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May 3, 2024

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Parents are often advised to burp their babies after feeding them. Some people think burping after feeding is important to reduce or prevent discomfort crying, or to reduce how much a baby regurgitates milk after a feed.

It is true babies, like adults, swallow air when they eat. Burping releases this air from the top part of our digestive tracts. So when a baby cries after a feed, many assume it’s because the child needs to “be burped”. However, this is not necessarily true.

Why do babies cry or ‘spit up’ after a feed?

Babies cry for a whole host of reasons that have nothing to do with “trapped air”.

They cry when they are hungry, cold, hot, scared, tired, lonely, overwhelmed, needing adult help to calm, in discomfort or pain, or for no identifiable reason. In fact, we have a name for crying with no known cause; it’s called “colic”.

“Spitting up” – where a baby gently regurgitates a bit of milk after a feed – is common because the muscle at the top of a newborn baby’s stomach is not fully mature. This means what goes down can all too easily go back up.

Spitting up frequently happens when a baby’s stomach is very full, there is pressure on their tummy or they are picked up after lying down.

Spitting up after feeding decreases as babies get older. Three-quarters of babies one month old spit up after feeding at least once a day. Only half of babies still spit up at five months and almost all (96%) stop by their first birthdays.

Does burping help reduce crying or spitting up?

Despite parents being advised to burp their babies, there’s not much research evidence on the topic.

One study conducted in India encouraged caregivers of 35 newborns to burp their babies, while caregivers of 36 newborns were not given any information about burping.

For the next three months, mothers and caregivers recorded whether their baby would spit up after feeding and whether they showed signs of intense crying.

This study found burping did not reduce crying and actually increased spitting up.

When should I be concerned about spitting up or crying?

Most crying and spitting up is normal. However, these behaviours are not:

  • refusing to feed
  • vomiting so much milk weight gain is slow
  • coughing or wheezing distress while feeding
  • bloody vomit.

If your baby has any of these symptoms, see a doctor or child health nurse.

If your baby seems unbothered by vomiting and does not have any other symptoms it is a laundry problem rather than something that needs medical attention.

It is also normal for babies to cry and fuss quite a lot; two hours a day, for about the first six weeks is the average.

This has usually reduced to about one hour a day by the time they are three months of age.

Crying more than this doesn’t necessarily mean there is something wrong. The intense, inconsolable crying of colic is experienced by up to one-quarter of young babies but goes away with time on its own .

If your baby is crying more than average or if you are worried there might be something wrong, you should see your doctor or child health nurse.

Not everyone burps their baby

Burping babies seems to be traditional practice in some parts of the world and not in others.

For example, research in Indonesia found most breastfeeding mothers rarely or never burped their babies after feeding.

One factor that may influence whether a culture encourages burping babies may be related to another aspect of infant care: how much babies are carried.

Carrying a baby in a sling or baby carrier can reduce the amount of time babies cry.

Babies who are carried upright on their mother or another caregiver’s front undoubtedly find comfort in that closeness and movement.

Babies in slings are also being held firmly and upright, which would help any swallowed air to rise up and escape via a burp if needed.

Using slings can make caring for a baby easier. Studies (including randomised controlled trials) have also shown women have lower rates of post-natal depression and breastfeed for longer when they use a baby sling.

It is important baby carriers and slings are used safely, so make sure you’re up to date on the latest advice on how to do it.

So, should I burp my baby?

The bottom line is: it’s up to you.

Gently burping a baby is not harmful. If you feel burping is helpful to your baby, then keep doing what you’re doing.

If trying to burp your baby after every feed is stressing you or your baby out, then you don’t have to keep doing it. The Conversation

Karleen Gribble, Adjunct Associate Professor, School of Nursing and Midwifery, Western Sydney University and Nina Jane Chad, Research Fellow, University of Sydney School of Public Health, University of Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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  • My boys usually burped without any intervention on my part. I also used to think if I didn’t burp them then I was being a bad mother.

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  • We have had so many nights where the baby hasn’t burped and the results haven’t been pleasant !

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  • Interesting article. Burping has been passed on through our generation of mothers.

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  • Good read. When I was in hospital, the midwives were all for burping and would teach first time mothers different ways to do it.

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  • Very interesting!

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  • My son had colic for the first 12 months his life and it was hell. We burpee him when he was younger. It’s what everyone told us to do

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  • I tried to burp my kids most of the time, i got better second time around when i know how to do it technique wise. I thought it helped.

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  • I always burped my daughter. It would probably come about naturally but good to get it out of the way!

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  • I’d always feel better getting that big burp out.

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  • All babies are different and we did burp our babies.


    • They settled well after a big burp or two.

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  • I guess it goes back to every baby is an individual.

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  • I remember with my last baby my healthcare nurse told me that breastfeed babies don’t need to be burped as much as bottle feed babies because the take in less air .

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  • Intesting read. I did like to carry my babies in a sling.

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  • My babies always seemed more comfortable if I burped them.

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  • Interesting article!

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  • Fantastic article, thanks for sharing. I burped my daughter most of the time, but i do recall there were times when i didn’t and that is ok. I agree with this article it is a personal choice but important to speak to a doctor if you have any concerns.

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  • This is reassuring to read. I thought it must be odd that more often than not my baby doesn’t burp after a feed.

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  • Very interesting article. I spend a lot of time burping my twins. But they never spit up much.

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  • Mother here who had two “colicy” babies. Please encourage parents of “colic” babies to also see a health professional who understands “colic” babies. Colic is actually an outdated term now and support is needed to understand why the baby is distressed. Both my children were passed over by professionals who dismissed their issues as “colic” and it caused distress to everyone and my children suffered for longer than they needed to before receiving medical help.

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  • I think if a baby is showing discomfort after a feed, it’s best to try burping.

    Reply

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