infant sleep - Breastfeeding Uncovered:Who really decides how we

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The baby rice wont work
Why solids and milk feeding don’t
help babies to sleep
Dr Amy Brown
Swansea University
Newborn sleep
Expectnewbornbabiestowake
up
Nightfeedsaretolerated
Formulafedbabiesdosleepmore
deeply
Notnecessarilyagoodthing
Iswakingatnighttofeednormal?
•  Yes!
•  Smalltummy
•  Importanceofmilksupply
•  Protec0veagainstSIDS?
•  Evolu0onaryneedtobeclose
•  Dangerof‘cryingitout’
However …
•  Around3–4months
weseemtolose
pa0ence
•  Thecaseofthe
‘goodbaby’
•  Ques0onsaboutsleep
becomeathing
Is he good for you?*
AKA Does he sleep?
The perfect storm
Beliefsabouthowbabiesshouldbehave
Coupledwith…
Babiesstartwakingmore
Growthspurt
Developmentalleap
But we believe it must be to do with food
Sheneedssomebabyricein
herboPle!
It’sbecauseyouinsiston
breasSeedingherSTILL
Feedherupbefore
bed!
Justignoreher,
shecan’tbe
hungryatnight
Poorthing
mustbe
starving–get
somesolidsin
her!
RODFORYOUROWNBACK!
Ofcourse
she’sgoingto
keepwaking
atnightifyou
offerittoher!
Dr Spock
‘Theycometorealisethattheydon’tneedthe
latenightfeedingandmostofthemgiveitupat
1,2or3monthsofage.’
‘Ifbabiesreachtheageof1monthandweigh9
poundsandsAllwakefora2amfeeding,Ithink
it’ssensiblefortheparentstotrytoinfluence
themtogiveitup’
Gina Ford
‘Beconsciousthatsomebabiesthinkyoursole
purposeinlifeistohelphimfallasleep’
‘Duringnightfeedstrynottotalktoyourbaby’
Todothedreamfeedgentlypickupyour
sleepingbaby,placetheboFleorbreastonher
lowerlipandallowhertodrinktakingcarenot
towakeher’
Tizzy Hall
‘OneaspectIconsiderediswhetherthequalityofthemother’smilk
changeswhensheputsherbabyonarouAne.Becausecowsmilkis
closetohumanmilk,whichiswhywedrinkitandfeedittoour
children–Idecidedtodiscussitwithvariousdairyfarmers.
DairyfarmerssAcktostrictrouAnesinrelaAontotheirmilking.Most
willmilktheircowsat5amand3pmeveryday.WhenIenquiredwhy
itwasexplainedtomethatmilkingthecowsatasetAmeeveryday
meanttheirmetabolismknewexactlywhenandhowmuchmilkto
produce.
Thefarmerssaidthatiftheymilkedtheircowsearlierorlaterthan
scheduled,themilkwouldnotbeofthehighestqualityofquanAty.It’s
notsuchaleaptocometotheconclusionthatthismightbethesame
forabreasNeedingmother’smilksupply’
Butissleepanything
todowithwhat
babieseat?
Howmanyadults‘sleepthroughthenight?’
Isthisbecausetheyarehungry?
Justwhywouldfoodmakeanydifference?
Current research
•  Surveyed715mumswithbabiesaged6–12
months
•  Whatmilkfeedstheygavethem
•  Howmanysolidmealstheyhadaday
•  Howoaentheywokeupatnight
•  Howoaentheyfedatnight
Sleep
•  Wefoundaveragenightwakingswas1.77
•  Mostbabieswokeonceortwice
•  Only21.1%didnotwakeatall
•  Rangefrom0–7
Milkfeeding
•  Averageof1.36averagefeedsanight
•  Mosthadonetotwonightfeeds
•  Range0–7feeds
•  40.9%didnotfeed
atall
•  Nodifference
bymilktype
Solids
The more solids or milk feeds a baby
received the less likely they were to
feed at night
But …
They woke up just as much
Whynot?
•  It’snormal…
•  Babieswakeforreasonsotherthanhunger
butcan’tsolvethesethemselves
•  Babiesaretechnicallybigenoughtogetmost
oftheircaloriesintheday.
•  It’stheirpreference,
notalackofcalories.
Why
would
carrot
help
you
sleep?
Risks
•  Itnotworking…
•  Formula/earlysolidscanleadtodiges0veissues
•  Overfeedingcanincreaseobesityrisk
•  Safetyofsleepingthroughnight:babiesaresupposedto
wakeup
•  Thereisadifferencebetweennightfeedingandnight
waking!
•  Givingformulamilkatnightcandecreasemilksupply