Finding your baby chocking on saliva while sleeping can be alarming for any parent. While it’s usually not a severe issue, understanding how to respond appropriately is crucial.
Why Do Babies Choke on Saliva?
Babies often have less control over swallowing and can sometimes choke on saliva, especially if they have reflux or during teething when saliva production increases.

Immediate Steps to Take
- Pick Up Your Baby: Gently pick up your baby and hold them in an upright position. This can help clear the saliva from their throat.
- Check for Breathing: Observe if your baby is breathing or if there are any obstructions in their mouth. If they seem to struggle or stop breathing, initiate first aid.
First Aid for Choking
- Back Blows: Hold your baby face down along your forearm, supported by your thigh. Give up to five firm back blows with the heel of your hand.
- Chest Thrusts: If back blows don’t work, do chest thrusts. Hold your baby face-up on your lap and give up to five chest thrusts using two fingers in the center of their chest.
- Call for Emergency Help: If your baby is not responding or if you’re unable to clear their airway, call emergency services immediately.
Preventive Measures
- Proper Sleeping Position: Always lay your baby down on their back to sleep, as it’s the safest position and can reduce the risk of choking.
- Regular Burping: Regularly burp your baby during and after feedings to reduce spit-up and saliva accumulation.
- Monitor Health Issues: If your baby has reflux or other health issues that may increase choking risks, consult with a pediatrician for specific advice.
Conclusion
Most cases of a baby chocking on saliva are not severe and can be managed at home. However, it’s important to be vigilant and know how to respond appropriately. Regular pediatric check-ups and following safe sleep guidelines can help minimize these incidents. Always trust your instincts as a parent, and if something doesn’t seem right, seek medical advice.