Call 9 1 1 if your baby is showing signs of choking. This includes trouble breathing, being unable to cry or make sounds, their skin is turning blue, or they are unconscious. Hold your child over your lap, face down with your hand holding their chin and face straight, tilt their body slightly downward. Use your other hand to strike the middle of their back with the heel of your hand five times. If your child is still choking, turn them onto their back and continue holding their head straight with their body tilted slightly downward. Use your middle and index fingers on your other hand, to do five compressions in the middle of their rib cage, just below their nipples. Continue repeating steps two through six. Once the food or item has dislodged from your baby's throat, you can stop the process.