Should you wake a 4 month old baby to feed
Sleep and Your 4- to 7-Month-Old (for Parents)
en español: El sueño y su hijo de 4 a 7 meses
Reviewed by: Elana Pearl Ben-Joseph, MD
By this age, your baby should be well on the way toward having a regular sleep pattern. Some infants, particularly those who are breastfed, may still wake at night. But most no longer need a middle-of-the-night feeding.
How Long Will My Baby Sleep?
Most babies this age should sleep 12–16 hours a day, which includes a longer stretch at night and at least two naps during the day, says the National Sleep Foundation. The average amount of daytime sleep is now about 3–4 hours.
By 6 months, most babies are sleeping at night for 9 hours or longer, with brief awakenings.
How Should Babies Sleep?
The American of Academy of Pediatrics (AAP) recommends room-sharing without bed-sharing until the first birthday or for at least 6 months, when the risk of SIDs (sudden infant death syndrome) is highest.
Room-sharing is when you place your baby's crib, portable crib, play yard, or bassinet in your own bedroom instead of in a separate nursery. This keeps your baby nearby and helps with feeding, comforting, and monitoring your baby at night.
While room-sharing is safe, putting your baby to sleep in bed with you is not. Bed-sharing increases the risk of SIDS and other sleep-related deaths.
Follow these recommendations for a safe sleep environment for your little one:
- Always place your baby on their back to sleep, not on the stomach or side. The rate of SIDS has gone way down since the AAP began recommending this in 1992. When babies consistently roll over from front to back and back to front, it's fine for them to remain in the sleep position they choose.
- Use a firm, flat sleep surface. Cover the mattress with a sheet that fits snugly.
- Do not put anything else in the crib or bassinet. Keep plush toys, pillows, blankets, unfitted sheets, quilts, comforters, sheepskins, and bumper pads out of your baby's sleep area.
- To avoid overheating, dress your baby for the room temperature and don't overbundle. Don't cover your baby's head while they're sleeping. Watch for signs of overheating, such as sweating or feeling hot to the touch.
- Keep your baby away from smokers. Secondhand smoke increases the risk of SIDS.
- Offer a pacifier to your baby at sleep time, but don’t force it. If the pacifier falls out during sleep, you don’t have to replace it. If you're breastfeeding, wait until breastfeeding is firmly established.
- Watch out for other hazards, such as items with cords, ties, or ribbons that can wrap around a baby's neck, and objects with any kind of sharp edge or corner. Look around for things that your baby can touch from a seated or standing position in the crib. Hanging mobiles, wall hangings, pictures, draperies, and window blind cords could be harmful if they are within a baby's reach.
- Don’t let your baby fall asleep on a product that isn’t specifically designed for sleeping babies, such as a sitting device (like a car seat), a feeding pillow (like the Boppy pillow), or an infant lounger (like the Dock-a-Tot, Podster, and Bummzie).
- Don’t use products or devices that claim to lower the risk of SIDS, such as sleep positioners (like wedges or incliners) or monitors that can detect a baby’s heart rate and breathing pattern. No known products can actually do this.
- Don’t use weighted blankets, sleepers, or swaddles on or around your baby.
- Make sure that all sleep surfaces and products you use to help your baby sleep have been approved by the U.S. Consumer Product Safety Commission (CPSC) and meet federal safety standards.
Helping Your Baby Sleep
You may have started a bedtime routine that you're sticking to. If you haven't yet, now is a good time to start. Soothing activities that lead up to "night-night" time can help relax your baby. A warm bath followed by stories or singing will signal an end to the day, and these same activities can be used at bedtime for years to come.
You'll want your baby to fall asleep on their own. This may mean doing your nighttime routine and putting the baby into the crib while they're drowsy but still awake.
If your baby cries, stay away for a few minutes. Your baby may settle down and go to sleep.
If the crying continues, soothe your baby for a moment without picking your little one up. This may go on a few times until your baby figures out that the crying is not getting results. This can be tough for parents, since it's upsetting to hear your baby cry. If you know your baby is safe (and not hungry, wet, soiled, or feeling unwell), it's OK to give them time to settle down.
Why Does My Baby Wake at Night?
Even a baby who has been sleeping through the night will sometimes wake in the wee hours, just as adults do. Some babies may call out or cry in the middle of the night, then calm down when mom or dad enters the room. This is due to separation anxiety, a normal stage of development that happens during this time.
Give your baby a few fussy minutes before you respond. After seeing that everything is OK and reassuring your baby without taking your little one out of the crib, leave your baby alone to fall back to sleep.
Remember: Cuddling, feeding, or talking when your baby wakes up may prompt your little one to wake regularly for this attention.
When Should I Call the Doctor?
Most infants at this age will have a regular sleep routine and are able to sleep through the night. But there is a wide range of normal. If you have any questions about your baby's sleep, talk with your doctor.
Reviewed by: Elana Pearl Ben-Joseph, MD
Date reviewed: July 2022
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Sleep and feeding schedule for your four- or five-month-old baby
Photo: iStockphoto
Well, you’ve made it through the “fourth trimester” and all the ups and downs that come with it—welcome to months four and five! When your baby is around five months old, you will probably see more of a schedule with dedicated naptimes—usually two naps a day.
Many parents also find that on-the-go napping comes to an end around five months, as your kiddo needs their own quiet, dark space to settle down to snooze. Sleeping for 12 hours a night is becoming a possibility, even if you’re not there yet. “A four-month-old or five-month-old often needs a feeding at night, but around six months, if they’re growing on their curve and everything is fine healthwise, then there absolutely is that ability to sleep 12 hours,” says Erin Neri, a certified paediatric sleep consultant in Sherwood Park, Alta.
You might want to consider sleep training your baby at about four months of age, especially if you’re hitting the dreaded four-month sleep regression. Neri adds that the six-month mark is also the stage when babies who use pacifiers start relying on them to sleep, and you might have to stagger over at 4 a.m. to stick the soother back in and repeat. In other words, it might be a good idea to discontinue the soother, depending on what’s working for your family.
Between four to six months old is also the time to transition from a swaddle to a sleep sack if that’s what your baby is used to.
Around this time your baby may hit a growth spurt, with all the extra eating and sleeping (or not sleeping) that goes with it. This is the age to start gradually introducing solid foods, such as infant cereals and puréed meats, veggies and fruits (talk about a photo op). You’ll know that your baby is ready for solids when they can sit up on their own and control their head and neck and are deeply interested in that yummy food that you’re eating.
4 to 5 months sleep schedule
Wake time length: About 2 to 3 hours
Sleep time length: 2 to 3 daytime naps of 20 minutes to 3 hours, may sleep up to 12 hours overnight or wake once or twice
Total sleep time: 12 to 16 hours a day
4 to 5 months sample schedule (with 3 naps)
7 to 7:30 a.m. - Wake up (2.5 to 3 hours)
10 a.
m. - 1st nap (1 hour)
11 a.m. - Wake time (2.5 hours)
1:30 p.m. - 2nd nap (2 hours)
3:30 p.m. - Wake time (1.5 hours)
5 p.m. - 3rd nap (30 minutes)
5:30 p.m. - Wake time (2 to 2.5 hours)
7:30 to 8 p.m. - Sleep (11+ hours, with or without nightly waking)
Total sleep time: 14.5 to 15.5 hours
4 to 5 months sample schedule (with 2 naps)
7 to 7:30 a.m. - Wake up (2.5 to 3 hours)
10 a.m. - 1st nap (1.5 hours)
11:30 a.m. - Wake time (2.5 hours)
2 p.m. - 2nd nap (2 hours)
4 p.m. - Wake time (3 to 3.5 hours)
7 to 7:30 p.m. - Sleep (12 hours, with or without nightly waking)
Total sleep time: 15.5 hours
4 to 5 months feeding schedule
Breastfeeding: On demand, every 2 to 4 hours, or 7 to 12 times a day
Exclusive pumping: 15 to 20 minutes per breast, every 3 hours or at least 7 times a day
Formula: 120 to 230 mL (4 to 8 oz) per feeding, about 5 to 6 times a day
Solids: Slowly introduce them, starting with iron-fortified cereals and single-ingredient puréed vegetables, fruits or meat; watch for allergies; no honey until they’re at least 12 months old
Liquids: Continue breastmilk or formula; introduce water with solids around 6 months
This article was originally published on Apr 04, 2019
How to wake up a baby for feeding and whether it is necessary to wake up a baby in the afternoon
05/29/2020
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For any parent, the question of whether to wake up the baby is not easy.
On the one hand, there are fears that a child who has been sleeping for a long time will not be able to fall asleep later, and on the other hand, how to raise such an angel who has been put to bed for so long...
so that his sleep is not affected.
Let's start with the smallest children. You've probably heard the phrase "never wake a sleeping baby." But it is not always fair. Some newborn babies wake up on their own for feedings, while others need to be awakened. Whether or not you need to wake your baby depends on their age, weight, and overall health.
The American Academy of Pediatrics recommends waking your baby for feedings if he sleeps more than 4 hours in the first two weeks of life. On average, a baby needs feeding every 2-3 hours.
Frequent feeding is very important for several reasons:
- The baby's stomach is very small, the baby quickly digests breast milk. Faster than a mix. Therefore, physiologically, the child necessarily needs frequent feedings every 2-3 hours.
- Babies can sometimes sleep even when hungry, thus malnourished, which affects their development.
- After birth, the baby loses 5-10% of its body weight. And in the first weeks he needs to gain weight. Lack of milk or formula slows down this process.
- A short interval between feedings helps to maintain lactation. That allows you to avoid problems with a shortage of milk in the future.
Tears already signal strong hunger. Therefore, it is better to breastfeed the baby before the baby starts crying. Learn to recognize the early signs of hunger: the baby puts his hand in his mouth, smacks his lips, tossing and turning when he sleeps.
Should the baby be woken up to feed during the day? In general, if an infant sleeps for more than 3 hours in one dream during daylight hours, he must be awakened. Then the mother can feed the already awakened baby. This makes it possible to adjust the work of the biological rhythms of the baby.
How to Wake Up
- Help your child gradually fall asleep by stroking their arms, legs or lightly tickling them.
- Change diaper. Often this is enough for the baby to wake up and be ready to eat.
- Undress and place skin to skin on your chest. You can squeeze a few drops of milk onto your baby's mouth. He will smell and taste it and begin to suck on the breast.
- Speak - he will hear your voice and wake up.
- Do not turn on bright lights. A dim light is sufficient. The bright light will blind your eyes.
- If the baby has attached to the breast but has not begun to suckle, stroke his cheek.
How long to feed
As soon as the baby wakes up and starts to eat, make sure that the feeding is long enough to empty at least one breast. So we will know that he ate hind milk, which is necessary for the growth of the child's body. Some babies take 45 minutes or more to feed one breast, and some do it in 10 minutes.
The sucking reflex promotes falling asleep. Therefore, make sure that the baby does not fall asleep while feeding.
If he falls asleep, change position, lift him up to burp, and then start feeding again.
By 6 months you will have a more or less predictable eating schedule. But each baby will have his own. Some of the children eat every 2 hours, and someone is able to stay without food for 3-4 hours by the second month of life. This is especially true for children who are formula fed.
The length of time between feedings increases as the child grows older. By the age of six months, many babies can already go without supplements at night or are able to sleep for longer periods.
If a child wakes up too often after 6 months and asks for food at night, perhaps this is no longer hunger, but a way to relax and fall asleep.
Avoid using a pacifier in the first weeks after delivery. The pacifier helps the child to calm down and prolong sleep. So you may not notice that your baby is hungry. Therefore, start using a pacifier no earlier than 4-6 weeks and when you are lactating.
Should the baby be woken up to feed formula? As with breastfeeding, the newborn needs frequent formula feeding. But the interval will be more than 3-4 hours.
When it is necessary to wake up the child
It is important to wake up the baby in the morning if he has fallen asleep later than 7.00. This is especially true for children who still sleep 1-2-3 times during the day and have already developed a relatively stable routine. So you create the perfect routine in the morning.
After waking up, children need time to work up their fatigue for their next nap, the ideal window for which is around 9 and 1 pm (depending on age).
Therefore, if the baby slept until 8 am, he simply will not be able to fall asleep in his first daytime sleep.
In order for the baby to wake up calmly without tears, you can enter a wake-up ritual. It allows the child to smoothly transition from a sleepy state to wakefulness.
Example of a wake-up ritual:
- Open curtains/turn on lights
- Welcome words and a kiss
- Snacks, nursery rhymes after sleep
- Happy song
Then you can get up and start breakfast.
For older children, such a ritual is also necessary.
The awakening ritual has different purposes:
- Marks the end of sleep,
- Teaches a child that everyday sounds are not a reason to wake up,
- Helps prevent baby from crying when waking up.
It will also be useful to have a light alarm. If the baby wakes up early, he will stay in bed until he sees the light on the clock.
When to wake your baby up after a nap
Many babies from 4 to 8 months sleep three times a day.
In this mode, it is important to wake up the baby after the third nap no later than 17.00. The duration of this segment is about 45 minutes, but not more than an hour. Then you can easily put the baby to bed by 19 o'clock.
Transition to one nap
At the age of 15-18 months there is a transition to one nap. It can be long and take place in different ways.
For example:
In the morning, the baby falls asleep easily and sleeps up to 2 hours.
But then it is difficult to put it in lunch. And by the evening without rest at lunchtime, he is already overworked and falls asleep with difficulty.
So if this is your case, you can pick up the baby after 60-75 minutes. At the same time, move the start of the second sleep 15 minutes later. But if the baby sleeps for 1 hour in the morning and then it’s already difficult to fall asleep a second time, start putting him down only at lunchtime.
One nap after 2 years
Between 2.5-5 years, naps may disappear. Here again, the story described above is often repeated. It seems that the child falls asleep perfectly during the day, sleeps for a long time, but in the evening, laying down is delayed until 10-11 pm. The problem is that getting up early in the morning to the garden usually does not allow you to sleep the necessary 10-11 hours per night. And again, you will have to gradually limit the duration of daytime rest. Wake your baby up after 60 minutes first, then skip the daytime so your baby sleeps better at night.
Keep an eye on your baby while doing this. If he is calm in the evening and falls asleep easily, and wakes up later than 6 o'clock in the morning in a good mood, then you are doing everything correctly.
If you notice excessive moodiness in the late afternoon or regular awakenings too early, then it is worth giving the baby more time to rest at lunchtime.
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Do I need to wake up my baby to feed
Some mothers worry that their child does not want to eat at night. We figure out whether it is necessary to wake the baby for feeding at night or for his growth and development, daytime nutrition is enough, as well as how to properly disturb sleep and feed the baby, if necessary. What to give the child, how often and up to what age and how to solve the problem of night awakenings? We will talk about all this with our permanent expert - pediatrician, consultant of the SMART MAMA project Polina Alexandrovna Kizino.
— Polina Aleksandrovna, why do babies eat at night?
- Active growth and weight gain in the first months of life, the growing needs of the body for building material and energy costs require a large amount of nutrients. But the baby cannot eat a lot of food at once in order to accumulate it and use the reserves all night. Therefore, the younger the child, the more often he will eat at night. A newborn baby suckles a breast or a bottle day and night at almost the same intervals, but the older he gets, the less often he feeds at night.
— How to organize the nutrition of a breastfed and formula-fed baby?
— In this matter, it is extremely important for parents to separate the concepts of food and sleep. A small child does not need to eat during the falling asleep period, he is able to eat between feedings during wakefulness and at night during sleep. These two processes go hand in hand, but they should not be strictly tied to each other. Therefore, it is important to understand how much the baby needs to sleep and what should be the intervals between feedings.
Sleep and feeding of a child up to a year
| Feed the child at the request or under the regime | Wake up the baby to feed at night |
Night feedings during the newborn period and up to three months
Night feedings for older children
|
How much sleep should a child sleep at night? Age norms change every month, but sleep and nutrition are extremely important. For example, a three-month-old baby sleeps normally 10-12 hours a night. But this does not mean that during this time he does not need to eat. As soon as a hungry baby begins to fiddle and worry, mom should offer him breasts or formula. The child eats and continues to sleep, and the sleep process is not interrupted.
— How many months should I feed my baby at night and how often?
— There are different situations. From birth, the intervals between feedings at night are the same as during the day, then the child gradually begins to skip night feedings, the intervals increase, and on average, by the age of one, the baby stops eating at night.
It is necessary to wake the baby for feedings in the first month, but initially it is worth looking at how long the baby will wake up on its own.
For example, if the interval is 2.5-3 hours, and the child wakes up on his own after 3.5 hours, this is acceptable. But the situation when the newborn is sleeping is completely incorrect 9-10 hours and does not receive food all this time.
- Advise parents who want to adjust their feeding schedule.
- You can increase the intervals between feedings over time and gradually, and in the first months you need to see how much the baby is gaining weight. If the increase is adequate, then the child needs so much food, perhaps an indulgence. If the increase does not correspond to the desired, then, on the contrary, it will be necessary to supplement the baby more actively. With older children, they are guided by the behavior of the child during the day, his weight and height gains.
Read also: How to create a feeding regimen and daily ration for a newborn who is breastfed, mixed fed or artificially fed
— When can a child sleep through the night without feeding?
— Children are all different.
Rare babies begin to sleep at night from the third month. If a child eats his daily allowance during the day and at the same time gains weight normally, there is no need to force-feed him. But there are children who wake up for feeding and a year. The norm at this age is one nightly feeding. By about fourteen or fifteen months, babies stop eating at night, in terms of nutritional needs. After pediatricians do not recommend feeding at night.
It's not just a matter of refusing a child to eat at night - you should pay attention to his food during the day and assess its sufficiency. At the same time, it is recommended to deal with the sleep regime: when the regime is violated, overwork occurs. Perhaps the child does not know how to prolong sleep on his own, and he needs a breast or a bottle to fall asleep. Then night feedings appear, without which he cannot sleep.
— Is it better to feed at night: breast milk, infant formula or complementary foods?
Breastfeeding: give breast or bottle expressed breast milk. | Mixed feeding: breast milk if the mother is trying to keep lactating, or bottle formula if the mother is weaning. | Formula Feeding: dilute a portion of formula according to age and doctor's recommendations. |
Complementary foods are not suitable for night feeding, because they require spoon feeding. Do not bottle feed your baby anything other than breast milk, adapted formula, or water.
— How many times should a baby be fed at night?
— When a child wakes up and asks for food, then they feed him, or on the advice of a doctor. If the child needs additional food, but he does not ask, the mother should still feed him in the amount in which the doctor prescribed it.
Night feeding rules
- Night feedings usually accompany sleep and do not require waking up.
- The more calm conditions (dimmed light, silence) created during feeding, the better.
- Frequent awakenings at intervals of 40-60 minutes or 1 hour 30 minutes, especially in a child older than four months, usually do not indicate hunger, but an association with falling asleep or prolonging sleep only with breast / bottle sucking.
- With the exception of periods of lactation crisis, when the child often asks for a breast, nightly intervals between feedings should be the same as during the day, or more. Gradually, the intervals between feedings should be increased.
— Does the quality of food at dinner affect your night's sleep?
— Nocturnal awakenings are influenced not so much by the last feeding as by the food of the day as a whole. It is a mistake to believe that if you give your child a huge portion at night, he will sleep better. On the contrary, it is more difficult to fall asleep on a full stomach. And, with the exception of very young children, it would be rational, as the child grows, to increase the interval between the last feeding and going to sleep.
- A 1-month-old baby will fall asleep on the breast or at the bottle: at this age, the wake time is short and feeding usually causes the baby to fall asleep. The process of eating for him is a big burden, but at the same time, sucking relaxes and calms.
- After three to four months, you can gradually separate feeding from falling asleep and make longer intervals - starting from 10 minutes, by the year you can reach 1.5-2 hours.
Being full before bed does not reduce awakenings, so the baby should be fed as usual. At an older age, one of the complementary foods can be given at night: porridge with milk or meat puree with vegetables, but one should not think that they will somehow affect nighttime awakenings if the child ate little during the day.
- How to wake up a newborn for feeding at night?
- To feed a baby, it is enough to offer a breast or a bottle and not wake him up - with a maximum probability he will start sucking. There are situations when the child is very lethargic and you need to fill his nutritional needs. In this case, you can “wake up” and use tactile or sound stimuli - take the baby in your arms and change the position of his body, undress him, stroke him, start talking to him quietly so as not to injure or scare him.
Any impact should be smooth and progressive until the baby wakes up. But he can suck in a dream.
If the child gains weight adequately, eats enough during the day, feels well, then the absence of awakenings should not be frightening. The priority is how the child develops: with adequate development, night feedings are not insisted.
— Let's discuss the problems that parents face during night feedings.
- The child often wakes up at night and cries
- Often the child wakes up at night not from hunger, but to calm himself and prolong his sleep, but he does not know how to do this except with a breast or a bottle.
Parents often underestimate the regime, but it is extremely important, because the violation of the regime significantly affects the functioning of the nervous system. If sleep is not organized, then any irritants are quickly unsettled, the baby can react violently to everything. It is worth paying attention to the rituals that precede going to sleep, associations that accompany falling asleep, living conditions - separate and / or joint sleep.
Some babies sleep very restlessly after feeding. There may also be reasons for sleep disturbances.
- Refusal of night feedings
— Parents face a problem when they decide to stop night feedings prematurely. Within reason, you need to follow the child, give him the opportunity to regulate his desires. Ideally, you do not need to feed specially or, on the contrary, stop force-feeding the baby, although there are exceptions in case of violations of his health.
- The baby does not want to eat or eats little and falls asleep
- The baby sucks sluggishly if he does not like the shape of the nipple, bottle or if it is uncomfortable at the breast and it is difficult to get milk. If the baby falls asleep after a short suck, but he needs to be given a certain portion of milk or formula, then he needs to be woken up and fed. During sleep, it is sometimes easier to feed than during the day.
If the child wakes up and does not want to eat, but at the same time he adds normally, then you need to deal with other reasons for awakening.
In a healthy child look at the organization of sleep, wakefulness and nutrition during the day. Neurological symptoms against the background of sleep disturbance require examination of the baby by a doctor.
— How to normalize sleep and nutrition in infants?
— The norms of sleep and feeding are conditional, therefore, first of all, it is necessary to observe the behavior and physiological needs of the child. If he gains weight well, develops adequately without striking deviations from the norm and negative conditions, then there is no point in adhering to strict rules.
Norms are a guide that allows you to quickly react in a situation where something is wrong with your child. If the baby is very worried, often wakes up at night, gains weight poorly, is naughty during the day, then the norms will help correct his condition. If the child develops well, he is active, stable, there is no reason to adapt to the pattern.
Every age has its own dietary and sleep norms.
