Why Is My Baby Sleeping More Than Eating? Pediatric Concerns Explained

The baby is constantly sleeping and not eating?

Dear Doctor: My baby is one month and one week old, currently weighing 4 kg.
During the postpartum period, I have been exclusively breastfeeding, but the feeding sessions are not very long, lasting about 5-10 minutes before she falls asleep again.
From April 24 to May 3, she was hospitalized due to umbilical cord inflammation, which may have affected my milk supply due to stress.
The hospital mainly provided S-26 formula.
At this stage, should she be consuming 90-120 cc of milk? We have been following the hospital's recommendations to feed her this amount of formula or breast milk throughout the day, but we find that she only takes a couple of sips before falling asleep.
It’s difficult to wake her up, and even when she is awake, she tends to play with her hands and feet rather than showing signs of hunger.
She rarely cries due to hunger, and I am quite worried.
Is this behavior normal?

Shan, 30~39 year old female. Ask Date: 2005/05/07

Dr. Cai Zhengxian reply Pediatrics

Dear Ms.
Shan Shan's Mother,
Your baby was hospitalized for 8-9 days due to umbilical cord inflammation, which indicates that it is not a common condition.
I recommend that you have a thorough examination by the attending physician during your next visit to ensure a clear diagnosis.

Sincerely,
Dr.
Tsai Cheng-Hsien
Tainan City Hospital

Reply Date: 2005/05/07

More Info

It's understandable to be concerned when your baby seems to be sleeping more than eating, especially at such a young age. Let's break down the situation and address your concerns regarding your one-month-old baby who weighs 4 kilograms.

Firstly, it's important to recognize that newborns have unique sleep and feeding patterns. In the early weeks of life, babies typically sleep a lot—often up to 16-18 hours a day. This extensive sleep is crucial for their growth and development. However, the amount of sleep can sometimes lead to concerns about whether they are eating enough.

From your description, it seems your baby is breastfeeding but only for short periods (5-10 minutes) before falling asleep. This can be common, especially if the baby is tired or if there are any underlying issues such as discomfort or stress from a recent hospitalization due to umbilical cord inflammation. The stress of being in the hospital can affect a baby's feeding habits and overall behavior.

Regarding the amount of milk your baby should be consuming, the general guideline for infants in the first month is approximately 90-120 mL (3-4 ounces) per feeding, depending on their weight and individual needs. If your baby is not consuming this amount consistently, it may be a cause for concern. However, if your baby is gaining weight appropriately and is otherwise healthy, this may not be an immediate issue.

Here are a few points to consider:
1. Feeding Techniques: If your baby is falling asleep quickly while feeding, try to ensure they are fully awake before starting a feeding session. You can gently stimulate them by changing their diaper or lightly rubbing their back to keep them alert during feeding.

2. Breastfeeding Challenges: If you feel that your milk supply is low, consider consulting a lactation consultant who can provide strategies to increase your milk production. Techniques such as frequent feeding, ensuring proper latch, and staying hydrated can help.

3. Signs of Hunger: Babies often show signs of hunger before they start crying. Look for cues such as rooting, sucking on their hands, or smacking their lips. If your baby is not showing these signs, it may indicate they are not hungry, which can be normal at times.

4. Play and Interaction: It's great that your baby is active and playful when awake. This is a positive sign of development. Babies often engage in play and exploration, which is essential for their cognitive and physical growth.

5. Monitoring Growth: Regular pediatric check-ups are crucial. Your pediatrician will monitor your baby's growth and development, ensuring they are on track. If your baby is gaining weight steadily and meeting developmental milestones, this is a good indicator of health.

6. Consulting Professionals: If you continue to have concerns about your baby's feeding and sleeping patterns, it’s essential to discuss these with your pediatrician. They can provide tailored advice and may suggest further evaluations if necessary.

In summary, while it is normal for newborns to sleep a lot, it's crucial to ensure they are also getting enough nutrition. Keep an eye on your baby's growth, feeding habits, and overall behavior. If you have ongoing concerns, don't hesitate to reach out to your healthcare provider for support and guidance. Your baby's health and well-being are the top priority, and seeking professional advice is always a good step when in doubt.

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