Podcast
Questions and Answers
What should parents aim for in terms of feeding frequency for a formula-fed baby by 4 months of age?
What should parents aim for in terms of feeding frequency for a formula-fed baby by 4 months of age?
- Four bottles a day (correct)
- Three bottles a day
- Two bottles a day
- Five bottles a day
What is a potential consequence of leaving a bottle in the bed at night?
What is a potential consequence of leaving a bottle in the bed at night?
- Tooth decay (correct)
- Improved sleep quality
- Increased feeding intervals
- Development of self-soothing skills
What is encouraged when placing a baby down for a nap or bedtime?
What is encouraged when placing a baby down for a nap or bedtime?
- Putting them down fully asleep
- Rocking them to sleep fully
- Placing them in the crib drowsy but awake (correct)
- Feeding them just before sleeping
Why might a child cry when left with an empty bottle at night?
Why might a child cry when left with an empty bottle at night?
What is a common misunderstanding about demand feeding?
What is a common misunderstanding about demand feeding?
What is a recommended approach to help a baby not associate feeding with bedtime?
What is a recommended approach to help a baby not associate feeding with bedtime?
What should the baby's last waking memory ideally be?
What should the baby's last waking memory ideally be?
What feeding frequency is common for breast-fed babies until 6 months of age?
What feeding frequency is common for breast-fed babies until 6 months of age?
What is a primary reason a child wakes up at night for feedings?
What is a primary reason a child wakes up at night for feedings?
What is the recommended feeding pattern for a baby in the first few months after birth?
What is the recommended feeding pattern for a baby in the first few months after birth?
At what age can most bottle-fed babies typically sleep more than 7 hours without feeding?
At what age can most bottle-fed babies typically sleep more than 7 hours without feeding?
What should parents do to help train their child to sleep through the night?
What should parents do to help train their child to sleep through the night?
What behavior is referred to as 'grazing' in infants?
What behavior is referred to as 'grazing' in infants?
If a baby is crying at bedtime, how often should a parent check on the baby?
If a baby is crying at bedtime, how often should a parent check on the baby?
Why might a breast-fed baby wake during the night even after 5 months of age?
Why might a breast-fed baby wake during the night even after 5 months of age?
What is the recommended action if a baby is currently fed hourly?
What is the recommended action if a baby is currently fed hourly?
Which of the following actions should NOT be taken when comforting a crying baby at night?
Which of the following actions should NOT be taken when comforting a crying baby at night?
What is a common misconception about nighttime feedings for babies over 4 months?
What is a common misconception about nighttime feedings for babies over 4 months?
What is the consequence of giving a child a lot of liquid at night?
What is the consequence of giving a child a lot of liquid at night?
What is grazing in infants, and how can it be addressed?
What is grazing in infants, and how can it be addressed?
What should parents avoid doing to prevent reinforcing undesirable sleep habits?
What should parents avoid doing to prevent reinforcing undesirable sleep habits?
What factor can keep a baby from learning to sleep through the night?
What factor can keep a baby from learning to sleep through the night?
What is a likely outcome if a parent follows the suggested recommendations for improving a child's sleep habits?
What is a likely outcome if a parent follows the suggested recommendations for improving a child's sleep habits?
After what age may it become harder to change a child's sleeping habits?
After what age may it become harder to change a child's sleeping habits?
What should a parent do if their baby cries for more than 5 or 10 minutes at night?
What should a parent do if their baby cries for more than 5 or 10 minutes at night?
How should parents handle nighttime feedings?
How should parents handle nighttime feedings?
If a baby naps for more than 2 hours during the day, what is recommended?
If a baby naps for more than 2 hours during the day, what is recommended?
What is an appropriate action if the crib is in the parents' bedroom?
What is an appropriate action if the crib is in the parents' bedroom?
What should parents do if they need to change a wet diaper at night?
What should parents do if they need to change a wet diaper at night?
What is the recommended approach to breastfeeding at bedtime?
What is the recommended approach to breastfeeding at bedtime?
Which suggestion may help a child avoid nighttime awakenings?
Which suggestion may help a child avoid nighttime awakenings?
Who is recommended to go in to soothe the baby during night awakenings?
Who is recommended to go in to soothe the baby during night awakenings?
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Study Notes
Night Wakenings from Feeding Until Asleep
- Most babies wake up twice a night for feedings until 2 months old.
- Most babies only need one feeding in the middle of the night between 2 and 3 months old.
- Most bottle-fed babies sleep more than 7 hours without feeding by 4 months old.
- Most breast-fed babies sleep through the night by 5 months old.
Causes of Night Wakenings
- Nursing or bottle-feeding the baby until asleep: The last memory before sleep is sucking, making the breast or bottle a security object.
- Leaving a bottle in the bed: The child sucks on the bottle until it's empty and cries for a refill. This practice can also cause tooth decay.
- Frequent feedings during the day: Some mothers mistakenly overfeed babies due to the "demand feeding" approach. This can lead to "grazing" and babies becoming used to small, frequent feedings instead of waiting longer periods between meals.
Helpful Hints for Sleep Problems
- Move the crib to another room or cover one side rail with a blanket so the baby can't see the parents.
- Avoid long naps during the day: Wake babies up if they've napped for more than 2 hours.
- Don't change wet diapers during the night unless the diaper is soiled or there is a rash.
- Only feed the baby once at night if 4 or more hours have passed since the last feeding.
- Make nighttime feedings boring and brief: Stop the feeding before the baby falls asleep.
- Gradually lengthen the time between daytime feedings to 3 or 4 hours.
- Place the baby in the crib drowsy but awake at nap and bedtime.
- Visit your baby briefly every 5 to 15 minutes if they are crying at bedtime or naptime.
Training a Night Feeder
- Gradually lengthen the time between nighttime feedings.
- Cuddle or give a pacifier to the baby when they cry, avoiding nursing or bottle feeding.
- When your baby is crying at night, temporarily hold them until they fall asleep.
- Don't turn on the lights, take your child out of the room, or talk too much to them.
- Feed your baby only once at night, if 4 or more hours have passed since the last feeding, and keep it brief.
- Stop giving your baby a bottle in bed.
- Feed your baby in a different room than the bedroom.
- Separate mealtime and bedtime.
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