Newborn Sleep: Rapid Breathing And What It Means

do newborns breathe fast in their sleep

Newborns typically breathe faster than adults, at a rate of 40 to 60 times per minute. During sleep, their breathing may slow down to 20 to 30 breaths per minute. It is common for newborns to experience periodic breathing, where their breathing stops for 5 to 10 seconds, followed by rapid breathing of 40 to 60 breaths per minute for 10 to 15 seconds. While this rapid breathing is usually not a cause for concern, it's important to monitor your newborn for any signs of respiratory distress, such as grunting, cyanosis, or persistent coughing, as these could indicate a breathing problem or other health issues.

Characteristics Values
Normal breathing rate 40-60 times per minute
Breathing rate during sleep 20-40 times per minute
Occasional pause in breathing during sleep 5-10 seconds
Rapid breathing after the pause 40-60 times per minute for 10-15 seconds
Breathing rate when crying or upset More than 60 breaths per minute
Signs of respiratory distress Grunting, wheezing, whistling, persistent coughing or choking, discoloration on skin/lips, pulling in chest muscles to breathe

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Newborn breathing rates

Newborns breathe much faster than older children and adults. A newborn's normal breathing rate is about 40 to 60 times per minute. This may slow to 20 to 40 times per minute when the baby is sleeping. A newborn's breathing pattern may also be different from that of an adult. A baby may breathe fast several times, then have a brief rest for less than 10 seconds, and 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.

Periodic breathing can occur while a newborn is asleep or in a quiet alert state. It is not usually indicative of any underlying health issues, and most babies outgrow periodic breathing in the first few months of their life. During an infant's REM sleep cycles, their breathing pattern can be irregular or even include a pause for 5 to 10 seconds. These pauses are followed by a period of rapid breathing that lasts 10 to 15 seconds, before returning to a normal rate.

Changes in a baby's breathing rate or pattern, using other muscles and parts of the chest to breathe, or changes in colour may mean the baby is having respiratory distress and needs immediate medical attention. Signs of respiratory distress may include rapid or irregular breathing, grunting, wheezing, whistling, or a persistent cough or choke. A baby who is overheated or upset and crying may also breathe rapidly, but the rate should slow when the baby is no longer too hot or upset.

If you are concerned about your newborn's breathing, monitor them over a few hours and watch closely for signs of change. Take a video of any worrisome behaviour to show a doctor. You may be able to communicate with a doctor or pediatrician online or through an app for faster communication. In a medical emergency, you should call your local emergency services number or take your newborn to the nearest emergency room.

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Signs of respiratory distress

It is normal for newborns to breathe faster than adults, with a normal respiratory rate of 40 to 60 breaths per minute. This may slow to 30 to 40 breaths per minute when the baby is sleeping. A newborn's breathing pattern may also be different from that of an adult. A newborn 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.

However, changes in a baby's breathing rate or pattern, using other muscles and parts of the chest to breathe, or changes in colour may be signs of respiratory distress. Here are some signs to look out for:

  • Rapid or irregular breathing: 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.
  • Nasal flaring
  • 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.
  • Cyanosis: A generalized blue colouring can be a sign that the baby is not getting enough oxygen. This is often seen in babies with heart defects, as well as respiratory problems.
  • Coughing or choking: Persistent coughing or choking may indicate a breathing problem or a problem with digestion.
  • Lethargy
  • Poor feeding
  • Hypothermia
  • Hypoglycaemia

If you notice any of these signs, consult your baby's healthcare provider immediately.

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Sleeping positions

It is common for newborns to breathe faster than adults and older babies. This is because they have smaller lungs, weaker muscles, and are still learning to breathe, as they received oxygen through their blood via the umbilical cord while in the womb. Their typical breathing rate while awake is between 40 and 60 breaths per minute. During sleep, their breathing rate may decrease to around 30 breaths per minute, or even less.

Periodic breathing, a common phenomenon among newborns, is characterised by a breathing pattern that alternates between fast and slow. During periodic breathing, a newborn's breathing may stop for 5 to 10 seconds, followed by rapid breathing of around 40 to 60 breaths per minute for 10 to 15 seconds. This is not usually indicative of any underlying health issues, and most babies outgrow periodic breathing in their first few months. It is important to familiarise yourself with your newborn's typical breathing pattern so that you can identify any changes or irregularities.

To ensure the best breathing support for your newborn, it is recommended that they are put to sleep flat on their back. This sleeping position remains the safest, even when they are sick, although it may be more difficult to settle them in this position when unwell. Sleeping on their back supports their breathing and allows you to monitor their breathing patterns and identify any signs of respiratory distress.

If you have any concerns about your newborn's breathing, it is important to contact a doctor or seek medical advice. Fast breathing may not always be a cause for concern, but certain signs may indicate abnormal breathing. These signs can include consistent fast breathing (over 60 breaths per minute), grunting, flaring nostrils, a bluish tint around the lips, wheezing, whistling, or coughing. Additionally, if your baby is sleeping with their mouth open, it is important to check for any signs of a blocked nose.

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Monitoring breathing

It is natural for newborns to breathe faster than adults, at a rate of 40 to 60 breaths per minute. While asleep, their breathing rate may slow to 20 to 30 breaths per minute. Newborns may also experience periodic breathing, where their breathing stops for up to 10 seconds, followed by rapid breathing of up to 60 breaths per minute for 10 to 15 seconds. This is considered normal and is not usually a cause for concern. However, if you are concerned about your newborn's breathing, it is important to monitor them closely and seek medical advice if necessary.

Recognising Normal Breathing

To recognise normal breathing in your newborn, you should first familiarise yourself with their typical breathing pattern when they are healthy and relaxed. This will help you identify any changes or deviations from their normal breathing pattern. Observe your newborn closely and learn about their typical behaviour to establish a baseline for their breathing rate and pattern. This is especially important in the early weeks and months, as newborns' breathing patterns can vary and change as they adjust to life outside the womb.

Signs of Respiratory Distress

While rapid breathing in newborns is not always a cause for concern, there are several signs and symptoms that may indicate respiratory distress or other breathing problems. These include:

  • Grunting: Grunting is a sound made by a baby who is trying to keep air in their lungs to increase oxygen levels.
  • Moaning or sighing while exhaling.
  • Cyanosis: A generalised blue colouring of the skin, lips, or mucous membranes, indicating a lack of oxygen.
  • Persistent coughing or choking: This may be a sign of breathing problems or digestion issues and should be evaluated by a healthcare provider.
  • Retractions by the windpipe or belly: Visible pulling in of the chest muscles, causing the ribs to become more prominent during breathing.
  • Wheezing or whistling: Unusual sounds during inhalation or exhalation.
  • Discomfort: Signs of distress or discomfort, such as crying or restlessness, may indicate breathing difficulties.

When to Seek Medical Advice

If you notice any of the above signs of respiratory distress, or if your newborn is breathing faster than their usual rate, it is important to seek medical advice promptly. Contact your paediatrician or healthcare provider, or visit an immediate care facility or emergency room, depending on the severity of the symptoms. Additionally, if your newborn is sick or exhibits any unusual behaviour, it may be best to consult a doctor for further evaluation and guidance. Remember, it is always better to err on the side of caution when it comes to your newborn's health.

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When to seek medical help

It is important to familiarize yourself with your newborn's typical breathing pattern while they are healthy and relaxed. This can help you notice if anything changes. A newborn's normal breathing rate is between 40 to 60 times per minute, and this may slow to 20 to 40 times per minute when the baby is sleeping.

  • If your baby is breathing more than 60 breaths per minute, you should call a doctor.
  • Signs of respiratory distress, such as rapid or irregular breathing, wheezing, whistling, or grunting while breathing, indicate a medical emergency.
  • If your baby is pulling in their chest muscles to breathe, causing the ribs to become more visible, you should see a doctor immediately.
  • Cyanosis, a generalized blue coloring, can be a sign that the baby is not getting enough oxygen. This may be seen in babies with heart defects or respiratory problems.
  • Persistent coughing or choking may indicate a breathing problem or a problem with digestion that should be examined by a healthcare provider.
  • If your newborn is sick, you may want to contact a doctor. It can be difficult to tell how sick a newborn is, so it is recommended to monitor them over a few hours and take a video of any worrisome behavior to show a doctor.

Frequently asked questions

Yes, newborns typically breathe faster than adults, at a rate of 40 to 60 breaths per minute. During sleep, their breathing may slow down to 20-30 breaths per minute.

Periodic breathing is a common phenomenon among newborns, where their breathing pattern becomes irregular with pauses of 5 to 10 seconds, followed by rapid breathing of 40 to 60 breaths per minute for 10 to 15 seconds. This is not usually a cause for concern and most babies outgrow it in a few months.

While fast breathing is normal for newborns, you should monitor them for any signs of respiratory distress, such as grunting, wheezing, or retractions by their windpipe or belly. If your newborn is sick, contact a doctor. Seek immediate medical attention if they are breathing more than 60 breaths per minute or show signs of respiratory distress.

It is important to familiarize yourself with your newborn's typical breathing pattern when they are healthy and relaxed. This way, you can notice any changes or deviations from their normal breathing rate and pattern. You can also use monitoring technology, such as the Nanit Pro Camera, to keep a close eye on their breathing and sleep patterns.

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