When to stop waking baby for feeds
When Can You Stop Waking A Baby Up At Night To Breastfeed? Experts Weigh In
Breastfeeding
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Because now you’re ready to get some good sleep.
by Mishal Ali Zafar and Abi Berwager Schreier
Updated:
Originally Published:
Whether this is your first time breastfeeding, or you consider yourself a seasoned pro, there will always be some point in time where you’ll find yourself asking questions. Boob issues aside, scheduling and timing your nursing sessions can get really confusing, especially at night. When your baby was just born, you may have had to disrupt their slumber to feed them, but as they get older, do you still have to wake them? The old adage is “never wake a sleeping baby” and honestly, you need some sleep, too.
There Are A Few Factors To Consider When Letting Your Baby Sleep Through The Night
International Board Certified Lactation Consultant (IBCLC) and registered nurse Angie Natero tells Romper that she advises moms to stop waking their babies to feed when they are about two weeks of age, but only if breastfeeding is going well, their baby is above their birth weight, and there is no jaundice present.
Natero says that there are some reasons that would require you to continue waking your baby to feed at night. “Of course there might be a few exceptions to this rule,” she says, “or special circumstances such as a low birth weight or prematurity among other things, so it's important that mom takes specific advice about her unique baby from her trusted IBCLC and pediatrician.”
Kidshealth.org reports that it is normal for breastfed newborns to lose about 7 to 10% of their body weight within the first week of life. However, the website noted that “during their first month, most newborns gain weight at a rate of about 1 ounce (30 grams) per day.
” Jennifer Jordan, director of Mom and Baby at Aeroflow Healthcare, tells Romper that most babies will return to their birth weight by 10 to 14 days after birth, so when waking your baby to feed at night, Jordan explains that it's more about their weight, and less about their age.
“All things being equal,” adds Jordan, “once your baby returns to their birth weight, you can stop waking them up.”
Tatyana Tomsickova Photography/Moment/Getty ImagesHow Often Should You Wake Your Baby Before They Reach Their Birth Weight?
IBCLC Tera Hamann tells Romper that until your baby reaches the two-week mark, you should wake them at least every three hours to breastfeed until they reach their birth weight. After that, she says you can allow them to sleep as long as they are getting eight to 12 feedings in a day. “It’s always a good idea to keep track of feedings and diapers in the first few weeks while your baby is establishing what will be their normal growth curve,” Hamann says.
She adds that as a generalization, reaching birth weight is the milestone for letting your baby sleep longer.
Natero explains that breastfeeding moms should know that it's very common and normal for babies to wake up at night to nurse, especially in the first few months, so if your baby does wake up, it’s important to feed them. “Moms should feed their baby on demand with cues,” suggests Natero, “to assure that their baby’s needs are met, and to establish and maintain her milk supply.”
Talk To Your Pediatrician Before Letting Your Baby Sleep Without Waking Them To Feed
Both Natero and Jordan emphasize the importance of including your pediatrician or IBCLC when figuring out how much nutrition or milk your baby needs. Jordan says that at your baby’s two-week follow-up visit, if your baby has returned to birth weight, you can ask your pediatrician if it is OK to let them sleep through the night. Your doctor will be able to evaluate your baby’s health and weight, and give you the best advice as to what your breastfeeding schedule should look like.
As you continue breastfeeding, you’ll realize how many questions can arise, so it’s a good idea to find an IBCLC who can give you guidance and support. And you won't have to worry about waking your baby up at night for much longer, because as they get older, healthier, and stronger, they will probably start waking you up at night to feed.
Experts:
Angie Natero, International Board Certified Lactation Consultant (IBCLC) and registered nurse
Jennifer Jordan, director of Mom and Baby at Aeroflow Healthcare
Tera Hamann, International Board Certified Lactation Consultant (IBCLC)
This article was originally published on
Sleep and Your Newborn (for Parents)
Newborns don't yet have a sense of day and night. They sleep around the clock, and because their tiny stomachs don't hold enough breast milk or formula to keep them satisfied for long, they wake often to eat — no matter what time of day or night it is.
How Long Will My Newborn Sleep?
Newborns should get 14–17 hours of sleep over a 24-hour period, says the National Sleep Foundation. Some newborns may sleep up to 18–19 hours a day.
Newborns wake every couple of hours to eat. Breastfed babies feed often, about every 2–3 hours. Bottle-fed babies tend to feed less often, about every 3–4 hours.
Newborns who sleep for longer stretches should be awakened to feed. Wake your baby every 3–4 hours to eat until he or she shows good weight gain, which usually happens within the first couple of weeks. After that, it's OK to let your baby sleep for longer periods of time at night.
The first months of a baby's life can be the hardest for parents, who might get up many times at night to tend to the baby. Each baby has a different sleep pattern. Some start to sleep "through the night" (for 5–6 hours at a time) by 2–3 months of age, but some don't.
How Should Babies Sleep?
During the first weeks of a baby's life, some parents choose to room-share.
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 baby nearby and helps with feeding, comforting, and monitoring at night. The American Academy of Pediatrics (AAP) recommends room-sharing without bed-sharing.
While room-sharing is safe, putting your infant to sleep in bed with you is not. Bed-sharing increases the risk of SIDS (sudden infant death syndrome) 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.
- 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 Newborn Sleep
Newborns follow their own schedule. Over the next couple of weeks to months, you and your baby will begin to settle into a routine.
It may take a few weeks for your baby's brain to know the difference between night and day. Unfortunately, there are no tricks to speed this up, but it helps to keep things quiet and calm during middle-of-the-night feedings and diaper changes. Try to keep the lights low and resist the urge to play with or talk to your baby.
This will send the message that nighttime is for sleeping. If possible, let your baby fall asleep in the crib at night so your little one learns that it's the place for sleep.
Don't try to keep your baby up during the day in the hopes that your little one will sleep better at night. Overly tired infants often have more trouble sleeping at night than those who've had enough sleep during the day.
If your newborn is fussy it's OK to rock, cuddle, and sing as your baby settles down. Swaddling (wrapping the baby in a light blanket) can also help to soothe a crying baby. If you swaddle your baby and they start trying to roll over, that is a sign that you can stop swaddling. For the first months of your baby's life, "spoiling" is definitely not a problem. In fact, newborns who are held or carried during the day tend to have less colic and fussiness.
When Should I Call the Doctor?
While most parents can expect their newborn to sleep or catnap a lot during the day, the range of what is normal is quite wide.
If you have questions about your baby's sleep, talk with your doctor.
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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Should I 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 Aleksandrovna 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 on demand or under the regime | Wake up the baby for feeding at night |
Night feedings during the newborn period and up to three months
Night feedings for older children
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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.
