Do I need to burp my breastfed baby? On occasions I would say yes. In the way I work with women it's less burping, it's more the baby actually doing it by itself. So that's sure, if your instinct tells you that your baby's unsettled and it needs to be burped, then I would suggest you hold the baby upright so you're stretching the diaphragm and the stomach out. So that middle part of the little body is stretched out allowing the air to rise and then they'll burp.