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Why is my baby spitting up so much after breastfeeding?

Understanding Baby Spit-Up After Breastfeeding
For many new parents, the sight of their baby spitting up after breastfeeding can be concerning. However, it’s important to understand that spitting up is a common occurrence among infants and is usually not a cause for alarm.
Why Do Babies Spit Up?
Spitting up, also known as regurgitation, is a normal part of infant development. It typically occurs because a baby’s digestive system is still maturing. The muscles at the top of the stomach, known as the lower esophageal sphincter, may not yet be fully developed, allowing milk to flow back up after feeding. This is particularly common in the first few months of life, with studies indicating that between 70% to 85% of infants experience daily regurgitation by the age of two months.
Common Causes of Excessive Spit-Up
1. Overfeeding: One of the primary reasons for excessive spit-up is overfeeding. Babies have small stomachs, and if they consume more milk than their stomach can hold, it can lead to spitting up. Parents should be mindful of their baby’s hunger cues and avoid forcing them to feed when they are not hungry.
2. Swallowing Air: Babies often swallow air while feeding, especially if they are very hungry or if the feeding is rushed. This can lead to discomfort and increased spit-up. To minimize this, parents can try to keep the baby in an upright position during feeding and ensure that they are calm before starting to nurse.
3. Frequent Switching Between Breasts: If a baby is switched between breasts too frequently during a feeding session, it can disrupt their feeding rhythm and lead to excessive spitting up. It’s generally recommended to allow the baby to finish one breast before offering the other.
4. Gastroesophageal Reflux (GER): While most spitting up is harmless, some babies may experience gastroesophageal reflux, which can cause discomfort. If a baby seems unhappy or is spitting up frequently, it may be worth consulting a pediatrician to rule out any underlying issues.
When to Seek Help
While spitting up is usually normal, parents should be vigilant for signs that may indicate a more serious problem. If the baby is not gaining weight, seems to be in pain, or if the spit-up is green or contains blood, it is essential to seek medical advice.
In conclusion, while it can be distressing to see your baby spit up after breastfeeding, it is often a normal part of their development. Understanding the reasons behind it can help alleviate concerns and allow parents to focus on enjoying their time with their little one.

How do I stop my baby from throwing up after breastfeeding?

The best way to reduce spit up is to feed your baby before they get very hungry. Gently burp your baby when they take breaks during feedings. Limit active play after meals and hold your baby in an upright position for at least 20 minutes. Always closely supervise your baby during this time.

Should I feed my baby again if he vomits after feeding?

If vomits once, nurse half the regular time every 1 to 2 hours. If vomits more than once, nurse for 5 minutes every 30 to 60 minutes. After 4 hours without throwing up, return to regular nursing. If continues to vomit, switch to pumped breastmilk.

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.

Which breastfeeding position is best for reflux?

Koala-hold position is good for babies with reflux, an ear infection, tongue-tie, low muscle tone, hip dysplasia or oversupply of breast milk. This position is easier for babies who can sit unaided. You can use this position with a newborn if you give your baby plenty of support.

What foods make reflux worse 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.

How much should a baby spit up after breastfeeding?

Many infants will spit up a little after some — or even all — feedings or during burping. That’s perfectly normal. As long as your baby is growing and gaining weight and doesn’t seem uncomfortable with the spitting up, it’s OK. The amount of spit-up often looks like more than it really is.

Why is my breastfed baby overeating spit up so much?

Keep the total feeding time to less than 20 minutes. Reason: Overfeeding or completely filling the stomach always makes spitting up worse. Breastfed Babies. If you have a good milk supply, try nursing on 1 side per feeding.

Why does my baby spit up so much after breastfeeding?

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.

Should I nurse 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.

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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