10 Newborn Health Red Flags Every Parent Should Know and Act On Immediately

4. Rapid or Abnormal Breathing

The Problem

Breathing can be a little irregular in newborns, with slight pauses that can look concerning to new parents. However, you should be counting the breathing rate for a full minute. If your baby is consistently breathing faster than 60 breaths per minute, or you see pulling in of the ribs (retractions), grunting, or whistling sounds when breathing, these can be indications of respiratory distress.

Babies’ lungs and respiratory systems might struggle with various obstacles, such as infection, allergies, or fluid in the lungs. A bluish tint around the lips or on the skin—known as cyanosis—also points to insufficient oxygen intake and is a critical red flag needing immediate intervention.

The Solution

1. Observe Calmly and Count: Take a deep breath yourself. Count your baby’s breaths for a full 60 seconds, noting any unusual patterns. If you’re unsure, try repeating the count or ask another adult for a second opinion.
2. Address the Environment: Ensure there’s no smoke, strong fragrances, pets, or dust in your baby’s sleeping space. A clean, low-allergen environment helps reduce respiratory stress.
3. Keep Air Passages Clear: If your baby is congested, you can use an infant nasal aspirator or saline drops specifically designed for newborns. Clear nasal passages can drastically improve a baby’s breathing.
4. Seek Immediate Care: If you notice very rapid breathing, retractions, grunting, or see any bluish discoloration that does not resolve, call your pediatrician right away. In severe cases—like obvious difficulty breathing or turning blue—call emergency services.

Don’t underestimate the significance of breathing irregularities. Prompt attention can prevent complications and keep your baby breathing comfortably.