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by Agustina Fernandez June 20, 2023 7 min read
Babies are born with immature digestive systems, which means during the first three months of life, it is common for them to deal with infantile colic (3 or more hours a day of continued crying) and regurgitation.
This benign condition can be especially worrisome for parents, as it can put your baby in a state of irritability and crankiness. When it becomes difficult to manage, parents often seek medical professionals’ help to manage the symptoms and ease some of their baby’s discomfort.
While burping your little one after feeding is commonly known to expel some of the built-up gas that causes discomfort, we wanted to give you a more in-depth look into why this is the case, signs that your baby needs to burp and what to do if your baby won’t burp.
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Burping is a huge part of your baby’s routine because it helps eliminate air bubbles that get trapped from swallowing during feedings. Not only does it ease discomfort, but burping babies also prevents them from spitting up!
Your baby’s body will need some help to burp for the first few months. Whether it’s after a nighttime or daytime feeding, expelling some of that trapped wind can do wonders for relieving gas pain and help to prevent excess gas built up (source).
There is no “one size fits all” answer to this question because each baby is unique. Some babies tend to burp easier than others, and some babies need to be burped during feedings instead of after feeding time.
Their feeding method can also affect how often they should be burped. For example, bottle-fed babies will likely burp more than breastfed babies because bottle-feeding can cause babies to swallow more air bubbles.
There are many factors that can determine how frequently your baby needs to be burped, so make sure to look out for signs to learn what works for your baby.
Looking out for behavioural signs can be an excellent way to know when your baby might need a burp break!
Your baby might need to burp if they are...
If you are attempting to help your baby let out a gas bubble and your baby won’t burp, it is likely due to one of the following reasons:
New parents have a lot to worry about as it is, but if your baby doesn’t burp, you might wonder if something is wrong or if there are any consequences to not burping.
Here are the answers to some of the most common questions parents ask when their baby isn’t burping.
Thankfully, no, your baby will not choke due to not burping. As long as you follow safe sleep practices and your baby is healthy, there should be no risk of choking. Babies have a reflex that allows them to swallow or spit up regurgitated milk, which keeps them from choking.
In short, yes. It’s okay to put a baby to sleep without burping them, and sleepy babies are often so relaxed while feeding that they do not take in too much air. Unless your baby is fussy, restless, or wiggly after waking up, they might not need to burp.
All babies are different, and so are their digestive systems. Some bodies learn to expel gas quickly, and other babies really struggle to burp. When a baby struggles to burp, this often leads to colic (source), which means that you may have to find other ways to manage their gas. Luckily, most babies will grow out of colic as their digestive system matures.
Learn More: Best Organic Formula for Colic
Here are 3 of the most common baby burping positions. Remember that burping baby may take some trial and error to see what works best. And here's a pro tip, you can place a burp cloth under your baby’s chin to prevent messy cleanups in case they spit up!
In this position, you need to rest the baby’s head on your shoulder while holding the baby upright with one hand. Cup your other hand slightly (instead of a flat palm) while patting their back.
This position requires you to put your baby in a sitting position on your lap while supporting their chin and chest with one hand. At the same time, rub or gently pat their back with your other hand. This technique works best when using repeated gentle pats on your baby’s back.
In this position, start by sitting your baby on your lap, facing away from you while supporting the baby’s chin and jaw. While leaning your baby forward slightly, gently rub or pat their back.
Babies fall asleep while feeding or right after feeding all the time. If this sounds like your baby, you can use slightly different burping methods than the ones listed above.
This burping position works especially well for babies who are sound sleepers or when you need to wake your baby for a feeding.
All you have to do is put the baby upright against your upper chest. To help support their body, place one hand under their buttocks and ensure their head is on top of your shoulder. Once they are in this position, gently pat or rub their back between their shoulder blades.
It helps to use an open palm with a consistent, firm, but gentle motion. You can try lightly bouncing them in this position if you are trying to keep them awake.
If you are trying to keep your baby asleep, and the shoulder burp usually wakes them up, you can try this technique instead. Lift the baby to your chest while supporting them with one hand on their back and one under their buttocks.
In this position, you want to avoid stretching the baby’s legs out and instead let them rest in a curled-up position. Begin moving the hand on their back in circular motions, and progress to a gentle pat between their shoulders if rubbing is not enough to help them burp.
This is a great method if you prefer to lie down while burping your baby. Simply place the baby’s tummy over your hip or belly while keeping their head elevated above their body. You can then gently rub or pat their back between the shoulder blades.
This position is especially useful for smaller babies. All you have to do is place your arm under the baby’s back and then carefully turn their body so they are facing belly down, resting on your forearm. Their head should be in the crook of your elbow. You can then gently rub or pat their back between the shoulder blades.
This method can help keep your baby asleep if you are already sitting in a chair or on the couch because it doesn’t require the baby to be upright. To begin, carefully turn the baby onto their tummy while resting them on your thighs.
Use one of your arms to support and raise their upper body by placing it under their chin and chest. You can then gently rub or pat their back between the shoulder blades with the other hand.
Preventative measures can be taken to try and reduce your baby’s gas and, ideally, avoid the discomfort associated with gas pains and colic.
Here are some tips for preventing trapped air bubbles whether you are breastfeeding or bottle-feeding:
If breastfeeding, avoid foods that can cause excess gas, like onions, garlic, beans, peas, and spice.
Learn More: What Foods Help to Avoid Gas When Breastfeeding?
Thankfully, babies do not need to be burped forever. Once your baby’s digestive system has matured, they will likely be able to burp without assistance. This usually happens by 4-6 months, but infantile colic and regurgitation are more common in the first three months of life.
Suppose your baby is struggling to burp, or you’ve noticed any signs that could be indicative of a food allergy or intolerance. In that case, we recommend contacting your pediatrician for further advice on how to manage their symptoms.
Parenthood is all about trial and error, which also applies to baby burping. Newborn babies are especially prone to tummy troubles as their immature digestive systems need time to adapt to the sustenance they are given, whether in the form of breast milk, formula, or a combination of the two.
Hopefully, you now have many tools to try if your baby won’t burp or seems to be struggling with excess gas. You do not have to limit yourself to one position or feeding method because combining different techniques sometimes works best! We hope our helpful tips help your baby burp and keep air bubbles at bay!
Disclaimer:
Please be aware that this information is based on general trends in babies, and it is not medical advice. Your doctor should be your first source of information and advice when considering any changes to your child’s formula and when choosing your child’s formula. Always consult your pediatrician before making any decisions about your child’s diet or if you notice any changes in your child. Breastfeeding is the best nutrition for your baby because breast milk provides your child with all the essential nutrients they need for growth and development. Please consult your pediatrician if your child requires supplemental feeding. |
Dr. Agustina Fernandez earned her medical degree from the prestigious Universidad Nacional de Córdoba, Argentina. With a deep-rooted passion for pediatrics, Dr. Fernandez is currently on the path to specializing in children's healthcare. Recently, she has delved into the vital field of infant nutrition. Her research interests include breastfeeding, infant formula, and baby food in little ones’ formative years. Dr. Fernandez's commitment to this area of study underscores her dedication to ensuring the health and well-being of children from their earliest days.
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Read MoreDr. Hsu received his medical degree from Tufts University in Boston, Massachusetts, and holds a Master’s of Science degree from both Harvard University and Tufts University.
Dr. Hsu did research in MRI neuroimaging research of fetal brains at Boston Children’s Hospital, an affiliated hospital of Harvard Medical School. Dr. Hsu is currently a full-time medical writer and consultant.
Outside of the medical profession, Dr. Hsu loves to write, learn new languages, and travel