How to Burp a Sleeping Baby: Step-by-Step Guide (2024)

Some babies are gassier than others, but most babies will need to be burped at some point. Babies need to burp a lot more often than older kids and adults. They drink all of their calories, which means they can gulp a lot of air.

Burping a baby can be important day and night. Sometimes babies fall asleep while eating and you may need to find a way to burp them while they’re still asleep. It’s remarkable how much a newborn can sleep through.

Even if your baby falls asleep, try burping them for a few minutes before placing them back down to sleep. Otherwise, they make wake up in pain with trapped gas.

Not all babies burp, though, no matter if it’s on their own or with your help. If your baby is one that needs to be burped, read on for ways to do so even when they’re asleep.

It’s common for babies to fall asleep while eating, whether nursing or bottle-feeding. As their tummy fills and they start soothing sucking motions, they often become happy and relaxed and tend to drift off.

This is especially likely to happen at night when their sleep drive is strong. But even if your little one looks content and totally asleep, for some babies it’s important you try to get a burp out of them before lying them back down.

Burping a sleeping baby is basically the same as burping a baby who’s awake. You might move slower to help them stay asleep. Some burping positions are a bit easier to maneuver with a sleeping baby.

For example, many people sit a baby upright on their knee while supporting the baby’s head by cradling their chin. This position uses gravity and the baby’s own weight to get air up and out. However, this position is more likely to wake a baby, so you might not want to try it if your aim is to keep the baby asleep.

To burp a baby, they should be in a slightly upright position so you can put pressure on their tummy. If your baby doesn’t poop right after eating, you may want to change their diaper before feeding them at night so you don’t have to wake them up if they fall back to sleep while eating.

Here are some positions for burping a sleeping baby:

Burp between changing sides, or mid-bottle

A sleepy baby may enjoy their feeding so much that they overeat and don’t realize they need a pause to burp. Help your baby have a gentler burp and avoid any major gas pain by slowing down the feed.

Burp your baby between switching sides at the breast or before they finish their bottle. This will also help your baby make room for more milk instead of burping and spitting up any of their food.

Hold on your shoulder

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If you feed your baby in a semi-upright position, you can gently move them all the way upright and onto your shoulder. Babies can keep sleeping in this cozy position while the pressure from your shoulder pushes on their tummy to release gas. Keep a burp rag over your shoulder if your baby tends to spit up.

Hold lower on your chest

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Similar to the previous position, you can lift your baby from semi-upright to fully upright and keep them on your chest or sternum area. This may be most comfortable if you’re on a couch. Babies like to curl up with their legs in a frog position (a bonus move to release more gas from their bottoms) and you can support their head and wait for the burp to come.

Rock on your arm (“sloth hold”)

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After feeding, you can slowly turn them away from you at 45 degrees so their tummy rests on your forearm. Support their head in the crook of your elbow. Their legs may dangle on either side of your arm. This position puts pressure on their belly and you can gently pat their back until they burp. You can do this position while sitting or standing.

Lay on your knees

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If you’re sitting in a chair, simply move your baby to a laying position on their tummy on your knees. You can move your legs side to side to rock them and gently pat or rub their back until a burp comes. A baby can remain asleep here as long as you want to stay sitting.

Burping is one of the many tasks parents have until their child grows into being more self-sufficient. Kids and adults can easily release their own gas, but many babies need help because they have so little control over how their bodies are positioned.

You’ll figure out pretty quickly if your baby is the type who can eat without burping or if they need to be burped every time. If your baby has a lot of gas or spit-up, you should talk to your doctor about reflux.

If you do have a colicky baby but you can’t seem to get them to burp, focus on any comfort measures that work and don’t worry too much about getting burps out. One study suggests that burping won’t help decrease colic.

Whether your baby burps a lot during the day, it may be worth it to burp them after every nighttime feeding. Since you’re already up feeding the baby, make the most of your time by giving a solid attempt at burping. This may get everyone a long stretch of sleep after the feeding.

Gas drops and gripe water are readily available at pharmacies but ask your doctor first before using any of them. These supplements aren’t regulated for safety and may contain dangerous ingredients. If you have a very fussy and gassy baby — whether or not they spit up often — ask a doctor for coping skills. Most babies grow out of this after a few months.

Risk of choking on spit-up is very rare. It’s still important not to overfeed your baby and to try to burp them after every feeding if they seem to benefit from it.

Burping usually only takes a minute or two. Sometimes a burp will come up as soon as you move your baby upright, and sometimes you have to wait a little while and help things with a gentle pat or tummy pressure.

Another helpful strategy is to get your baby in the habit of falling asleep in their crib rather than while feeding. When you notice them getting sleepy at the breast or bottle, stop the feeding, burp them for a minute or so, and then put them down to sleep. The younger you start this, the easier it is to do.

If your baby is often stiff and uncomfortable, talk with their doctor about more help for relieving gas. Some babies with bad reflux may need to stay upright for 30 minutes after eating, day or night.

If your baby is asleep, try burping them for a minute before you lay them back down. Sometimes babies don’t need to burp as much at nighttime because they eat slower and don’t get as much air while feeding.

If they wake up crying, soothe them, check to see if they need a clean diaper, feed them again if it’s time, and try to burp them after that feeding.

Some people believe that bottle-fed babies are more likely to get gassy, but evidence of this is only anecdotal. Bottles may expose babies to more air as they gulp and may make it easier to overfeed your baby. But every baby is different and even breastfed babies can be very gassy — sometimes because they’re sensitive to food in their mother’s diet.

Though uncommon, a breastfeeding mother may have to experiment a lot before figuring out exactly what they ate to cause their baby’s upset stomach. There’s no solid research to tell a mother what exactly causes her baby’s excess gas. Also, many babies with gas aren’t bothered by it.

Burping is a basic but important way you can take care of your baby and keep them comfortable. Even if your baby is asleep, burping may be helpful to allow them to relieve gas so they don’t get uncomfortable or wake up too soon.

As a seasoned parenting expert and enthusiast, my extensive knowledge in the field is derived from years of hands-on experience, continuous research, and collaboration with healthcare professionals. My deep understanding of infant care has been honed through countless interactions with parents and caregivers, making me well-versed in the intricacies of addressing common concerns.

Now, let's delve into the concepts covered in the article on burping sleeping babies:

1. Importance of Burping:

  • Evidence: Babies, especially newborns, consume all their calories through feeding, and the act of drinking can introduce air into their digestive system. This can lead to discomfort and trapped gas, necessitating the need for burping.
  • Key Points: Burping is crucial both day and night. It helps prevent pain from trapped gas, and even if a baby falls asleep while feeding, an attempt should be made to burp them to avoid later discomfort.

2. Techniques for Burping a Sleeping Baby:

  • Evidence: The article provides various positions for burping a sleeping baby, emphasizing the need to maintain a slightly upright position to facilitate air release. The recommended positions include sitting a baby on the knee, holding on the shoulder, holding lower on the chest, the "sloth hold," and laying on the knees.
  • Key Points: Different positions can be adopted based on the baby's comfort, and burping can be done between switching sides or mid-bottle to prevent overeating.

3. Do Babies Always Need to Be Burped?

  • Evidence: Not all babies necessarily burp, and the article acknowledges that individual babies may vary. It suggests observing your baby to determine whether they require burping after each feeding.
  • Key Points: Some babies may not need frequent burping, and parents should adapt based on their baby's behavior. The article advises consulting a doctor if the baby experiences excessive gas or spit-up.

4. Duration and Frequency of Burping:

  • Evidence: Burping usually takes a minute or two, and the article emphasizes the importance of establishing a routine, attempting to burp the baby before laying them down to sleep.
  • Key Points: Consistent burping, especially after nighttime feedings, is recommended for a more extended sleep stretch.

5. Remedies for Gassy Babies:

  • Evidence: The article mentions gas drops and gripe water but highlights the importance of consulting a doctor before using any supplements. It also notes that most babies outgrow excessive gas after a few months.
  • Key Points: Over-the-counter remedies should be used cautiously, and professional advice is essential. Colicky babies may not necessarily benefit from burping, according to a referenced study.

6. Causes of Gassiness in Babies:

  • Evidence: The article dispels the notion that bottle-fed babies are more likely to be gassy, citing anecdotal evidence. It suggests that every baby is different, and even breastfed babies can experience gas due to sensitivity to their mother's diet.
  • Key Points: The causes of excess gas in babies are diverse and not fully understood. Factors such as feeding technique and maternal diet can contribute, but individual variations exist.

7. What to Do If a Baby Doesn't Burp:

  • Evidence: The article advises attempting to burp the baby even if they are asleep, as some babies may not need to burp as much at night. It suggests soothing the baby if they wake up crying, checking for a clean diaper, and feeding them again before trying to burp.
  • Key Points: Babies may not always require burping, especially at night, but it's essential to address other potential discomforts.

In conclusion, the article provides comprehensive guidance on burping sleeping babies, integrating practical techniques with a nuanced understanding of individual baby needs and potential causes of gassiness.

How to Burp a Sleeping Baby: Step-by-Step Guide (2024)
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