Why is my baby so fidgety when feeding
7 Ways To Keep Your Baby From Fidgeting When Breastfeeding
by Tessa Shull
Of the many struggles a breastfeeding mom can face, fidgeting is one that isn't brought up too often but can be very frustrating. If you find yourself getting slapped in the face, tugged left and right, or unable to breastfeed for more than a few minutes at a time, you may be desperate for some ways to keep your baby from fidgeting when breastfeeding.
It isn't uncommon for a baby of any age to fidget while they nurse. It's a phase most babies go through at one point or another. If you're taking advantage of some tactics to combat your little one's fidgeting during daily feedings, then you may be able to put a stop to it fairly quickly. And if not, there are also several suggestions to help you work around fidgeting while you breastfeed to ensure your baby is still getting their milk intake without annoying you too much.
So if you find yourself frustrated in a position where your baby is beginning to fidget (or you haven't been able to get them to stop), know that you are far from the only mom dealing with it. And consider taking advantage of some of the tips below to relieve your breastfeeding stress.
Find A Quiet Place Without DistractionsBekah Russom
As they age, babies' desire to fidget while breastfeeding comes from wanting to see what's going on around them, according to Breastfeeding Basics. A simple way to combat this urge is to find a quiet room, turn down the lights, switch off any noise, and ultimately create a calm environment to breastfeed in.
Take Advantage Of Night NursingBastien Jaillot
Generally your baby is less active and more likely to rest while nursing at night. According to Kelly Mom, until you've passed the fidgeting stage, it's helpful to take advantage of night nursing.
Start The Let Down Process YourselfHalfpoint/Fotolia
According to the aforementioned Breastfeeding Basics article, while newborns are fine nursing until your milk lets down, older babies get impatient. Try massaging or working your breasts to get more milk.
Most mothers biggest complaint with fidgeting is when their baby starts pulling away without unlatching from their nipple. The aforementioned Kelly Mom article suggested keeping a finger ready to break the latch as soon as your baby starts pulling away. This can start a reaction habit for you and potentially for your baby to start unlatching as well.
Offer More FeedingsHalfpoint/Fotolia
According to the aforementioned Kelly Mom article previously mentioned, if you're concerned your baby's not eating enough because they're fidgeting so often, offer more feedings in shorter durations. Most older babies get the milk they need in five to 10 minutes. Consider that time limit once your baby starts fidgeting and incorporate feedings more often for shorter amounts of time.
If you're baby is older, Breastfeeding Basics suggested they can begin to understand limit setting. Start teaching your baby or toddler that fidgeting behaviors, like pulling your shirt or nipple tugging, are not acceptable. You can do this by giving a verbal command or stopping the feeding if behavior persists. It's important to stay consistent with this approach.
Swaddle Your Newbornnoblegerad
If it's a newborn specifically you're having difficulty with fidgeting or getting their hands in the way of your nipple, in my experience, swaddling works best. If you wrap them up like a burrito and their little hands can't get in the way, it's much easier to focus on breastfeeding your newborn.
Why is My Baby so Fidgety?
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My son was a very fidgety baby for the first 4-6 months. I asked other mothers with new babies if they experienced the same thing and most did not. I’ve had three children and have been around numerous other children and never seen any of them be nearly as fidgety as my son. He was so fidgety that I wondered if something was wrong.
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He seemed to always be moving and jerking around and very rarely did I see him lay still. While awake or while sleeping, he would constantly move his head side to side and kick his legs. I was worried that he wasn’t getting enough sleep since he would wake up every 30-45 minutes.
As far as I could tell, there wasn’t anything wrong with my son. His health was good, he met all of his growth milestones and he didn’t cry too much. He just seemed to have a lot of energy and always wanted to be moving around.
This was pretty tough to deal with when he was really young and was sleeping with me. I’d have to pull a bassinet over close to the bed and lay him down in there just so we could both get some sleep. It kept occurring and so I started to Google about why a baby might be fidgety.
I had to read articles in quite a few places and scour parenting/mother forums to piece together exactly what being fidgety meant and why it might be happening.
I’ll share my findings and hopefully, it will put your mind at ease.
Table of Contents
- 1 What are the signs that your baby is Fidgety?
- 2 Is something wrong? Should I be worried? Is all the fidgeting normal?
- 3 Why is my baby so fidgety at night or when breastfeeding?
- 4 Acid Reflux, Colic, and Gas lead to Fidgeting
- 5 How to Relieve Baby Gas
What are the signs that your baby is Fidgety?
Babies can display many different actions and behaviors that could be considered “fidgety”. Many of these are normal and nothing to worry about. Some may be things you’ll want to take action on to avoid discomfort for your baby. Here are some common behaviors that may seem like fidgeting:
- Moving head side to side repeatedly
- Flailing arms
- Kicking legs
- Shorter than average naps or waking up often
- Sudden jerking motions sometimes while sleeping
Is something wrong? Should I be worried? Is all the fidgeting normal?
These are the questions I asked myself many times and I’m sure you’re asking yourself right now if you’re here reading this. The good news is, often this is normal and there is nothing to be worried about. This is very common, especially in the first 6 months. At my sons 2 month checkup, I asked his pediatrician about all the fidgeting. He suggested that my son may be having issues with gas or even reflux. Both of which are easy to take care of with drops or by extra burping. He also told me that some babies are just more fidgeting then others. Some are a little fidgeting and some are really fidgety. Usually, this is a phase and you’ll get past it.
Why is my baby so fidgety at night or when breastfeeding?
Is breastfeeding painful, difficult or highly unpleasant? With my son, nursing was becoming really annoying and frustrating (let’s be honest, painful). He would not settle down. He was constantly on and off the breast, squirming around, playing with my bra, scratching me up and down. I’d try to swaddle him but he would just start crying until I let him be free again. This is one of the reasons why I weaned him and got on a bottle after 5 or 6 months. I couldn’t handle it anymore.
One of the most common causes of fidgeting at night or when breastfeeding is gas. Yep, you read that right, it’s simply the baby being gassy. Try burping them some more and if that doesn’t help, try some gas drops. Gripe water worked wonders for us as my son often had gas issues. You can also speak to your pediatrician but they will most likely suggest the same things.
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Acid Reflux, Colic, and Gas lead to Fidgeting
The main three causes of fidgeting are acid reflux, colic, and gas in the tummy. You may notice that your baby fidgets more or cries when laying on their back. This is a sign that these may be the culprit. You’ll always want to get advice from your pediatrician to be sure and he or she will be able to recommend the appropriate response could include a change to feeding or medication. If you suspect gas, extra burping, gripe water or other baby gas relief medications can be tried. Some parents have also had success doing baby bicycles (lay baby on his back and gently cycle his legs in a circular motion) and increasing tummy time.
How to Relieve Baby Gas
One of the most common ailments for newborns and babies 1-6 months old is gas. It can be uncomfortable and downright painful. If your baby cries after feeding, often it can be because of gas. There are several ways to get rid of your baby’s gas fast. They are as follows:
- Try burping your baby twice. A lot of discomfort can be caused by gulping down air during feeding.
- Try to avoid the issue of gulping air by feeding your baby upright to cut down on swallowed air.
- Try using baby gripe water. We used this with my son and it worked wonders. This can often offer relief and soothe babies. We recommend the Mommy’s Bliss brand.
- Be aware of your diet. Some foods you eat may be passed on through breast milk and could be attributed to the gas. (some foods that may cause gas are caffeine, onions, spicy food, and dairy products)
- Think about trying different formulas. Some claim to cause less gassiness.
It’s hard to see our little ones in pain. You just want to trade places with them and you’d do anything to make it go away. Just stay calm, pay attention to their behavior and don’t be afraid to contact a doctor or nurse for advice. Often times this will pass quickly and is related to gas, but if it’s not you’ll want to try some of the remedies I discussed above or get help. Good luck!
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition.
Lorie Anderson, M.S.Ed.
Hello, my name is Lorie and I'm a mother of three beautiful kids. I have a masters of science in education, learning design, and technology. I like to share my experiences from raising 3 kids and review products I've found useful.90,000 12 causes of concern for a child when breastfeeding. Why does a baby cry during breastfeeding
In the first weeks after birth, a newborn and his mother only get used to each other, and much of the baby's behavior is unclear to the mother. Why, for example, does a child worry at the breast during feeding? There are many reasons for this, and we decided to describe them and offer ways to overcome difficulties. Let's start with the cause of the child's anxiety, which mothers call the first, but which really exists least of all.
Lack of milk
This is the first thing that comes to the mind of a nursing mother whose baby cries a lot, including at the breast. One of the biggest challenges with breastfeeding, oddly enough, is that breastfeeding moms don't know exactly how much milk their babies are getting or if they're getting enough.
If your child is overly restless, most outside well-wishers will likely point out to you that the baby is probably hungry. Since you are a mother, such remarks can make you feel guilty. After all, it is your responsibility to feed the child! How to dispel doubts and fears associated with a lack of milk?
- Watch your baby urinate and defecate. After the sixth day of life, you should receive at least six wet diapers and one dirty diaper per day. If so, then your baby is getting enough milk.
- Frequent feedings are normal. In the first few weeks of life, a newborn usually needs 8-12 feedings per day. At the very beginning, you may at times have to keep it near your chest almost all the time. For several hours, he will demand it very often, and then fall asleep for four to five hours. As the baby learns to suckle more effectively, the number of feeds decreases.
- Keep track of your baby's weight. By two weeks, the baby should have regained the weight it was born with and gain at least 150 grams per week for the next two to three months.
If you are still worried that you are not getting enough milk, you may find it helpful to have a lactation consultant who will monitor, assess your baby's weight gain and suggest ways to increase your milk supply, if needed.
Swelling of the breast
Sometimes the child's restless behavior at the breast is caused by breast swelling. Excessive breast swelling most often occurs in the first weeks after childbirth. To reduce it, express some milk manually or with a quality breast pump to make the breast softer and easier for the baby to take it. Don't express too much milk, as this can cause you to produce too much milk later on, which will only make the swelling worse. Apply cold compresses to your breasts between feedings to reduce swelling and soreness.
Flat or indented nipples
Also, the baby may be nervous to latch onto the breast if the mother has flat or indented nipples. To stretch them, you can wear special pads between feedings. Turning on the pump for a few minutes before putting the baby to the breast will help elongate the nipples and also start the flow of milk so that the baby will immediately receive it and is more likely to continue sucking instead of dropping the breast and crying.
In some cases, a woman has to use pads that encourage sucking until her nipples become more prominent. This should happen after about two to four weeks of breastfeeding. If you are having trouble with flat or sunken nipples, seek help from a lactation consultant as soon as possible.
Incorrect attachment, awkward posture
Another cause of restless behavior at the chest is incorrect position . Both the mother and the baby may be uncomfortable, due to which the effect on the breast is not as it should be, and a sufficient flow of milk is disturbed. If your baby is very nervous, your best bet is to use the underarm position (when you hold the baby to your side, holding him tightly against your nearest breast) or the "cradle" position (when you hold the baby horizontally at your chest), as these positions allow you to control his head.
These postures allow you to guide the baby to the breast and hold him there. The baby's nose and chin should be pressed into the mother's chest. As a rule, he suckles better when his mother holds him tightly. If something makes you feel uncomfortable while feeding, contact a consultant. Perhaps this is the reason for your baby's anxiety.
Almost all children have some degree of gastroesophageal reflux. This medical term refers to a condition in which the annular muscle (sphincter) that blocks the entrance to the stomach has not yet fully formed and does not always completely close the opening. Because of this, some milk, along with gastric juice, can flow back into the esophagus, causing a sensation that we call "heartburn."
As anyone who has ever experienced it knows, it is quite an unpleasant sensation. Just as an adult can relieve heartburn by sitting with a straight back, a child can also usually benefit from being held upright.
Sometimes reflux can occur during feeding. Its appearance can be prevented by holding the child more upright or periodically taking breaks so that the baby “stood” a little. As the child develops, so does the musculature, so that cases of reflux become rarer.
Sometimes the problem is so severe that the child is unable to eat normally due to reflux. In such cases, you must consult a doctor.
All newborns have flatulence . When a child begins to eat, he starts reflex gas production, which is necessary for the waste generated during nutrition to be removed from the body more quickly. This prevents constipation.
Since breast milk is very easy to digest, it takes very little time for this food to pass through the baby's gastrointestinal tract. You can often hear characteristic sounds while the baby is still suckling. Although all children have gas, some tolerate it better than others. The time of day can also influence this. Apparently, the problem of flatulence becomes more noticeable at the end of the day. Traditionally, this time is considered the most hectic. The child seems to not want to let go of the breast at all, and this, in turn, can aggravate flatulence. This problem disappears on its own as the baby develops.
How to calm a crying baby
Many of the methods that promote calming are somehow related to the imitation of intrauterine conditions. Make sure that the air temperature is comfortable - not too hot and not too cool. Change diapers promptly. The baby can feel peace if he is held tightly to him or rocked. Swaddling or monotonous sounds - music or the buzzing of electrical appliances - may turn out to be effective. You can carry your baby in a sling, thereby providing him with comfort and getting the opportunity to do some business at the same time.
You can involve one of the family members in calming the child - for example, a father, grandmother or grandfather; in this case, the baby will not feel the smell of breast milk coming from the mother, which can excite him. In addition, this will give the mother the opportunity to devote some time to herself.
Physiological lactase deficiency
At the beginning of feeding, mother's milk is more saturated with milk sugar - lactose. It's called "front". After 10-15 minutes of feeding with the same breast, she begins to produce "hind" milk. It is richer in fats, which neutralize lactose and thereby reduce gas formation. If the baby is getting too much foremilk and not getting enough hindmilk, an excess of lactose and a lack of the lactase enzyme, which increases flatulence.
Try to have your baby suckle from one breast for at least 12-15 minutes to get the hind milk. When the baby grows up and sucks more efficiently, it will get to him in a shorter period of time after the start of feeding. Hindmilk has a calming effect and helps restless babies fall asleep. Most newborns naturally fall asleep at the end of a feed due to the calming action of hindmilk.
The baby chokes on milk
While the baby is just learning to breastfeed, the so-called milk ejection reflex can be too powerful for him and lead to him choking. Because of this, the baby can drop the breast and start to get nervous. Press firmly on the breast for about a minute to stop the too rapid flow of milk, and then put the baby back on the breast. Try expressing some milk before feeding and see if you can trigger the ejection reflex before the baby takes the breast. Feed your baby in the underarm position. As the baby gets older, it will be able to cope with the consequences of the milk ejection reflex in any position for feeding without any problems.
In rare cases, the baby becomes nervous and throws up the breast because of the soaps or creams you put on the breasts or nipples . If you start using some new remedy, and the child becomes more nervous, wash it off and start feeding again.
The baby may develop a yeast infection in the mouth or on the nipples - the so-called thrush. You will see white spots in the child's mouth.
Your nipples may become bright red or itchy and burn after feeding. During feeding, the baby may be more restless than usual.
See a doctor. If he confirms that you have a fungal infection, both you and the child will have to undergo treatment.
Too noisy and too bright
In some children, excessive anxiety is associated with overstimulation. They can behave more calmly during feeding if it takes place in a darkened and quiet room.
Wants to calm down with the breast
Before 12 weeks, babies have little ability to soothe themselves and often reach for the breast just for comfort. They begin to suck to calm down, not experiencing at this moment the need for food. For parents, this need of the baby should be on a par with all the other vital things that you provide to the child.
The main causes of restless behavior of the newborn disappear after the first six weeks. Some problems may exist for a little longer, but they are usually resolved by three months.
During this period, you must definitely take care of yourself. Eat well. Drink plenty of fluids and exercise outdoors. Try a variety of relaxation techniques—yoga, meditation, massage, or a warm bath—to help you get through the tough times.
Share your feelings with the child's father and other family members, and have them take turns comforting, lulling, and rocking the child.
Set small goals for yourself, like reading one chapter from a book or going for a walk for 15 minutes.
Group classes for young mothers are very useful, because there you will find out that other mothers and their children, like you and your child, go through exactly the same period of adjustment.
The main thing you need to remember is that this is a very short period in your own life and the life of your baby. Try to hug and cuddle your child as often as possible to help him get through a difficult time for him. Together you will succeed.
Restless baby - how to improve sleep and feeding
A restless child 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 be combined, or may 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.
Baby suckling restlessly at the breast
— If the baby behaves restlessly during feeding, the reasons are also varied:
- wrong breast latch;
- breast full of milk;
- lack of milk during a 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. Mastering New Skills
- Each new skill you master brings 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 || Anxiety during sleep |
- 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, a 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 undernourished or, more rarely, the absorption of food may be impaired due to a 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 the pediatrician and are medically proven by him after taking the history 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 feeding and putting the baby to sleep by force, 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:
- adequate diet and sleep;
- walks and water procedures;
- child care;
- the ability to quickly assess his condition and respond to his needs;
- organization of a healthy life.