Why Does My Newborn Cough While Breastfeeding?

When you witness your newborn coughing while breastfeeding, it can be concerning as a parent. However, it’s essential to understand that there can be various reasons behind this common occurrence.

1. Gas and Spit Ups

One possible reason for your newborn coughing during breastfeeding could be related to gas and frequent spit-ups. Babies who are gassy may struggle with proper latching and swallowing while feeding, leading to coughing episodes.

2. Overactive Milk Ejection Reflex (OMER)

Another factor to consider is the presence of an Overactive Milk Ejection Reflex (OMER). This condition results in a strong and forceful milk flow during breastfeeding, which can sometimes overwhelm the baby and cause coughing or choking.

3. Swallowing Difficulties

Some newborns may experience difficulties with swallowing properly while nursing, leading to coughing as they try to manage the milk flow. It’s important to observe your baby’s feeding patterns to identify any potential issues.

4. Positioning During Feeding

The way you position your baby during breastfeeding can also impact their ability to feed comfortably. Incorrect positioning may result in milk entering the airway and causing coughing. Ensure that your baby is in a proper and comfortable position while nursing.

5. Respiratory Infections

In some cases, coughing during breastfeeding could be a sign of a respiratory infection or illness in your newborn. If the coughing persists or is accompanied by other symptoms such as fever or difficulty breathing, it’s crucial to seek medical advice.

6. Allergies or Sensitivities

Your baby may also have allergies or sensitivities to certain foods or substances that you consume while breastfeeding. These reactions can manifest as coughing or respiratory discomfort during feeding.

7. Pacifier Use

If your baby is accustomed to using a pacifier, they may have developed a sucking pattern that differs from breastfeeding. This discrepancy can lead to coughing as they adjust to the milk flow during nursing sessions.

8. Let-Down Reflex

The let-down reflex, which triggers the release of milk during breastfeeding, can sometimes occur abruptly, causing your baby to cough in response to the sudden flow of milk. Monitoring the timing of this reflex may provide insights into your baby’s coughing episodes.

9. Teething Discomfort

Teething can be a challenging phase for infants, and the discomfort associated with emerging teeth may influence their feeding behavior. Coughing while breastfeeding could be a result of teething-related discomfort or irritability.

10. Environmental Factors

Consider the environment in which you nurse your baby. If there are factors such as strong odors, smoke, or dust present during feeding sessions, they could trigger coughing or respiratory responses in your newborn.

11. Smooth Transition

As your baby adapts to breastfeeding, coughing episodes may decrease over time as they become more accustomed to the feeding process. Patience and consistent feeding routines can aid in ensuring a smooth transition for your newborn.

Why Does My Newborn Cough While Breastfeeding?

12. Seeking Support

If you have concerns about your baby’s coughing episodes during breastfeeding, don’t hesitate to reach out to a lactation consultant or healthcare provider for guidance and support. They can offer valuable insights and recommendations tailored to your baby’s specific needs.

Photo of author

Nancy Sherman

Nancy Sherman has more than a decade of experience in education and is passionate about helping schools, teachers, and students succeed. She began her career as a Teaching Fellow in NY where she worked with educators to develop their instructional practice. Since then she held diverse roles in the field including Educational Researcher, Academic Director for a non-profit foundation, Curriculum Expert and Coach, while also serving on boards of directors for multiple organizations. She is trained in Project-Based Learning, Capstone Design (PBL), Competency-Based Evaluation (CBE) and Social Emotional Learning Development (SELD).