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Do I need to refeed my baby after spit up?

Understanding Baby Spit-Up: Should You Refeed?
Spit-up is a common occurrence for infants, often causing worry for new parents. The question of whether to refeed a baby after they spit up is one that many caregivers grapple with. Understanding the nature of spit-up and the needs of your baby can provide clarity and reassurance.
What is Spit-Up?
Spit-up, medically referred to as gastroesophageal reflux, happens when a baby’s stomach contents flow back up into the esophagus. This can occur for several reasons, including an immature digestive system, overfeeding, or simply the natural movement of the stomach contents. Most babies experience spit-up to some degree, especially during the first year of life.
Should You Refeed?
When it comes to the decision of whether to refeed your baby after they spit up, the answer largely depends on the individual situation. Here are some key considerations:
1. Amount of Spit-Up: If your baby spits up a small amount, it’s generally acceptable to refeed them. Babies often continue to be hungry even after spitting up, as the volume expelled may not represent their entire feeding.
2. Baby’s Behavior: Pay attention to your baby’s cues. If they seem hungry and are showing signs of wanting to feed, such as rooting or crying, it’s likely safe to offer more milk. Conversely, if they appear content and are not showing hunger cues, it may be best to wait.
3. Frequency and Consistency: If spit-up occurs frequently and is accompanied by distress or discomfort in your baby, it may be indicative of a larger issue, such as reflux disease. In such cases, consulting a pediatrician is advisable for tailored advice.
4. Feeding Techniques: Consider the method of feeding. For bottle-fed infants, ensure that the nipple size is appropriate to prevent excessive air intake. For breastfeeding, ensure a proper latch to minimize swallowing air, which can contribute to spit-up.
5. Positioning and Burping: Proper positioning during and after feeding can help reduce spit-up. Keeping your baby upright for 20-30 minutes after feeding may minimize the likelihood of reflux. Additionally, burping your baby during feedings can help release trapped air that may lead to spit-up.
Conclusion
In summary, refeeding your baby after spit-up is generally acceptable, especially if they seem hungry and the amount spat up was small. However, always consider your baby’s behavior and any potential underlying issues. If concerns about spit-up persist, do not hesitate to reach out to a healthcare professional for guidance. Understanding your baby’s needs and cues will help you navigate this common, yet often concerning, aspect of infant care.

Does spit up mean baby is overfed?

Babies regularly spit up when they drink too much milk, too quickly. This can happen when the baby feeds very fast, or when mom’s breasts are overfull. The amount of spit up can appear to be much more than it really is. Food sensitivities can cause excessive spitting up in babies.

Is it OK to put baby to sleep without burping?

It’s generally okay for a baby to sleep without burping. But it depends on your baby, how they’re feeling and what they need. So you’ll have to decide on a case-by-case basis, recognizing if they are showing signs of discomfort. Feeding can often have a calming effect on a baby.

Does baby still need to burp if they spit up?

Spitting up does not indicate a problem unless the baby is choking on the food, or is spitting up excessively large amounts of food. To reduce spitting up, burp the baby several times during and after feeding. One technique is to sit the baby upright, with your hand supporting the head.

Should I feed my baby again after spitting up?

Vomiting and spit-up are common in healthy babies. In most cases, you can milk feed shortly after your baby vomits. This helps to prevent your baby from getting dehydrated. In some cases it’s best to wait a little while before trying to feed your baby again.

What are the signs of overfeeding baby?

When fed too much, a baby may also swallow air. This can produce gas, increase discomfort in the belly, and lead to crying. An overfed baby also may spit up more than usual and have loose stools. Although crying from discomfort is not colic, it can make crying more frequent and more intense in an already colicky baby.

Should you feed baby again if they spit up a lot?

Vomiting and spit-up are common in healthy babies. In most cases, you can milk feed shortly after your baby vomits. This helps to prevent your baby from getting dehydrated. In some cases it’s best to wait a little while before trying to feed your baby again.

How to tell if baby is hungry or has reflux?

Check if your baby has reflux

  1. bringing up milk or being sick during or shortly after feeding.
  2. coughing or hiccupping when feeding.
  3. being unsettled during feeding.
  4. swallowing or gulping after burping or feeding.
  5. crying and not settling.
  6. not gaining weight as they’re not keeping enough food down.

Can babies still be hungry after they spit up?

Despite vomiting, a baby with pyloric stenosis is usually hungry again soon after vomiting and will want to eat. It’s important to know that even with the vomiting, the baby might not seem to be in great pain or at first look very ill.

Do breastfed babies need to be burped?

Do breastfed babies need to be burped? In general, breastfed babies don’t need as much burping as bottle-fed babies because they tend to swallow less air when feeding. In fact, some very efficient nursers don’t need to be burped at all. But some breastfed babies definitely do need to be burped.

Does spit up mean baby is full breastfeeding?

Babies often spit up. Sometimes, it might be when they eat too much, or when they burp or drool. Many infants will spit up a little after some — or even all — feedings or during burping. That’s perfectly normal.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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