
Newborns tend to have irregular breathing patterns, alternating between fast and slow, with occasional pauses. They breathe a lot faster than older babies, kids, and adults, and their breathing may slow down to 30 breaths per minute while they sleep. As a new parent, it's important to familiarize yourself with your newborn's typical breathing pattern so that you can identify any changes. If you notice any irregular breathing or other warning signs, such as grunting while breathing or discoloration of the skin/lips, it's best to contact a doctor or visit an immediate care facility or emergency room, depending on the severity.
| Characteristics | Values |
|---|---|
| Normal breathing rate | 40-60 breaths per minute. Can slow down to 30-40 breaths per minute while sleeping. |
| Breathing rate at 6 months | 25-40 breaths per minute |
| Irregular breathing | Newborns can take rapid breaths, then pause for up to 10 seconds at a time. |
| Signs of distress | Grunting while breathing, wheezing, whistling, retractions by windpipe or belly, skin/lip discolouration |
| Sleeping position | On their back |
| Clothing | One extra layer than what an adult would wear for the weather |
| Sneezing | Common in newborns and not usually a concern |
| Hiccups | Common and can be caused by eating too quickly or swallowing air while feeding |
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What You'll Learn
- Newborn breathing patterns: 30-60 breaths per minute, slowing to 30-40 while sleeping
- Signs of distress: grunting, wheezing, whistling, retractions, lethargy, etc
- Sleep positions: On their back is safest, but can worsen stridor
- Newborn breathing noises: Stridor, sneezing, hiccups, etc
- When to call a doctor: If the baby is ill and grunting, or has a blue/grey tinge to the skin?

Newborn breathing patterns: 30-60 breaths per minute, slowing to 30-40 while sleeping
Newborns breathe a lot faster than older babies, children, and adults. Their normal breathing rate is between 30 to 60 breaths per minute, which can slow down to 30 to 40 breaths per minute while they sleep. This is very different from adult breathing patterns, which can be alarming for new parents. Within a few months, most of the irregularities in newborn breathing resolve themselves.
Newborns can breathe irregularly before developing a regular breathing pattern. Their breathing may slow down to 30 breaths per minute while they sleep. In periodic breathing, a newborn’s breathing may stop for 5 to 10 seconds and then begin again more rapidly — around 40 to 60 breaths per minute — for 10 to 15 seconds. They shouldn’t pause for more than 10 seconds between breaths, even when resting.
It is important to familiarize yourself with your newborn’s typical breathing pattern while they’re healthy and relaxed. This can help you notice if things ever change. You can also pay careful attention to your newborn’s typical breathing pattern. This way you can learn what’s usual for them — so you’ll be able to tell if something is different later.
Some newborn breathing conditions can occur at birth or within the first few hours that follow. In rare cases, snoring can be a sign of a chronic condition, such as sleep apnea or enlarged tonsils. Stridor is a constant, high-pitched sound that indicates airway obstruction. A sudden, low-pitched noise on an exhale usually signals an issue with one or both lungs. It can also be a sign of severe infection.
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Signs of distress: grunting, wheezing, whistling, retractions, lethargy, etc
It is important to pay careful attention to your newborn's typical breathing pattern so that you can identify any irregularities. Newborns typically take 30 to 60 breaths per minute, which can slow down to 30 to 40 breaths per minute while they sleep. They may also take rapid breaths and then pause for up to 10 seconds at a time.
Grunting
Grunting is a noise that babies make at the end of respiration to try to open up blocked airways. It usually indicates that there is leftover fluid or mucus from birth, which makes it harder for them to breathe and get enough oxygen into their lungs. If your baby is grunting while breathing, visit a doctor immediately.
Wheezing
Wheezing is a high-pitched whistling sound that can happen when a baby exhales. It is caused by a blockage in the small airways that come from the bronchi (the bronchioles). When detected with a stethoscope, doctors can determine if the sound originates from the smaller air sacs, which could indicate a viral infection or asthma. If you hear your child wheezing, seek medical attention immediately.
Whistling
A whistling noise is caused by a small blockage in the nostrils, which can be cleared by suctioning it out. The blockage makes it harder for the baby to breathe and can cause difficulty moving air in and out.
Retractions
Retractions are when the muscles in the baby's chest (under the ribs) and neck are visibly seen going in and out much more deeply than usual. This indicates that the baby is using accessory muscles to support their lungs during breathing.
Lethargy
Lethargy is a sign of slow breathing, which can occur when a baby has metabolic issues, toxic exposures, neurological issues, or fatigue from prolonged breathing. It can be accompanied by a pause in breathing for 20 seconds or more, which is an emergency requiring immediate medical attention.
If you notice any of these signs of distress, it is important to seek medical attention immediately. Trust your instincts and don't hesitate to contact a healthcare professional if you have any concerns about your newborn's breathing.
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Sleep positions: On their back is safest, but can worsen stridor
To determine whether your newborn is breathing while sleeping, it is important to first understand the typical breathing patterns of newborns. Newborns typically breathe between 30 to 60 times per minute, which can slow down to 30 to 40 breaths per minute while they sleep. They may also exhibit periodic breathing, taking rapid breaths and then pausing for up to 10 seconds. Within a few months, most irregularities in newborn breathing resolve on their own.
Now, let's discuss sleep positions and how they relate to newborn breathing and stridor:
Sleep positions play a crucial role in ensuring your newborn's safety and comfort while sleeping. According to the American Academy of Pediatrics (AAP), the back sleep position is the safest sleep position for all babies, including those born prematurely and those with reflux, until they are one year old. Sleeping on their back reduces the risk of Sudden Infant Death Syndrome (SIDS) and is generally recommended even if the baby seems more comfortable or sleeps more lightly on their stomach. This position also reduces the risk of choking, as the trachea sits on top of the esophagus, allowing fluids to be coughed up or swallowed more easily.
However, sleeping on their back can worsen laryngomalacia, a common condition in newborns where the tissues around the voice box soften and temporarily block the airway. This condition causes stridor, a constant high-pitched, noisy, or squeaky sound when the baby breathes. If your baby has laryngomalacia, you may notice that their breathing becomes more difficult or noisy when sleeping on their back. In this case, it is recommended to consult your healthcare provider for advice and symptom management.
It is worth noting that side sleeping is not recommended as babies can easily roll onto their stomachs, the position associated with the highest risk of SIDS. Once babies can roll over on their own, it is safe to leave them in the position they choose after initially placing them on their backs to sleep. Additionally, it is important to stop swaddling the baby once they start rolling over to reduce the risk of suffocation and entanglement.
In summary, while sleeping on their back is generally the safest position for newborns, it can worsen stridor caused by laryngomalacia. If you notice any breathing difficulties or persistent stridor, it is always best to consult your healthcare provider for personalized advice and treatment options.
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Newborn breathing noises: Stridor, sneezing, hiccups, etc
It is normal for newborns to breathe between 30 to 60 times per minute, which can slow down to 30 to 40 breaths per minute while they sleep. They can also take rapid breaths and then pause for up to 10 seconds at a time. This is very different from adult breathing patterns, which can be alarming for new parents. However, most irregularities in newborn breathing tend to resolve within a few months.
Newborns can make various breathing noises, and it's important to understand what these sounds might indicate. Here are some common newborn breathing noises and what they could mean:
Stridor
Stridor is a constant, high-pitched sound that indicates an airway obstruction. It can be caused by laryngomalacia, which occurs when a baby's larynx (voice box) is soft and floppy, temporarily blocking the airway when the baby breathes. Babies with laryngomalacia make a harsh, squeaky sound when breathing in, and this sound is called stridor. This condition usually improves by the time a baby turns one, and most babies with laryngomalacia do not have trouble breathing or feeding, although their breathing may be noisy.
Sneezing
Sneezing is common in newborns as they have smaller nasal passages and are still adjusting to breathing through their noses. It is their body's natural defence mechanism to clear germs and particles out of the nose. Occasional sneezing is typically not a cause for concern and does not necessarily mean the baby has a cold. However, if sneezing is accompanied by other symptoms like coughing, difficulty breathing, or a fever, it is advisable to consult a doctor.
Hiccups
Hiccups are common in newborns and can be caused by swallowing air while feeding or eating too quickly. They are usually not a cause for concern and may stop on their own or with breastfeeding or sucking on a pacifier. However, in some cases, hiccups may be a symptom of gastroesophageal reflux, which requires medical attention.
Other Breathing Noises
Other breathing noises in newborns can include grunting, wheezing, or whistling. These noises, along with skin/lip discolouration and signs of discomfort, could indicate a serious breathing problem. If you notice any of these symptoms, it is important to seek immediate medical advice.
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When to call a doctor: If the baby is ill and grunting, or has a blue/grey tinge to the skin
It is important to pay careful attention to your newborn's typical breathing pattern so that you can learn what is usual for them and be able to tell if something changes. Newborns can breathe rapidly and then pause for up to 10 seconds, which is very different from adult breathing patterns. Within a few months, most of these irregularities resolve themselves.
A newborn's normal breathing pattern is typically between 30 to 60 breaths per minute. This can slow down to 30 to 40 breaths per minute while they sleep. At 6 months, babies breathe about 25 to 40 times per minute.
If your baby is ill and grunting, or has a blue/grey tinge to their skin, you should call a doctor immediately. Grunting while breathing can indicate a serious breathing problem. A blue/grey tinge to the skin is called cyanosis and is often seen in babies with a heart defect, because the heart cannot pump oxygenated blood to the rest of the body. It can also be caused by breathing difficulties. Acrocyanosis is a normal form of cyanosis, where a baby's hands and feet are blue, which can occur right after birth and for several days after. It can also occur if the baby is cold, such as after a bath. However, if the blue colouring is on other parts of the body, this is not normal.
If your baby is experiencing cold symptoms such as a decreased appetite, irritability or difficulty sleeping, it is best to talk to a doctor to address any concerns and determine whether they may have an infection.
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Frequently asked questions
A newborn takes about 40 to 60 breaths each minute while awake. A normal breathing rate during newborn sleep is anywhere from 30 to 60 breaths per minute. If a baby breathes faster, it may indicate they are having some trouble breathing. Familiarize yourself with your newborn's typical breathing pattern so you can notice any changes.
Symptoms of newborn breathing conditions usually happen at birth or within the first few hours that follow. Common warning signs include: a blue or grey tinge to the skin, grunting, wheezing, whistling, or a sudden, low-pitched noise on exhale. If your newborn is sick and is grunting while breathing, visit a doctor immediately.
If you're concerned about your newborn's breathing, monitor them over a few hours. Take a video of any worrisome behaviour to show a doctor. If you have concerns, don't hesitate to contact a doctor or visit an immediate care facility or emergency room, depending on the severity.











































