Breathe Easy, Grow Strong: The Role of Nasal Breathing in Infant Health

Most new parents are told to look out for feeding cues, sleep schedules, and developmental milestones—but very few are told to watch how their baby breathes.

Yet the way an infant breathes—especially whether they use their nose or mouth—has lifelong implications for their sleep, facial development, and airway health.

Why Infants Are Natural Nasal Breathers

From birth, babies are designed to breathe through their noses. Nasal breathing keeps the tongue positioned at the roof of the mouth, which is essential for shaping the upper jaw, promoting facial symmetry, and encouraging proper swallowing and feeding mechanics (Huang et al., 2015). It also filters, humidifies, and warms the air—important for a developing immune system.

But when nasal breathing is blocked—by congestion, anatomical restrictions, or tongue-tie—babies often switch to mouth breathing. Over time, this can lead to:

  • Open mouth posture

  • High, narrow palates

  • Altered facial growth

  • Poor sleep quality

  • Risk for future airway disorders

🚩 Signs of Airway or Breathing Dysfunction in Infants

Many early signs are subtle and mistaken for typical behavior. Watch for:

  • Noisy or open-mouth breathing at rest

  • Snoring or frequent waking

  • Clicking sounds during bottle or breast feeding

  • Gassy or fussy feedings

  • A tongue that rests low or doesn’t elevate well

  • Flattened head or tight neck from turning to one side only

These symptoms can point to structural or functional issues like tongue-tie, nasal congestion, or neck/jaw tension that affect how a baby breathes and feeds (Baxter et al., 2018).

🌿 How Oral Motor and Manual Therapies Can Help

While surgery may be needed in some cases (such as tongue-tie or nasal obstruction), many infants benefit from early pre-feeding exercises, craniosacral therapy (CST), and speech therapy that supports:

  • Nasal airway clearance

  • Proper tongue posture

  • Functional sucking and swallowing

  • Reduced tension in the neck, jaw, and shoulders

  • Better sleep and feeding rhythm

At Schie Health, we work closely with lactation consultants, pediatricians, and pediatric dentists to create a team-based plan that addresses the root cause—not just the symptoms.

💡Why Early Intervention Matters

If airway challenges are left unchecked in infancy, they can evolve into:

  • Speech delays or articulation issues

  • TMJ dysfunction

  • Sleep-disordered breathing or early signs of obstructive sleep apnea

  • Chronic congestion, allergies, or sinus infections

  • Postural issues from head tilting or open-mouth posture

When addressed early, these issues are far easier to resolve—supporting a child’s natural growth path and reducing the need for intensive therapies later.

A Small Shift That Lasts a Lifetime

Breathing may seem automatic, but how your baby breathes matters. Supporting nasal breathing in infancy sets the stage for lifelong airway health, restful sleep, balanced facial development, and confident communication.

References

  • Baxter, R., & Zaghi, S. (2018). Tongue-tie functional impact questionnaire: development and validation. International Journal of Pediatric Otorhinolaryngology, 113, 119–124. https://doi.org/10.1016/j.ijporl.2018.07.032

  • Huang, Y. C., Wang, J. J., Liao, Y. F., & Chen, P. K. T. (2015). Impact of nasal obstruction on craniofacial growth in children: a systematic review. Journal of Plastic, Reconstructive & Aesthetic Surgery, 68(5), 631–639. https://doi.org/10.1016/j.bjps.2014.12.025

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