Comfort

Is my baby too hot or too cold?

You can't see too warm or too cold on the clothes, but you can feel it in two seconds if you know where. Here is the check, and what to change.

A parent checking the back of a baby's neck while holding the baby

What this is about

An outfit that was right when you left home can be too warm twenty minutes later, once the car heats up or the sun reaches the stroller. You can't see that from the clothes, but you can feel it on the skin at the back of the neck.

Reach bare skin, not warm fabric

The check only needs two or three fingers. Slide them inside the collar and rest them where the neck meets the shoulders. If that spot is hard to reach, use the upper chest instead.

Your fingers need skin, not the bodysuit, jacket or sleep bag, but there's no need to undress your baby. After a cold walk, warm your hands for a moment first, because cold fingers make any neck feel hot.

  • Drawing of a baby held against a parent's shoulder, seen from behind, the parent's fingers lifting the back of the bodysuit's neckline

    1. Open the collar

    Move the neckline only far enough for your fingers to reach bare skin.

  • Drawing of the same baby from behind, two of the parent's fingers resting flat on the skin at the base of the neck

    2. Use flat fingers

    Rest two fingers flat at the base of the neck, just below the hair, for a few seconds.

Warm is not the same as overheated

A comfortable baby's neck often feels warmer than your hand. That's fine as long as it's dry.

  • Warm and dry

    Skin feels soft and dry. Your baby is comfortable.

    Just right

  • Sweaty or damp

    Skin feels moist or clammy. Your baby may be too warm.

    One layer off

  • Cool

    Skin feels cool to the touch. Your baby may be too cool.

    One layer on

Change one thing at a time. Fold back the blanket, open the jacket or take off the cardigan, then feel again a few minutes later. Change three things at once and you won't know which one did it.

Hands are the wrong place to judge

Hands and feet often feel cooler than the body. Add socks and a blanket every time the toes feel cold, and a baby who was fine ends up far too warm. A baby who is too cold usually looks pale, and the chest feels cool.

The head often misleads the other way. It can feel hot to a kiss while the chest is fine, and cheeks turn red in cold wind or after a good cry. Grandparents tend to worry about both. Feel the neck together and let that settle it.

A parent's hand checking the bare skin at the back of a baby's neckYes

The back of the neck

On bare skin under the collar you feel both warmth and sweat.

A parent's hand holding a baby's cool handsNo

The hands and feet

Fingers and toes often feel cool even when your baby is warm enough.

At bedtime, the chest is easy to reach

At night, dress for the room temperature and the sleep bag maker's chart, then slip your fingers through the neckline onto the upper chest. A thick bag feels warm on the outside even when the skin under it is just right.

A layer at night means the clothes under the sleep bag, or the bag itself. A cool chest means warmer pajamas or a warmer bag, not a blanket on top. A sweaty one means less underneath.

Babies often sweat in deep sleep and during a feed in your arms, so a damp head on its own is common. Feel the chest before you change anything. A baby who keeps waking as the room cools down may simply be cold.

A parent's hand inside a sleep bag neckline, resting on a baby's upper chest
Fingers inside the neckline, on the upper chest.

Check again at every doorway

Feel the neck whenever the place changes, once the outdoor things are off. In the car seat, reach the neck without moving the straps, and fold the blanket down once the car is warm.

  • Drawing of a baby in a stroller just inside the front door at home, a parent's hand lifting the knit hat off

    Coming home

    Take the hat off in the hallway, even if it wakes your baby, then feel the neck.

  • Drawing of the same baby in the stroller in a bakery, the hat lying on the footmuff and a parent's hand unzipping the snowsuit

    A warm shop

    Unzip the snowsuit and fold back the footmuff as soon as you're through the door.

  • Drawing of the same baby in the stroller by the doors of a tram, the snowsuit open and the hat in a parent's hand

    On the tram or bus

    A full tram in winter is warm. Take the hat off and open the snowsuit once you're on.

In a carrier, your warmth counts

In a carrier, your body warms your baby's chest and tummy, so clothes that look thin can be plenty. Reach behind the collar from above. The head often gets damp where it lies against you, which is your warmth, so go by the neck.

Is my baby overheating?

You can often see a baby who is too warm before you touch: damp hair at the back of the head, a sticky fold under the chin, red cheeks and a hot chest. Tiny red spots on the neck or chest are heat rash, which comes after a baby has been too warm for a while.

Drawing of a baby asleep on the back in a short-sleeve bodysuit, with damp curls and a few drops of sweat at the hairline, flushed cheeks, a crease under the chin and tiny red dots on the neck and upper chest

Signs of overheating

  1. Damp hair

    At the back of the head and behind the ears, often with a damp patch on the sheet where the head lay.

  2. A sticky fold under the chin

    Sweat gathers in the neck folds, where it can't dry.

  3. Red cheeks, hot chest

    The flush spreads across the cheeks and nose, and under the neckline the chest feels hot rather than warm.

  4. Heat rash

    Tiny raised spots on the neck, chest or in the folds. On brown or black skin they can look gray or white rather than red.

A baby who is too warm often acts it, too: fussy and hard to settle, waking more than usual, or breathing faster than normal. Heat also makes babies drowsy, so some go quiet and unusually sleepy instead.

Why is my baby's head sweaty?

A baby lets off extra heat through the head, so damp hair is often the first thing you notice, especially on the side that lies against you in a contact nap. Whether it means too warm depends on the back of the neck.

Drawing of a baby held against a parent's shoulder, seen from behind, with damp curls and a few drops of sweat at the back of the head, and a dry neck and collar

Good: Damp hair, dry neck

Your baby is letting off heat and is comfortable. Leave the clothes as they are.

Drawing of the same baby in a yellow knit cardigan, with the same damp curls, a flushed pink neck and a damp patch on the collar

Not good: Damp hair, damp neck

The warmth has reached the body, so the cardigan comes off.

What to do when your baby is too hot

When the neck is damp and the chest feels hot, make the changes together rather than one at a time, starting with the first of these.

How to cool a baby down

  1. Get out of the heat.

    Move into deep shade, or indoors to the coolest room you have.

  2. Take the clothes off.

    Undress your baby down to the diaper, so the air reaches the skin and the sweat can dry.

  3. Cool the skin with lukewarm water.

    Give a lukewarm bath, or wipe the arms, legs and neck with a damp washcloth and let the skin dry in the air. Use lukewarm water, never cold.

  4. Offer a feed.

    Give the breast or a bottle, even if the next feed isn't due yet. A hot baby loses water in sweat, and milk puts it back.

  5. Keep the air moving.

    Point a fan across the room, not straight at your baby, and keep it out of reach. A bowl of ice in front of it cools the air it blows. In a room above 32°C (90°F), find somewhere cooler instead.

Afterward, put your baby in a dry bodysuit, so the damp one doesn't chill your baby once the sweating stops. A few minutes later, the neck should feel warm and dry again. If your baby stays hot or seems unwell, the box at the end of this page says when to call.

Where babies overheat

A baby gets too warm from too many clothes or covers, or from a place that holds the heat, in winter as well as in summer. These are the usual places:

  • In bed: a hat, heavy bedding, a hot water bottle, or a crib next to the radiator. Babies sleep with the head bare, in a sleep bag or light bedding, away from heaters.
  • On you: in a long contact nap or feed, your body warms your baby too, so a lighter outfit than usual is plenty, with no blanket over you both.
  • In the stroller: a muslin or blanket over the front traps the air inside, even a thin one. A clip-⁠on sunshade or a parasol gives shade and leaves the sides open.
  • In the car: the padded seat holds heat and the sun through the window adds more, so shade the window on long drives. A parked car heats up fast, so your baby never waits in it, even for a minute.

Questions parents ask

Can overheating cause SIDS?

Overheating is linked to a higher risk of SIDS, which is why babies sleep without hats or heavy bedding, in a room that is not too warm. Babies are safer a little cool than too warm, so when you are unsure, go one layer lighter.

When can I stop worrying about overheating?

SIDS is most likely in the first six months and can happen until the first birthday, so the sleep habits that keep a baby cool stay until then. Feeling the neck stays useful long after, because a toddler in a snowsuit on a warm bus gets too hot as well.

Will a cold baby let me know?

Sometimes, by fussing. But babies fuss for many reasons, so feel the chest rather than guessing from the crying.

What temperature should my baby's room be?

For sleep, 16⁠–⁠20°C (61⁠–⁠68°F) suits most babies in a sleep bag or light bedding. Outside that range, change what your baby sleeps in rather than adding blankets.

When should I check during sleep?

Before you go to bed yourself, after the heating goes on or off, and whenever your baby wakes more than usual. There is no need to wake your baby for it.

How do I know if my baby is too hot in a swaddle?

Slip two fingers inside the top edge onto the upper chest, the same as with a sleep bag. A swaddle wraps the arms in and is a layer of its own, so keep what goes under it light, and on a hot night leave the swaddle off.

My baby feels hot. Is it a fever?

Take a layer off, wait a few minutes and feel again. A baby who has just been bundled up or bathed can feel hot for a short while. If the skin still feels hot, use a thermometer, because touch cannot tell you whether it is a fever.

I found my baby sweaty. Did I do harm?

Almost certainly not. Take a layer off and let the room cool. Sweating is how a baby cools down. Real harm from heat looks very different: hot, dry skin that has stopped sweating, and a baby who is floppy or hard to wake. If your baby then settles, feeds and acts as usual, there is nothing more to do.

When this is not about clothes

  • Call your pediatrician, or NHS 111 in the UK, if you are worried about your baby or think your baby may be ill.
  • Call your emergency number (911 in the US, 999 in the UK) if your baby stops breathing or is struggling to breathe.
  • Call your emergency number if your baby will not wake up.
  • Call your emergency number if your baby is stiff, shaking or jerking.
  • Call your emergency number if your baby's lips, tongue, face or skin suddenly turn pale, blue or gray.
  • Call your emergency number if your baby is limp, floppy or not responding normally.

Use urgent or emergency help for these signs. A clothing check does not replace medical care.

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