Why Is My Baby Coughing And Sputtering While Breastfeeding?

Many parents may find themselves concerned or puzzled when their baby starts coughing and sputtering while breastfeeding. This common occurrence can be attributed to several reasons, including oversupply of breast milk.

Oversupply of Breast Milk

One of the main reasons behind a baby coughing and sputtering during breastfeeding is an oversupply of breast milk. When there is an excessive milk flow, the baby may struggle to keep up with the fast flow, leading to coughing and sputtering as they try to manage the volume of milk entering their mouth.

Signs of Oversupply

Signs of oversupply in infants can include gulping, coughing, choking, or sputtering during feedings. The baby may frequently detach from the breast, exhibit fussiness between feedings, and seem to cue for feeds more often, even if they have consumed an adequate amount of milk.

Forceful Letdown

Another related factor is a forceful letdown, where the milk is ejected from the breast too quickly for the baby to handle. This forceful flow of milk can overwhelm the infant, causing them to cough and sputter in an attempt to manage the flow.

Positioning During Feeding

Improper positioning during breastfeeding can also contribute to coughing and sputtering in babies. Ensuring that the baby is positioned correctly and is latched on properly can help reduce the likelihood of coughing episodes during feeding sessions.

Air Swallowing

When a baby coughs and sputters during breastfeeding, they may inadvertently swallow air along with the milk. This can lead to gassiness and discomfort for the baby, causing additional distress during feeding times.

Reflux

Reflux, a common condition in infants where stomach contents flow back up into the esophagus, can also manifest as coughing and sputtering during breastfeeding. It’s essential to consult with a healthcare provider if reflux is suspected to address any underlying issues.

Milk Protein Allergy

In some cases, a baby’s coughing and sputtering while breastfeeding could be attributed to a milk protein allergy. If the infant is allergic to a component of breast milk, they may exhibit symptoms such as coughing, spitting up, and irritability during feedings.

Lactose Overload

Lactose overload, a condition where the baby consumes a high volume of foremilk (the milk at the beginning of a feeding session), can lead to symptoms like coughing and sputtering. Balancing the intake of hindmilk (the richer milk at the end of a feeding) can help alleviate this issue.

Comfort Nursing

At times, a baby may cough and sputter during breastfeeding due to comfort nursing rather than hunger. The baby may exhibit these behaviors as a way to soothe themselves or seek comfort from the act of breastfeeding.

Seeking Support

If you notice your baby coughing and sputtering frequently during breastfeeding, it’s essential to seek support from a lactation consultant or healthcare provider. They can offer guidance and assistance in identifying the underlying cause and implementing strategies to address the issue.

Why Is My Baby Coughing And Sputtering While Breastfeeding?

Conclusion

In conclusion, the reasons behind a baby coughing and sputtering while breastfeeding can vary from oversupply of breast milk to positional issues and potential allergies. By understanding the possible causes and seeking appropriate assistance, parents can work towards ensuring a comfortable and successful breastfeeding experience for both the baby and themselves.

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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).