May 2011 Moms

With all the "4 Month Wakeful" talk (another Article)

I found this on kellymom.com and thought it might shed some light on the issues we are currently dealing with.

 

Wakeful 4 Month Olds

by Jan Barger, RN, MA, IBCLC

Reprinted with permission from the author.

One of the concerns I have about some parenting books and pediatricians who give advice about sleeping infants is this: Baby starts sleeping through the night at, say, about 3 months -- or at least sleeping 5 to 6 hours. Suddenly around 4 months, little Buford starts waking up at night to nurse. Mom is understandably distressed. Some books say "it's a bad habit that must be stopped." Her pediatrician says essentially the same thing. Someone else points out that since the baby slept through the night at 3 months, it is OBVIOUS that the baby CAN sleep and isn't hungry. The book goes on to talk about how the baby is now manipulating the mother. The pediatrician says he's big enough to go without eating at night. Grandma tells her to let Buford cry it out. So does the book. There may be different ways, but in essence, don't pick him up and feed him....

Has NO ONE stopped to consider the developmental stage of the breastfeeding baby that begins at about four months and can go on to 6 or 7 months? Think about your four month old breastfeeding -- what are they doing? This baby is on and off the breast -- so interested in the world around him he can hardly stand it. "Oh look! There's the dog! Hi, Mommy, I love you SOOOO much! The phone?! A car went by. The TV is on. Big sister comes into the room....hey, there's just too much going on for me to concentrate on eating. I think I'm full now. I'll see you later....."

When I get one of these babies in my office, I have to observe the feed without saying a word to the mother. The entire feeding is done in complete silence so that the baby will EAT and not look around at me. How many times have you been told to go into a darkened, quiet room to get a good feeding? OK, now think about night time. Buford is really hungry -- he didn't eat well during the day. Nighttime is here; it's dark, quiet, and he has mommy's undivided attention. So he has a really great meal. Doesn't take long -- he's pretty efficient by now. But it is down to business and complete.

But WAIT! Someone told the mother that the baby can't possibly be hungry -- just let him cry it out. Now mom's milk supply diminishes because punkin isn't eating well during the day -- too many things going on, and he's going through some new developmental stages (when Hildegarde is learning something new, she doesn't nurse as well until the new skill is mastered). IF mom has kept Buford/Hildegarde on a schedule since day 1, then she will probably NOT be able to increase her supply -- not with pumping, not with herbs. If she fed her baby frequently enough and laid down enough prolactin receptors in the first two weeks to a month, there is hope that we can bring the milk back up. But if she was truly "obeying" a schedule and only feeding every 2.5 to 3 hours, she may not be able to (depending on mom's breastmilk storage supplies, etc).

Why don't bottle feeding babies wake up as much at 4 months? Because by this time, mom has often handed the bottle off to baby to feed himself, and/or seats him looking out so he can check out the dog, the phone, the sibling, etc -- and continue eating at the same time.

Please don't deny that your breastfeeding baby is quite possibly very hungry at night at four months, even though they may have been sleeping through the night prior to this. Look at the feed -- can you hear swallowing? Does your breast get softer? Is he EATING? Then don't make him cry it out! He needs to eat....and he needs his mommy.

 


Jan Barger is a mom of three (ages 20 to 30) and brand new attached Grammy of one. Her other credentials include: Lactation consultant for a pediatric group in the Chicago 'burbs, director of Lactation Education Consultants (an organization that provides education for those aspiring to become lactation consultants as well as ongoing professional education for IBCLCs). RN in maternal child health for over 30 years. Adjunct faculty at Rush University Medical Center in Chicago and at Wheaton College, Wheaton, IL. President of ILCA from 1990 to 1992, on the IBLCE Board from '92 to '94, and on the Exam Committee in 1998. Co-author of Clinical Experience in Lactation: A Blueprint for Internship, and contributing author to Counseling the Nursing Mother by Lauwers and Swisher.

Copyright ? 1999 by Jan Renich Barger. No portion of this text may be copied or reproduced in any manner, electronically or otherwise, without the express written permission of the author.

 

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Re: With all the "4 Month Wakeful" talk (another Article)

  • I don't really know what this "4 month wakeful" is, but after I had been at work for a few weeks LO adjusted her schedule so she can nurse more frequently when I'm home. She clusters in the evening and wakes once during the night, so she doesn't have to take a bottle as often during the day while I'm gone. I don't mind feeding her once during the night. 
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  • Thanks for sharing!
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  • Good Article....gives me some much needed insight. Let's see how this all plays out with lo..only time will tell. =)
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  • Thanks for sharing. I don't think LO is going through the 4MW, since he's never slept through the night, but this article makes me feel better that I have not gone against my instinct which is going to my crying, hungry baby and feeding him whenever he needs it.
  • I read this exact article a few weeks back when preparing myself for the 4mw. I thought it was super helpful in me not losing my mind when he stopped sleeping well.

    And, it did happen (the poor sleeping). Last night he was up around every 2hrs and I fed him every time. No big deal, well, I say that as I've been yawning my face off and had to nap with him twice today but still. 

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  • imagemellydawn84:

    I read this exact article a few weeks back when preparing myself for the 4mw. I thought it was super helpful in me not losing my mind when he stopped sleeping well.

    And, it did happen (the poor sleeping). Last night he was up around every 2hrs and I fed him every time. No big deal, well, I say that as I've been yawning my face off and had to nap with him twice today but still. 

    Same here! 

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  • Thanks for posting this!  I thought I was losing my mind.  Going back to work AND 4 mw...
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  • Loved the article. Thanks for posting
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  • Yes

     I am no longer breastfeeding, but I love this article. And I can see this potentially happening with my LO even though he is formula fed. He seems to be more and more distracted and eating less. Thank you for sharing!!

  • Going through this now!

    I'm turning down "friendly" advice to put rice cereal in his bottle or let him cry. I added up how many ounces he drinks during the day and it is the same amount as before the 4mw, just distributed differently. Hopefully he will start accepting more milk during the day so he won't be so hungry at night soon. 

    My other boy still usually STTN. 

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  • I just wanted everyone to see that their baby may really be hungry and not fussy. CIO isn't always the answer.
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  • Why don't bottle feeding babies wake up as much at 4 months? Because by this time, mom has often handed the bottle off to baby to feed himself

     

    Is anyone's LO able to do this yet? DS's motor skills at this point just consist of knocking the bottle *out* of his mouth. Repeatedly.

    We are going through the wakeful but just keep feeding him.

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  • Noah holds the sides of the bottle while I'm holding it. He also takes it out and pulls it back to his mouth so I let him practice while I'm holding it. Elijah will smack it out of his mouth when he's done, holds the sides and smacks his lips when he wants more but doesn't actually bring the bottle to his mouth.
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  • This is totally DD right now.  She was sleeping one 8-9 hour stretch at night and now I'm lucky to get one 4-5 hour stretch.  I just put her down at bedtime and once she wakes I co-sleep, so I can get more sleep.  Hopefully someday she'll start sleeping longer again. I'm tired!

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  • imagetheaustins05:
    I just wanted everyone to see that their baby may really be hungry and not fussy. CIO isn't always the answer.

    agreed. 

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  • imageeveram01:
    Noah holds the sides of the bottle while I'm holding it. He also takes it out and pulls it back to his mouth so I let him practice while I'm holding it. Elijah will smack it out of his mouth when he's done, holds the sides and smacks his lips when he wants more but doesn't actually bring the bottle to his mouth.

    Will you video this and let us see?  It sounds like the most adorable thing ever!!

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