Should You Bring Your Newborn to Holiday Gatherings?
The holiday season is a time of joy, togetherness, and celebration. For parents of newborns, it’s also a time to weigh important decisions about health and safety. Many parents ask, “Should I bring my newborn to family holiday gatherings?” The answer depends on several factors, including your family’s comfort with risk, the size and composition of the gathering, and your baby’s unique circumstances. Let’s break this down and offer some practical tips to help you make an informed decision.
fever in infants younger than 2 months old
One of the biggest concerns about illness in newborns is the risk of fever. In babies under 2 months old, a rectal temperature of 100.4°F (38°C) or higher is considered a medical emergency. Here’s why and what to expect:
Why Fever Is a Concern
Newborns have immature immune systems, making them more vulnerable to serious infections like bacterial meningitis, sepsis, and urinary tract infections.
Evaluation and Workup
According to the Children’s Hospital of Philadelphia (CHOP) clinical pathways, the evaluation of a febrile infant under 2 months old often includes:
Physical Exam: The pediatrician will check for signs of infection or distress.
Blood Tests: To check for bacterial or viral infections.
Urine Tests: A catheterized urine sample is taken to check for urinary tract infections.
Lumbar Puncture: This procedure, also called a spinal tap, may be done to rule out meningitis.
Chest X-ray: If respiratory symptoms are present, this may help identify pneumonia.
Depending on the findings, your baby may need antibiotics and observation in the hospital while awaiting test results.
what your family + gatherings look like
Newborn Without Older Siblings
If your newborn is your first child, they may have less overall exposure to germs compared to babies with older siblings who attend school or daycare. In this case, bringing your newborn to a holiday gathering may involve fewer risks, but you still need to consider the setting. Small, controlled gatherings with healthy, close family members may be safer than large events with diverse attendees.
Newborn With Older Siblings
If your newborn has older siblings, especially those in school or daycare, they’re already exposed to more germs daily. However, this doesn’t mean holiday gatherings are without risk. Large family events can increase the exposure to illnesses like RSV, flu, and other viral illnesses. Consider how frequently your older children interact with others and how well you can limit additional exposures.
Small Family Gatherings
Smaller gatherings with immediate family members are typically lower risk, especially if everyone is healthy and willing to follow precautions like handwashing and staying home if they’re unwell. This setting can be a good compromise if you’re eager to introduce your baby to loved ones.
Large Family Gatherings and Strangers
Larger gatherings or events with extended family, friends, and strangers carry higher risks. These environments often involve close quarters, making it harder to avoid potential illness exposure. If you’re concerned, it’s okay to skip these events or set firm boundaries about how your newborn will be handled.
tips if you choose not to attend gatherings
I know this is sometimes hard to remember, especially when you are in it (I found it challenging when I was dealing with my newborns!). But it’s okay to defer gatherings if you don’t feel comfortable. For some parents, it can be very life-giving to have some time with other adults. For others, dealing with the potential health outcomes isn’t worth it. If you find yourself in this situation, know that it’s okay.
What to Say: Be honest but kind. You can say, “We’ve decided to stay home this year to protect the baby from seasonal illnesses. We look forward to seeing everyone when they’re a little older.”
Talk to Your Care Team: Discuss your concerns with your pediatrician. They can provide reassurance and guidance specific to your baby’s health. You can also say that we advised you not to go (We don’t mind taking the blame!)
Stay Connected: Share in the celebrations virtually through video calls or by sending photos and updates of your baby.
Feel Comfortable with Your Choice: Remember, you’re making the best decision for your family. It’s okay to set boundaries and prioritize your newborn’s health despite external pressures.
tips if you choose to attend gatherings
If you decide to attend a holiday gathering, here are some steps you can take to minimize risks:
Keep Your Baby Close: Using a baby carrier can discourage others from touching or holding your newborn.
Set Boundaries: Politely ask family and friends not to kiss the baby or hold them unless necessary.
Encourage Hand Hygiene: Request that anyone who touches the baby washes their hands first.
Avoid Crowded Spaces: If possible, find a quiet area where you can limit your baby’s exposure to the group.
Time Your Visit: Consider attending during off-peak hours or staying for a shorter period to reduce exposure.
Every Family’s Choice Is Unique
Ultimately, the decision to bring your newborn to a holiday gathering depends on your family’s comfort level and circumstances. Whether you choose to stay home or attend, know that you are making the best decision for your family.
As a parent, you’re the best advocate for your baby’s health and safety. With a little planning and some clear boundaries, you can protect your newborn while enjoying the holiday season. Remember, this is just one year of many joyful gatherings to come.