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Early signs of pneumonia in newborns

Updated 25 Oct 2026

Pneumonia in newborns is not like pneumonia in older children, whose typical signs are high fever, heavy coughing and a "wheezing" sound when listening to the back. Because a newborn's airways are not yet fully developed, symptoms are often unclear and easily missed. Content reviewed by Dr. Nguyen Thanh Duy (Specialist Level I) - Founder of Care For Kids Paediatric Clinic.

Here are the most common symptoms of pneumonia in newborns:

- Mild fever.

- Cough with phlegm.

- Wheezing, fast breathing (count breaths while your baby is lying still; in newborns, breathing is considered fast when the rate is >60 breaths/minute)

- Difficulty breathing, most easily seen as chest indrawing (see the picture below)

- Frequent fussiness and crying.

- Refusing to feed or feeding poorly.

- Pauses in breathing (apnoea) or turning blue, especially in premature babies.

Parents should keep a close eye on their baby to spot early signs such as fever, refusing to feed or fast breathing… and take the baby to a medical facility straight away for prompt examination and treatment, to avoid serious complications that could be fatal.

Pneumonia is a dangerous illness that needs prompt diagnosis and treatment. If you notice any of the signs above in your baby, contact a doctor immediately to get the right help and treatment!

References:

Sources

Content advised by our doctors.

  1. Vinmec – Viêm phổi sơ sinh có nguy hiểm? | Vinmec (accessed 22 Oct 2026)
  2. WHO – Pneumonia in children (accessed 22 Oct 2026)
  3. HealthyChildren.org (AAP) – Pneumonia in Children: Causes, Symptoms, Treatment & Prevention - HealthyChildren.org (accessed 22 Oct 2026)

This article helps you understand and prepare. It does not replace a check-up. For an answer about your own situation, please ask the doctor who is caring for you.

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