Baby not burping after feeding

How to burp a sleeping baby: Effective methods

When a baby falls asleep without burping, parents and caregivers can try a few methods to help them relieve wind while staying asleep.

The act of breastfeeding or feeding from a bottle often has a calming effect. As a result, it can make many infants fall asleep during or after their meal.

This can pose a problem if the baby has swallowed air during their feed. They may need to release air through a burp, which is more difficult to do when asleep. Their body may be too relaxed to get into a burping position, or the parent or caregiver may not wish to risk waking the baby from their slumber.

However, many people find that they must burp their baby after every feed — sleeping or not. If the baby does not release air through a burp after feeding, they may have discomfort later as it moves through the intestines and causes gas.

In addition, some babies are so sleepy at the breast or bottle that they fail to take in enough calories at their meals. It may sometimes be necessary to wake the baby during feeding to help them eat more. Burping the baby may help by eliminating some feelings of fullness and helping them stay awake longer.

A parent or caregiver will often need to decide on a case-by-case basis whether they should try to burp their sleeping baby or simply let them sleep.

Share on PinterestBurping a baby may help relieve discomfort after feedings.

As air travels upward, burping positions usually require the baby to be at least partially upright. This position encourages any air bubbles to move upward, passing through the throat and out of the mouth.

It is possible to burp a sleeping baby, often without waking them completely. Each baby is different, so people may need to try various techniques to find one that works.

Method 1: Shoulder

This method is suitable for babies who are sound sleepers. It can also be useful if a person needs to wake a baby up to continue their feeding.

Turn the baby upright and lean them against the upper chest. Put one hand under their buttocks for support. The baby’s head should be on top of the shoulder.
Gently pat the baby’s back between their shoulder blades. Use an open palm to pat, being firm but gentle.
If patting does not work, try rubbing their upper back in circular motions with the palm.

If the aim is to keep the baby awake, lightly bouncing them while they are on the shoulder may help wake them while also bringing up a burp.

Method 2: Chest

If a shoulder burp tends to wake the baby up, try a chest burp instead. Placing the baby on the chest can feel more comforting for them than the shoulder, so this position can often allow them to stay asleep after feeding.

Gently lift the baby to the chest, putting one hand on their back and one under their buttocks.
Avoid stretching their legs out. Allow their body to stay in a curled up position, which may make them less likely to wake up.
Use the hand that is on their back to rub it, making circular motions first.
If rubbing does not produce a burp, try gentle pats between their shoulders.

Method 3: Hip

The hip method works well for people who prefer to breastfeed their baby while lying down. It may help keep the baby asleep because the parent or caregiver does not have to sit up, and the baby is not fully upright.

Gently place the baby’s tummy down over the hip or belly. Make sure that the baby’s head remains elevated above their body.
Gently pat their back between the shoulder blades.
Alternatively, rub their back in an upward circular motion.

Method 4: Arm hold

For smaller babies, the arm hold method can be useful. However, it is not always practical for older or larger babies.

Place one arm under the baby’s back, allowing them to rest their body on the forearm. The baby may already be in this position for feeding.
Carefully turn the baby’s body so that they are resting belly down on the parent’s or caregiver’s forearm with their head in the crook of the elbow. Place the hand between the baby’s legs, holding the baby for stability.
Rub or pat the baby’s upper back with the other hand.
When finished, gently roll the baby toward the body. They will then be face up to continue feeding or to go to sleep.

Method 5: Lap

If the parent or caregiver is already sitting in a chair or on a couch, the lap method may work well to keep the baby asleep. It does not require the baby to be upright, which may be more soothing for them.

While in a sitting position, gently turn the baby over onto their tummy and allow them to rest on the parent’s or caregiver’s thighs.
Place one arm under the baby’s chin and chest to raise their upper body slightly.
Use the other hand to pat their back or rub it in circular motions.
When finished, turn the baby back over onto their back.

The baby may not always burp during or after feeding. In some cases, this may be because the baby did not swallow much air.

Sometimes, however, it takes a little persistence to get a burp out. Here are some helpful tips for parents and caregivers in these instances:

Burp the baby during the feed. When a baby has finished feeding, they may be especially drowsy and may have swallowed more air. Try burping them before switching breasts or when they are halfway through their bottle.
If the baby does not burp after 5 minutes of trying, gently lie them down on their back, either in their crib or on another safe surface, such as a playpen. After a few minutes, carefully pick the baby up and try burping them again. Sometimes, lying down helps move the air bubbles around, making them easier to release.
Keep the baby upright after their feed. Using a baby wrap or sling can be a good way to let the baby sleep in a semi-upright position, allowing the air bubble to escape without any work from the parent or caregiver.
There is no need to stress if the baby does not burp. There are times when a baby will not burp or has no air to release. If the baby does not burp despite using the methods above, do not worry. One study found that burping does not significantly reduce colic episodes.

The best way to help prevent excess gas in a baby is to try to prevent them from swallowing too much air. Swallowing air is often the result of the baby eating too quickly.

When bottle feeding, follow these tips to help prevent gas:

Use a slow flow nipple on bottles, especially for newborns. Fast flow nipples may cause the baby to swallow more air.
Angle the bottle so that air is not getting into the milk or formula while feeding. Doing this usually means tipping the bottle upward at an angle and keeping it tipped as the baby finishes the bottle.
Test the flow of a bottle’s nipple before giving it to the baby. Tip it upside down and allow a few drops to come out. If the liquid comes out quickly, the nipple may have become worn out.
Replace bottle nipples if the hole gets bigger, or the nipple shows signs of wear.

When breastfeeding, follow these tips to help prevent gas in the baby:

Watch for signs of a fast letdown of milk from the breast. If the milk comes out too quickly at the beginning, and the baby is gulping or gasping, take the baby off the breast for a few seconds. Catch the excess milk in a towel or cloth if necessary. Once the milk flow has slowed down, put the baby back on the breast.
Experiment with different breastfeeding positions. Different babies and women find that certain positions allow them both to breastfeed comfortably. It may help to ask a lactation consultant for tips.
Make sure that the baby has latched on correctly. The baby’s lips should be sealed and spread out around the nipple. Their lips should not turn inward.

There are ways to burp a sleeping baby without waking them, but no method is foolproof. Parents and caregivers may need to experiment with different burping methods to find which ones work best for them and the baby.

While many babies fall asleep while breastfeeding or bottle feeding, it is important to follow the American Academy of Pediatrics‘ safe sleep guidelines for babies. Following these guidelines may help prevent sudden infant death syndrome (SIDS) and sleep-related infant deaths.

Babies should have regular checkups with a pediatrician to be sure that they are feeding and gaining weight as necessary.

What if my baby doesn't burp after feeding?

Whether your baby is breastfed or you are bottle-feeding, if you’re exclusively using breast milk or supplementing with infant formula, you’ve probably had some questions about burping. We are often asked from new parents everything from how to burp a baby to how often you need to burp a baby.

Let’s talk all things burping!

Table of Contents

Does my baby need to burp?
What would happen if you didn’t burp your baby?
When should I burp my baby?
How do I burp my baby?
- Burping tips for newborns
- What should I do if my baby doesn’t burp?
- When can I stop burping my baby?
- Using a baby feeding journal
- Everything to know about burping an infant
Does my baby need to burp?
It’s commonly believed that infants need to burp to get rid of extra gas in their stomachs. ¹ The idea is that babies don’t know how to burp on their own and that babies may be bloated or fussy if we don’t help them get that air out.
In fact, it’s so common for people to burp their babies during and after feeding that many of us have never stopped to wonder if it’s necessary.
What would happen if you didn’t burp your baby?
It turns out there’s actually been a study that looked at this question in healthy infants, and it found that burping a baby does not decrease the rate of newborn colic and actually may increase spitting up in young infants. So, burping may not be as necessary as we thought.²
However, lots of people are likely to continue to burp their infants and may feel it’s helpful. It may also offer a nice little break in the feeding routine. So let’s discuss the when and how of burping.
When should I burp my baby?

Most experts recommend burping your baby after they take 1-3 oz of formula or while changing breasts if you are breastfeeding. They also recommend burping them again at the end of the feeding.^2,3
How do I burp my baby?
Over your shoulder burping
Over the shoulder burping is a common burping style, and many people use it. Place your baby with their chest against the front of your shoulder and gently rub or pat their back. Your shoulder makes a nice place for your baby’s chin to rest with this technique.¹
Sitting up on your lap burping
This position is a simple one that can be used at any time. Sit your baby upright on your lap and lean them forward a little bit. Support their head by placing your hand against their chest and cupping their chin with your palm. Make sure your are holding their chin and not their throat. Your other hand can be used to rub or pat your baby’s back.¹
Facedown on your lap burping
Place your baby on their belly across your lap while supporting their head with your hand. Make sure their head is a little higher than their body, then use your other hand to rub or pat their back.¹
Burping tips for newborns
Now that we’ve gone through a few how-to’s, let’s review some other helpful advice.
- Remember to be gentle with your baby. Infants don’t have great head control, so make sure they are supported and handled gently.
- Don’t forget to have a baby burp rag or bib handy during burping. Catching a spit up before it hits your clothes and your baby’s outfit can save precious clean up (and laundry!) time.
- Extra clothes are always a must with newborns. Try as you might with the burp rag, things don’t always go perfectly. Be sure to pack extra clothes for your baby when you go out in case this happens to you.
- Remember- that burp may have escaped another way or not need to come out at all, so don’t try for too long or stress if you don’t get that satisfying result. ⁴
What should I do if my baby doesn’t burp?
Now that you know your baby may not need to burp for any medical reason, you may have guessed that the answer to this question is…probably nothing!²
Just like adults, if there’s air in your baby’s belly, it will make its way out, either from the top or the bottom. There’s no harm in not helping this process along unless your baby’s healthcare provider has told you it’s important for them to burp.⁵
When can I stop burping my baby?
Most babies can burp on their own around 2 months of age.³
Using a baby feeding journal
A baby feeding journal can be helpful if you need to keep track of what your baby is eating and how often. You can also record items like burping, spitting up, and colic symptoms so you can discuss them with your baby’s healthcare provider. Remember, if anything about your baby’s eating, burping, or activity are concerning, always call your baby’s healthcare provider for advice.
Everything to know about burping an infant
Getting your baby to burp can be challenging and perhaps not as necessary as we’ve always thought. If you’re in the habit of burping your baby or your baby’s healthcare provider has recommended that you do this, try the tips above to help things go smoothly.
And if that burp doesn’t happen, don’t stress!
Sources:
1- Burping your baby | Nemours Kids Health
2- A randomized controlled trial of burping for the prevention of colic and regurgitation in healthy infants | Child: care, health and development
3- Burping a baby | Kaiser Permanente
4- You don’t need to burp babies | McGill Office for Science and Society
5- Debunking old wives’ tales: do babies need to burp after feeding? | University of Utah
The content on this site is for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis or treatment. Discuss any health or feeding concerns with your infant's pediatrician. Never disregard professional medical advice or delay it based on the content on this page.
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Breastal feeding - completely special time for mom and her newborn baby. Together with the feeling of closeness and affection that feeding brings, understanding its nuances cannot but raise many questions, including the question of how to help an infant spit up. Regurgitation in a newborn is by no means always the result of a simple pat on his back.

In this article, we'll talk about the basics of helping a newborn spit up, as well as other questions you may have about spitting up.

Why do babies spit up?

Let's get it straight: why do newborns need to burp in the first place? During feeding, children usually swallow extra air - this is called aerophagy. Spitting up helps prevent this air from entering the intestines, as well as vomiting, gas, and crankiness in the baby. To avoid the return of milk after feeding, you should give the baby the opportunity to burp more often.

How to help a newborn spit up?

During the first six months, the baby should be kept upright in a column for 10-15 minutes after each feed. This will help keep the milk in his stomach, but if the baby occasionally burps anyway, parents need not worry. While carrying your baby in an upright position, you can put a baby diaper or wipes on your shoulder to keep your clothes clean.

We've already seen why spitting up is important, now let's find out how to help your baby spit up. Parents should gently pat the baby on the back with a hand folded in a handful until he burps. Folding your hand into a handful is important because clapping with a flat palm may be too strong for an infant.

Every baby is different and there is no one right position for spitting up. To get started, you can try the following options:
1. Sitting position with the baby on the chest. In this position, the parent puts the baby's head with his chin on his shoulder and with one hand supports the baby under the back. With the other hand, you can gently pat the baby on the back. This method is most effective in a rocking chair or when the baby is gently rocking.
2. Holding the child upright on your legs. With one hand, parents can hold the baby by the back and head, supporting his chin and placing his palm on the baby’s chest, with the other hand, you can gently pat him on the back. At the same time, it is important to be careful: do not press the child on the throat, but only gently support his chin.
3. Holding a baby on your lap while lying on your tummy. Make sure his head is above his chest and gently pat your baby on the back until he burps.
Here are some tips on how best to help your newborn spit up:
- Let your baby spit up during feeding. If the baby is restless or has swallowed air, it is worth giving him the opportunity to burp during feeding, and not just after.
- When bottle feeding, let the newborn burp after every 50-60 ml.
- When breastfeeding, let the baby burp at every breast change.
It is important to let your baby spit up after eating, even if he spit up during feeding!

If your baby is gassy, spit up more often. Also, if he vomits frequently or suffers from gastroesophageal reflux disease (GERD), have him spit up after every 30 ml bottle-feeding or every five minutes while breastfeeding.

How long should a baby be held for it to burp? It's different for everyone, but generally keeping a newborn upright for 15 to 20 minutes after a feed helps the milk stay in the baby's stomach.

Minimize the amount of air you swallow. Gas production and regurgitation result from aerophagia during feeding. The baby will inevitably swallow air, but there are ways to prevent it from swallowing too much. Whether you bottle feed your baby or combine breastfeeding with bottle feeding, the Philips Avent anti-colic bottle with AirFree valve is designed so that the nipple is always filled with milk without excess air, even in a horizontal position, thus preventing the baby from swallowing excess air during feeding.

Reducing the amount of air your baby swallows can help reduce your baby's risk of colic, gas, and spitting up.

Breastfeeding is a wonderful time to strengthen the bond between parent and baby. Every mom and every baby is different, so learning to help your newborn burp properly can take time and practice.

Articles and tips from Philips Avent

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Expert's stats

Tsodikova Olga Anatoliivna

doctor of medical sciences, professor, physician-pediatrist of the highest category
Kharkiv

Expert's stats

Yanovska Kateryna Oleksandrivna

Candidate of Medical Sciences, Associate Professor, pediatrician, child pulmonologist
Kharkiv

Expert's stats

Shchelkunova Valeriya Maksimivna

neonatologist-resuscitator, specialist in baby medical massage, blogger, founder of the online school for mothers Hellobaby_school

7-12 months

for 12 months

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