Question
A newborn experiences rapid breathing and dry heaves after breastfeeding. What could be the cause, and how should it be handled?
Answer
In this situation, the possibility of milk aspiration should be considered. When a baby is suckling or vomiting milk, the milk may mistakenly enter the respiratory tract, a condition known as “milk aspiration.” Most infants can adjust their breathing and swallowing on their own, spit out the pacifier, and pause breastfeeding. If the milk flows too fast, there may be slight coughing. Severe milk aspiration can lead to milk being directly inhaled into the lungs, causing inhalation pneumonia. It is immediate to clear respiratory secretions to prevent suffocation.