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Sleep & the Breastfed Baby, Part 2

posted Mar 11, 2014, 8:39 AM by Carolyn Honea, IBCLC, CLC   [ updated Mar 15, 2018, 3:26 PM ]
Last time, we talked about how it is not only normal for a breastfed baby to night nurse, it is also beneficial. Due to individual women's milk storage capacity, patterns will vary, but most women need 8+ feedings per 24 hours and no longer than a 5 hour stretch at night to maintain a full milk supply.

So what's a tired mom to do?
Here are my top 5 strategies to maximize supply AND sleep for babies under 6 months:

First,
maximize daytime feedings so that you can get in as many of the 8+ feedings as possible in the daytime. Always feed your baby when she shows feeding cues, but you can also take initiative to wake and nurse your baby in the daytime if it has been two hours since her last feed. This helps her to differentiate day from night, and moves as many of her feedings into the daytime as possible. Be responsive to evening cluster feeding, as that also helps baby tank up for the night and achieve 8+ feedings.

Initiate nursing baby when you go to bed for the night so that you can hopefully enjoy a longer stretch of sleep before the next feeding. Babies usually only have one long sleep stretch, and you want to take full advantage of it when you are sleeping too! A "dream feed"
doesn't require your baby to be awake. Many babies will latch and suck during light sleep if they are put to the breast.

Keep baby within arm's reach of your bed and make night feedings relatively short, quiet, and dim to help you both fall back to sleep quickly. If you notice your baby has stopped 
actively sucking and swallowing, its okay to take baby off the breast instead of waiting for her to let go. Many moms find safely bed sharing or a bassinet pulled up to the bedside (pictured) to be an ideal way to maximize rest. The American Academy of Pediatrics recommends baby stay in the same room as you for at least 6 months.

Gently 
introduce an age-approrpriate nap routine between 2 and 4 months of age with an early bedtime. When babies aren't sleeping well in the daytime, sometimes this impacts the quality of their night sleep, too. Once you learn baby's sleep cues you can begin to anticipate them and put baby down around the same time each day for naps and bedtime. Nurse baby before sleep (and maybe after as well) as part of her routine, to keep hunger from waking her up early, and to maximize daytime feeds (see #1). Once she is no longer actively sucking and swallowing - or when she appears in light sleep - lay her down softly.

Get your rest, too! Go to bed early - 8pm or 9pm is certainly not out of the question during intense periods of night nursing. Take a nap each day during baby's most reliable sleep period - maybe snuggled up together in bed. You may have to avoid caffeine before your nap in order to settle yourself down. If you work during the week, arrange with your spouse to be able to nap or sleep in on weekends.

After trying these tips consistently for several weeks, if constant night waking is a problem that is disrupting your family's well being (its probably just fine for your baby!) you can consult the book The No Cry Sleep Solution for gentle, breastfeeding-friendly ways of cultivating healthy sleep patterns. And remember - this to shall pass! Even without intervention children will begin to sleep through the night when they are developmentally ready.

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