Moro Reflex Explained

The Moro reflex is one of the reflexes babies are born with, and you're likely to spot this involuntary response soon after birth. Find out what the medical definition is, what triggers this startle reflex, and what you can do to help calm your baby if needed.

What Is the Moro Reflex?

The Moro or “startle” reflex is an automatic or involuntary reflex in newborns and infants in which a baby suddenly flings their arms sideways with their hands flexed, throws out their legs, extends their neck, and, just as suddenly, brings their arms together and may begin crying. The Moro reflex usually occurs in the following instances:

• If your baby’s head shifts positions abruptly or falls backward

• If your baby is startled by sudden stimulation, like a loud noise

• If your baby’s body balance is disrupted, as a result of an abrupt movement.

Keep in mind that in premature babies, the Moro reflex may be weak initially.

Is There a Way to Calm Your Baby’s Moro Reflex?

In some instances, your baby may startle themself awake during sleep because of the Moro reflex. To help prevent this, you could swaddle your baby at bedtime. This involves wrapping your newborn in a swaddle blanket much like a burrito. See the image below for a step-by-step, how-to swaddle guide:

When Do Babies Lose the Moro Reflex?

The Moro reflex usually appears in your baby's first few weeks, peaking in their first month before disappearing after 2 months of age. Eventually, as this reflex disappears, your newborn's movements will become more intentional.

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How Do You Test for the Moro Reflex?

Your child’s healthcare provider will test your baby for the Moro reflex with a simple exercise, soon after birth and during well-child visits. To do the Moro reflex exercise, your child’s healthcare provider will place your baby face-up on a soft, padded surface. The provider will gently lift your baby’s head and then quickly release it, supporting the head again as it falls backward just for a moment. Because your little one is fully supported, there’s no risk for injury. Your baby may then look startled, throw out their arms, and cry for a short while. They may also draw their arms in and, eventually, calm down and relax. This simple exercise shows the provider that your baby has the instinctive Moro reflex, which is healthy. If your baby has a different response, such as an absence of Moro reflex or one that’s overly exaggerated or asymmetric, meaning that they don’t respond equally with both arms, the provider may perform an examination and/or order further tests to determine what’s causing the atypical response.

What Does It Mean if Your Baby Still Has the Moro Reflex?

Every child develops at their own pace, so it’s OK if your little one’s Moro reflex continues past 2 months. However, if you notice your baby still has the Moro reflex after 4 months, consult their healthcare provider. It may be a sign of a developmental delay. The provider will evaluate your baby’s individual case and come to a determination based on various other assessments and tests.

The Bottom Line

The Moro reflex is an involuntary “startle” reflex that your baby has as early as their first few weeks, lasting until about 2 months old. It will eventually disappear, and your child’s healthcare provider will track the Moro reflex by doing simple tests and exercises. Sometimes, babies may have the Moro reflex at night during sleep. To help prevent your baby from startling themself awake, consider swaddling. If your baby’s Moro reflex continues past 4 months of age, speak to your healthcare provider. It may be a sign of developmental delay. However, since every baby develops at an individual pace, your little one may stop having the Moro reflex earlier or even later.