Thanks for your question. You are far from the first mom who worries about her baby spitting up a fountain after feeding.
Moreover, they often call it vomiting, and it is in this context that they ask me the question: “My baby vomits after every feeding. I’m terrified. What to do?”
You know in due time, when my children were young, I was worried about it too. Let’s figure out together today why babies have regurgitation with a fountain, and whether it is worth worrying about.
What does spitting up mean in infants?
First, let’s figure out the phenomenon of spitting up by a fountain in newborns, and whether it is worth being afraid of.
Regurgitation is a habitual belching for all of us, in which excess air comes out. In babies, this is accompanied by the release of a certain amount of milk eaten.
Don’t be afraid that your little one will go hungry every time they vomit. This is absolutely not the case. All that he needs for full growth and development, he receives in full.
The reason for regurgitation by a fountain is the imperfection of the gastrointestinal tract in babies, as well as other organs that continue to develop after birth and may not yet fully function.
Regurgitation can be in the form of the original milk that the baby ate, or in the form of a curdled mass with a sour odor.
In the first case, milk passed through the esophagus and had not yet had time to enter the stomach, in the second, it entered the gastrointestinal tract, and had already managed to curdle.
Rate and deviations
And now that we have found out that spitting up with a fountain in newborns is a normal, natural process, let’s figure out the norms of spitting up in newborns and deviations from them.
It is considered normal if the baby spits up every time after eating. 1-2 teaspoons is the norm.
Moreover, regurgitation by a fountain also belongs to the normal physiological process in infants. It is considered quite normal if this happens once a day.
A fountain – this means when the amount of regurgitation exceeds the volume of frequent belching that occurs after each meal of the baby.
The normal volume of profuse regurgitation, that is, “fountain” – is 3 tablespoons. The child may spit up:
- in between feedings;
- while dressing;
- and even when he sucks.
All this is normal. The kid belches up, and continues to suck milk further, as if nothing had happened.
And, of course, you must understand that you should not meticulously measure the amount spit up by spoons. These are indicators that you should be guided by, and if suddenly it is not 3, but 3.5 or closer to 4 spoons, then this is also quite normal.
To make you less worried about whether your baby is spitting up within normal limits or not, pour 1 spoonful of water onto a cloth.
The size of the resulting stain should match that of your baby. From this and make a start. Remember, it can be 2 or 3 spoons.
Attention ! All of the above norms apply to children aged 1 to 4 months.
Such manifestations begin in infants about 14-30 days after birth. By the end of the first month, regurgitation becomes more frequent, the volume of food given back increases.
Closer to 6 months, this physiological phenomenon manifests itself less often and to a lesser extent or disappears altogether. Less often, regurgitation continues to be observed in babies and at an older age (8-9 months), which is also normal.
Here are three main indicators that tell you everything is fine, there is nothing to worry about, and you can sleep soundly:
- Your baby pees at least 12 times a day.
- Gains weight in accordance with the norms: 150-200 g per week.
- He is in a good mood, smiles at you, and if he is naughty, then not often.
Deviations from the norm are considered:
- if your child pisses little (less than 12 times a day);
- poorly gaining weight, which significantly deviates from the indicators of the norm;
- spits up not only after feeding or a couple of times between meals, but much more often;
- each regurgitation is very profuse, and more like a “fountain” vomit.
In this case, you should contact your pediatrician and neurologist. A visit to an osteopath also gives good results.
Most of the mothers who study in my courses, I send it to this specialist, and they quickly forget about the baby’s regurgitation.
In addition to natural physiological reasons, there are other factors that affect the regurgitation of a fountain in newborns. For example, swallowing air while sucking on the breast.
Important! Swallowing air can be caused by excessive excitability of the baby while sucking. He opens his mouth wide, which contributes to the ingress of excess air inside.
In addition, the baby may not properly latch on to the breast: the areola does not completely enter the baby’s mouth.
What can be done to reduce regurgitation?
If, nevertheless, your baby spits up more often and more profusely, then try to adhere to the following rules:
- Do not feed your baby when he is agitated:
- is capricious.
Calm down first, then offer the breast. And of course, do not bring the child to such a state. Respond to his needs in time.
To create the right conditions for your baby, in which he will be as relaxed and calm as possible.
- Make sure that the baby is correctly latching on to the breast.
The child’s mouth should have an areola about 3–5 cm in diameter, and the upper and lower lips should be turned outward.
- If you see that the baby was sucking restlessly and could swallow air, you can hold it with a column for 5-10 minutes.
But normally, such wearing is not required for the child, many children fall asleep while sucking the breast and raising it in a posture in a column can wake and disturb the baby.
However, a friend of mine, who recently gave birth to 4 children, said that even with her breastfeeding experience, it was sometimes helpful to hold the baby upright, and this was very reassuring to him. Try it.
As you can see, frequent spitting up in newborns is a completely natural physiological process, which mostly takes place at the age of 6-12 months.
If the regurgitation is excessive, the child against this background does not gain weight well, looks emaciated, often cries and sleeps little, consult a doctor for an in-person consultation.