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If you are nursing and you are the one sick, I bet LO will be protected by your antibodies - I wouldn't worry too much!

DD2 had RSV at 13 weeks, so not quite that small, but tiny enough they brought us back immediately when I brought her to the ER at the children's hospital! She caught it from daycare the week after she started The reason I took her in was abnormal breathing - it seemed like she had interruptions in her breathing and it was bedtime, so ER was our only option.

It was very scary for me, but mostly because I'm paranoid. She was diagnosed but not admitted at the hospital and all I could really do for her was suction her nose before and after eating (and sometimes mid-feed - this was the worst and most stressful part for a few days!) and use a cool mist humidifier in her room at night. The first few nights I had her sleep in the rock and play right next to my bed because I was terrified she would stop breathing and the nurse agreed the elevation should help.

I would just nurse as much as possible and be extra careful not to kiss her on the face or hands.

My kids haven't had RSV, but they have asthma so they've been tested for RSV a bunch due to similar symptoms.

Things to look for that indicate breathing difficulties:
- rapid breathing (50-60 breaths per minute is normal for a newborn - anything more would be a cause for concern)
- skin sucking in around the ribs, above the belly, and at the neck (these are signs that your baby is working harder for each breath)
- lips turning blue (this indicates they aren't getting enough oxygen)
- excessive fatigue (this is probably hard to judge in a newborn)

If you notice any of these, I'd bring your LO straight to the ER. But fingers crossed you won't have to do that!

My son got RSV when he was around 3 months old. He wasn't eating (nursing or bottle, we tried everything) and was listless. Definitely not himself. I'm sure he had a fever too, although I can't remember how high. I was about to go to the ER in the wee hours of the morning but waited to call his ped first thing after Tylenol helped with the fever. Once at the appointment, she sent us to the ER anyway since their office didn't have the means to test onsite back then. The pediatric ER ran some swabs and diagnosed him with RSV. They also took some x-rays to rule out things like bronchiolitis (thankfully negative). Ultimately, they didn't admit him or prescribe anything. It was very scary to see him so lethargic and refusing to eat for hours, especially considering he spent a week in the NICU and he's always been a small kid (he fell off the weight charts with this bout of RSV and never "recovered" percentile-wise, although he's growing and generally healthy), but his doctor reassured me that kids will get sick and we were doing everything right. You're already doing great just by keeping an eye out for it

I didn't read the other responses, but our ENT (a nationally respected ENT) advises against using the Nose Frida until it's absolutely needed for feeding or sleep. And, if you do use it, don't create a full suction in the nostril. Using saline before can help break up the mucous, making the NF more effective, without needing to create that suction. It can inflame their delicate, tiny nasal passages.

Otherwise, it sounds like you're doing everything right!! Our LO just got over RSV. Doc advised to look for any tinge of blue on fingers/lips, retractions while breathing, and lethargy/refusal to eat. She seemed pretty miserable, but, thankfully, was otherwise fine!!