Why do breastfed babies feed more at night
Breastfeeding at night - La Leche League GB
Breastfeeding at night is one of the most discussed topics at La Leche League meetings, both in person and online. This is often because breastfeeding at night, especially in the early days, can be so important to establishing a successful breastfeeding relationship. It is also because of its inextricable link with the topic of sleep, which can be one of the biggest changes many mothers and families experience when they have a new child.
There is no doubt that caring for a new baby can be exhausting, especially if you feel you are not getting enough sleep. Understanding why breastfeeding at night is so important can help. There is a huge amount of both reliable and rather less reliable information on the internet and in countless parenting books about what infant sleep ‘ought’ to be like, and therefore what infant night-time feeding ‘ought’ to be like. This article is designed to give mothers and parents the information and reassurance they need to inform their own night-time breastfeeding approach, including some helpful tips on how to get more rest when you can.
Breastfeeding at night in the early weeks and months is normal and important
Babies wake to feed at night in the early weeks and months (and often beyond) for a number of important reasons. Breastfeeding at night is a vital part of establishing and maintaining a good milk supply and ensuring that newborn babies get all the milk they need to grow and thrive. Breastmilk works on a supply and demand basis: the more milk that is removed, the more milk your breasts make. For the majority of mothers, this means milk needs to be removed roughly every 2-3 hours in the early weeks. Although some babies may sleep for slightly longer periods overnight, perhaps 3-4 hour stretches, newborn babies will typically wake several times a night to feed. This also helps to ensure that you don’t get engorged breasts, which may lead to blocked ducts or mastitis.
Newborn babies often wake to feed because their bodies have signalled that they are hungry. However, newborns (and babies and children of all ages) also wake at night for many other reasons, including being scared or uncomfortable, being hot or cold, feeling the need for comfort and connection, and so on.
As adults, we have developed ways of meeting these needs ourselves – adjusting a pillow, having a sip of water, cuddling our partner. As babies have no way of independently meeting these needs, they rely on their mother or parent to meet them. Breastfeeding at night offers mothers a way of easily and conveniently meeting the vast majority of these needs in one go.
Lots of research shows that night waking is the biological norm for babies.i You can read more about it here as well as in Sweet Sleep, La Leche League International’s exhaustive publication on nights and naps for breastfeeding families. Research also shows that, overall, breastfeeding mothers get more sleep than mixed- and formula-feeding mothers. This is for a number of reasons, including the impact of natural hormones and chemicals released for baby and mother when breastfeeding at night. There is also a perception that babies who have formula milk sleep longer than breastfed babies. Evidence shows this is not the case.
ii “Despite the common perception that supplementing an infant’s diet with formula milk or solid food will promote sleep, a recent study found that there was no difference in the frequency of night waking between breastfeeding and formula feeding infants aged 6-12 months old. Infants who received more milk or solid feeds during the day were less likely to feed at night but not less likely to wake.”iii
Breastmilk at night
Research shows that breastmilk changes all the time, in response to all sorts of things, like the needs and health of your baby, temperature, and the time of day. For most mothers, breastmilk will gradually increase in fat content throughout the day. During the evening, young babies often cluster feed, taking in frequent feeds of this fattier milk, which tends to satisfy them enough to have their longest stretch of sleep. This cluster feeding in the early months may go on late into the evening when you were hoping you would be asleep, which can naturally feel exhausting.
Overnight, your prolactin levels – the hormone designed to support milk production – are at their highest. So, when your baby feeds frequently at night, the message to your body to boost milk supply is even stronger. Breastmilk at night is also high in the amino acid tryptophan, which in turn helps your baby to make melatonin, which is used by the body to develop its circadian rhythm (our internal system for recognising the difference between day and night) and to sleep better. Hormones produced while breastfeeding also help you to relax and fall more quickly back to sleep, which may be why you find yourself nodding off so easily while breastfeeding.
Given the fact that the hormones in night-time breastmilk help you and your baby to get back to sleep quickly, feeding babies to sleep is completely natural. A mother and baby’s bodies are designed to work in tandem this way. Breastfeeding your baby to sleep helps baby feel calm, safe and secure. Over time, babies stop falling asleep at the breast so easily, and eventually all babies or children stop needing the breast to fall asleep.
Sleep is not a taught development, and all children get there in their own time. So, while breastfeeding to sleep continues to work, many mothers find it a wonderful, loving and responsive way to help their children doze off.
Breast-sleeping / Co-sleeping
Safely sharing a bed with your baby, or having your baby sleep very close to you in a sidecar cot or similar, is one way of getting more sleep and rest. The majority of other mammals sleep with their young, and our own infants are hard-wired to expect this too. For many breastfeeding mothers, learning to feed lying down and being able to fall back asleep safely with baby is when things start to feel a lot more manageable at night. Some mothers may start out nursing their babies at night sat up in bed, but many soon find that mastering breastfeeding lying on their side can really help everyone to get more sleep, especially as baby gets a bit older and can latch on by themselves. Mums can feed from both breasts when lying on one side by simply tilting their body forwards more.
The same principles for getting a comfortable, deep latch apply when side-lying as when feeding upright. It may take a little practice, but overall it’s easier and less disruptive for both mother and baby at night. Research shows that breastfeeding tends to be more successful overall for mothers that co-sleep than those that keep their baby separated from them at night. You can read more about how to co-sleep or breast-sleep safely with your baby here
Breastfeeding at night after the early months
Many mothers go through patches where their baby may wish to breastfeed more or less at night, especially within the first year. This will be related to a whole host of reasons, including growth spurts, teething, illness, and learning new skills such as sitting, crawling and walking. Like so much else with babies and children, the frequency of breastfeeds at night is not a linear progression. Phases of increased night feedings are usually relatively short-lived and you may find that co-sleeping is a really valuable tool for managing those phases.
Increased periods of waking and breastfeeding around four-six months are very common and are not a sign that your baby is hungry and needs formula and/or solids. You can read more about this in our article ‘What happens at four months’
As your baby gets older and bigger, you may find that night feeding becomes much easier. While in the early days you may feel the need to switch on a light or sit up in bed in order to latch your baby comfortably onto your breast, as your baby gets stronger and learns to self-latch, feeding at night can be a simple matter of rolling over and putting the breast near your baby, who will manage the rest. Night feeds often become quicker too. Some mothers use breast compressions as a way of speeding up feeds. Being able to help their older baby back to sleep quickly with a breastfeed helps many mothers get the most sleep.
Coping with the challenges
Knowing that waking at night to breastfeed is positive for our supply and our baby, and that it is the biological norm, can often be reassuring for mothers and parents.
Nevertheless, sleep deprivation can be really challenging for many families. It can feel especially hard if your baby is waking more than your friends’ babies, or if they are an older baby still waking up more than you had expected.
New parents often get asked about their babies’ sleep and their approach to feeding at night. These conversations can sometimes lead to (unwanted) comments about what is normal, what you ‘should’ be doing, and how to ‘fix’ things. And if you are feeling really tired or at a low point, you may be thinking that you do need to find a ‘solution’ and try some of those suggestions. The many unhelpful sources out there setting unrealistic expectations may be undermining your self-confidence as a mother. Perhaps you’re wondering what a loving and respectful approach that suits both you and your baby would be?
First, it’s important to say that you are not alone. At any point in time there are hundreds of thousands, if not millions, of mothers up and breastfeeding their babies – of varying ages – at night.
A turning point for some of them is when they are able to relax their expectations of themselves and their babies a little. Some mothers also find that being constantly reminded of when they have been woken up is actually part of the problem, and they decide to ignore the clock and not to use their phones at night.
Being responsible for all the night-feeds can feel exhausting, or even unfair. Sometimes well-intentioned comments may suggest that a partner or other care-giver could feed the baby at night with a bottle. It can be useful to remember that the hormones in night-time milk make it easier for both you and your baby to get back to sleep quickly. And since the hormones in night-time milk are made at night-time, there is some evidence that giving your baby breastmilk expressed at other times does not always have quite the same effect. It is also sometimes easy to overlook the practicalities of another care-giver taking care of night-feeds. Mothers will often wake up when their baby does anyway, and may struggle to get back to sleep if they can hear their baby being upset while waiting for a bottle to be warmed up.
Most mothers will also need to pump or hand express milk during the night to protect their supply and avoid engorgement, so they are often awake anyway during the time their baby is being fed by their partner.
Even though breastfeeding at night may be the responsibility of the mother alone, there are lots of ways to get supported so that things feel easier. For example, sometimes dads and partners get up with the baby first thing in the morning to give mums some extra time in bed, which can make a big difference to how tired they feel. Good communication is really helpful – ask for help with other things where you can and be clear about the kind of support you need. It’s OK not to enjoy breastfeeding every second, and it’s OK to complain about being tired: that doesn’t mean you don’t want to do it, so you can explain that asking ‘Why don’t you just stop?’ is not helpful and that you’d rather be asked ‘How can I help you find time to rest today?’
If you are really struggling with tiredness, you may want to think of ways to adapt your own routines for a short while to help you get more rest – perhaps sleeping more during the day, or going to bed earlier when your baby has her first ‘longer’ stretch of sleep.
It can also be a great time to join an LLL group meeting with other breastfeeding mothers, as hearing that they are experiencing the same challenges can be really reassuring. Mothers often get bombarded with unrealistic expectations of infant sleep, and it’s precisely this misalignment of expectation and reality that can cause stress.
Another challenge that mothers may experience (usually once their baby is a bit older) is a feeling of nursing aversion or irritability, particularly during night-time feeds. These feelings can be very normal and are often linked to tiredness or feeling ‘touched out’. You may experience them more when your baby is waking or feeding a lot more frequently, for example when teething or feeling ill. You may also experience these feelings when there is a change in your own hormones, for example, during ovulation or your period. There is some anecdotal evidence that taking magnesium supplements can be helpful. Many mothers describe these feelings as irrational and usually short-lived; they can be a sign that you need to give yourself a little ‘self-care’ – perhaps asking for some more help during the day so that you can rest or focus on yourself.
Nursing aversion can sometimes lead to feelings of guilt about not enjoying breastfeeding, and make you wonder whether it is a sign you need to stop. There are some helpful information groups on social media where mothers share their nursing aversion experiences, as well as tips and tricks that helped them overcome those feelings. Like anything in life, you may not enjoy breastfeeding every moment of every day; that’s OK. Take things one day at a time, listen to your body and your baby.
Stopping breastfeeding at night
Breastfeeding at night meets a baby’s needs in a variety of ways. For many mothers, it’s the easiest way to settle their baby back to sleep when they wake at night, and they continue to use it for as long as it continues to work. It is not a bad habit and all babies eventually fall asleep and stay asleep without the breast. You may decide that you are happy with breastfeeding back to sleep, but you are feeling pressured by others’ expectations about what your baby ‘should’ be doing.
Some books suggest that after six months babies no longer need night feeds. Not only is this an arbitrary figure, taking little account of the different circumstances of different babies and families, but it also has no evidence to back it up. Sometimes, mothers worry that breastfeeding at night is what is causing their baby to wake up several times. This is not the case. Babies wake for lots of reasons and it is better to think of breastfeeding as a tool that meets the vast majority of those needs. Some sources claim that babies after a certain age don’t ‘need’ breastmilk at night any longer, but breastfeeding goes on meeting a baby’s needs for a long time. Many babies will continue to need the calories from night-time breastmilk, as well as all the other comforts that it brings, for some time after six months, and sometimes well beyond.
Some families may feel that their baby is ready to cut some breastfeeds at night or stop breastfeeding at night altogether. Generally speaking, the evidence seems to suggest that night-weaning is best left until after around 18 months.
Many mothers find that gently cutting down feeds at this point is much easier, as the baby is learning to talk and the mother can help to explain any changes. There is helpful information about approaches to cutting down night feeds here. Any changes are best approached gradually and respectfully, so that you can preserve the important close connection to the baby at night-time. As your baby gets older, you will discover ways of being responsive to their needs at night that might not include offering your breast every time. For example, you may find that you are able to try other things like rocking, patting and shushing before offering the breast. These may not work initially, but over time, as your baby develops, you may find that in some cases these soothe him back to sleep. As always, you are the expert on your baby and you’ll be able to assess whether your child is ready to stop breastfeeding at night, or whether it would be easier to try night weaning later on.
Conclusion
Having a baby, and eventually a toddler, can of course be exhausting.
Since responding to your baby’s intense needs at night can feel overwhelming, being able to access reliable information about infant sleep and night-time feeding behaviour can help you adjust your expectations. You may be happy breastfeeding your baby back to sleep as often as needed, yet you may feel pressured by well-meaning comments from friends and family about what your baby’s sleep ‘should’ be like. Sometimes spending time with others who understand what you’re going through, and who are supportive or your choices, can help you feel confident to make the decisions that work for you. Chatting with other mothers at a La Leche League meeting, in person or online, about what they found helpful, and exchanging ideas for getting more sleep may help you decide what’s right for you and your baby. Never forget that you know your baby best!
Written by Rhiannon Butterfield, LLL Cambridge. February 2021
Endnotes:
i Baby Sleep Info Source (BASIS) – Durham University
ii Brown A, Harries V.
Infant Sleep and Night Feeding Patterns During Later Infancy: Association with Breastfeeding Frequency, Daytime Complementary Food Intake, and Infant Weight. Breastfeeding Medicine. 2015;10(5):246-252.
iii https://gpifn.org.uk/sleep-and-safe-sleeping/
Further reading:
Safer Sleep and the Breastfed Baby
I need some sleep!
LLLI: Safe Sleep Seven
The reasons why nightwaking is the biological norm
Letting babies cry: the science behind the studies
Sweet Sleep available in our LLLGB Shop
Nighttime Breastfeeding - 7 Reasons Why It's So Important
Nighttime breastfeeding
One of the most difficult aspects of caring for a newborn baby is the sleep deprivation that comes with it. Each night feed just seems to roll into the next.
As you start each day feeling as though you’ve barely slept a wink, you might start to question the wisdom of breastfeeding. The truth is, though, no matter how your baby is fed, nighttime feeds can be exhausting.
Understanding why nighttime breastfeeding is important for your baby and your milk supply can help you cope better with the lack of sleep.
Here are 7 reasons why nighttime breastfeeding is so important:
#1: Babies have tiny tummies
A newborn’s tummy is tiny. At birth, it has the capacity to hold up to about 20mL of fluid, and gradually increases after that. Also, breastmilk empties from the stomach within about an hour.
For some newborns, a pattern of feeding every one to two hours is common, and well within the wide range of normal. The good news is that frequent breastfeeds (and therefore milk removal) in the early days and weeks help to maximize your milk-producing capability later on.
#2: Nighttime breastmilk intake makes an important contribution to babies’ total intake
Breastmilk that babies consume through the night makes up an important part of their total 24-hour intake.
Research has shown that most (64%) of breastfed babies between 1-6 months of age feed between one and three times at night (from 10 pm to 4 am), and that about 20% of their 24-hour intake is from these night feeds.
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#3: Breastfeeding at night helps babies sleep
Circadian rhythms are our internal body clocks. They are regulated by hormones which help us wake up and feel energetic during the day, and enable us to fall asleep easily at night.
Breastmilk contains tryptophan, an amino acid used by the body to make melatonin. Melatonin is a hormone that helps induce and regulate sleep. Tryptophan levels in breastmilk rise and fall according to maternal circadian rhythms. Breastfeeding can help develop babies’ circadian rhythms and help them to settle to sleep better at night.
#4: Babies’ circadian rhythms are still developing
While breastfeeding might help establish a baby’s circadian rhythm, research has shown that the rhythm isn’t usually established until after 2 months of age.
Therefore, it’s only after this time that your baby will have any significant physiological hormonal influence helping her body to know whether it’s daytime or nighttime.
So, regardless of whether babies are breastfed or formula-fed, sleeping longer stretches at nighttime is a developmental milestone that all babies reach at a different rate.
#5: Nighttime breastfeeding is necessary for lactational amenorrhea
LAM, or the Lactational Amenorrhea Method, is a form of birth control that is 98% effective if used correctly. If your baby is younger than 6 months and is being exclusively breastfed (day and night), and if your menstrual cycle hasn’t returned, you can use LAM as birth control. It’s not uncommon for mothers to find their menstrual cycle returns when they cease (or significantly reduce) nighttime breastfeeding.
It’s possible to fall pregnant using most forms of birth control, even if the risk is small. If you’re strongly against falling pregnant too soon, you might like to consider using additional forms of birth control, for example, condoms.
Here are some things to think about if you’re considering using the pill.
#6: Breastfeeding is protective against SIDS
Perhaps one of the most important reasons for nighttime breastfeeding might be to help reduce the risk of sudden, unexplained death in infancy (SIDS). It might be that infant arousals are an important mechanism for survival, and these arousals are more frequent for breastfeeding babies.
Since breastfeeding is the normal way to feed babies, it should be the benchmark, or the control, with which other forms of infant feeding are compared. From this point of view, while breastfeeding doesn’t reduce the risk of SIDS, formula feeding increases it.
Australia’s leading health organization, the National Health and Medical Research Council, indicates that not breastfeeding increases the risk of SIDS by 56%. Putting this into perspective, in Australia, the risk of SIDS is currently around 1 in 3000 births. Therefore, if all babies were formula-fed, the 56% increase in SIDS would then mean that the risk of SIDS would increase to around 3 in 6000 births.
#7: Breastfeeding mothers actually get more sleep
Research shows that mixed feeding or formula-feeding reduces a mother’s total sleep time, and increases the time it takes to go to sleep when compared with exclusive breastfeeding.
Other research has shown that mothers who exclusively breastfeed get 40-45 minutes more sleep than mothers whose babies are given formula. While 40-45 minutes might not seem like much, it can make a big difference to women dealing with sleep deprivation.
…
Sleeping through the night is a developmental milestone for your baby, and is unrelated to how your baby is fed. In the meantime, embrace breastfeeding your baby at nighttime, knowing there are many good reasons for doing so. Before you know it your baby will be all grown up, and you might find that you miss those cuddly, peaceful nighttime feeds.
What is normal breastfeeding? | Interview with Dr. Jacqueline Kent
It can be difficult for new mothers to understand if breastfeeding is going well, so we decided to ask the expert if it is possible to talk about the norms when it comes to breastfeeding.
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Dr Jacqueline Kent, Research Fellow, Hartmann Human Lactation Research Group:
Jacqueline joined the University of Western Australia research team in 1986 and received her PhD in 1999. She is currently researching the biochemical and physiological aspects of breast milk synthesis and release in search of scientific information to help mothers breastfeed longer.
Dr. Jacqueline Kent and her colleagues have been studying breastfeeding for many years. As it turned out, for all mothers and babies, this process occurs in its own way.
What were the most surprising results of your research?
Variety. It turns out that the limits of the norm are extremely wide.
We are used to textbooks that say that an infant should eat 8-12 times a day and gain 150 grams per week. But babies don't read textbooks and do things their own way! Some gain weight more slowly, others very quickly.
We observed infants aged one to six months who were exclusively breastfed.
As our studies have shown, on average, a child is breastfed 4 to 13 times a day, and the duration of one feeding varies from 12 minutes to 1 hour. 1
How much milk do breastfed babies usually consume?
According to our research, the volume of milk consumed by baby
ranges from 54 to 234 ml per feeding. 1
Sometimes it seems to the mother that the baby ate well, but when weighed, it turns out that he ate very little milk. And it happens the other way around: the child is distracted, breastfeeds for only a few minutes and still eats 100 ml of milk. Even if the baby is restless, this does not mean at all that he is malnourished.
All babies are different, but they all get the amount of milk they need in one way or another. One needs 500 ml of milk per day, while others eat up to 1356 ml!
By the way, boys on average eat 76 ml more milk per day than girls. The main thing is that you have enough milk, and the baby will decide when and how much he will eat.
Should I offer my baby a second breast?
I advise offering the second breast to the baby after the first has been completely emptied. If he accepts it, then he hasn't finished eating. If not, don't worry. Let the baby decide for himself - only he knows when he is full. According to our research, 30% of babies get enough milk from one breast, 13% eat from two breasts at each feed, and 57% from time to time. 1
How do you know if a baby is getting enough milk?
In my experience, mothers often blame themselves for not producing enough milk. Ask yourself: Is my child growing? Is he gaining weight? Is he cheerful? Is his skin healthy? How often does he get diapers dirty? If the answer is “yes”, then the baby is getting enough milk, no matter if he eats a lot or a little.
What is the most common misconception about breastfeeding?
Mothers usually think that the older the child gets, the more often
he needs to be fed and the more milk he will eat.
They are often surprised to learn that between the 4th and 26th weeks, total milk production normally does not change. 2
In the first few months, the baby grows very quickly and his metabolism is accelerated. The milk that the child consumes during this period is almost completely used for growth and maintenance of metabolism.
Between the ages of three and six months, metabolism slows down and growth slows, so the same amount of milk is sufficient for the baby. In other words, the baby does not have to consume more and more milk as they grow older. On the contrary, feedings become shorter and less frequent, but at the same time the child receives the same amount of milk, because he suckles better.
Do studies say anything about the age at which breastfed babies start sleeping through the night?
Most babies need to be fed at night.
A baby's stomach is not large enough to go all night without a feed, and breast milk is digested very quickly.
Therefore, it is natural for the baby to wake up at night - and this usually continues for at least the first six months. Feeding at night is normal. When you feed your baby at night, do not even hesitate - all over the world at this moment other mothers of babies of the same age are doing the same. Be patient - it usually only lasts a few months. 1
What worries new mothers the most during the first few weeks of breastfeeding?
The most common concern is whether the baby latch on properly, sucks well, and is full during feeding. Often mothers also worry about sore nipples. The main thing is to find the right position for feeding from the very beginning and ensure that the baby is latching on correctly. Practice shows that this significantly affects the flow of milk and the convenience of feeding.
What breastfeeding symptoms should be of concern?
Milk production usually returns to normal levels two weeks after birth. If the child does not begin to gain weight on the fifth or sixth day of life, it's time to sound the alarm.
You should contact your doctor to make sure that milk is being produced and that its composition is changing from colostrum to mature breast milk.
What advice would you give to a new breastfeeding mother?
Try to ensure skin-to-skin contact with the baby as soon as possible after delivery. If possible, feed your baby within the first hour of life, or at least breastfeed. As soon as possible, contact a specialist to correct the position and grip of the breast during feeding and thus avoid damage to the nipples.
Feed frequently. Young mothers do not immediately succeed in correctly recognizing the signals that the child gives. Be sure to feed your baby on demand, and not at set intervals. Offer the breast as soon as you notice any signs of hunger - as a rule, the baby suckles better when he is calm. If he cries, it is more difficult for him to take the breast. If you are not sure what the child wants, offer him the breast. He decides whether he wants to eat or not.
To learn more about Dr. Kent's research, download infographic "How to determine the limits of normal when it comes to breastfeeding" or see it below.
Literature
1 Kent JC et al. Volume and frequency of breastfeedings and fat content of breast milk throughout the day. Pediatrics . 2006;117(3): e 387-395. - Kent J.S. et al., "Amount and frequency of breastfeeding and fat content of breast milk during the day." Pediatrix (Pediatrics). 2006;117(3):e387-95.
2 Kent JC et al. Longitudinal changes in breastfeeding patterns from 1 to 6 months of lactation. Breastfeeding Medicine . 2013;8(4):401-407. - Kent J.S. et al., Longitudinal changes in breastfeeding patterns from 1 to 6 months of lactation. Brest Med. 2013;8(4):401-407.
QUESTION TO THE LASTFEEDING EXPERT: What to do about frequent night feedings?
Question: My son is 1 month old, breastfed since birth.
Tell me, what is the norm of night feedings for a child under one year old? My son eats literally every hour at night. It's very difficult, I can't sleep. What to do with such behavior?
Tatyana from Donetsk.
Answered by Ksenia Solovei , Head of the National Movement in Support of Breastfeeding "Milk Rivers of Ukraine", partner of UNICEF in the Breastfeeding Support Program in Crisis Situations:
- First of all, the main thing to remember is that it is perfectly natural for a child to wake up several times a night. The child often wakes up as soon as something starts to bother him - for example, the absence of his mother nearby. And the simplest and surest way to calm the baby is, of course, breastfeeding.
There is no quantitative norm in applying to the breast. All children are completely different and why one breastfeeds at night 2 times, and the other every hour - for sure, no breastfeeding specialist knows.
For an infant, attachment to the breast is an opportunity to feel safe, and he does not always suckle the breast because of hunger and the desire to eat. Although this is also important.
The reasons for too frequent nighttime attachments can be:
1. Lack of attention during the day on the part of the mother, who works or devotes a lot of time to household chores. As a result, during the day the child is rarely in the arms of the mother, rarely applied to the breast. To fill this gap during the day - the child "parts" at night.
Solution: Help your loved ones with laundry, dishwashing, cooking and cleaning. If there are no assistants, think about whether you really need a sparkling clean house now when you have a baby and your constant presence is important for him?
2. The child does not eat during the day. He sucks the nipple all the time, doesn't attach properly to the breast, and doesn't have the ability to suck out a good portion of milk.
Therefore, he uses the night for this.
Solution: remove the pacifier permanently. Start breastfeeding your baby more often. Learn to apply properly. During attachment, you need to make sure that the baby opens his mouth wide, and put not only the nipple into it, but also most of the areola. It is important that the lower lip of the child is turned outward, the chin rests on the chest. In the process of sucking, the mouth should be wide open, that is, the angle between the upper and lower lip will be blunt. More.
3. For physiological reasons.
Solution: take the child to the doctor. Check if the child has gained enough weight in the 1st month? Normally, the increase should be about 500 grams of weight with a slight loss on 3-4 days after birth.
Remember that frequent nighttime feedings are not a whim of a child, but an important need that helps him cope with something that you and I may simply not know about.
