Periodic Breathing: How to Care for Your Baby

Periodic breathing is a normal breathing pattern seen in some babies. The baby pauses breathing for 5–10 seconds; takes a few rapid, shallow breaths; then has regular, even breathing. This pattern may repeat several times. It usually happens while a baby is sleeping and is most common in premature babies (babies born early). It doesn't mean anything is wrong, and it doesn't cause problems. As a baby matures, episodes of periodic breathing become less frequent and usually go away completely by around 6 months of age.

Care Instructions

  • Continue to use safe sleep practices:
    • Always place your baby on their back to sleep for naps and bedtime.
    • Don't put your baby to sleep with pillows or on soft surfaces.
    • Keep the crib or bassinet in the room where you sleep until your baby is about 1 year old. Don't have your baby sleep in bed with you.
  • Don't shake your baby to stimulate breathing — this can cause serious brain injury or even death.

Call Your Health Care Provider if...

  • Your baby's episodes of periodic breathing start happening more often or last longer.
  • Your baby has new symptoms, such as fever, cough, or poor feeding.
  • You have any questions or concerns.

Go to the ER if...

Pauses in your baby's breathing last longer than 15 seconds.

Call 911 if your baby is blue, stops breathing, or struggles to breathe.

If you think your baby isn't well and you can't get in touch with your health care provider, take your baby to get medical help right away. This includes if your baby:

  • Has a rectal temperature that is too high (100.4°F [38°C] or higher) or too low (below 96.8°F [36°C])
  • Seems too sleepy or weak to feed well
  • Has fewer than 3 wet diapers in a day

More to Know

Is periodic breathing the same as apnea? Periodic breathing is different from apnea, which is a pause in breathing that lasts longer (more than 20 seconds) without the pattern of fast breathing after it. Apnea needs special treatment, but periodic breathing doesn't and will go away on its own.