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How a Baby’s Heartbeat Changes In The First 24 Hours

Your baby's heart rate changes a lot in the first 24 hours after delivery as their body gets used to life outside the womb. The heart suddenly needs to function differently, which can speed up the pace or make it slightly erratic. In this article, you'll learn why these changes happen, how the heart slowly calms down, and what doctors check for during this important time.

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Your baby's heart works in a way that is exclusively meant for life inside the womb before birth. The lungs don't provide you with oxygen. It originates from the placenta through the umbilical cord, not the other way around. As a result, the baby's heart doesn't deliver enough blood to the lungs. It has a unique circulatory system that circulates blood around it.
Your baby's lungs are full of fluid inside the womb, so they don't breathe. The placenta performs all the functions required to deliver oxygen and remove carbon dioxide. The baby's heart has specific pathways that move blood away from the lungs to support this.

This system works wonderfully for pregnant individuals, but it is primarily meant for the baby. The placenta controls the infant's oxygen levels, so the heartbeat stays stable, and the newborn doesn't have to deal with abrupt physical demands.

What Changes the Moment the Baby Is Born

At birth, change is most pronounced. As soon as your infant takes their first breath, the air fills their lungs. The amount of oxygen in the blood goes up quickly. The umbilical cord quits giving oxygen at the same time, and the placenta's job is done.

Suddenly, your baby’s heart must:

  • Send blood to the lungs for oxygen
  • Pump blood more actively through the body
  • Adjust to higher oxygen pressure
This is a major shift, and the heart responds by changing its rhythm and speed.

Why Does the Heartbeat Become Faster at First?

A baby's heart rate is typically elevated in the first few minutes and hours after birth. The heart has to work harder to keep breathing, regulate body temperature, and circulate blood.

A fast heartbeat helps:

  • Deliver oxygen quickly to the brain and organs
  • Support breathing muscles
  • Maintain body temperature
This faster rate is expected and indicates that the heart is responding appropriately to the baby’s needs.

Why the Heartbeat May Feel Irregular?

Many parents report that the heartbeat doesn't always feel steady. There can be little pauses or shifts in the rhythm. This occurs most of the time because the baby's nervous system is still learning to regulate breathing and heart rate.

In newborns:

  • Breathing can be irregular
  • Heart rate often follows breathing patterns
  • Sleep and wake cycles change frequently
These small variations are normal on the first day and usually settle as the baby adapts.

How Crying, Feeding, and Movement Affect Heart Rate?

Your baby’s heart rate changes depending on activity. This is a healthy sign.

  • When your baby cries, the heart rate increases to meet higher oxygen needs
  • During feeding, the heart works a little harder
  • During deep sleep, the heart rate slows
These changes show that the heart is flexible and responsive, not weak.

How the Heart Adjusts and Settles in the First 24 Hours?

After the initial changes, the baby’s heart begins a gradual settling process. This happens over the first 24 hours and sometimes continues for a few days.

Closure of Foetal Heart Pathways

Inside the womb, the heart has natural openings that allow blood to bypass the lungs. After birth, these openings are no longer needed.

As oxygen levels rise:

  • These pathways begin to close naturally
  • Blood flow redirects fully to the lungs
  • Circulation becomes more efficient
This process does not happen instantly. While it is happening, mild changes in heartbeat are normal.

How Breathing Stabilises the Heartbeat?

As your baby’s breathing becomes more regular:

  • Oxygen delivery improves
  • The heart does not need to beat as fast
  • Rhythm becomes steadier
This is why many babies have a slightly slower and more regular heartbeat by the end of the first day.

The Role of Temperature and Blood Sugar

Newborns are sensitive to temperature and blood sugar changes, especially in the first few hours.

  • If the baby is cold, the heart rate may increase
  • If blood sugar is low, the heart rhythm may change
  • Warmth and feeding help stabilise both
This is why skin-to-skin contact, early feeding, and keeping the baby warm are so important.

Why Doctors Monitor the Heart Closely?

During the first 24 hours, doctors and nurses regularly check:

  • Heart rate
  • Breathing
  • Oxygen levels
  • Skin colour and activity
This is routine care. It helps ensure that the heart is adjusting smoothly. In most healthy babies, no intervention is needed.

When Doctors Pay Extra Attention

Extra monitoring may be needed if:

  • The baby is premature
  • The baby has low birth weight
  • Delivery was difficult or prolonged
  • Breathing problems are present
Even in these cases, many heartbeat changes improve naturally as the baby settles.

How You Can Support Your Baby’s Heart Adjustment

You play an important role in this transition. Simple actions help your baby’s heart settle faster.

You can:

  • Hold your baby skin-to-skin
  • Keep them warm and covered
  • Feed regularly as advised
  • Keep the environment calm
Your presence helps regulate your baby’s nervous system, which directly supports heart rhythm.

Within the first 24 hours of life, a baby's heartbeat changes as the body learns to function independently. The heart changes from the way it circulates in a fetus to the way it circulates in a newborn. This tweak includes higher rates and minor inconsistencies.

The heart soon recovers its rhythm when it is warm, fed, and gently cared for. Don't be afraid of these early changes; they show that your baby's heart is learning, adjusting, and getting stronger.

Whether you’re pregnant, a new mom, or navigating postpartum, you don’t have to do it alone. Join our support group to connect, share, and support one another.

FAQs on Why A Baby’s Heartbeat Changes Immediately After Birth


  1. Is it normal for a newborn’s heartbeat to be very fast?
    Yes. A fast heartbeat is normal in the first 24 hours, especially during crying or activity.
  2. Can a newborn have an irregular heartbeat?
    Mild irregularity is common early on and usually settles as breathing and circulation stabilise.
  3. When should I worry about my baby’s heartbeat?
    If your baby appears very pale or bluish, has trouble breathing, or is unusually lethargic, medical attention is needed, but this is uncommon in healthy newborns.
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Times Future of Maternity 2026 | India's Largest Maternity Ecosystem Gathering
Times Future of Maternity 2026 | India's Largest Maternity Ecosystem Gathering