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What causes spit up in breastfed babies?

Understanding Spit-Up in Breastfed Babies
Spitting up is a common occurrence among breastfed infants, often causing concern for new parents. However, it is typically a normal part of a baby’s development and feeding process. Understanding the causes of spit-up can help alleviate worries and provide insight into your baby’s feeding habits.
Common Causes of Spit-Up
One of the primary reasons breastfed babies spit up is related to their feeding technique. As infants learn to latch and establish an effective sucking pattern, they often swallow air, which can lead to spit-up during or after feedings. This is particularly common in the early weeks of breastfeeding when both the baby and the mother are still adjusting to the process.
Another significant factor is overfeeding. Babies have small stomachs, and when they consume more milk than their stomach can hold, they may spit up. This can happen if feedings are too frequent or if the baby is encouraged to feed for longer than necessary. Experts recommend allowing the baby to finish one breast before offering the other, as switching sides too soon can lead to excessive spitting up due to an overload of milk.
The Role of Milk Supply and Flow
The dynamics of milk supply also play a crucial role in spit-up. If a mother has an abundant milk supply or experiences a fast milk flow, the baby may struggle to keep up, leading to gulping and swallowing air, which can result in spit-up. In such cases, it may be beneficial to nurse on one side per feeding to help manage the flow and reduce the likelihood of spit-up.
Normal vs. Concerning Spit-Up
While occasional spit-up is normal, parents should be aware of the volume and frequency. Most infants will spit up a little after some or all feedings, and this is generally nothing to worry about. However, if a baby is consistently spitting up large amounts or seems to be in distress, it may indicate a medical condition that requires attention.
Conclusion
In summary, spit-up in breastfed babies is usually a normal phenomenon linked to feeding techniques, overfeeding, and milk supply dynamics. Understanding these factors can help parents navigate the early stages of breastfeeding with greater confidence. If concerns persist, consulting a pediatrician can provide reassurance and guidance tailored to the individual needs of the baby.

What are GERD symptoms in babies?

Symptoms & Causes of GER & GERD in Infants

  • arching of the back and abnormal movements of the neck and chin.
  • choking, gagging, or problems swallowing.
  • irritability, particularly when it occurs with regurgitation.
  • loss of appetite or refusing to eat.
  • complications, such as poor weight gain, cough link, or wheezing.
  • vomiting.

What foods cause reflux in breastfed babies?

Citrus fruit, tomatoes, caffeine containing drinks (tea, coffee, coke) and chocolate may also need to be avoided by the breast-feeding mother of a reflux baby. Remember that all babies are different and different babies react to different foods – the list above is a guideline only.

Does a pacifier help with reflux?

It’s a common belief that using a dummy helps soothe babies with reflux. With acid reflux this is another big no no! Apart from teaching your baby the wrong association; sucking creates wind, stimulates stomach acid and adds fuel to the fire with reflux.

When should you be concerned about baby spit up?

Usually, it’s just 1 or 2 tablespoons at a time. If your baby spits up more than this—or if their spitting up is the effect of respiratory events like choking, coughing, or wheezing—ask your pediatrician if there is a reason to be concerned.

How do I stop my breastfed baby from throwing up?

What can you do to reduce spitting up?

  1. Keep your baby upright. Feed your baby in a more upright position.
  2. Avoid overfeeding. Feeding your baby smaller amounts, more frequently might help.
  3. Take time to burp your baby.
  4. Put baby to sleep on his or her back.
  5. Experiment with your own diet.

Should I nurse 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.

Why is my baby spitting up so much while breastfeeding?

Food sensitivities can cause excessive spitting up in babies. Products with cow milk in the mom or baby’s diet can be a common food sensitivity. Some babies can become distracted when feeding at the breast, pulling off to look around. This can cause babies to swallow air and spit up more often.

How do I stop my breastfed baby from spitting up?

Sometimes giving smaller feeds more often can help, rather than giving larger-volume feeds. Keep your baby upright after feedings for at least 30 minutes. Holding your baby is best, since the way a baby sits in an infant seat can actually make spitting up more likely.

Does spit up mean overfeeding?

Some of the more common reasons for excessive spit-up are overfeeding and swallowing too much air during feeding. The following tips may help reduce spit-up and make your baby more comfortable: Feed your baby before they get very hungry.

How do I know if my breastmilk is upsetting my baby’s stomach?

If symptoms occur such as fussiness, irritability, crying, gas, increased spitting up and/or drawing their legs up due to tummy pain, write down everything you ate that day. This lets you carefully look at your diet instead of getting rid of foods that may not be the cause of your baby’s distress.

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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