Sleepy
Baby
Many babies are sleepy during the newborn period. Sleepiness is normal unless it
interferes with a breastfed babyÕs milk intake and weight gain. Some causes of a sleepy baby are:
1. Difficult labor and /or
delivery
2. Jaundice or infection
3. MotherÕs milk Òcoming inÓ
4. Too much stimulation
5. Use of certain medications
during and after delivery
6. A full stomach from milk
and/or air
7. Overheating from overdressing or being in a warm room.
A
sleepy as your baby may be this will resolve within a few weeks. In the
meantime, if your child is not gaining weight well he or she will need to have
mother-led breastfeedings. Mom will need to frequently stimulate baby to awaken
before and during breastfeeding. Using breast compression, increasing nursing
frequency or duration will also help weight gain. Nurse baby a minimum of 8
times a day. Avoid the use of a
pacifier
Some Suggestions for
Arousing Baby Before Breastfeeding
1. Try waking baby in a light sleep
cycle, you will notice sucking and limb movements
2. Remove or loosen blankets
and clothing
3. Talk to the baby–make
eye contact
4. Hold baby upright or
standing
5. Bend baby into gentle
sit-ups (Bend at HIPS never at the waist)
6. Rub head, hands or feet or
pat back and walk fingers up spine
7. Change the diaper
8. Massage or bathe
9. Wipe forehead and cheeks
with a cool, damp cloth
10. Circle the babyÕs lips with
a finger tip
11. Dim lights
12. Place baby on back and
gently roll from side to side.
Keeping Baby Interested
1. Keep the weight of the
breast off the babyÕs chin
ˆ A rolled and taped up wash
cloth can be placed under a larger breast to support its weight and keep it off
the chin
2. Try nursing using the
football hold so the baby is more upright rather than the cradle hold, which is
more of a laying down position
ˆ Reclining while using the
football hold raises the babyÕs head higher, which decreases sleepiness even
more.
3. Express milk onto the babyÕs
lips to get baby started
4. Burp the baby or change the
diaper between sides to keep interest high
5. Massage the babyÕs crown in
a circular motion while nursing and/or continue to stimulate baby by rubbing
hands, feet or back
6. Continue to talk to baby
while feeding
7. Switch breasts as soon the
baby begins to lose interest in sucking
8. As a last resort, ÒSuper
SwitchingÓ is sometimes recommended-this means moving the baby back and forth
between breasts after a few minutes of sucking and several times during a
feeding.
If nothing seems to be working and your babyÕs
skin is turning yellow and/or has less than 3 teaspoon-sized stools or 6-8 clear-colored
wet diapers EVERY DAY, call your healthcare provider.
Authored
by Christine Betzold, MSN NP CLC.
May be reproduced without further permission for instructional or
educational purposes only. User
assumes responsibility for content. Updated 3/16/09.