
A baby's breathing pattern can be a cause of concern for new parents. While it is normal for newborns to breathe fast while sleeping, there are certain signs that parents should watch out for to ensure their baby is breathing comfortably. Occasional irregularities like brief pauses or rapid breathing are common, but persistent fast breathing, grunting, flaring nostrils, or a bluish tint around the lips could be signs of respiratory distress and should not be ignored.
| Characteristics | Values |
|---|---|
| Normal breathing rate for a newborn while awake | 40-60 breaths per minute |
| Normal breathing rate during deep sleep | Less than 40 breaths per minute |
| Normal breathing rate during REM sleep cycles | May pause for 5-10 seconds, followed by rapid breathing of 40-60 breaths per minute for 10-15 seconds |
| Reasons for rapid breathing | Crying, playing, crawling, hot weather, illness, lung infection, aspiration, physical injury, respiratory distress, asthma, bronchiolitis |
| Signs of respiratory distress | Consistent fast breathing (over 60 breaths per minute), grunting, flaring nostrils, bluish tint around the lips, pulling in chest muscles, causing ribs to become more visible |
| When to seek medical help | If the baby is ill, has a bluish tint to the skin, has stopped breathing, or is not responsive, immediately begin CPR and call emergency services |
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What You'll Learn
- This could be periodic breathing, a common phenomenon among newborns
- Irregular breathing could be a sign of respiratory distress
- Babies breathe faster when they're hot
- A baby's breathing rate may increase when they cry
- If you're concerned, monitor your baby over a few hours and contact a doctor if worried

This could be periodic breathing, a common phenomenon among newborns
It is understandable to be concerned about your baby's breathing pattern, especially when they are sleeping. One of the reasons for your baby's fast breathing could be periodic breathing, which is quite common among newborns.
Periodic breathing is characterised by brief pauses in breathing followed by rapid breathing. Specifically, a newborn's breathing may stop for 5 to 10 seconds and then resume more rapidly, reaching 40 to 60 breaths per minute, before slowing down again to a normal rate. This phenomenon is usually not indicative of any underlying health issues, and most babies outgrow it in their first few months of life.
During sleep, a newborn's breathing rate typically decreases to less than 40 breaths per minute, and occasional irregularities, such as brief pauses or rapid breathing, are normal. However, certain signs may indicate abnormal breathing. Watch out for consistent fast breathing of more than 60 breaths per minute, grunting, flaring nostrils, or a bluish tint around the lips, as these could be signs of respiratory distress, which requires immediate medical attention.
If you are concerned about your baby's breathing or notice any unusual symptoms, it is always best to contact your paediatrician or seek medical advice.
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Irregular breathing could be a sign of respiratory distress
It is normal for newborns to breathe faster for a few seconds and then slow down their breathing, especially during sleep. This is called periodic breathing and is common among newborns. It can occur while asleep and in a quiet alert state. It is not usually a cause for concern and most babies outgrow it in the first few months of life.
However, irregular breathing could be a sign of respiratory distress, which is a medical emergency. Respiratory distress means that the baby is struggling to breathe and it can become life-threatening if left untreated. Signs of respiratory distress include rapid or irregular breathing, with a rate of more than 60 breaths per minute. Other signs to look out for include grunting, flaring nostrils, a bluish tint around the lips, and pulling in their chest muscles to breathe, causing the ribs to become more visible. Overheating can also cause rapid breathing and is dangerous as it may lead to dehydration and other problems. If your baby is overheated, move them to a cooler area and give them formula or allow them to nurse. If they continue breathing rapidly, call a doctor.
If your baby is ill with a respiratory infection, there may be a change in their breathing rate. Lung infections, aspiration (when a baby inhales fluid), and physical injuries to the lungs or respiratory system can all cause breathing difficulties in babies. Additionally, certain illnesses and conditions, such as prematurity and heart defects, can make it hard for babies to breathe. If your baby displays any signs of respiratory distress or breathing difficulties, seek immediate medical attention.
It is important to monitor your baby's breathing rate and pattern, as well as any changes in their colour or the use of other muscles and parts of the chest to breathe. If you are concerned or notice any unusual symptoms, contact your pediatrician or seek emergency care.
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Babies breathe faster when they're hot
It is common for newborns to breathe faster than older babies, children, and adults. Their breathing rate may be anywhere between 30 and 60 breaths per minute when they are awake. However, during sleep, their breathing rate may decrease to less than 40 breaths per minute. Occasional irregularities, such as brief pauses or rapid breathing, are normal and usually not a cause for concern.
Babies' breathing rates may increase when they are crying, playing, or exerting themselves, such as during crawling. This is usually harmless as long as their breathing returns to its regular rate. However, if a baby continues to breathe rapidly and their breathing does not return to normal, it may indicate that they are struggling to get enough air.
Babies who are hot may breathe faster. Overheating can be dangerous and may lead to dehydration and other problems. Therefore, it is important to keep young babies out of direct sunlight and hot temperatures, and to dress them in light layers. If a baby is breathing rapidly due to heat, they may not sweat or only sweat minimally. It is important to move them to a cooler area immediately and give them formula or allow them to nurse. If their breathing remains rapid despite these measures, it is important to call a doctor as it could indicate respiratory distress, a serious condition.
Periodic breathing, where a baby's breathing stops for a few seconds and then resumes with rapid breathing, is common among newborns and usually resolves within the first few months of life. During REM sleep cycles, a baby's breathing pattern can be irregular, with pauses of 5 to 10 seconds followed by rapid breathing for 10 to 15 seconds before returning to normal. This is typically not a cause for concern. However, if irregular breathing persists beyond six months, it is recommended to consult a pediatrician.
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A baby's breathing rate may increase when they cry
It is not unusual for a baby to breathe quickly while sleeping. This phenomenon is called periodic breathing and is common among newborns. It can occur while asleep and when the baby is in a quiet alert state. It’s not usually indicative of any underlying health issues, and most babies outgrow periodic breathing in the first few months of life.
Babies have smaller lungs, weaker muscles, and breathe mostly through their noses. As newborns, they are just learning to breathe, as in the womb, the umbilical cord delivered all their oxygen straight to their body via their blood. A baby’s respiratory system continues to develop throughout childhood, and changes in breathing rate depending on age or activity can be expected and are not always a reason for concern.
A newborn’s typical breathing rate while awake is between 40 and 60 breaths per minute. During deep sleep, their breathing rate may decrease to less than 40 breaths per minute. While occasional irregularities, like brief pauses or rapid breathing, are common, certain signs may indicate abnormal breathing.
If you are concerned about your baby's breathing, contact your paediatrician if you notice any of the following symptoms:
- Breathing consistently at more than 60 breaths per minute
- A pulling or tugging around the ribs when breathing, with an appearance of working hard to catch their breath
- Breath-holding episodes that last more than 20 seconds
- Grunting, flaring nostrils, or a bluish tint around the lips
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If you're concerned, monitor your baby over a few hours and contact a doctor if worried
If you're concerned about your baby's breathing, it's important to monitor them over a few hours and take note of any unusual behaviours. This can help you determine whether your baby is sick or if their breathing pattern is simply adjusting. Here are some guidelines to follow:
Monitoring Your Baby's Breathing
- Observe your baby's breathing rate and look for any signs of change from their usual pattern. Newborns typically breathe at a rate of 40 to 60 breaths per minute while awake and around 30 to 40 breaths per minute during sleep.
- Pay attention to any consistent fast breathing exceeding 60 breaths per minute, which may indicate abnormal breathing.
- Notice any physical signs of respiratory distress, such as grunting, flaring nostrils, or a bluish tint around the lips.
- Keep your baby in a cool environment and dress them in light layers to prevent overheating, which can cause faster breathing.
- Monitor your baby's sleeping position and avoid the use of sleep positioners or wedges, as these can increase the risk of Sudden Infant Death Syndrome (SIDS).
Contacting a Doctor or Seeking Emergency Care
- If you notice any signs of respiratory distress, such as your baby pulling in their chest muscles and ribs while breathing, seek immediate medical attention.
- Contact your doctor if your baby is ill and experiencing respiratory issues, such as a respiratory infection or congestion.
- If your baby's breathing does not improve or they appear to be working hard to catch their breath, consult a doctor or visit an immediate care facility.
- In cases of severe breathing difficulties, call 911 or your local emergency services. This includes situations where your baby has a blue or grey tinge to their skin, has stopped breathing, or is not responsive.
Remember, it's always better to be cautious when it comes to your baby's health. If you have any concerns, don't hesitate to reach out to your healthcare provider for guidance and support.
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Frequently asked questions
A baby’s respiratory system continues to develop throughout childhood. Changes in breathing rate depending on age or activity can be expected and are not always a reason for concern. However, you should contact your pediatrician if you notice any of the following symptoms: breathing more than 60 breaths per minute, grunting, flaring nostrils, a bluish tint around the lips, pulling in their chest muscles to breathe, or a pause in breathing for more than 20 seconds.
If your 4-month-old is breathing fast while sleeping, you should first monitor them over a few hours to see if their breathing returns to a regular rate. If their breathing remains rapid or becomes more laboured, move them to a cooler area, give them formula or allow them to nurse, and call your doctor.
If your 4-month-old is having significant difficulty breathing, has a bluish tint to their lips or skin, or has stopped breathing for 15 seconds or more, you should immediately seek emergency medical care by calling 911 or your local emergency services.





















