How Best To Burp A Newborn? | Calm, Quick Tips

For newborn burping, hold baby upright on your shoulder or lap and give gentle, repeated pats, pausing mid-feed and at the end.

Why Burping Helps Newborns

Newborns swallow air while nursing or drinking from a bottle. That air can sit in the stomach and make feeds noisy, fussy, or short. A burp brings the bubble up so milk can flow again and comfort returns.

Most tiny spit-ups are normal. The lower esophageal sphincter is still maturing, so small amounts may come back up with a burp. Back-sleeping stays the safest even for babies who spit up, so bring up air before sleep and always lay your baby flat on the back for sleep. Guidance on spit-ups and sleep from AAP HealthyChildren reassures parents on this point and sets clear safety basics.

This guide shares safe, common methods. Your pediatrician knows your baby best.

Best Positions To Burp A Newborn (Step-By-Step)

You only need a clean burp cloth and steady hands. Keep the head and neck supported at all times. Use a cupped hand for soft pats or slow circles. The NHS Start for Life burping guide uses the same three core positions below.

Over The Shoulder

Hold your baby high on your chest with the chin near the top of your shoulder. Support the bottom and the neck. Cupped-hand pats should be light and rhythmic. Slide the baby a touch higher if you need more gentle pressure under the ribs.

Sitting On Your Lap

Seat your baby on your thigh, facing out. Support the chest and jaw with one hand, keeping pressure off the throat. Lean the torso a touch forward and pat the upper back. A small towel across your thigh can catch dribbles.

Across Your Lap

Lay your baby tummy-down along your thighs with the head turned to one side and slightly higher than the chest. Rub in slow circles or pat gently. This position can help a gassy belly settle after a feed without standing up.

Tip

A cupped hand spreads the impact and feels softer than a flat palm. Think “tap-tap-tap,” not thumps.

Position How It Works When It Shines
Over the Shoulder Upright position lets air rise with less effort. Great when you can stand or sit tall and need firm support.
Sitting on Lap Forward lean adds light pressure while your hand supports chin and chest. Handy on low chairs or when your back needs a break.
Across the Lap Face-down contact soothes while gravity helps bubbles move. Nice for babies who relax with tummy pressure on your legs.

Safety Notes While You Burp

  • Keep one hand on the torso or jaw for steady support; never press on the throat.
  • Aim for soft, repeated pats or slow circles. Hard hits are not needed and can startle a newborn.
  • Skip bouncing or jiggling. Gentle sway is fine while the head stays supported.
  • Watch the airway. If milk pools in the mouth, lean the baby forward a bit and wipe clean.
  • If your baby cries hard, pause the burp, calm with chest-to-chest contact, then try again.
  • Never shake a baby. Calm motions protect the brain and neck.

When To Pause And Burp During Feeds

Timing matters more than force. Pause midway through a bottle and again at the end. For nursing, try a brief break when switching breasts and after the last latch. If no burp appears after about a minute of gentle pats, return to feeding or move on. Some babies bring up air every time. Others seldom do, and that can be fine when weight gain and comfort look good.

Bottle-fed babies often swallow more air from faster flow or loose latch. Use paced bottle-feeding and keep the bottle tilted so the nipple stays full. Breaks for air can keep feeds calm and steady. If gulping is loud or the tummy looks tight, take shorter pauses a bit more often.

Best Way To Burp A Newborn Baby At Night

Night feeds do not have to wake the whole room. Aim for quiet, low-light routines and slow movements. Choose the position that keeps your baby closest to your chest, since body contact settles drowsy babies.

If your baby falls asleep during the burp, stop after about a minute of gentle pats and hold upright for a short time. Lay your baby on the back in a clear, flat sleep space. Back-sleeping reduces the risk of sleep-related death and babies clear spit-up well in that position. Keep a cloth nearby.

Avoid gadgets that prop the mattress or hold the baby at an angle. Flat, back sleep is still the standard after a feed, and a clear crib is best: no pillows, bumpers, or stuffed toys.

Gentle Techniques That Ease Trapped Air

Slow circles high on the back can release tiny bubbles that do not respond to pats. A steady hand feels better than a fast thump. Keep movements small.

If a strong letdown or fast bottle flow makes feeds gulp-heavy, try a short pause, then relatch with a slower nipple. Keep the head a bit higher than the stomach during feeds. Afterward, carry your baby upright against your chest for ten to twenty minutes if spit-ups are frequent. A soft carrier can help while you walk the room.

Clothes that press the belly or a diaper fastened too tight can make burps harder. Loosen snug waistbands before the burp. If hiccups appear during a feed, a quick burp break often settles the diaphragm, then feeding can continue once calm returns.

Breastfed Vs Bottle-Fed: What Changes

Every baby handles air differently. Many breastfed babies burp quickly after the first side and then relax on the second. Others need only a post-feed burp. If milk flow sprays fast, shorter latches with pauses can help. Hand-expressing a small amount before latch can also slow the first rush.

Bottle-fed babies may need more breaks. Try a slow-flow nipple and paced feeding with the bottle kept just full. Tilt the bottle so your baby does not swallow extra air and set the pace with frequent pauses for a few sips of air-free rest. If the nipple collapses or the flow seems too fast, change the nipple type.

No need to chase a burp for long. If a minute passes without results and your baby looks calm, finish the feed or change positions and carry on. Watch your baby, not the clock: relaxed breathing, settled shoulders, and steady sucking are the best cues.

Troubleshooting Latch And Bottle Flow

Air sneaks in when seal and flow do not match your baby’s pace. For nursing, aim for a wide, deep latch with the nipple far back in the mouth and the chin touching the breast. If milk sprays, try laid-back nursing, side-lying, or a short break at the first letdown. Switch sides when suck-swallow sounds slow down.

For bottles, hold the bottle more horizontal and keep the tip filled. Try paced feeds: baby upright, sips, then tiny pauses. Move down a nipple size if coughing or gulping shows up. Move up a size if your baby sucks hard, caves the nipple, and tires out. Smooth flow means less air to burp later.

How Long To Try And When To Stop

A burp should appear within sixty seconds when a bubble is ready. If nothing comes, shift position or end the attempt. Holding upright for twenty to thirty minutes after a big feed can limit wet burps. Use a carrier if your arms tire.

Gas patterns change quickly in early months. Many babies need fewer burps around four to six months as posture improves and feeds stretch out. Keep watching the whole picture: comfort, growth, and the feel of each feed. Your routine can be simple: try, switch, then stop once the feed feels easy again.

Problem Likely Cause Try This
No burp after a minute No large bubble ready to rise. Switch positions or stop and try again later.
Frequent spit-ups Full tummy or fast flow. Feed smaller amounts, slow flow, and hold upright after feeds.
Crying when flat after feeds Reflux discomfort. Keep upright for a short period; talk with your pediatrician if distress is ongoing.
Hiccups during the burp Diaphragm irritation from air. Pause feeding, offer a brief burp, then resume once calm.
Back arching with feeds Too-fast flow or strong letdown. Pause, slow the flow, and relatch or switch to a slower nipple.

Red Flags That Need A Call To Your Pediatrician

Spit-ups are common. Some signs call for care. Get medical help if you see forceful or projectile vomiting, green or bright yellow fluid, blood in spit-up, poor weight gain, a hard swollen belly, wheezing with feeds, blue color changes, or repeated choking with distress. A fever in a newborn also needs prompt attention. These signs can point to illness that needs a clinician’s guidance.

Quick Checklist Before Each Feed

  • Burp cloth within reach and a spare shirt nearby.
  • A calm seat with your feet planted and back supported.
  • Baby’s head and neck supported with a hand ready for the chest and jaw.
  • Nipple flow matched to your baby’s pace; latch checked and steady.
  • Plan a mid-feed and end-of-feed burp, then hold upright a short while if spit-ups are common.
  • Clear sleep space ready for the post-feed transfer to the crib.