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Why does my baby gag when trying to breastfeed?

Understanding Why Babies Gag While Breastfeeding
For new parents, the experience of breastfeeding can be filled with joy, anxiety, and a host of questions. One common concern is when a baby gags during breastfeeding, which can be alarming. Understanding the reasons behind this phenomenon can help alleviate some of that anxiety.
The Gag Reflex in Infants
Gagging is a normal reflex in babies, particularly in newborns who are still learning how to coordinate their sucking, swallowing, and breathing. This reflex is a protective mechanism designed to prevent choking. Babies have a heightened gag reflex, which means they may gag more easily than older children or adults. This reflex is particularly sensitive in the early months of life, as babies are still adjusting to feeding and the sensations that come with it.
Milk Flow and Gagging
One of the primary reasons a baby might gag while breastfeeding is related to the flow of milk. If the milk flows too quickly, it can overwhelm the baby, leading to gagging as they struggle to manage the intake. This is especially common if the mother has a strong let-down reflex, where milk is released rapidly. In such cases, the baby may not be able to keep up with the flow, resulting in gagging or even choking.
Positioning and Latching Issues
Another factor that can contribute to gagging is improper latching or positioning during breastfeeding. If a baby is not latched correctly, they may not be able to effectively control the milk flow, which can lead to gagging. Ensuring that the baby is well-positioned and latched on properly can help mitigate this issue.
Sensitivity to New Experiences
For many babies, breastfeeding is a new experience that involves various sensations, including taste and texture. As they adapt to this new way of feeding, they may gag as they learn to manage the milk in their mouths. This is particularly true for newborns who are still developing their oral motor skills.
When to Seek Help
While gagging is typically a normal part of breastfeeding, there are instances when it may warrant concern. If a baby frequently gags to the point of distress or if there are signs of choking, it is essential to consult a pediatrician. Additionally, if the gagging is accompanied by other symptoms, such as difficulty breathing or a change in color, immediate medical attention is necessary.
In conclusion, while it can be distressing to witness a baby gag during breastfeeding, it is often a normal part of their development. Understanding the reasons behind this behavior can help parents feel more at ease and better equipped to support their baby’s feeding journey.

Why is my baby gagging on the breast?

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.

Why is my baby gulping and gasping while breastfeeding?

It is a very complex and intricately timed process. When a baby is gagging /choking or spluttering at the breast it is generally because the smooth coordination of the suck-swallow-breathe rhythm has been disrupted and the swallow and breathe is mis-timed.

How long does breastfeeding aversion last?

The difference between aversion and DMER
As a condition, though, DMER is prompted by your milk ejection reflex — hence the name. As such, it lasts for just a few minutes, unlike aversion, which can last for entire nursing sessions.

What is the rule of 3 breastfeeding?

Content after feeding for at least three hours: After a satisfying feeding session, a well-fed baby should appear content and satisfied for about three hours before showing signs of hunger again.

Why does my baby freak out when I try to breastfeed?

If you are about to feed and visitors arrive, or your phone is not next to you, or you are anticipating pain or a struggle feeding, you don’t release the hormone oxytocin as quickly so the let-down is slower and the baby can get frustrated and pull away. This often leads to an upset baby and it can upset you too.

How do I know if my baby has reflux or just spitting up?

This usually causes discomfort and crying in your baby, whereas spitting up doesn’t bother them. GER can involve spitting up and/or occasional vomiting. But if your baby is mostly vomiting rather than spitting up, that could be a sign of GERD or another condition.

How to stop baby gulping while breastfeeding?

Do

  1. get advice about your baby’s breastfeeding position.
  2. hold your baby upright during feeding and for as long as possible after feeding.
  3. burp (or wind) your baby regularly during feeds.
  4. make sure your baby sleeps flat on their back (they should not sleep on their side or front)

How to prevent aspiration while breastfeeding?

Elevation of the head of the bed approximately 30° may help, although young infants may slide down the bed during the night. Dietary modifications include thickening feeds for infants; breastfeeding; decreasing volume of feeds (10-20 mL/kg per feeding); and feeding small, frequent meals.

Why is my baby rejecting my breasts?

There are several reasons why your baby may suddenly start to refuse your breast: they are unwell (tummy ache, earache, oral thrush etc.) too little milk. too much milk, your baby may be struggling with the flow of milk.

How do I fix my baby’s aversion when breastfeeding?

Try feeding your baby in a quiet room with no distractions. Cuddle your baby. Skin-to-skin contact between you and your baby might renew your baby’s interest in breastfeeding. See if your baby will latch on while taking a warm bath together.

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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