Fussy baby while feeding


My baby fusses or cries when breastfeeding

By Kelly Bonyata, BS, IBCLC

© Lsantilli - Fotolia.com

Some babies will fuss, cry or pull off the breast during breastfeeding. There are a number of reasons why this might be happening. It’s pretty common to see this type of behavior at around 6-8 weeks, though it can occur at any time. If your baby is generally fussy (not just when nursing) see My baby is fussy! Is something wrong?

 

Determining the problem

Here are some of the problem-solving steps I go through when my baby is fussy at the breast or a mother asks me why her baby is fussing while breastfeeding:

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How old is baby? Most babies go through growth spurts during the first few days at home and around 7-10 days, 2-3 weeks, 4-6 weeks, 3 months, 4 months, 6 months, 9 months, etc. Many babies are fussy during growth spurts.

Is baby working on anything new developmentally? Babies who are starting to notice the world around them can be notoriously distractible. Any kind of new developmental step that baby is working on can affect nursing temporarily, whether it be fussy nursing behavior or simply more frequent nursing.

When is baby fussing? To figure out the cause it’s helpful to pay attention to when the fussy behavior happens, both during the nursing session and during the day.

If baby is fussy right when your milk is letting down (or immediately after), there’s a good chance that the fussy nursing is related to a fast let-down. If baby is fussy before let-down, or a few minutes into nursing (and a while after let-down), then baby may be impatient for the fast flow of milk that comes with let-down. Fussing at the end of a nursing session (or what seems to be the end) may mean that baby needs to burp, or is ready to finish nursing, or just wants to suck (and doesn’t want to deal with a new let-down at this point), or wants to continue nursing on the other side or with a faster flow of milk.

If the fussy behavior is mainly in the mornings, it might be due to a faster than usual let-down if baby has just had a longer sleep period and mom’s breasts are fuller than usual. If baby is fussier during evening nursings, it may be due to the normal fussy time that most babies have during the evening. Although most babies don’t react to foods that mom eats, some do. If you eat a particular food at about the same time each day (or most days) and baby has a regular time where she fusses during nursing, try not eating that food for a week or two to see if things improve.

Does fussing occur on both sides equally or only on one side? Most moms have a faster let-down and/or a more abundant milk supply on one side than the other, so if your baby fusses more on one side, it may be due to these differences.

What else is going on with baby? Is she sick or teething? Is something new or different going on in her environment? Has she started solids or is she trying a new food? Is she exhibiting other symptoms besides the fussy nursing?

Below are discussions of some of the different things that can lead to fussy nursing behavior. Keep in mind that the problem may also be a combination of several things.

Does baby need to burp?

Many babies will cry, fuss, pull off the breast, etc. if they need to burp. Try to burp between breasts and after a feeding, but don’t worry if baby does not burp and is content. Breastfed babies overall don’t take in as much air during a feeding as bottle-fed babies do, so usually don’t need to burp as often. If baby has been crying before she nurses, or is so hungry that she nurses “frantically” or if mom has a fast let-down, baby could be taking in more air and may need to be burped more often.

Burping is usually only necessary during the first few months, though it may extend longer. Once your baby is moving more freely, she will be able to relieve the gastric gas herself. This usually will occur between the 4th and 6th month, but may be shorter in some children and longer in others.

If baby has a hard time burping, try burping more often during a feeding. The best burping position is one that applies firm pressure to the baby’s tummy. Placing baby over the shoulder way up so that there is pressure on baby’s abdomen often works well. Walking around while doing this might distract her long enough to get a good burp. You may even want to lie baby down on her stomach and burp her that way.

 

Growth spurt

Babies often pull off and fuss during growth spurts. Most babies go through growth spurts, sometimes called frequency days, during the first few days at home and around 7-10 days, 2-3 weeks, 4-6 weeks, 3 months, 4 months, 6 months and 9 months (more or less). More growth spurt information in this link.

 

Distractible baby

If baby seems to be pulling off the breast at any distraction (real or imaginary), then see The Distractible Baby.

 

Forceful let-down

Some babies will pull off the breast soon after let-down if mom has a forceful let-down. Baby may be frustrated by the too-fast flow of milk with let-down. A too-forceful let-down can also cause excessive gas or spitting up/vomiting. There is more information here on symptoms of and how to deal with a fast let-down reflex.

 

Slow let-down

Some babies get very impatient if mom has a slow let-down. There is more information here on speeding up a slow let-down reflex.

Baby wants a faster milk flow

Even very young babies can be quick to notice that pulling off, kneading the breast, etc. can cause an additional let-down, and can facilitate a faster, easier milk flow. Some babies become impatient with the slower milk flow following the initial fast flow at let-down. This may or may not be related to a slow let-down.

When a feeding begins at the breast there are drops of milk. Then when the initial let-down occurs (several seconds to a minute into the feeding), the milk flow speeds up quite a bit. At that time it may drip very quickly, squirt, or even spray. Some minutes later it slows again and the baby must continue to suck vigorously in order to elicit further let-downs. This pattern can continue through successive, multiple let-downs as long as the baby is continuing to nurse vigorously. Eventually, baby will learn that the flow will pick back up again if she’ll only continue to vigorously suck/swallow.

With bottle feeding, the flow is instant and continuous. The baby is required to work very little. Once a baby has had a bottle, especially a lot of bottles, she may begin to prefer the ease of bottle-feeding over the work of breastfeeding. She may become frustrated at the breast after the first let-down occurs and the flow of milk begins to slow.

If baby is getting bottles you might consider putting them away, at least for a while. When you must use a bottle, only use a newborn nipple for as long as baby will tolerate it so that she never gets a really fast flow of milk from the bottle, but has to work a little more to get the milk.

Sometimes babies of moms with oversupply or fast let-down will also get very used to the fast flow and object when it normally slows somewhere between 3 weeks to 3 months.

It can be helpful to do some breast compression when this fussiness starts or right before you expect it to. This will help speed up the milk flow again. Once compression stops helping, try switching baby to the other side when she begins to fuss and back and forth again (after using compression) as you need to.

 

Baby is done nursing for the moment

If baby is fussing after she’s been nursing for a while, and you’ve ruled out other causes, she may be in the process of changing her nursing pattern. Babies become very efficient at the breast with growth and maturity. They can milk the breast in a lot less time per feeding session than they required before. Baby’s frustration may just be a sign that she’s finished and wants to move on.

On a similar note, an occasional baby will just want to suck at the end of a nursing session and the flow of milk with let-down frustrates her. You might see if offering her a finger or pacifier (if baby is older than 4-6 weeks) to suck on during these times seems to help.

 

Baby prefers one side

Sometimes babies will refuse or fuss at a breast when the let-down is slower or too forceful, or the supply a bit lower. They in turn will prefer the side which lets down more/less quickly and in which the supply is more bountiful. See also: Lopsided! What can I do?

 

Fussy in the evening

Many young babies tend to pull off and fuss at the breast in the evening. See the article Cluster Feeding and Fussy Evenings.

 

Teething

Teething can cause fussy nursing behavior, as some babies experience gum discomfort with sucking. Baby might start to nurse, but then pull off and cry or fuss and not want to nurse anymore. See Teething for more information and tips.

 

Thrush

Frequent pulling off the breast can be a symptom of thrush.

 

Stuffy nose

A stuffy nose can cause fussy nursing behavior. If your baby has a stuffy nose and is having a hard time breathing and nursing at the same time, see colds & congestion.

 

Allergy or food sensitivity

Some babies with allergies or food sensitivities exhibit fussy nursing behavior. Often when there is a sensitivity to something in mom’s diet, baby will come to the breast hungry but when she tastes/smells something in the milk that will cause her GI distress, she pulls off, bats her head back and forth, etc. Sensitivities to foods in mom’s diet are rare. If this is the problem, you will most likely notice other symptoms, such as excessive spitting up or vomiting, colic, diarrhea, rash, persistent congestion or runny nose, or excessive gas. More information on food sensitivities in babies and links to more allergy information can be found in my article Dairy and other Food Sensitivities in Breastfed Babies.

 

Low milk supply

Low milk supply can cause baby to be fussy at the breast. If you feel that your milk supply may be low, see this page for more info: Increasing low milk supply.

 

Reflux

Reflux can result in baby being fussy at the breast. See Reflux and Breastfeeding for more information.

 

Tongue-Tie

Tongue-Tie can result in baby being fussy at the breast. See Breastfeeding a Baby with Tongue-Tie (Resources) for more information.

 

Baby Fusses or Cries During Feeding: Causes & Solutions

Is your baby fussy every time you offer the breast? Do they cry, making it hard to breastfeed?

I’ve been there and know how it can be distressing when your baby is irritable while breastfeeding. It can make you question whether you’re doing something wrong and why the experience isn’t turning out how you imagined.

To help set your mind at ease and offer you some hope, we’ll share everything we know about what makes a baby upset during breastfeeding.

We’ll help you determine the cause of your baby’s fussiness. We’ll also offer our solutions so your breastfeeding sessions can return to being a peaceful experience you both enjoy.

Key Takeaways

  • Determine the cause of your baby’s fussiness, which can include latching issues, milk flow, growth spurts, or developmental stages.
  • To help with latching, swaddle your baby, dim the lights, or squeeze a few drops of milk onto your breast to entice them to latch on.
  • For milk flow issues, try expressing before feeding, adjusting positions, or using breast compressions to regulate the flow.
  • During growth spurts or developmental stages, follow your baby’s lead, offering extra feeds or cuddles as needed.

Causes of Baby Crying During Feeding

Half the battle is finding out why your baby is crying and fussing when they should be enjoying their time at the breast. You want to know your baby is getting enough milk and thriving. But it’s hard to be sure when they always latch on and off, crying in between.

Let’s discuss some possible causes.

1. Baby Isn’t Latching On

If your baby is fussing or crying, getting them to latch on to feed can be challenging. Whether overtired, overstimulated, or just plain hungry, a crying baby is unlikely to latch.

The Solution

Begin breastfeeding while your baby is calm and awake, before they get too hungry. Watch for early hunger cues such as rooting, smacking their lips, sucking their hands, sticking their tongue out, or waking from sleeping. Crying is a late sign of hunger.

Swaddling your baby and holding them close, dimming the lights, or moving somewhere peaceful and quiet might also help.

Another thing you can try is squeezing a few drops of milk onto your breast to entice your baby to latch on. The taste and smell of the milk might stimulate them to feed. Changing position or changing breasts can also work sometimes (1).

2. The Milk Flow Is Too Fast or Too Slow

Paying attention to when your baby starts to cry might shed some light on the reason.

If your baby is fussier in the morning, it could be that your overly full breasts release too much milk too quickly. Your breasts may have become engorged with milk during the night and your baby can’t cope with this forceful let-down.

Conversely, if they are fussier in the evenings, maybe the milk release is too slow and they get frustrated. They become impatient, waiting for the flow of milk that comes with the let-down, and start crying.

The Solution for Fast Milk Flow

A strong release of milk, or overactive let-down, can make your little one choke, gag, or cough when they’re feeding. They might unlatch from the breast because they don’t like or can’t cope with the fast flow. They could also be gulping a lot of air with the milk and getting gassy, which causes more upset.

These are some of the things you can do to counteract this:

  • Express before feeding: Pumping some of your milk before feeding, or expressing by hand, can help slow down the flow. After you feel the first let-down pass and you see the flow is slowing, put your baby to your breast.
  • Lie back when nursing: Adopting a laid-back feeding position with your baby lying on top of you can slow the flow. You could latch your baby on and then lie back against some cushions or pillows. Milk will flow against gravity and won’t pour down your baby’s throat.
  • Burp regularly: When your milk is flowing fast, your baby may gulp lots of air while feeding. A gassy baby is a fussy baby, so burp them regularly, during and after the feed.
  • Feed one side at a time: Alternate your breasts at each feed. That way, once the flow slows down on the breast your baby is feeding on, they might stop fussing.
  • Take a feeding break: If your flow is too much for your little one to cope with, remove them from the breast for a few seconds. Let the excess milk leak onto a towel, and offer the breast again when it stops. This might make your baby fussier for a while, but it will pay off in the long run.
The Solution for Slow Milk Flow

Your baby is hungry, but your milk is not coming quick enough. Just as we can get “hangry” when we need food or drink and aren’t getting it, our babies can too!

Luckily, we have some things you can try to combat a slow flow or delayed let-down:

  • Stimulate the flow: Either pumping or hand expressing a little milk before latching can kick-start your let-down reflex. Once you have a steady flow, then you can put your baby to your breast.
  • Warm compress: Use a warm towel or compress for a few minutes to stimulate letdown. Place it on your breasts just before each feed.
  • Massage: Massaging your breasts before and during a feed can help the milk flow faster.
  • Try breast compressions: If you notice your baby is about to start fussing and might unlatch, squeeze your breast. This will give your baby a burst of milk, keeping them actively feeding.
  • Get comfortable: Breastfeeding a fussy baby can be frustrating for you as well. Try and feed in a relaxing position, away from distractions. It’s a perfect time to just concentrate on your baby.
  • Make sure your baby gets enough milk: All that fussing and crying might make your little one tired, and they may fall asleep at the breast before they’ve eaten enough. Try and stimulate them to continue feeding by tickling their foot or stroking their cheek. The more your baby feeds, the more milk you will produce.
  • Some dos and don’ts: When breastfeeding, avoid smoking and alcohol. Also, try and steer clear of soda and coffee. All these could affect your milk production. Ensure you eat a balanced diet and stay hydrated, too (2).

3. Baby Is Going Through a Growth Spurt

There are times during a baby’s first year of life when they go through growth spurts. Their weight and length will increase, as will their head circumference.

Your baby may want to feed more often during a growth spurt and can become fussy. It’s not uncommon for a baby to suddenly feed up to 18 times in 24 hours.

While one does not necessarily lead to the other, it makes sense that a growth spurt and sudden, frequent feeding go hand in hand. Your baby will need more milk to support the growth spurt, and nursing more will naturally boost your supply.

During this time, babies can also become fussier than usual. They might appear unsettled and clingy, and they may not sleep as well as usual.

Growth spurts generally happen several times during the first year. These are the ages when they are likely to occur:

  • Two weeks old.
  • Three weeks old.
  • Six weeks old.
  • Three months old.
  • Six months old.

Not all babies will follow this timetable; some might have more growth spurts or they may be at different times. For some babies, there might be no change in their behavior when they have a growth spurt.

The Solution

During this time, follow your baby’s lead. Respond to their needs, whether it’s more feeds, extra cuddles, or just quiet time and a nap.

Your baby might get fussy if you aren’t producing as much milk as they want. It can take a day or so for your supply to catch up with the demand. The more you let your baby feed, the more milk your breasts will produce.

Your baby may seem hungry after normal feeding time, so don’t be afraid to nurse again. Keep yourself feeling good during this time by staying hydrated and eating balanced meals. Remember, you are not Superwoman; let family and friends help with chores and shopping while you spend time with your baby.

4. Baby Is Going Through a Developmental Stage

Your baby is constantly developing mentally and learning new skills as they go along. It can be a bit overwhelming and confusing for them, and there might be weeks when they are fussier than usual. Sometimes called the “Wonder Weeks,” it can explain mood changes in your baby (3).

You might find that during these periods, your baby becomes more curious and distracted while feeding. They might want to feed more or, conversely, not stay latched on long enough for a good feed. They can be cranky and fussy and cry a lot when you’re trying to breastfeed.

The good news is that these periods generally only last a few days before your baby returns to normal behavioral patterns.

Not all babies will fit into the pattern of wonder weeks and develop at different times.

The Solution

Feed your baby in a quiet room where there are likely to be fewer distractions. There’s nothing worse than having a situation where your little one latches on, then hears their dad or sees the dog and stops feeding (or worse yet, turns their head with your nipple still in their mouth!).

Trying to get your baby to pay attention can make them fussier and be a constant battle.

You might also find that your baby is fussier and wants to feed more often during these periods. Again, take your cue from them, and give them the extra time and attention they need.

5. Baby Needs to Burp

Babies often fuss, cry, or pull away from the breast when they need to burp. A fast flow of milk can exacerbate this. They can also swallow more air when they’re fussy or gulp down milk faster than usual if they’re over-hungry.

The Solution

Breastfed babies tend not to need burping as often as bottle-fed ones. However, there are times when gas can make them uncomfortable and they need to get it out.

If your baby is fussing, stop the feed and try and burp them. If you let them carry on feeding while they’re crying, then they can take in more air and make the problem worse. Eventually, it can end up with them spitting up.

It’s a good idea to burp your little one mid-feed, even if they don’t appear to be in too much discomfort. Try to do it when switching breasts or when your baby latches off the nipple.

Other Reasons for Crying During Breastfeeding

We’ve looked at some of the main reasons your baby might cry while breastfeeding. There are a few other things that can cause this, including:

  • Baby prefers one side: Your milk supply might be better on one breast than the other. This may be apparent if your baby only fusses when fed on one side.
  • Teething: This can be a painful and uncomfortable time for your baby, and they might fuss more when feeding. You might first realize it’s happening when they clamp down on your nipple and you feel the teeth through the gums. I’m all too familiar with that pain! But trust me, your baby isn’t trying to hurt you; they just want to relieve their pain (4).
  • Baby has eaten enough: If your little one starts fussing toward the end of a feed, this might be a sign they’ve had enough. Try offering the breast again a few times. If they don’t want it, move on. If you have ruled out any other causes for their crying, their little tummy might be full.
  • Baby wants to be pacified: Your little one might be full but still wants to suckle. However, it can be frustrating for them when milk is still flowing. This could be an excellent time to offer a pacifier for them to suckle.
  • Thrush: This fungal infection can affect your nipples or a baby’s mouth. If your baby has oral thrush, feeding will be uncomfortable, and they can get fussy. If you suspect this, contact your health care provider (5).
  • Baby has a cold: Trying to feed and breathe through a stuffy nose simultaneously can be challenging for a little one. They will become fussy and break away from the breast a lot. Use a nasal aspirator to try to clear their nose, or ask your pediatrician for advice.
  • Food sensitivity or allergy: While you might enjoy eating spicy food for dinner, your baby may not. The flavor of the food you eat comes through in your milk, and your little one might not always like the taste or the smell. You might notice they are fussier when you have consumed certain foods they don’t like or are allergic to (6).
  • Reflux: Although it’s not very common in breastfed babies, sometimes food comes back up from a baby’s stomach. This can make them cry and feel uncomfortable when feeding (7). Speak with your baby’s doctor if you suspect this is causing your baby to be fussy or cry during breastfeeding.

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Why does the baby cry during breastfeeding

Yakovleva Ekaterina Andreevna

pediatrician, breastfeeding consultant

Why does baby cry while breastfeeding? The answer may lie on the surface and depend on the situation. Some mothers themselves begin to put forward theories that are often incorrect - “I don’t have milk”, “I ate something wrong”, “The milk became tasteless and bitter”, “I shouldn’t have bought silicone pads” ... Consider the most frequent causes of crying at the breast and options for helping the baby together with Ekaterina Andreevna Yakovleva, pediatrician, breastfeeding consultant and mother of two babies. She knows about the tears of babies not only from professional, but also from maternal experience.

WHY A CHILD CRYS DURING FOOD

— Ekaterina Andreevna, is crying during feeding dangerous?

— Crying during feeding is a normal way for a baby to communicate with the outside world. So he calls his mother, shows that he wants to eat or something bothers him. The only thing that crying can affect is that the baby will come off the chest and take in air. This will lead to more abundant regurgitation, increased pain in the tummy.


Table. Newborn cries during feeding - 9 reasons0018

— Can a change in priorities of a child affect his behavior at the breast?

- Up to three months, babies have one priority - they need to either eat and sleep or change a wet diaper. After the children become more active, they are already interested in the world around them. Therefore, when feeding in public places, and also when the mother combines the process with talking on the phone or watching TV, the child can be distracted: suck - turn away - suck, ask for different breasts in turn, indulge.

After three or four months, the baby should not be on the breast very often, but mothers find it difficult to readjust and continue to breastfeed constantly to soothe him. But in fact, the child’s needs are already different - he wants to be vilified on the handles, paid attention to him, played with him, showed him toys.


- Let's discuss misattachment in more detail. What can a mother do wrong if the child does not eat well and cries?

- A very common symptom of improper attachment or refusal of the breast is trouble-free feeding only in sleep. When the child sleeps, he eats calmly, and when he is awake, he begins to twist at the chest, cry. Mom can get tired of this, and in order to calm and feed the baby, during the day she gives him a bottle. In such a situation, it makes sense to talk about breastfeeding and work to restore normal feeding.

Problems may arise from awkward or repetitive posture during feeding. By trial and error, the mother should choose the position that will be most convenient for her and the child. However, if a baby is fed only lying down from birth, at an older age he may refuse to eat in his arms, break out and cry.

A CHILD CRYING WHEN FEEDING - HOW TO HELP

- Ekaterina Andreevna, everything is very individual for small children. How to understand why a child eats and cries?

— If the baby cries during feeding, the mother should examine the possible reasons for this behavior step by step and:

  1. Eliminate the reasons related to the child's well-being, which she can deal with herself.
  2. Work on breastfeeding techniques.
  3. Seek medical attention if all else fails - child continues to cry and has additional questionable symptoms.

A triad of symptoms that are always alarming

You should also consult a doctor if, during feeding, the child wriggles and cries from constant acute pain, cannot calm down, vomiting, blood and mucus in the stool, rashes in the mouth, stuffy nose are observed. Fever is an acute condition that is not associated with constant (for example, for a month) baby crying during feeding.

— What should I do if my baby refuses to breastfeed?

— The main thing for a mother is to remain calm and adequate. For a breastfed baby, one break can last an hour, and another five to six hours if the baby has slept long and well. Taking long breaks during the day, the child will still finish his daily allowance in order to develop normally. For example, if he has not eaten for six hours during the daytime, he will breastfeed more often at night. Therefore, in feeding children in the first half of life during the day, it is better not to take breaks for more than 3-3.5 hours. With the introduction of complementary foods, the intervals may be slightly longer.

Night breaks are individual and depend only on the child - some children are born with a 6-8 hour interval, and some sleep at night for eight to twelve hours or eat every hour.



Read also
  • About the reasons why a child refuses breast milk and whether it is necessary to switch to mixed or artificial feeding in such cases.

— Is it necessary to stop feeding if the baby is naughty?

- Depends on age. Mom should feel what exactly the child needs at this moment. If a newborn cries and refuses to breastfeed, you can calm him down, vilify him with a column, shake him, and then attach him to the breast again. If, having calmed down, the child turns away from the chest, then he has eaten.

An older child is distracted from the breast, becoming interested in something else. Do not force feed him. We must try to remove all irritants - feed in isolation in a separate room, not be distracted by gadgets, sounds, or give the child the opportunity to satisfy his interests, and then offer the breast again.

— What else can help calm the baby?

- Since most causes of crying are not related to medical problems, medication is not needed. It is necessary to relax, set up the baby, pump him, try to competently organize breastfeeding - apply correctly, do not give a dummy, nipple, supplement from a cup or syringe without a needle. As a rule, this is how most feeding problems go away.

— In what situations can a breast be replaced with a bottle?

— It is not worth replacing breastfeeding with formula feeding without acute vital signs. When a baby is not accepting the breast well, it is worth removing all bottles, continuing to supplement with “non-sucking” items, and contacting a breastfeeding specialist to try to establish attachment and breastfeeding. This is done by a lot of people.

- Does changing the feeding regimen help to get rid of crying?

- Rather, these are unrelated things. It is not worth forcibly adjusting the feeding regimen, you need to listen to the child - in the first three months, the children constantly hang on their chest, after they begin to form a regimen and the intervals between meals increase. It is important to feel the needs of the child, because not only hunger, but also other things can disturb him, and if he constantly poke his chest, he will not be very pleased.


Table. Mistakes during breastfeeding

The baby cries during breastfeeding for many reasons. It can be improper attachment to the breast, "tangled nipples", inflammatory diseases of the oral cavity, runny nose, colic, teething, lactase deficiency, or a very nervous state of the mother. It is possible to understand what the problem is only by eliminating the organic and psychological causes of crying. With prolonged ongoing anxiety, the child should be shown to a specialist.

* Breast milk is the best food for babies. WHO recommends exclusive breastfeeding for the first 6 months of a child's life and continued breastfeeding after complementary foods are introduced until the age of 2 years. Before introducing new products into the baby's diet, you should consult with a specialist. The material is for informational purposes and cannot replace the advice of a healthcare professional. For feeding children from birth. The product is certified.

#advice for mom #breastfeeding

See also

Infant feeding patterns - what to choose

#Tips for Mom #breastfeeding

Kizino Polina Alexandrovna

pediatrician, perinatal psychologist

The baby is not full of breast milk: how to determine it and what to do

#Food #breast-feeding #supplementing formula while breastfeeding

Shcherbakova Alla Anatolyevna

Candidate of Medical Sciences, pediatrician, gastroenterologist

Why does the baby not sleep after feeding?

#Tips for Mom #breast-feeding #colic #gaziki 7-12

Nikulina Anastasia Anatolyevna

pediatrician

See all

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Why does the baby not sleep after feeding?

# Tips for mom # grudnoe-vskarmlivanie # breast-feeding # colic #koliki # gaziki 7-12

Nikulina Anastasia Anatolyevna

pediatrician

The baby is not full of breast milk: how to determine it and what to do

# Lure # breast-feeding # grudnoe-vskarmlivanie # formula supplementation while breastfeeding

Shcherbakova Alla Anatolyevna

Candidate of Medical Sciences, pediatrician, gastroenterologist

Infant feeding patterns - what to choose

# Tips for mom # breast-feeding #grudnoe-vskarmlivanie

Kizino Polina Alexandrovna

pediatrician, perinatal psychologist

See all

View all

View all

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Restless baby - how to improve sleep and feeding

Restless baby does not go to bed at the "right" time, often wakes up at night and is naughty when feeding, which has a bad effect on his development. What explains poor sleep and restless behavior during meals and how to help the baby, we will find out from the pediatrician, medical consultant of the SMART-MAMA project Polina Aleksandrovna Kizino.

— Polina Alexandrovna, many young parents have a restless newborn child. What are the reasons for this?

- Restless feeding and restless sleep may or may not occur separately.

Restless sleep in infants

— It is important to understand that during the first month the baby sleeps restlessly due to physiology. It adapts to new living conditions, including the mother's ability to establish lactation. In most cases, the baby will ask for food and fall asleep after feeding. Over time, the baby will move to longer intervals between feedings and will wake up less often.

When there are frequent awakenings

Periods of lactation crisis during breastfeeding Nutrition is calculated based on the baby's body weight. And the higher the weight of the baby, the more energy he needs, and therefore more nutrition. But during periods of growth spurts, the mother's body does not have time to adapt to the increased needs of the child, and at some time the baby begins to ask for the breast more often both day and night.
Breast or bottle sucking has become an association with sleep At three to four months, babies become very sensitive to the way they lie down. And if the baby falls asleep with the help of a breast or a bottle, then the mother will have to feed him and help him calm down.

- Such stories of restless sleep and frequent feedings are not uncommon not only at four months, but also at a year and a half, and even closer to two years, if the parents do not take any action.

The child is restless at the breast

— If the child behaves restlessly during feeding, the reasons are also varied:

  • wrong breast latch;
  • breast full of milk;
  • lack of milk during lactation crisis;
  • abundance of gas in the intestines, etc.

Due to the variety of reasons for the child's anxiety, it is very important for a mother to see a doctor in order to accurately determine the problem.

— At what age are children most likely to be restless?

- Everything is very individual, but several critical periods can be distinguished.

1. The first weeks of microflora formation

— After childbirth, the intestines are gradually populated first by some microorganisms, then by others. And at a time when its own microflora is not yet balanced, a newborn may have transient intestinal catarrh - loose stools, increased gas formation, anxiety.

2. Up to 4-6 months due to the inability to poop

- At this age, children still cannot coordinate all the muscles that are involved in the process of defecation, and when they urge, they cannot do anything, no matter how hard they try. You can help them, but sometimes it is better to let them learn how to empty themselves.

3. 1 month and about 4 or 6 months against the background of a lactation crisis

— Lactation crises for each woman proceed individually, so there is no need to wait for a problem at a specific time.

4. 1 month, 2, 5, 4 months, and so on, when there are growth spurts

— Anxiety is especially acute at four months, when the sleep structure is restructured: the child begins to wake up quite often. Sleep is a priority in the first year of life, and the baby needs help.

5. Learning New Skills

— Each new skill you master gives you a huge amount of experience. For example, when a child confidently begins to hold his head, he begins to see the world from a completely different angle, and, of course, this cannot but excite him. The processes of excitation in infants prevail over the processes of inhibition, therefore, during the first year of life, there are a lot of stages when the baby is restless.

Each new skill leads to the fact that for about two weeks the child practices it in sleep, while awake and at any time of eating. This, of course, can leave an imprint on the behavior of the baby.

Symptoms and signs of anxiety that parents should look out for first

Feeding anxiety
  • Assess for changes in stool consistency and color.
  • When measuring weight and height, they are not guided by exact age gains - they look at the dynamics of the weight and height indicator for a particular child.
Anxiety during sleep
  • It is important whether the child sleeps enough according to age. If he does not get his daily allowance, then severe anxiety can accumulate. This will affect feeding, games, and development: the child will only hang in the arms of his mother.

— How to understand that poor sleep and appetite are associated with anxiety, and not with colic or other problems?

- If the child does not sleep or eat well because of his discomfort, then there will be obvious symptoms - fever, full tummy or other signs that need to be addressed. After that, the child will be able to sleep better and eat better.

It often happens that the baby's stomach is all right, there is no temperature, runny nose, rash on the body, but mothers are looking for "wrong" reasons and go to a neurologist. However, at the same time, they simply forget to evaluate the diet and sleep regimen - to see if something hurts the child, whether he can withstand the feeding and sleeping regimen, whether he is gaining weight and growth well.

If the weight and height are unsatisfactory, the child may be malnourished or, more rarely, the absorption of food due to lactase deficiency or an allergy to cow's milk proteins. Naturally, because of hunger, sleep will also be restless; there may even be a lag in development - if the situation drags on.

- Anxiety in a baby does not appear without a reason, and this is not a whim, right?

— There are reasons for any whims. It is also important to remember about the emotional and psychological background: have you played and talked enough with the child today, is it interesting for him to lie in the crib. The child is completely dependent on adults and is not even able to change the position of the body without their help.

— Does the emotional state of the parents affect the anxiety of the child?

— The emotional state of parents is a very important component in children's well-being. The baby communicates non-verbally: he does not yet know the meanings of words, he perceives mainly emotions, catching the tone of speech, reading the facial expressions of his parents. Therefore, he knows when mom and dad are in a good mood and when they are anxious, uncomfortable, sad.

In addition, a small child sees himself through the eyes of adults who care for him and are nearby. And if the child observes that the mother is in a state of anxiety and sadness, then he adopts her mood and projects it onto himself. The baby does not yet have any markers of his own: he does not see himself in the mirror, does not realize what facial expressions he has, but fixes exactly parental emotions and begins to live them.

A very restless baby: how to help

Folk remedies Their effectiveness has not been scientifically proven. But when a mother strongly believes in folk remedies, she begins to calm down and relax herself when using them, and her level of anxiety is removed, this has a good effect on the child.
Special preparations If the child's complaints have been discussed with a pediatrician and are medically proven by him after taking an anamnesis and medical tests, appropriate therapy can be prescribed. But if the child just does not sleep well, you need to build a regimen, and not take any medicine unreasonably.
Massage Professional massage helps to get rid of, for example, excess gas in the intestines. Mom's massage provides prolonged contact and attention, which helps the baby to relax and feel more comfortable.
Sleep and wakefulness Normalization of sleep and wakefulness, feeding and games, if there is no pathology, helps to calm down. With a clear daily routine for the baby, everything becomes extremely predictable, which means it is calm and safe. And it’s convenient for mom: she has a certain plan of action, and she doesn’t worry about the fact that something can go wrong.
Environment A change of location can work as a distraction if the child is in pain: he will begin to look at everything new around him and get a little distracted from pain. But sometimes, for example, against the background of severe overwork of the child, such changes can become a negative factor.

— When should parents contact a pediatrician?

— Everything is individual: some mothers cope with difficult cases on their own, and some are very worried and run to the doctor for any reason. In fact, it is very important that the mother is comfortable and calm. I always say: even if the cause of concern seems insignificant, but you are still worried, consult a doctor. Perhaps the doctor will see something that you did not notice. Of course, if the baby cries for fifteen to twenty minutes, you do not need to contact the doctors.

When to call an ambulance for a face-to-face examination of a child by a doctor:

  • the child is very capricious, constantly worried;
  • the child cries for several hours and does not calm down;
  • the general condition of the child differs from the daily.

— Is it possible to teach a baby to sleep peacefully all night?

- This is absolutely real and happens sooner than parents think. But you need to understand that sleeping peacefully does not mean not asking for food. Up to a year, the baby has the right to eat once or twice a night - and then sleep peacefully.

To teach a child to sleep peacefully, parents need a certain scheme and willpower. Unfortunately, often children suffer from the inconstancy of adults and do not understand what is required of them. A lot depends on parental behavior: after all, the child somehow adapts to the rules that exist in the family.

Theoretically, by the age of three, a child can "outgrow" anxiety. But even before this age, neither the baby nor the parents need constant sleepless nights. Therefore, it is easier to find the strength in yourself, build a regimen and, in a relatively short period of time, come to a good sleep.

— Why do doctors not recommend forcibly forcing a child to eat and sleep?

— Getting to sleep is difficult: the child will only be more worried. You can guess the time for laying, and then the baby will learn this skill pretty quickly.

Refusal to eat happens for a reason: the baby does not eat because of illness, high temperature, when his body is not ready to absorb food. But older children may refuse food in protest or to make their parents worried.

Therefore, instead of forcibly feeding and putting the baby to sleep, it is better to analyze the possible causes of poor appetite and poor sleep, to understand how to do it in such a way as to normalize the situation. You can offer your child food at a different time, in different quantities, at a different temperature, put him to bed with new rituals - you need to find an approach to him.

— What is the danger of anxiety if it does not go away with age?

- Poor night sleep, constant lack of sleep will affect the development of the nervous system. During sleep, the nervous system is more active than during wakefulness. In a state of activity, the child works on the world around him, and when falling asleep, his brain focuses its attention on the functioning of internal organs, certain nerve connections are a very fragile system that must be in balance, which is important for the health of the baby and optimal child development.

Preventive measures to help prevent anxiety in the child: