October 21, 2015

Night Feedings, Part 3 Why night weaning isn't working

Why night weaning isn’t working

Food and particularly night feedings, can be a really emotional topic for parents.  I get it.  Food is love. Feeding is nurturing. I feel it when I open the refrigerator when I’m stressed (I’m working on it!), but I especially felt it that time when I had a little, sick baby.  The daily weigh-ins were emotionally charged, like I was getting a numerical grade that assessed my parenting.  Eventually, everyone was pretty healthy and growing but no one was sleeping well.  Night feedings can (and did, in our case) hold us back from having healthy sleep habits.

Remember it becomes biologically appropriate to begin to prioritize sleep at night and feedings during the day. Generally, I see this point between 6-9 months of age.  There’s always outliers… the munchkins who are ready to wean earlier, or happily keeping a night feeding later.  But that’s my completely unscientific, anecdotal observations: 6-9 months of age is when night feedings can become problematic.  Persisting with keeping night feedings beyond 6 months, is unsuccessful more often than it’s successful.

So you’ve done all the right things up to this point, determining if dropping a night feeding is right for you family and reducing quantity.  But your child keeps on waking at night and you’re not sure you’re doing wrong or why this isn’t working yet?  Consider these:

  1. Baby isn’t awake at the beginning of the night  This is the most common and one of the most important considerations.  You can’t expect your baby to fall asleep on their own in the middle of the night if they’re nursing, pacifying, rocking, bouncing, etc… to sleep.  Falling asleep is a skill which needs to be practiced.  If you’re doing it for them, they’re not learning to do it independently.  Give your kid a chance to practice and hone their sleep skills.  Putting your child to bed too sleepy or drowsy, but anticipating they’ll stay asleep all night without your intervention, is setting up for failure. It’s the equivalent of expecting your child to knock it out of the park when they’ve missed batting practice.
  2. Your baby is just not ready Ideally we would have caught this in Part 1, but yes, it can happen that you’re going to try to pull out night feedings and they’re just not able to do it yet.  Back off, revisit in another month.
  3. Baby is not eating enough in the day  Is something preventing your child from eating well during the day? Sometimes it’s other kids or their environment distracting them, or maybe they’re just in a habit of eating more at night than during the day.  Revisit Part 2.  We have to build hunger in order to encourage better eating during the day.  (This doesn’t count nursing newborns who are eating more during the night to promote milk production).
  4. Baby is eating too much during the day Consider how dense those calories are during the day. Just because baby is filling up on purees doesn’t mean they’re going to be satiated.  I looked at some PC Organics formula and PC Organics Butternut Squash puree.  The prepared formula was 68 calories/100 mL while the puree was 33 calories/100 mL. Baby food is high fibre (leaves you feeling full), but calorie light (makes you hungry later).  Solids are fun and it’s great to encourage them. But don’t let them limit your reliance on the other calorie rich sources of nutrition you had been offering. Parents are often very concerned about starting solids before night weaning.  But the math tells us displacing formula or breastmilk for purees isn’t going to give them more.  And if someone is telling you to add a bit of cereal to their diet at 4 months of age, please check the calories and do the math yourself.  If the breastmilk or formula you are displacing is being replaced with something less calorie rich, that math doesn’t work for me and likely won’t work for your child.
  5. You’re preserving 1 or 2 feedings  Sometimes baby wakes and you feed.  Sometimes baby wakes and is obligated to go back to sleep.  That my friends, is an inconsistent response.  That is a reason for babe to keep waking. If I hit the lottery every 3rd time, I’d keep playing the lottery. If you’re trying to preserve only one or two feedings, but are having multiple wakings, revisit Part 1, and carefully consider responding in a consistent manner.
  6. Parent (mostly Mama) guilt Many of my families are professionals who are back to work quickly after having their child.  With this situation, parents can unwittingly sabotage their own progress because they’re hanging out for extra snuggles, addressing each sound/movement and generally feeling conflicted about responding at night because it’s the only time they spend with babe.  It’s ok to feel conflicted with this aspect of your parenting. In fact, I’d call it pretty normal.  Let go of plans to night wean until you feel like you’re completely ready.  Consistency matters.
  7. Wrong person is soothing Hey nursing Mamas, this one is for you. Are you sure you (and your milk-filled bosoms) should be attending to night wakings if you ultimately don’t want to feed?  Is that fair to go in their room? Even newborns know how to root for a breast… your older baby definitely knows what’s under your shirt.  Is that a tease?  Is this a job better suited for your non-nursing partner?  Send ’em in, tell ’em I said so and try not to look too smug when you do it.

That concludes my series on night feeding.  Unless you can think of other aspects of night feeding you’d like me to blog about!  Comment below with any of your experiences with night weaning or other ideas for blog posts you’d like to see.

xxoo

Krista

About the author:

KristaGuenther Krista is a mother of 3 (+1 dog who believes she’s people), a wife to a wonderful husband, and the owner and founder of Sleeperific.  Even though she’s been in the sleep consulting biz for 4 years, she still feels excited and honoured when she’s hired by a sleepy family.
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October 14, 2015
Night Feedings - Part 2, How to stop feeding through the night

You’re reading this because you feel confident it’s time to eliminate night feedings?  You must have been reading up on this and have already spoken to your doctor!  Don’t try this at home without evaluating thoroughly with your medical professional.

In the case of multiple night feedings, choose the one where your child eats the least or the one that you find the most difficult.  I would also recommend avoiding feeding the the “forbidden zone,” between 4AM and 5:30AM, unless that’s your child’s morning waking (and if it is your child’s morning waking, you need to call me).  Those are the feedings to wean first.

Option 1: Gradual Approach

This is exactly how it sounds.  For bottle fed babies, gradually reduce the volume in each feeding.  I suggest 1-2 ounces every day or every couple days.  Repeat as necessary for each night feeding.

*I don’t advise diluting the formula – most parents don’t approach this properly.  We don’t need to create an electrolyte imbalance.

For breastfed babies, follow as above.  But this time, reduce the number of minutes in each feeding.  Repeat as necessary for each night feeding.

The goal is to get the feeding down to nothing or a minimal amount.  From there, your baby may voluntarily stop waking and just sleep through. Which would be great!  If you child is still waking, and you’d like to offer reassurance or soothing to settle your child, send in the non-nursing parent or the parent who was less involved with night feedings.  The nursing parent could be a tease and may ultimately make settling more difficult.

I like this approach if we have lots of time, or find feedings are fairly organized. However, I find this can be difficult strategy for feedings that are more “snacks” or for a child who is waking very frequently through the night.

Option 2: Direct Approach

Exactly how it sounds.  Cold turkey.  I don’t always like this approach for children who are eating a lot at night, but for older children who are waking frequently, and just snacking, it’s our only way to be consistent.  You can always offer soothing, reassurance and support, but if you are trying to completely cut out night feedings, make sure you’re going to be consistent with that.

Above all, neither of these strategies will be successful if we aren’t working on all aspects of sleep training.  Pulling out night feedings without teaching your child to self settle is a lost cause.

Done all this?  Still not working?  Stay tuned for next week when we talk about why night weaning isn’t working at your house.

xxoo

Krista

About the author:

KristaGuenther Krista is a mother of 3 (+1 dog who believes she’s people), a wife to a wonderful husband, and the owner and founder of Sleeperific.  Even though she’s been in the sleep consulting biz for 4 years, she still feels excited and honoured when she’s hired by a sleepy family.
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October 5, 2015
Night Feedings - When to stop feeding through the night

We all know that babies arrive with itty bitty tummies. Round the clock feedings are a regular part of parenting in those first weeks and months.  Just a reminder as to how tiny those tummies really are:

Stomach Size - Infancy and Beyond

But infants turn into older babies who are more capable of eating well all day and less at night. When do night feedings become unnecessary? When is it more of a habit than a necessity for survival?

Talk to Your Doctor

First and foremost, I always recommend collaborating with your medical doctor. They have been monitoring your child’s growth and development and will be able to offer insight into your particular child’s unique needs.

Your physician will likely evaluate the following along with you:

  • Is baby healthy, growing well and hitting developmental milestones appropriately?
  • If you’ve started solids, is baby accepting those well?
  • Current age and weight
  • Duration of night (when is bedtime, when is wake time)

Some information you can consider to contribute to the decision-making:

Is my baby:

  • eating well? (full, quality feeding as opposed to just snacking)
  • going back to sleep well? (settles back to sleep well as opposed to ready to party)
  • only waking to eat? (or waking many other times)

If the answer is no to any of the above, ask yourself if the night feeding limiting your child’s ability to sleep?  If the night feeding isn’t working, is it necessary to keep it?

Self-Regulation

There comes a point where you can help your child prioritize sleep at night and prioritize eating during the day. These are important strides in self-regulation. Self-regulation refers to several complex processes that allow children to appropriately respond to their environment.[1] There are many experts in child development that suggest self-regulation in eating and sleeping patterns are some of the first to emerge in children.[2] Skipping these important first steps in self-regulation can impact a child’s ability to self-regulate in thoughts, emotions and behaviours in later life.

There isn’t any one-size fits all approach to take. I don’t think there’s a cut off that “every baby” need to be fed through the night until they’re 12 lbs, 4 months or 1 year old.

Stay tuned in the coming weeks for further posts on how to eliminate night feedings and why night weaning isn’t working for your family.

xxoo

Krista

[1] Bronson, M.B. 2000. Self-Regulation in Early Childhood: Nature and Nurture.   New York: Guilford

[2] Owens, Judith. “The Assessment and Management of Common Behavioral Sleep Problems in Children.” The Hospital for Sick Children, Toronto, ON. 6 March 2015. Keynote Address.

About the author:

KristaGuenther Krista is a mother of 3 (+1 dog who believes she’s people), a wife to a wonderful husband, and the owner and founder of Sleeperific.  Even though she’s been in the sleep consulting biz for 4 years, she still feels excited and honoured when she’s hired by a sleepy family.
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