You’re gently laying your sleeping baby down in their crib. Suddenly, their tiny arms shoot out to the sides, fingers splayed, and maybe they let out a little cry. Then, just as quickly, their arms come back in. Sound familiar? That startling, almost dramatic movement is often the Moro reflex, and it’s something we see all the time in our littlest patients. It can catch new parents off guard, for sure!
So, what exactly is this Moro reflex? Think of it as your baby’s built-in alarm system. It’s an involuntary, or automatic, response that newborns have when they feel like they’re falling or are startled by a sudden sound or movement. It’s pretty amazing, actually – this reflex is even what helps a baby take their very first breath after birth! It’s named after Dr. Ernst Moro, a pediatrician who first described it way back in 1918.
What Does the Moro Reflex Look Like?
When you see the Moro reflex in action, your baby might:
- Suddenly spread their arms out wide, almost like they’re trying to catch themselves.
- Extend their arms and then quickly bring them back towards their body.
- Fan out their fingers and thumbs.
- Sometimes arch their back a little or throw their head back slightly.
- Often, they’ll cry, looking quite startled.
It’s a pretty distinct set of movements. In the clinic, when we check a baby’s development, looking for this reflex is a standard part of the newborn assessment. It gives us a good clue about how their nervous system is developing.
Why Do Babies Have This Reflex?
It’s all about protection. Your little one can’t yet say, “Hey, I feel like I’m tipping over!” So, this reflex is an ancient, hardwired response to a perceived threat, like falling.
Here’s a little peek into the science, but I’ll keep it simple: when your baby’s head suddenly changes position or they’re startled, their vestibular system (the part of the inner ear that controls balance) senses this. It quickly sends a message to the brainstem (the part of the brain connecting to the spinal cord), which then triggers this whole-body reaction.
Babies can show signs of the Moro reflex even before they’re born, sometimes as early as the second trimester, but it’s usually more developed by the third. It’s strongest in the first few months of life and then, interestingly, it starts to fade. Typically, by the time your baby is about 4 to 6 months old, the Moro reflex disappears. It gradually gets replaced by a different kind of startle response, sometimes called the Strauss reflex, which is more like the jump or flinch we adults have when surprised.
How We Check the Moro Reflex
You might even trigger it yourself without realizing, like when you’re lowering your baby into their car seat. In the clinic, we have a gentle way to check for it. One common method is to carefully support the baby’s head and back, then briefly and gently lower them a short distance, as if they were starting to fall. Of course, we’re supporting them the whole time!
If the reflex is present and normal:
- Your baby will have that startled look.
- Their arms will extend sideways, palms up, thumbs flexed.
- They might cry for a moment.
- Then, as they feel secure again, they’ll bring their arms back in, often bending their elbows, and relax.
When Might the Moro Reflex (or Lack of It) Be a Concern?
When we assess the Moro reflex, we’re looking for a few things:
- Strength: Is it a strong, clear response, or is it weak? A weaker reflex can sometimes be normal, especially in babies born a bit early (preterm). But, it could also hint that something is affecting their central nervous system.
- Symmetry: Does the reflex look the same on both sides of their body? It should. If one arm responds differently than the other, it might suggest an injury from birth, like a nerve issue in the shoulder or arm (sometimes related to a brachial plexus injury), or perhaps even a broken bone (like the clavicle, or collarbone).
- Presence and Disappearance: We expect to see it in newborns. If it’s completely absent, that’s a flag for us to investigate further. It could point to more significant issues with the brain or spinal cord, or conditions like congenital myopathy (muscle weakness from birth). Conversely, if the reflex hangs around much longer than 6 months, it might suggest a delay in neurological development or be associated with conditions like cerebral palsy or infantile spasms (a type of seizure).
An absent or abnormal Moro reflex doesn’t automatically mean something is seriously wrong, but it does tell us we need to take a closer look.
What if the Moro Reflex Lingers Past 6 Months?
If you notice your little one, who’s older than 6 months, still showing that classic Moro reflex, it’s definitely something to bring up with their pediatrician. A “retained” Moro reflex, as we sometimes call it, can sometimes be linked to:
- Being overly sensitive to sudden noises or movements.
- Increased anxiety.
- Challenges with attention or hyperactivity.
It doesn’t happen often, but when it does, there are therapies and specific exercises that can help. These approaches aim to help your child’s nervous system integrate the reflex, essentially helping it “mature” and fade away as it should. Your pediatrician can guide you to the right resources if this is something your child is experiencing.
Take-Home Message: Understanding Your Baby’s Reflexes
Here are a few key things to remember about the Moro reflex:
- It’s a normal, protective startle reflex in newborns.
- It looks like your baby is flinging their arms out, then bringing them back in, often with a cry.
- It’s a sign that their nervous system is working.
- It usually disappears by 4 to 6 months of age.
- If it’s absent, weak, one-sided, or lasts too long, it’s worth a chat with your doctor.
Watching your baby grow and change is such a journey, and these little reflexes are just one part of their amazing development. If you ever have any worries, about the Moro reflex or anything else, please don’t hesitate to ask. We’re here to help you navigate it all.
You’re not alone in this, and you’re doin’ great.