It is concerning for a new parent to see a baby gasp for air. However, a baby gasping for breath is not always a matter of worry. Usually, babies gasp for air if something is stuck in their throats. Usually, extra mucus during cold tends to be that obstruction.
As their respiratory system matures with their age, babies tend to grow out of this habit of gasping. Read on to know the reasons that make a baby gasp for air and the causes of concern.
Possible Causes Of Baby Gasping For Air
A newborn baby is born with non-inflated lungs that are filled with fluid. The baby takes their first breath in about ten seconds after birth, and this breath may sound like they are gasping for air(1). Beyond their first breath, the following conditions may cause a baby to gasp for air while breathing.
1. Respiratory infections
Infections of the nose, sinuses, throat, airway, or lungs are known as respiratory tract infections. Viruses such as rhinoviruses, influenza, parainfluenza, respiratory syncytial virus, enterovirus, coronaviruses, and some strains of adenoviruses are the leading causes of respiratory infections in infants(2).
Respiratory infections cause excess mucus secretion and inflammation of the respiratory tissues, causing gasping due to difficulty breathing. Other signs and symptoms include fever, cold, cough, sore throat, and pain in the ear (3).
Asthma is a disease characterized by chronic inflammation of the airways. The root cause of asthma is unknown (4). but may be associated with allergies. Check with your pediatrician if any dietary changes are needed. According to the Asthma and Allergy Foundation of America, asthma can cause labored breathing, panting, wheezing, persistent coughing, difficulty sucking, and fatigue (5). It is not always easy to diagnose asthma in an infant but seems to be more common in babies with recurrent bronchiolitis, a viral infection affecting the small airways.
3. Exposure to second-hand cigarette smoke
Smoking in the same room as the baby may irritate their respiratory tracts. It may also lead to asthma. Therefore, smokers should be discouraged from smoking in the house where the baby lives (4).
Laryngomalacia is the leading cause of noisy breathing in infants. It happens due to floppy tissues above the vocal cords. It resolves on its own in 70% of infants by the time they are one year old and in 90% of the infants by the time they are two years old (6). Rarely, a surgery is needed, especially if the laryngomalacia interferes with feeding.
5. Sleep apnea
Sleep apnea is a sleep-related breathing disorder. Obstructive sleep apnea occurs due to the narrowing of passages between the nose and the lungs. Babies with sleep apnea may pause for breaths, gasp for air, and have noisy breathing(7).
6. Pertussis (Whooping cough)
Whooping cough is a contagious bacterial infection. Babies with pertussis infection make a whooping sound when they breathe in after coughing(8). The infection may also cause a baby to gasp for air. The vaccine for whooping cough could significantly prevent the risk of developing the infection.
7. Premature babies
Respiratory distress is a common problem in premature babies. Babies born before 37 weeks are at a higher risk of developing respiratory distress syndrome. Babies with respiratory distress syndrome have to work very hard to regulate their breathing and might gasp for air (9).
8. Meconium aspiration syndrome
Meconium aspiration syndrome occurs when the newborn inhales amniotic fluid along with the meconium while still in the mother’s womb. The meconium (baby’s first poop)may clog or irritate the airways, injuring the lungs and making it difficult to breathe. Babies with this condition may need to be admitted to the neonatal intensive care unit (NICU)(10).
Reflux happens when the muscle at the end of the esophagus is loose or opens up when not needed. It may cause food and stomach acids to flow upward to the throat, irritating the airways along the way. Severe or persistent reflux may lead to breathing problems in babies, causing signs such as gasping (11).
10. Dry air
Some babies may gasp when the ambient air is dry. In such cases, the baby will be healthy and will not show any sign of disease or distress. Gasping due to dry air can be easily avoided by installing a cold-mist humidifier in a baby’s room.
When To See A Doctor?
You must consult a doctor soon if your baby displays the following signs.
- Notable signs of infection, such as fever, poor appetite, lethargy, or crankiness
- Baby’s skin, especially that of the face, appears blue, indicating poor oxygen levels in the body
- You suspect the baby is gasping due to a foreign body stuck in the airways
- Gasping is accompanied by wheezing or whistling sounds
- Baby has chest contractions suggesting severe difficulty in breathing
- Baby began gasping after coming from outdoors or due to exposure to a substance, such as aerosol spray
- Baby started gasping after eating a food item
Ways To Reduce Gasping In Babies
Knowing the cause may help reduce gasping in babies, especially in cases of infections. The following interventions could reduce and prevent gasping in babies.
- Feed the baby in the right position to prevent reflux. You may hold the baby in your arms for some time after feeding them. For bottle-fed babies, you may hold the bottle in a horizontal position. It mimics breastfeeding as the milk drips down slowly from the bottle. This is known as paced bottle feeding. Speak to the pediatrician and change the formula milk to check if it helps relieve reflux.
- Always put the babies to sleep on their back. It reduces the risk of choking on any regurgitated milk. It also reduces the risk of sudden infant death syndrome (SIDS).
- Vaccinate your baby as per the pediatrician’s recommendations. Although vaccines are not foolproof, they may help prevent several respiratory tract infections that often cause gasping.
- Use saline drops to clear their noses and keep their airways open. Speak to a pediatrician who may show you the right way to clear the baby’s nose.
- Avoid exposure to any second-hand cigarette smoke and vehicular smoke. If your baby has allergies or asthma, keep them away from potential allergens.
- Use a cool-mist humidifier if the air is dry, such as during winters. Moist air could make breathing easier for a baby.
- If you notice any symptoms of conditions such as sleep apnea and laryngomalacia, seek timely treatment.
Frequently Asked Questions
1. Why does my baby gasp for air after feeding?
A baby could be gasping for air in between or after feeding due to laryngomalacia. The condition could make it difficult for babies to breathe during feedings, resulting in increased wheezing or squeaking (12).
2. Why do babies gasp for air after crying?
A baby might hold their breath for a minute while crying, making them gasp for air afterward. Although this might worry a parent, it is mostly harmless. However, consult a pediatrician if these breath-holding episodes are frequent or last more than a minute (13).
You may be concerned when you see your baby gasp for air. Babies may usually gasp for air during sleep if they have respiratory tract infections, persistent reflux disorders, cough, exposure to airborne allergens, or other medical conditions. You may try homecare tips such as avoiding allergy triggers and practicing correct feeding positions to prevent this condition from recurring. Nonetheless, get your baby evaluated by a medical professional if they display signs of fatigue, fever, pale skin, or severe breathing problems, which may lead to complications.
Infographic: Can A Baby Choke On Mucus?
Babies usually vomit out excess mucus. However, mucus in a baby’s nose or throat may sometimes cause mild choking. Identifying the signs of choking in babies is important to start giving them first aid and avoid complications. The infographic below describes what you should do if your baby chokes on mucus.
- Newborn babies can gasp for air immediately after birth since their lungs are not yet ready.
- Gasping for air in babies can signify respiratory infection, asthma, laryngomalacia, secondhand smoke exposure, sleep apnea, and pertussis infection.
- Knowing the risks and taking preventive measures such as vaccinating and avoiding smoke exposure can prevent many causes of gasping of air in babies.
2. Brenda L Tesini Overview of Viral Respiratory Tract Infections in Children; MSD Manual
3. How to spot respiratory tract infections in children; British Lung foundation
4. Asthma in Infants and Young Children; Asthma and Allergy Foundation of America
5. Asthma in Infants; Asthma and Allergy Foundation of America
6. Laryngomalacia; Nationwide Children’s Hospital
7. Sleep Apnea in Babies Symptoms Diagnosis and Treatment; The Children\’s Mercy Hospital
8. Whooping Cough (Pertussis) in Children; University of Rochester Medical Center Rochester
9. Respiratory Distress Syndrome (RDS) in Premature Babies; Cedars Sinai
10. Meconium aspiration syndrome; US National Library of Medicine
11. Gastroesophageal Reflux Disease (GERD) in Infants; Nationwide Children’s Hospital
12. Laryngomalacia is my child’s noisy breathing serious? Cincinnati Children’s
13. Breath-holding in babies and children; NHS
Dr. Ritika Shah
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Dr. Arlene Dijamco(MD)
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