Myth: Babies who sleep on their backs will choke if they spit up or vomit during sleep. Fact: Babies automatically cough up or swallow fluid that they spit up or vomit—it's a reflex to keep the airway clear. Studies show no increase in the number of deaths from choking among babies who sleep on their backs.
Make sure the baby's head is slightly lower than the rest of his or her body. This will help dislodge the object more easily from the throat. Use the heel of your free hand to give 5 quick thumps (back blows) between the baby's shoulder blades. If the object is still lodged, turn the baby face up on your forearm.
When a baby is on his stomach, the esophagus (or food tube) is on top of the trachea and any food or fluid that is regurgitated or refluxed can more easily pool at the opening of the trachea, making it possible for the baby to aspirate or choke.
Back to sleep―even with reflux!
Though parents are often concerned that their baby may vomit and choke while sleeping on their back, it is a total myth! Babies automatically cough up or swallow fluid that they spit up or vomit because of the gag reflex, that naturally prevents choking from happening.
Babies often spit up (or vomit) when they cry, but most of the time they don't aspirate because of a natural reflex that closes off their airway. Babies and children with medical conditions or developmental delays are more at risk of aspiration because the reflexes that protect their airways aren't always effective.
After 6-months old, babies are typically able to lift their heads, roll over, or wake up more easily, and the risk of SIDS decreases dramatically. However, 10% of SIDS happens between 6 and 12 months of age and safe sleep recommendations should be followed up to a baby first birthday.
While holding your baby upright for 30 minutes after a feeding may allow for some of the feed to leave the stomach, the majority of the feed remains in their stomach after that time. When you lay your baby down, their immature LES could still open, causing them to spit up.
Swaddling is great for infant reflux.
Babies with infant reflux respond well because the swaddle holds the body in a position that helps to prevent acid travelling back up the oesophagus.
Myth: Babies who sleep on their backs will choke if they spit up or vomit during sleep.
Feed smaller amounts.
Overfeeding always makes spitting up worse. If the stomach is completely full, spitting up is more likely. If your baby is gaining well, give him smaller amounts (at least 1 ounce less than you have been giving).
Offer your baby a feeding after they've stopped throwing up. If your baby is hungry and takes to the bottle or breast after vomiting, go right ahead and feed them. Liquid feeding after vomiting can sometimes even help settle your baby's nausea.
Choking on milk is a common accident in pediatrics and very dangerous. When milk spills into the baby's airway, it will make it difficult for the baby to breathe, even lead to respiratory failure and worse, cardiac arrest, apnea, death.
Don't lift your newborn by or under their arms
Your baby's head and neck muscles are very weak for the first few months. If you pick them up by or under their arms, you risk injuring their arms or shoulders. Worse, their head will dangle and could flop around, potentially causing a brain injury.
Breastfed babies feed often, about every 2–3 hours. Bottle-fed babies tend to feed less often, about every 3–4 hours. Newborns who sleep for longer stretches should be awakened to feed. Wake your baby every 3–4 hours to eat until he or she shows good weight gain, which usually happens within the first couple of weeks.
White noise reduces the risk of SIDS.
A relatively famous study (famous if you read a lot about baby sleep, so honestly you should be a little proud if you haven't heard of it) showed that babies had a significant reduction in the risk of SIDS if they had a fan in their room.
SIDS is less common after 8 months of age, but parents and caregivers should continue to follow safe sleep practices to reduce the risk of SIDS and other sleep-related causes of infant death until baby's first birthday. More than 90% of all SIDS deaths occur before 6 months of age.
Goodstein said, when babies sleep in the same room as their parents, the background sounds or stirrings prevent very deep sleep and that helps keeps the babies safe. Room sharing also makes breast-feeding easier, which is protective against SIDS.
Aspiration can cause signs and symptoms in a baby such as: Weak sucking. Choking or coughing while feeding. Other signs of feeding trouble, like a red face, watery eyes, or facial grimaces.
Spit-up may appear curdled if your baby hasn't digested milk from feeding. This isn't always a health concern, but it's important to pay attention to any changes in your baby's spit-up. Talk to your baby's doctor if you are concerned about your baby's spit-up or have questions about healthy feeding alternatives.
The classic symptoms of aspiration are a cough, wet or congested breathing, and watery eyes after swallowing during drinking or eating, or when introducing solid foods (such as with baby-led weaning). In babies, aspiration might also produce a wet or gurgling noise during or after breastfeeding.