing small splinters of glass and highly poisonous mercury. They're no longer used in hospitals and you can't buy them in shops.
If your child is exposed to mercury, get medical advice immediately.
What causes a fever in children?
Fever is usually a sign that your child's body is trying to fight an infection - see infections that can cause a fever in children.
What should I do if my baby has a fever?
You can usually look after your baby or child at home when they have a fever. Make sure you give them plenty of drinks to avoid dehydration. If you're breastfeeding, offer your baby plenty of feeds.
See more tips for treating a fever in children.
Always contact your GP or health visitor if:
- your child has other signs of illness, such as a rash, as well as a high temperature
- your baby's temperature is 38C (101F) or higher if they're under three months
- your baby's temperature is 39C (102F) or higher if they're three to six months
If you need to speak to someone outside normal surgery hours, you can call your GP surgery's out-of-hours service (if they have one) or NHS 111.
Article provided by NHS Choices