● Is it for nothing to spit up?
● How many times a day is it normal to spit up?
● How do you still vomit after a good burp?
● Why don't other babies spit up, and our family often vomits?
Xiao Yue found that there are often novices in the background about the baby's spitting up milk There are various anxiety problems, so is it a problem with the feeding method, or is the baby sick?
Today let's talk to everyone about the baby's "spitting milk" ~ The content is super dry, remember to take notes!
●It is normal for babies to spit up milk●
"Spitting milk" is a very common phenomenon in infancy and early childhood.
According to a North American statistic, we can see ↓↓↓
● 51% of infants spit up/leak milk 1-3 times a day at 0-3 months, and 17% of them have more than 4 leaks or spit up milk per day;
● 65% of infants spit up/leak milk 1-3 times a day at 4-6 months, and 25% of these infants have more than 4 leaks or spit up milk per day.
●Why does the baby spit up milk●?
Well, many people are confused again,
Spitting milk = leaking milk
The answer, of course, is no!
Milk leakage refers to the expression of milk coming out of the corners of the mouth and flowing out naturally. And the amount of milk leakage is usually very, very small, usually hanging around the baby's mouth, and may sometimes have a little milk flap.
Leaky milk is usually caused by incorrect feeding methods and frequent changes in position, such as putting the baby down after breastfeeding, or after the baby is sleeping, or after lifting the baby's lower limbs during diaper changes.
So if this is the case with your baby, don't be too nervous. Parents can prepare some small milk towels to put on the shoulders of adults and use them when burping.
Image from the Internet
Spitting up milk refers to the performance of the baby's diaphragm twitching and actively spitting out milk, also known as vomiting milk. So why does the baby spit up? What causes this to happen?
Internal factors lead to:
The baby's stomach is actually horizontal, and the baby's esophagus and cardia before the stomach are not yet mature.
That is to say, the muscles at the cardia are loose and do not close tightly, which will cause the food in the stomach to easily return to the esophagus and spit out of the mouth. The phenomenon of "spitting up milk" was formed.
External factors lead to:
In addition to the baby's own physiological factors, there is also a common cause of "spitting up" ↓↓
Because some mothers are always worried that the baby is not full, when breastfeeding, always consume too much amount, as long as the baby does not let go, can still eat in and let the baby eat. This can also easily cause your baby to spit up.
It can be said that spitting up milk is the most common gastrointestinal symptom of babies (under one year of age), which mostly occurs in 3-4 months after birth, and will slowly decrease with the age of months. Basically, it disappears after the age of 1.
●What should parents do when spitting up milk●
Baby spits up, what should parents do?
01
Identify red flags and rule out disease conditions
If the baby has spitting/leaking milk, parents should check and assess whether it is within the normal range according to the baby's situation, combined with the following red flags.
Baby red flags:
(1) When the baby vomits/leaks milk, it is also accompanied by nausea and frequent vomiting, and in severe cases, there is blood in vomiting, and there are difficulties in feeding and swallowing;
(2) The baby has a very urgent situation, such as repeated coughing, and will also have some painful expressions/abnormal postures (put the head back, the arch of the feet and other postures), or accompanied by a weight gain that is not ideal, does not increase or increases very slowly.
(Red Flag Assessment Content)
When these red flags appear, it indicates that your baby may have certain diseases:
Such as gastroesophageal reflux and milk protein allergy, eosinophilic esophagitis, pyloric hypertrophic stenosis, or abnormal metabolic diseases. Then parents need to take their baby to the doctor in time.
If none of the above happens, just spitting/leaking milk, and the baby's weight gain is also ideal, parents do not need to worry too much.
02
Look at the growth curve to determine whether spitting/leaking milk affects health
The growth curve is the most sensitive and important indicator to judge whether the baby has health problems.
(1) If the baby's growth weight and length growth rate are walking up along the normal track, it means that there is no problem with the baby.
(2) If the curve of the baby's weight or length is not walking, flat, not growing, or even falling, then it is necessary to consider whether there is a pathological situation.
Of course, parents may have also seen this phenomenon:
Your baby may not grow long or grow slowly from 4 months.
In fact, the growth rate of normal babies in the first three months is relatively fast, with an average weight gain of 0.7 kg per month, which is one pound and four.
Over the next 9 months, from the fourth to the 12th month, the rate of growth began to slow down, almost halved.
So as long as the baby's length and weight are increasing along the growth curve, there is no need to worry too much. After mom and dad have comforted the baby and relieved the baby's pain and anxiety, the next step is to improve the nursing method and feeding method.
●How can feeding be improved? ●
01
Breastfeeding while the baby is awake
First of all, should be in the infant awake state of breastfeeding, let the baby take a semi-sitting position or oblique position when breastfeeding, it is recommended to raise the head of the crib bed at an angle of 15~30 degrees, so that the baby keeps the head high and feet low, rather than taking a complete lying position.
The high head and low feet make it difficult for the milk in your baby's stomach to reflux into the esophagus and mouth.
02
Avoid inhaling too much air when drinking milk
When feeding, emphasize to help the baby to hold the nipple correctly, and most of the cases of eating breast milk can contain it better.
If it is artificial feeding with a bottle, pay attention to whether the child's mouth and nipple are closely connected, if the connection is not good, it is easy to inhale air, the air will account for part of the stomach capacity, resulting in relatively insufficient stomach capacity, milk easy to reflux.
After drinking, hold the baby upright, let the child lean on the parent's chest, and then gently pat his back to make him hiccup and expel the accidentally drunk air.
03
Breastfeeding is preferred and overfeeding is avoided
Breastfeeding is preferred. Breastfeeding children leak milk less often.
Breast milk is the best food for babies up to six months old, and we encourage moms and dads to breastfeed as exclusively as possible, provided that they can breastfeed exclusively. It should be noted that excessive feeding can easily lead to gastrointestinal peristalsis rhythm disorders in children.
We recommend that when a child is hungry, feed him almost every three hours or so, rather than feeding him at all times, or feeding several times in three hours.
04
Add complementary foods in a timely manner
Compared with liquid food, mushy and solid foods are less likely to regurgitate under gravity, so we emphasize that mushy foods should be added reasonably at the right time (usually 4-6 months). It can be officially added in six months.
05
Choose partially hydrolyzed formula if necessary
Because the gastric retention time of formula milk is longer than that of breast milk, you can choose partial hydrolyzed formula at this time, which can slightly shorten the retention time of milk in the stomach and reduce spitting up.
06
Try to use as little as possible without drugs
If the child spits up milk for a long time and the amount is very large, do they need to use some drugs to improve it?
This should be specifically consulted with your doctor and let the doctor judge according to the specific situation of the baby.
Our principle is that for infants to spit up or leak milk, if it is a physiological phenomenon, it is a manifestation of functional gastrointestinal digestive discomfort, and it can be used as little as possible without drugs, mainly through nursing and dietary improvement to alleviate or solve.
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