Discharge Instructions: When Your Baby Cries

The way your baby cries can tell you how the baby is feeling. It can also alert you to the baby’s needs. This sheet will help you understand what it means when your baby cries and what you can do to help.

Crying

It’s normal for babies to cry. Sometimes the baby just wants to be held. But if the crying doesn’t stop, look for a cause. Common causes of crying include:

  • Hunger

  • Discomfort (such as a wet diaper, clothes that are too tight, feeling too hot or too cold, or gas pains)

  • A stuffy nose, which can make it hard for the baby to breathe

  • Stress or overstimulation

  • Illness

What to do when your baby cries

Crying can be the baby’s way of telling you there’s a problem. The baby trusts you to respond to crying and fix whatever is causing the problem. You already know your baby better than anyone else, although figuring out exactly what’s your baby is telling you may take some guesswork at first. If holding the baby doesn’t help, here are some other things you can try:

  • Try feeding, in case the baby is hungry. To help prevent gas pains, burp the baby about every 5 minutes while feeding. Also keep the baby’s head higher than the rest of the body while feeding.

  • Check the baby’s diaper. Change it if needed.

  • Give the baby a warm bath. Or, hold a damp, warm towel on the baby’s stomach for a little while. This may calm some babies. 

  • Rock or walk with the baby. Motion is soothing. Some parents and babies enjoy using slings or other hands-free baby carriers for this purpose.

  • Offer your baby a pacifier at naptime or bedtime. Don't attach a string or clip to the pacifier. And don't give the pacifier until you have fully established breastfeeding. Breastfeeding and regular checkups help lower the risk for sudden infant death syndrome (SIDS).

  • Wrap the baby snugly in a blanket. This is called swaddling. It may help the baby feel safe and secure. (See the box later on this sheet to learn how to swaddle your baby.) Swaddling is common throughout the world but has become controversial. Swaddling can make a baby too hot. More importantly, if the blanket becomes loose or a swaddled baby rolls over, the baby can suffocate. Discuss swaddling your baby with your baby's healthcare provider.  

  • Hold the baby against your bare chest. Skin-to-skin contact can be comforting to the baby.

  • Never shake your baby. Babies who are shaken can suffer life-long disabilities. If you can't calm your baby, it is OK to put him or her in a safe place and take a short break. Also ask a family member or friend to give you a break from your baby.

  • If the baby has a stuffy nose, use a bulb syringe to clear it. (Your baby’s healthcare provider can show you how to do this.)

  • Check for signs of illness, such as fever or diarrhea. If the baby seems sick, call the healthcare provider. Also call the baby's healthcare provider if he or she has a fever and:

    • Is an infant under 3 months old with a rectal temperature of 100.4°F (38ºC) or higher

    • Is a child of any age who has a temperature that rises repeatedly to 104°F (40ºC) or higher

    • Has a fever that lasts more than 24 hours in a child under 2 years old or for 3 days in a child 2 years or older

    • Looks very ill, is unusually sleepy, or is very fussy 

    • Has had a seizure

How to swaddle your baby

Wrapping your baby securely in a lightweight blanket (swaddling) may help your baby feel warm and safe. But swaddling is associated with some risks and needs to be done safely. Here is one method:

  • Fold a square blanket diagonally to make a triangle. Turn the triangle so the flat base is at the top and the point is at the bottom.

  • Lay the baby on top of the blanket with the head over the straight base of the triangle and the feet toward the point.

  • Pull one side of the triangle all the way over the baby’s torso and tuck it under the baby’s body (Figure 1). A baby is most comfortable with the arms folded over the chest. It is best to leave one arm free so the baby can suck on her fingers and learn to calm herself, eventually without needing to be swaddled.

  • Bring the bottom of the blanket loosely over the baby’s feet and all the way up to the neck (Figure 2). It is very important to keep the baby's feet and legs free to move. Tight swaddling is associated with a condition called hip dysplasia. If your baby has hip dysplasia, do not swaddle. 

  • Wrap the other side of the triangle across the baby’s chest (Figure 3).

  • After your baby is swaddled, check often for the following:

    • The blanket stays secure. A loose blanket can cover the baby’s face and cause suffocation. But tight blankets may make it hard for babies to breathe, so be sure you can easily insert three fingers between the blanket and the baby's chest.

    • The baby is lying on his back. Babies lying on their sides or stomachs (or babies who roll onto their sides or stomachs) have a higher risk of SIDS.

    • The baby is not overheated. This may increase the risk for SIDS. Try to use lightweight blankets or sheets for swaddling.

Babies older than about 2 months should not be swaddled because they are old enough to learn other ways to comfort themselves. They are also beginning to try to roll over onto their sides or stomachs.

 

Step one in swaddling a baby.

Step two in swaddling a baby.

Step three in swaddling a baby.

Figure 1

Figure 2

Figure 3