When a baby stops breathing while crying (often related to breath-holding spells), stay calm and follow these steps:
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Stay calm: This is crucial. Breath-holding spells are usually not dangerous and resolve on their own. They are typically involuntary.
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Do not pick the baby up: Lie the child on their side. This helps maintain an open airway.
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Monitor the baby: Stay with them until the episode ends. Most breath-holding spells last less than a minute.
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Ensure safety: Make sure the baby cannot hit their head, arms, or legs on anything. Clear the surrounding area to prevent injury.
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After the episode: Act normally. Reassure the baby and ensure they get plenty of rest. Avoid giving excessive attention to the episode, as this can sometimes reinforce the behavior.
In Detail:
Breath-holding spells are common in young children, typically between 6 months and 2 years old. They can be frightening for parents, but understanding what to do can help you manage the situation effectively. There are two main types:
- Cyanotic Breath-Holding Spells: These are triggered by frustration, anger, or pain. The baby cries, then stops breathing, and their skin may turn blue.
- Pallid Breath-Holding Spells: These are usually triggered by a sudden shock or fright. The baby may briefly lose consciousness and become pale.
What NOT to do:
- Do not shake the baby.
- Do not put anything in the baby's mouth.
- Do not start CPR unless the baby is unresponsive and not breathing after the spell has passed.
When to Seek Medical Advice:
While most breath-holding spells are harmless, consult a doctor if:
- The spells are frequent.
- The baby has a history of seizures.
- The baby loses consciousness for more than a minute.
- You are concerned about the baby's overall health.
- The baby starts having spells after the age of 2.
Important Considerations:
It's beneficial to track the frequency and circumstances surrounding the breath-holding spells and discuss these with your pediatrician. This record will help the doctor assess the situation more effectively. Sometimes, iron deficiency can be associated with breath-holding spells, so your doctor might recommend checking iron levels.
