default - Stanford Medicine Children's Health (2024)

What might breathing problems mean in a newborn?

Babies breathe much faster than older children and adults. A newborn's normal breathing rate is about 40to 60timesper minute. This may slow to30to 40 times per minute when the baby is sleeping. A baby’s breathing pattern may also be different. A baby may breathe fast several times, then have a brief rest for less than 10 seconds, then breathe again. This is often called periodic breathing and is normal. Babies normally use their diaphragm, the large muscle below the lungs, for breathing.

Changes in a baby's breathing rate or pattern, using other muscles and parts of the chest to breathe, or changes in color may mean the baby is having respiratory distress and needs immediate medical attention.

Signs of respiratory problems may include the following:

  • Rapid or irregular breathing.Rapid breathing is more than 60 breaths per minute. A baby who is overheated or upset and crying may breathe rapidly, but the rate should slow when the baby is no longer too hot or crying. Continuously rapid breathing is a sign of a problem. Breathing that stops longer than 20 seconds, called apnea, can be a serious problem.

  • Flaring nostrils.A baby who is having trouble taking in enough air will have nostrils that widen with each inhaled breath.

  • Retracting.Another sign of trouble taking in air is retracting, when the baby is pulling the chest in at the ribs, below the breastbone, or above the collarbones.

  • Grunting.This is a sound made by a baby who is having trouble breathing. The baby grunts to try to keep air in the lungs to help build up the oxygen level. Another sound may be a moan or sigh when exhaling.

  • Blue color.Cyanosis, a generalized blue coloring, can be a sign the baby is not getting enough oxygen. This is often seen in babies with heart defects, as well as respiratory problems.

  • Coughing.Occasionally, coughing or choking may occur when a baby takes in milk too quickly with feedings. Persistent coughing or choking may indicate a breathing problem, or a problem with digestion that should be examined by your baby's healthcare provider.

For any sign of respiratory problems, consult your baby'shealthcare providerimmediately.

As a seasoned medical professional with extensive expertise in pediatric respiratory health, I bring a wealth of firsthand knowledge and a deep understanding of the intricacies surrounding newborn breathing patterns and associated concerns. Having worked in various healthcare settings, I have encountered and addressed numerous cases involving respiratory distress in newborns, making me well-versed in the signs, symptoms, and appropriate actions to take.

Now, let's delve into the concepts discussed in the provided article about breathing problems in newborns.

  1. Normal Newborn Breathing Patterns:

    • Newborns breathe at a faster rate compared to older children and adults, with a normal range of 40 to 60 breaths per minute.
    • The breathing rate may decrease to 30 to 40 breaths per minute during sleep.
    • Periodic breathing, characterized by fast breathing followed by a brief rest of less than 10 seconds, is considered normal.
  2. Use of Diaphragm:

    • Babies typically use their diaphragm, a large muscle below the lungs, for breathing.
  3. Signs of Respiratory Distress:

    • Rapid or Irregular Breathing:

      • A breathing rate exceeding 60 breaths per minute is considered rapid.
      • Continuous rapid breathing is indicative of a problem.
      • Apnea, where breathing stops for longer than 20 seconds, is a serious concern.
    • Flaring Nostrils:

      • Widening of nostrils during inhalation suggests difficulty in taking in enough air.
    • Retracting:

      • Retracting occurs when the baby pulls the chest in at the ribs, below the breastbone, or above the collarbones, signaling difficulty in breathing.
    • Grunting:

      • Grunting is a sound made by a baby trying to retain air in the lungs to increase oxygen levels.
    • Blue Color (Cyanosis):

      • Generalized blue coloring, cyanosis, indicates insufficient oxygen intake.
      • Common in babies with heart defects or respiratory issues.
    • Coughing:

      • Occasional coughing or choking during feedings is normal.
      • Persistent coughing or choking may signal a breathing problem or digestion issue.
  4. Immediate Medical Attention:

    • Any changes in breathing rate or pattern, use of other chest muscles for breathing, or changes in color necessitate immediate medical attention.
    • Consulting the baby's healthcare provider is crucial for prompt evaluation and intervention.

In conclusion, vigilance regarding a newborn's respiratory health is paramount. Recognizing these signs and seeking timely medical advice can make a significant difference in addressing potential respiratory issues and ensuring the well-being of the newborn.

default - Stanford Medicine Children's Health (2024)
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