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Is it normal for a newborn to choke on milk?

Understanding Choking in Newborns
Choking on milk is a concern that many new parents face, often leading to panic during feeding times. While it can be alarming, it is important to understand that choking on milk is relatively common among newborns. Infants are still developing their coordination for sucking, swallowing, and breathing, which can lead to moments of gagging or choking during feedings.
Why Do Newborns Choke on Milk?
There are several reasons why a newborn might choke on milk. One primary factor is the immature swallowing reflex that many infants possess. This reflex is still developing in the early weeks of life, making it difficult for them to manage the flow of milk effectively. Additionally, an overabundant breast milk supply can exacerbate the situation. When a mother has a strong letdown, the force of the milk can overwhelm the baby, causing them to gag or choke.
Other contributing factors include poor latching techniques during breastfeeding, which can lead to excessive milk flow and difficulty for the baby in managing their intake. Furthermore, babies can also choke on mucus or saliva, especially during respiratory illnesses, which adds another layer of complexity to the issue.
Is It Dangerous?
While choking can be a frightening experience, it is crucial to differentiate between gagging and choking. Gagging is a normal reflex that helps prevent choking, and most infants will gag occasionally as they learn to feed. However, if a baby is truly choking—meaning their airway is blocked and they cannot breathe—it becomes a medical emergency. In such cases, immediate action is required to clear the airway.
Experts emphasize that while choking incidents can be serious, they are often manageable with proper knowledge and techniques. Parents and caregivers should be equipped with the skills to respond effectively if a choking situation arises.
Prevention and Management
To minimize the risk of choking, parents can take several proactive steps. Ensuring that the baby is in an upright position during feedings can help manage the flow of milk better. Additionally, if breastfeeding, mothers can try to control their letdown by nursing in a more reclined position or expressing some milk before feeding.
If a baby does begin to choke, caregivers should remain calm and follow appropriate first aid procedures. This includes positioning the baby correctly and performing back blows or chest thrusts if necessary.
Conclusion
In summary, while it is normal for newborns to occasionally choke on milk, understanding the reasons behind it and knowing how to respond can help alleviate parental anxiety. With time and practice, both parents and infants will become more adept at navigating the feeding process, reducing the likelihood of choking incidents.

Why does my newborn choke when drinking milk?

Some mothers have such a strong let-down at times that the baby can’t always handle the volume of milk well. If your baby chokes, gags, or pushes off of the breast a minute or two after starting to feed, an overactive let-down may be the cause.

What to do if baby chokes on breast milk?

If they’re choking support their cheekbones and give five back blows between the shoulder blades to remove that liquid. One. Hopefully, that’s all that was needed to be able to clear that liquid out of their airway and get them breathing again.

Can overfeeding cause baby to choke?

Research shows that an overabundant breast milk supply, which is also called hypergalactia, hyperlactation, or oversupply often results in a newborn choking on milk during letdown. And in very rare situations, it may also be dangerous.

Why is my newborn choking on nothing?

Difficulty handling breast milk, formula or saliva are common causes of choking in young infants, but babies can also choke on mucus from nasal secretions that drip down the back of their throats during a respiratory illness, for example,” Casares explains.

Are SIDS and unsafe sleep the same thing?

Definition: Unsafe sleep environments for infants can lead to suffocation, strangulation, or entrapment (NICHD, Common SIDS and SUID Terms and Definitions ). The sudden death of an infant under one year of age that does not have an immediately obvious cause is referred to as a Sudden Unexpected Infant Death (SUID).

When should I be concerned about my newborn choking?

If your baby isn’t breathing, or is gasping or wheezing heavily, they might be choking. If the infant is still able to cough, it’s possible that the airway isn’t completely blocked. Allow the baby to cough in an attempt to clear the airway (but you should still call for help).

How do I make sure my baby doesn’t choke on milk?

Your baby often chokes while drinking

  1. Change to a slower nipple.
  2. Take short feeding breaks.
  3. Avoid laying your baby on her back during feeding since milk will flow into her mouth even when she’s not sucking.

Can newborns choke on milk while sleeping?

No. Babies will not choke if they spit up or vomit while sleeping on their backs.

Will my baby be OK after choking?

Your child will likely be fine after the coughing spell. If your child was choking and is now unconscious and no longer breathing, send someone to call 911. Perform CPR right away if you know how. Take your child for medical care after any serious choking episode, especially if there is a lasting cough or wheezing.

How do I stop my baby aspirating milk?

How is aspiration in babies and children treated?

  1. Making changes in position and posture during meals.
  2. Changing the thickness of liquids.
  3. Changing the types of foods in your child’s diet.
  4. Doing exercises to help with swallowing (for an older child)
  5. Medicines for GERD.
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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