28/04/2022
For most pēpi (babies) COVID-19 generally has mild effects.
Often, they will have no symptoms or may have cold like symptoms, sore throat, or a cough which can sound like croup. Some children get conjunctivitis, fever, a rash, or a tummy upset with vomiting and diarrhoea.
Very young babies under 1 month old, premature children under 2 years old, and those who have other chronic health concerns are more at risk of serious illness.
If your child has COVID-19 and is very unwell, having difficulty breathing or drinking less than half their normal amount, seek urgent medical help.
Here are some tips for caring for pēpi with COVID-19.
➡️ Isolate pēpi away from others as much as possible
COVID-19 spreads easily, but there are a few things you can do that may protect others in the house from catching it. If you can, look after them in another part of the house, and use a separate bathroom if you have one.
Follow healthy habits like handwashing, wearing masks, opening windows, and regularly cleaning surfaces. If possible, have adults and older children wear masks when in the same room as the baby, especially anyone who is high-risk.
➡️ Manage their symptoms
See what symptoms you can expect: https://covid19.govt.nz/prepare-and-stay-safe/about-covid-19/covid-19-symptoms/
• Keep up their fluids. Offer small amounts frequently.
• Keep them comfortable, in a room that is not too hot or cold.
• If they have a fever, dress them in just one layer and use a warm cloth to wipe their forehead.
• If they are uncomfortable with pain, you can offer paracetamol for pēpi over 3 months old/over 5kgs. Make sure you check the dose with their GP or pharmacist first. Get advice from your doctor before giving ibuprofen to babies under 2 years old.
• Young babies (less than 3 months old) need a more cautious approach. If you are worried about them, call your healthcare team straight away.
• Record their symptoms so you can easily let your healthcare team know their history if needed.
You can find more advice on caring for younger children from Health Navigator here: https://www.healthnavigator.org.nz/health-a-z/c/covid-19-positive-caring-for-your-child-at-home/
They can go back to normal activities, like playgroup or daycare, when their isolation has finished if their fever and symptoms have settled, and they are back to feeding and behaving normally. Seek medical advice if you are concerned that they are becoming more unwell or have had a fever for 5 days.