Newborn Reflexes and Behaviors

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Disclaimer: This material is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it. It is not intended to provide medical advice, diagnosis or treatment, nor does it replace the advice or counsel of a doctor or health care professional. Reference to a specific commercial product or service does not imply endorsement or recommendation of that product or service by CPCMG.

This article provides answers to some common questions asked about normal newborn noises, reflexes and behaviors.

You can directly to the topic that relates to your question for advice.

  1. Normal newborn reflexes

  2. Normal jitteriness when crying

  3. Normal sleep movements and noises

  4. Normal breathing sounds and noises

  5. Normal (but Scary-Sounding) Newborn Breathing Patterns

  6. Normal digestive sounds

Normal Newborn Reflexes

Startle Reflex (also called the Moro reflex or embrace reflex)

  • The startle reflex is common in newborns. You may see:

    • The baby’s body suddenly stiffen

    • Arms straighten and hands open

    • A short cry may follow

  • This reflex usually happens after a loud noise or sudden movement. Most babies grow out of this reflex by about 4 months of age, though it may last a little longer for some.

Tonic-Neck Reflex (also called the fencer’s reflex)

  • The tonic-neck reflex happens when your baby’s head turns to one side. You might notice:

    • The arm and leg on that side straighten

    • The opposite arm and leg bend

  • This reflex usually fades away by 4 months of age.

Newborn Reflexes

Source: https://www.healthychildren.org/English/ages-stages/baby/Pages/newborn-reflexes.aspx

Feeding reflexes

Rooting Reflex

  • The rooting reflex helps babies find food. When the side of your baby’s cheek or mouth is gently touched, they will:

    • Turn their head toward the touch

    • Open their mouth, ready to nurse or eat

  • This reflex is normal and usually goes away by about 6 months of age.

Sucking Reflex

  • Babies have a strong sucking reflex. They will suck on anything placed in their mouth—even if they just finished a feeding.

  • This is normal and doesn’t always mean your baby is hungry.

  • The sucking reflex usually fades between 6 and 12 months of age.

Protective Reflexes

Sneezing

  • This clears the nose of irritants like dust, tobacco smoke, fragrances.

  • At this age, it is not caused by an allergy or illness.

Coughing to clear lower airway

Blinking

  • After spending 9 months in darkness, newborns have light-sensitive eyes.

  • At first, they prefer to keep their eyes closed.

  • They blink often with light exposure.

Chin Trembling

Lower Lip Quivering

Jitters or Trembling

Normal Jitters or Trembling When Crying

  • It’s normal for babies to have some trembling or jitters in their arms and legs, especially when they’re crying. This usually goes away by 1 to 2 months of age.

    • Normal jitters usually stop when:

      • You give your baby something to suck on

      • You gently hold or touch the shaky area

  • If your baby is jittery when not crying, it could be a sign of something else.

  • Many parents worry about seizures, but these are rare in newborns. Signs of a seizure include:

    • Muscle jerking

    • Blinking of the eyes

    • Sucking movements of the mouth (not related to feeding)

    • No crying during the episode

    • Movements that don’t stop when you try to comfort or hold your baby

Normal Sleep Movements and Noises

Noises during sleep

It’s normal for newborns to make noises while sleeping.

  • If your baby makes a sound or lets out a small cry, you can check on them.

  • Most of the time, they do not need to be picked up unless they are crying or seem upset.

  • Babies often let out a quick squeak or whimper, then go back to sleep.

  • During light sleep, babies may groan, cry, or make gurgling sounds.

You might also hear:

  • Tummy noises as food moves through the stomach and intestines

  • Throat noises from saliva or small amounts of fluid

Movements During Sleep

Newborns may also move around a lot while they sleep.

  • It’s common to see jerks or twitches in the arms, hands, or legs

  • These movements usually last just a few seconds and often happen soon after the baby falls asleep.

  • Movements that happen only during sleep are usually normal, even in older babies and children.

Normal Breathing Sounds and Noises

The noises described below do not cause difficulty breathing.

Throat Noises

Newborns often make gurgling noises in their throat. These sounds happen when air moves through saliva or milk that comes back up from the stomach.

  • These sounds are more common during sleep.

  • Over time, babies learn to swallow more often, and the noises happen less

Sometimes babies make a loud, high-pitched sound when breathing in. This can be normal if your baby is breathing comfortably and seems happy and calm.

If the noise doesn’t go away or your baby looks uncomfortable, contact your baby’s primary care provider.

Nose Noises

Most nasal sounds are caused by dried mucus in the nose — not a cold.

  • It’s common for babies to sound a little "snorty" at birth

  • Tobacco smoke or other air irritants can make nasal stuffiness worse

If your baby is breathing and feeding normally, no treatment is usually needed. But sometimes, stuffed nasal passages can make it hard for your baby to feed well — since babies need to breathe through their nose while eating. You can help by using saline nose drops to gently clear the nose before feeding.

Sneezing

Sneezing is normal in newborns. It helps clear the nose and keep the airways open.

Sneezing can also happen because of:

  • Tobacco smoke

  • Dust

  • Strong smells like perfumes or cleaning products

Hiccups

Hiccups are also normal in babies.

  • Many babies had hiccups before birth, and it’s common to see them afterward too

  • Some babies hiccup after every feeding

  • Hiccups don’t usually bother babies, and there’s no need to stop or treat them

Normal (but Scary-Sounding) Newborn Breathing Patterns

Periodic Breathing

Sometimes, newborns have short pauses in breathing that last less than 10 seconds.

This is called periodic breathing and is usually normal if your baby is comfortable and breathing fewer than 60 times per minute.

These pauses often stop by the time your baby is 1 month old.

Transient Rapid Breathing

Your baby may sometimes take quick, deep breaths. This helps fully open the lungs.

It’s normal if the breathing slows back to normal within about a minute.

Seesaw Breathing

In some newborns, you may see the chest go inward while the belly pushes out during breathing.

This is called seesaw breathing and happens because babies have a soft rib cage.

Yawning and Sighing

Newborns often yawn or take little sighs. These sounds help them open up their lungs and are a normal part of breathing.

This can happen off and on and helps your baby open their lungs.

Normal Digestive Sounds

Burping and Passing gas

Burping and passing gas help your baby release swallowed air. These are normal, do not hurt, and are a part of life at all ages.

Hiccups

Hiccups are also normal, and often happen after your baby eats. They do not cause pain or bother babies.

Burping and Spitting Up

  • For breastfed babies, try burping when switching between breasts.

  • For bottle-fed babies, burp after every 1-2 ounces.

  • Some babies are easier to burp than others — that’s normal.

  • Hold your baby upright while burping in case a little milk comes up (that’s okay!).

  • Burping may cause a small spit-up, which is normal.

Passing Gas and Pooping

Babies often:

  • Have gassy tummies that make gurgling or growling noises

  • Pull up their legs and grunt or push when pooping — this is their body learning how to digest food

  • Pass gas that might smell bad — this is normal

  • Poop every time they eat, or skip a few days (especially breastfed babies)

As long as your baby is peeing, pooping, and feeding well, you usually don’t need to change your diet (if breastfeeding) or switch formulas.

Call Your Doctor If:

  • Your baby’s jittery movements are getting worse as they get older or happen when your baby is calm.

  • Jerky movements happen when your baby is awake, or they last more than 10 seconds.

  • Your baby is breathing very quickly, their skin or lips turn blue, or their ribs or chest suck in with each breath.

  • Your baby has white-colored stool or blood in their stool.

  • Your baby has hard pellet-like poop.

  • Your baby looks distressed

  • Your baby starts looking or acting sick

  • Your baby starts looking or acting abnormal in any way

  • You think your baby needs to be seen

  • Or if you have any concerns.

This publication was adapted from information from American Academy of Pediatrics Patient Education materials

Reviewed by: JJ M.D., CPCMG newborn committee, AR D.O. | 06/2025