Behavior, Blog, What is

Why Is My Baby Breathing Funny

Normal and Abnormal Breathing Patterns in Children

Younger ones may breathe fast or slow

In general, young infants breathe much faster than older children and adults. The regular breathing rate of a newborn baby is between 40 and 60 breaths a minute. Sometimes the respiratory rate may slow down 40 or even 30 breaths per minute when the baby is sleeping. Calm down mom, it’s normal! It’s normal for the breathing pattern of a child to vary that widely. Infants, especially in the first few months of life, may breathe faster several times, followed by a brief rest for less than 10 seconds, then the breathing resumes with no external stimulation. This is called periodic breathing and is seen in premature infants as well as newborns.

Babies use their diaphragm which is the large muscle below their lungs for breathing.

Abnormal Breathing Patterns/Respiratory problems are:

This is when newborn baby’s breaths progressively faster and deeper, then slower, and shallower which is a regular occurrence.

Rapid and irregular breathing is seen when they are hot or agitated

Newborns breathe rapidly more than 60 breaths per minute often especially when crying or feeding. It is normal for a baby who is overheated, upset, and crying to breathe rapidly with a respiratory rate of over 60 breath per minute which should slow down when the baby stops crying get claim and comfortable. Nonstop rapid breathing is a sign of a major problem. Seek assistance with a quick call to the clinic (470-485-6342) or come into clinic.

Apneic breathing

A pause in breathing for more than 10 seconds should make us suspect serious illness and if  longer than 20 seconds, it is called apnoeic breathing. In such cases, do not hesitate to call 911.  Ensure that the infant is stimulated to wake up and take breaths. If this is not happening despite stimulation, commence resuscitation.

Flaring nostrils

If the baby is having trouble taking in enough air, you may notice that the nostrils seem to expand a little bit with each breath. That is called nasal flaring.  The nostrils widen with each episode of breathing in. Such a baby needs medical attention immediately.

Incessant Coughing

Sometimes, coughing or choking can occur when a baby takes in milk too quick with feedings. When this gets Persistent with every feed, it may indicate a breathing problem and should be examined by the child’s health care provider.

Retracting.

We see this in children who are having serious challenges exchanging air. When this happens the spaces between the ribs get sucked in with every breath and it is visible to the parent. In fact sometimes the indrawing of the spaces is so intense that even the spaces at the top of the shoulders behind the collarbone may be visibly drawing in also. This baby will need immediate medical attention as this is one of the classic signs of pneumonia or other serious lung infection or problem.

Steps to make sure you baby is breathing regularly are:

Listen:  In order to listen for a normal breathing is to put your ear close to your child’s nose and mouth and listen for sounds of breath.  Put your ear close to your child’s nose and mouth and listen for sounds of breath.

Look: Bend down close to the child’s chest, and watch for the rise and fall movement of the chest during breathing.

Feel: Put your cheek close to the baby’s mouth or nose and feel for tiny breaths against the skin.

If all these are not reassuring, feel free to call us immediately and we will be happy to see your child in our clinic or send your child to the nearest emergency room.

What are your thoughts about children’s problems and the challenges parents face dealing with them?

Comment below or on our Facebook Page. Please share this article.

Omega Pediatrics Difference: At Omega Pediatrics in Roswell, Georgia we understand the challenges that parents face when their children develop symptoms late in the day or after hours. Many pediatric offices are closed after 4 pm however we are open every weekday up to 9 pm for walk-ins and we have telemedicine via evisits for our known patients. Our clinic is one of the easily accessible pediatric primary care clinics in Roswell and Alpharetta. We provide pediatric primary care to families in the North Fulton area and we have families that live in Sandy Springs, Johns Creek, Duluth and Cumming.

Immunizations after-hours: One advantage of switching to Omega Pediatrics for your child’s primary care is that you can bring your child in for immunization after regular business hours. We provide this service because we have the passion for what we do and we want to be a comfortable and convenient service, not the ordinary pediatric doctor’s office.

Book an appointment online here.

Child laughing while seated on a table with an open bible on his thigh
Behavior, Blog, Promotion, What is

Fall prevention in children 0 to 4 years old.

Our clinic is one of the leading destinations for children’s health in Roswell and Alpharetta. Today’s post is about falls and injury prevention.

Falling is a normal part of a young child’s development as they learn to walk, climb, jump, run and play. Fortunately, most children who fall are not injured, other than a few bruises and scrapes. Falls are the leading cause of non-fatal injuries for all children ages 0 to 19 (CDC,2016). Look around your house and backyard using the ‘Kidsafe Home Safety Checklist.’ Injuries due to falls are the leading cause of nonfatal injury.

The following are the different types of falls in children 0 to 3 years old. Children can fall off play equipment, out of windows, down stairs, off a bike or tricycle, furniture, especially chairs, beds, and tables and off anything that can be climbed on. Be sure the surface under play equipment is soft enough to absorb a fall.

Tips to prevent dangerous falls

  1. Communicate with your young child, let them know what you are doing when you are keeping them safe, and why.
  2. Teach your child as they grow on how to protect themselves.
  3. Teach your child to safely get off a chair or bed by sliding down on their tummy, feet first.
  4. Use safety tested mats or loose-fill materials.
  5. Always remember to lock the doors to all dangerous areas (like the street – see image)
  6. Always remove furniture in front of windows, as these can act as props for climbing and add protective window guards.
  7. Make sure the yard has a fence to keep them from wandering to more dangerous territories (read streets).
  8. If your child has a serious fall or does not act normally after a fall, be sure to call your doctor. An injury from a fall can worsen with time, so prompt medical attention can prevent serious complications.
  9. Close supervision by caregivers and firm guidance to children are needed to reduce falls from chairs and beds as a substantial proportion of serious injuries are caused by children playing and standing on these items.
  10. Children should always be placed in a five-point harness when using a high chair. A good quality harness should be fitted to a high chair by the manufacturer or at the point of sale before you take it home.
  11. Close supervision and firm parental/carer guidance is needed to deter young children from standing when in a high chair.
  12. Cots are recommended for children aged three years and under if they have not already been observed close to successfully climbing out of the cot at a younger age.
  13. Toddler beds are recommended for children in transition from a cot to a bed
  14. Children aged less than nine years should not be sleeping in the upper bunk of a bunk bed and certainly not children aged less than six years (Australian Competition & Consumer Commission, 2012).
  15. The top bunk should have a protective railing on all sides at least 160mm above the mattress. Any gaps between mattress and guardrails and between individual guardrails should be small enough not present a head entrapment hazard.
  16. The ladder should be removed when upper bunk is not in use to prevent young children from accessing the top bunk.
  17. make sure your playground equipment is in good repair and is age-appropriate.
  18. Supervise your child closely when they are playing on slides, swings, and mini-trampolines (we are not endorsing trampolines here).
  19. Hold your baby’s hand while climbing or down stairs or riding escalators; teach your child to hold onto handrails to avoid falling (however do not forget hand hygiene after an afternoon at the mall).
  20. Never let your children ride a bicycle, tricycle or scooter without a properly fitted and secured helmet.
  21. If a child is riding a bicycle with an adult, the child should be in a rear-mounted seat and be wearing a helmet.
  22. If you have a tree that your child likes to climb, teach them how far to climb, how to get down safely and have a rule that an adult always has to be with them when they climb the tree.
  23. A child with a disability needs more attention and supervision to avoid falls.

These are some of my recommendations for keeping your child safe from falls. Do you have other ideas? What has worked for you in the past? Share those below as a comment and please share this piece if you enjoyed reading it.

Reference:

Center for disease control and prevention(CDC,2016) https://www.cdc.gov/HomeandRecreationalSafety/Falls/children.html

 

Comment below or on our Facebook Page. Please share this article.

Omega Pediatrics Difference: At Omega Pediatrics in Roswell, Georgia we understand the challenges that parents face when their children develop symptoms late in the day or after hours. Many pediatric offices are closed after 4 pm however we are open every weekday up to 9 pm for walk-ins and we have telemedicine via evisits for our known patients. Our clinic is one of the easily accessible pediatric primary care clinics in Roswell and Alpharetta. We provide pediatric primary care to families in the North Fulton area and we have families that live in Sandy Springs, Johns Creek, Duluth and Cumming.

Immunizations after-hours: One advantage of switching to Omega Pediatrics for your child’s primary care is that you can bring your child in for immunization after regular business hours. We provide this service because we have the passion for what we do and we want to be a comfortable and convenient service, not the ordinary pediatric doctor’s office.

Book an appointment online here.