
The journal · Newborn basics
Newborn Hiccups: Why Babies Get Them, How to Help, and When to Worry
In short
Baby hiccups are a normal spasm of the diaphragm, usually set off by air in the stomach after a feed. Most bouts pass on their own in about 5 to 10 minutes, and the small things that actually help are gentle: pause the feed, burp, hold your baby upright, offer a pacifier, and try to resume feeding briefly if they linger. Skip the adult tricks — no startling, no tongue-pulling, no water for babies under six months. Call your pediatrician if a bout drags on past about two hours, if hiccups interfere with breathing or feeding, or if they show up with reflux signs like frequent spit-up and back-arching.
You feed your baby, you burp your baby, and thirty seconds later they are hiccuping — their whole tiny body jumping every few seconds, sometimes for what feels like a very long time. For most new parents, this is the first time it happens, and it looks and sounds alarming enough that the question is immediate: is this okay?
The short answer is almost always yes. Baby hiccups are extremely common, they usually stop on their own, and — with only a few specific exceptions — they are not a problem. Here is what actually causes them, what really helps a bout stop, what to skip, and the specific signs that mean it is worth calling your pediatrician, sourced from HealthyChildren.org (the American Academy of Pediatrics), Cleveland Clinic, and Nemours KidsHealth.
01What actually causes them
A hiccup is a sudden spasm of the diaphragm — the sheet of muscle at the base of the lungs that drives every breath — followed by the vocal cords snapping shut. As Cleveland Clinic describes it, your diaphragm "pulls down suddenly between breaths, making you quickly suck in air," while "the glottis (space between your vocal cords) suddenly closes to stop more air from coming in." The "hic" is the sound of that closure. Adults get hiccups too — babies just get them a lot more often.
In a newborn, the usual trigger is something that stretches or irritates the stomach so it presses on the diaphragm. That mostly means feeding — too much, too fast, or with too much swallowed air. If your baby gulps down a bottle, cries hard before a feed, or takes in a lot of air while nursing, you can expect a round of hiccups after. The AAP puts it plainly on HealthyChildren.org: hiccups happen "from time to time" in babies, and "usually this bothers parents more than the infant."
02Your baby was probably hiccuping before birth
One thing that helps put newborn hiccups in perspective: they are not new. Babies practice hiccuping in utero — the small rhythmic flutter many pregnant parents feel toward the end of pregnancy is often exactly that. Cleveland Clinic notes that "developing babies experience hiccups before birth, and many pregnant women have felt the telltale flutters in their bellies." They are so ordinary in early life that Nemours KidsHealth groups them with sneezing in its list of newborn behaviors that "are common and are not signs of problems."
03How to help a bout stop
Most hiccups pass on their own within about 5 to 10 minutes. If you want to try to move them along, the AAP and Cleveland Clinic recommend the same small, gentle set of moves — nothing dramatic, nothing you would ever do to an adult.
What actually helps a hiccup bout
- Pause the feed and burp. If hiccups start during a feeding, HealthyChildren suggests you "change your baby's position, try to get them to burp, or help them relax." Getting a burp up often settles the diaphragm on its own.
- Hold your baby upright. The same upright position you would use for burping takes pressure off the diaphragm. Cleveland Clinic recommends feeding and holding in an upright position when hiccups are a pattern.
- Offer a pacifier. Healthline and Cleveland Clinic both note that the sucking motion of a pacifier can help relax the diaphragm. It is a small nudge, not a magic switch — but it often works.
- Try to resume feeding briefly. If a bout does not disappear in 5 to 10 minutes, the AAP says to "try to resume feeding for a few minutes," which "usually stops them."
- Keep things calm. Vigorous bouncing, playing, or pushing through tummy time in the middle of a hiccup bout will not help. Slow down until they pass — the hiccups almost never bother the baby the way they bother you.
What NOT to do
None of the classic adult hiccup remedies belong anywhere near a baby. Healthline is direct: do not try to startle your newborn out of hiccups, and do not pull on their tongue — "these methods are not suitable for infants." Skip sugar water and "just a sip" of plain water too — babies under six months should not be given water as a general rule. And if you are curious about gripe water or another over-the-counter remedy, ask your own pediatrician first, not the internet.
04How to make hiccups less likely in the first place
You will not prevent every bout — babies are going to hiccup — but a few small habits genuinely cut the frequency down, and they come straight from the AAP and Cleveland Clinic.
- Feed before your baby is frantic. The AAP recommends trying to "feed your baby when they are calm and before they are extremely hungry." A frantic feed swallows more air.
- Burp during feeds, not just at the end. Cleveland Clinic advises taking "a burp break after 2 or 3 ounces" on a bottle. For nursing, HealthyChildren suggests burping when your baby switches breasts.
- Keep your baby upright for a while after eating. Healthline suggests holding your baby upright "20 to 30 minutes after each meal" so the stomach can settle before you lay them down.
- Slow the bottle down. If your baby routinely hiccups after a bottle, the flow is probably too fast. Our guide to paced bottle feeding walks through the small changes that fix it.
- Skip vigorous play right after a feed. Bouncing and rough play immediately after eating stir up a stomach that is trying to settle.
05When hiccups are worth a call to your pediatrician
For a newborn, the overwhelming majority of hiccup bouts are just hiccups. The specific things worth a call are pretty clear.
- A single bout drags on for more than about two hours. Healthline suggests checking with your pediatrician if hiccups "go on for more than two hours," and Cleveland Clinic uses a two-day threshold for hiccups in general — either one is a call.
- Hiccups regularly interfere with breathing, feeding, or sleep. A baby who cannot finish a feed or settle to sleep because hiccups keep coming through the whole thing deserves a call, not a wait-and-see.
- They keep coming with other reflux signs. Cleveland Clinic notes that in some babies, hiccups can be part of gastroesophageal reflux — GERD. Look for the pattern together: coughing, frequent spitting up, arching the back during or after feeds, or fussiness that ties clearly to eating. If several of those are showing up alongside the hiccups, that is a pediatrician conversation. Our reflux and spit-up guide covers the difference between ordinary spit-up and the reflux that needs help.
- Something else feels off. A baby who is generally not acting like themselves — poor color, poor feeding, unusual sleepiness — always warrants a call. Hiccups are almost never the main event in that case, but do not sit on them either.
This is general information, not medical advice
Every baby is different, and if hiccups are worrying you, or your baby has any of the signs above, call your own pediatrician. They know your baby and you should not have to decide from a webpage. If your baby is struggling to breathe or turning blue, that is not a hiccup call — that is a 911 call.
06The short version
Newborn hiccups look and sound like more than they are. They come from the diaphragm doing what diaphragms do — a muscle spasm followed by the vocal cords snapping shut — and in babies they are usually set off by a little too much air in the stomach after a feed. They pass on their own, they are not painful, and the moves that help are all small: pause, burp, upright, pacifier, wait. The rest of the newborn learning curve — feeding, sleep, soothing, and when to call — is in our newborn basics guide and our first twelve weeks walkthrough, each one written the same way this page is: sourced, honest, and cut where we could not cite it.
Questions parents actually ask
Are newborn hiccups normal?
Yes — extremely. Cleveland Clinic notes that hiccups are especially common in newborns and infants, and Nemours KidsHealth groups hiccups and sneezing together as newborn behaviors that "are common and are not signs of problems." Babies even hiccup before birth, which is why so many pregnant parents feel the small rhythmic flutter in the last months of pregnancy.
How do I stop my newborn's hiccups?
Pause the feed, help your baby burp, hold them upright, and — if it doesn't rattle them — offer a pacifier. If a bout hasn't cleared in about 5 to 10 minutes, the AAP says to try resuming the feed briefly, which usually stops them. Do not startle your baby, do not pull on their tongue, and skip sugar water and plain water — Healthline is clear that these adult tricks "are not suitable for infants."
Should I feed my baby to try to stop the hiccups?
It's a reasonable move if they have already been hiccuping for 5 to 10 minutes. HealthyChildren.org (AAP) suggests trying to "resume feeding for a few minutes," which usually stops them. If hiccups are starting during a feed instead of after one, pause and burp first.
Can I give my baby water for hiccups?
No. Babies under six months should not be given plain water outside of medical instructions from your pediatrician, and there is no good evidence that water stops baby hiccups anyway. If you are considering gripe water or another over-the-counter remedy, ask your own pediatrician first.
Do baby hiccups mean my baby has reflux?
Not on their own. Cleveland Clinic notes that hiccups can be a sign of reflux (GERD) in some babies — but only when they come with other signs: coughing, frequent spitting up, arching the back during or after feeds, or fussiness that clearly ties to eating. If those add up, call your pediatrician. Hiccups alone, in a baby who is otherwise happy and feeding well, are almost always just hiccups.
When should I call the doctor about my baby's hiccups?
Healthline suggests calling if a single bout goes on for more than about two hours, or if hiccups interfere with your baby's breathing, feeding, or sleep. Cleveland Clinic sets a two-day threshold for hiccups that just will not resolve. And any baby who is showing other reflux signs — persistent spit-up, coughing, back-arching, fussiness with feeds — should be checked out.
Sources
- HealthyChildren.org (AAP) — Baby Burping, Hiccups & Spit-Up — Baby hiccups happen "from time to time" and "usually this bothers parents more than the infant"; if they occur during feeding, change your baby's position, try to get them to burp, or help them relax; if they don't disappear in 5 to 10 minutes, try to resume feeding for a few minutes, which "usually stops them"; feed your baby when they are calm and before they are extremely hungry to make hiccups less likely; burp during nursing when the baby switches breasts.
- Cleveland Clinic Health Essentials — Here's What to Do When Your Baby Has the Hiccups — Hiccups result from irritation to the diaphragm and are especially common in newborns and infants; "developing babies experience hiccups before birth, and many pregnant women have felt the telltale flutters in their bellies"; increased gas in the stomach from overfeeding or gulping air is a common trigger; feed in an upright position; take a burp break after 2 or 3 ounces; a pacifier can help relax the diaphragm; hiccups can signal reflux/GERD when accompanied by coughing, spitting up, irritability, and back arching during feeding — call the pediatrician if those signs appear; hiccups stop on their own and don't cause the baby discomfort.
- Cleveland Clinic — Hiccups (Diseases & Conditions) — Physiological mechanism: the diaphragm "pulls down suddenly between breaths, making you quickly suck in air" and "the glottis (space between your vocal cords) suddenly closes to stop more air from coming in"; transient hiccups last a few seconds or minutes and usually go away without treatment; call a healthcare provider if hiccups last longer than two days; hiccups are common and normal in babies; in babies they result from increased gas expanding the stomach and irritating the diaphragm; may signal GERD if accompanied by coughing and spitting up.
- Nemours KidsHealth — Learn About Your Newborn (Newborn Variations) — Sneezing and hiccups in newborns are common and are not signs of problems — grouped with other normal newborn behaviors and reflexes.
- Healthline — Newborn Hiccups: What Causes Them and How to Stop Them — Hiccups usually resolve within 5 to 10 minutes; keep your baby upright 20 to 30 minutes after each meal; a pacifier's sucking motion may help relax the diaphragm; avoid heavy activity like bouncing after meals; do not startle your baby or pull on their tongue — "these methods are not suitable for infants"; contact a doctor if hiccups persist longer than about two hours or interfere with breathing, feeding, or sleep.
Newborn Weeks is planning help, not medical advice — always follow your own doctor, midwife, or pediatrician.
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