Author Topic: 4 month old: around 4 night feeds. Too many? Habit?  (Read 3559 times)

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Offline tipofthetree

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4 month old: around 4 night feeds. Too many? Habit?
« on: March 09, 2016, 16:12:55 pm »
Pretty much guaranteed he wakes within an hour of bed, and usually gets a feed off mum, or I rock him back to sleep. After that, if it's been about 2hrs since his last feed, mum will feed him when he wakes.

- Mum says he's fed often in the day as well, so shouldn't be making up for that.
- Is this just habit?
- Does he need it as he's a growing boy?

His sleep descended into this frequent routine about 6 weeks or more ago I think.

Offline Buntybear

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #1 on: March 12, 2016, 21:20:31 pm »
Hi - sorry your post has been missed - I shall bump it for you.

In the meantime could you post your EASY as this may show something up? Thanks

Offline lauradj

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #2 on: March 12, 2016, 22:24:45 pm »
Hi there!  It's a little hard to tell from what information you've given. Would you or your wife be able to write his EASY down for a day or two so we can see exactly what is happening and when?  It sounds like that first feed is likely habit, as you say it always happens at the same time but otherwise, if he always feeds when he wakes, he likely needs it.  Can you also tell us whether he's EBF?


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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #3 on: March 13, 2016, 11:33:03 am »
There is a big GS around 4 mos, but if this is what he's been doing all along, then it's not because he's growing *right now*.  Waking an hour after BT would usually be an indication of OT, so attention to routine might help fix that.  More information would be really useful!
*Anne*, loving mama to a honeybee (2010) and a sweetpea (2012).  BF for 4 proud years.


Offline tipofthetree

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #4 on: March 15, 2016, 10:02:22 am »
Yep, sorry - he's not on EASY and we're yet to track a whole day... I guess this makes it difficult for you to comment. I'm on holiday next week and i'd really like to try and get us on some sort of consistent routine, but i'm not sure we're prepared for the tears. Even though they come anyway at the minute just trying to get him to be calm and sleep at appropriate times.

All his sleeping / naps are with props, i.e. generally walked to sleep in the day in his bassinet or fed to sleep for bedtime or through the night. Until a couple of nights ago, I was usually able to settle him, but now he only settles for his mum and some food at night.

Could this mean he's not getting enough food in the day, so is making up for it at night? When he wakes at 5am ish, he's often fine to just lie there and play for what feels like 30-60 mins. Which makes me think he's had his fill throughout the night during his night feeds, and is now content when he's woken up.

I have no idea - but i'd like to get him onto a routine so it feels we actually have something to tinker with rather than just the completely reactive situation it is now.

Offline Buntybear

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #5 on: March 15, 2016, 10:20:13 am »
At 4 months you are looking at an EASY of feeding every 4 hours so 7, 11, 3, 7. By extending the space between feeds it encourages the LO to get a bigger feed to keep them going rather than snacking.

Maybe jot down your feeds times and you nap times for today and let us know?

Offline tipofthetree

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #6 on: March 15, 2016, 12:24:21 pm »
Yep, i'll try to post something to actually give people something to comment on.

So, by feeding every 4 hours, are you kind of restricting their feeding in an effort to make them more efficient feeders during their actual feeds? My wife won't like withholding food until set times. Also, we've been trying to 'tank him up' in the evenings. Which doesn't seem to be working anyway...

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #7 on: March 15, 2016, 14:37:28 pm »
Some BF babies find it hard to get to 4 hourly feeds but at this stage you would be looking at least 3 but most likely 3.5 hourly feeds.  It's not about with holding food to set times but about making sure you aren't developing a snacking habit which means babies get used to taking no small amount of milk to curb their hunger and then need/want to feed a very short time later only to take a very small amount again and so on.  Anything  under 3 hours at this age would have the potential to be causing an issue with milk intake and a snacking issue becoming apparent.  It also then leads to bigger prop issues as you tend to think they must be hungry.  I see in your first post mum feeds if it's been 2 hours. I'd look at increasing this even 20 minutes or so at a time until you are at 3.5 hours in the day and at least 4 hours At night to encourage taking fuller feeds.   





Offline tipofthetree

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #8 on: March 15, 2016, 16:29:18 pm »
Thank you. So do we just have to try to calm him when we're holding out milk at night for that 20 mins?

How does this look as potential schedule to aim for on day 1? I've tried to build in what things look like at the minute as well. Inevitably he'll wake up hungry in the night. Are we ok to try to withhold food, but still feed him after 3.5hrs-ish. He will inevitably feed to sleep here and mum holds him upright for 20 mins before she puts him down. I don't think there's any way we can get round him feeding to sleep in the night.

07:00 Wake Up
07:30 Eat
Activity
09:00 Sleep (1.5hrs)
10:30 Eat
Activity
12:00 Sleep (1.5hrs)
1:30 Eat
Activity
4:00 Sleep (1.5hrs)
5:30 Eat
Activity / bedtime routine
7-7:30pm Bedtime
10:30 - dreamfeed (we've never tried this)

Offline weaver

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #9 on: March 15, 2016, 20:30:27 pm »
On the 4 hr-ly feeds question - we did a 'big feed' (both sides) after WU and then a 'snack' or 'top up' (one side) a bit before sleep.  We wouldn't have managed 4 hours til nearly 6 mos. :)

That last nap doesn't need to be 1.5 hours.  It's a 'catnap' so just whatever gets LO from there to bedtime without getting OT or UT.  Maybe start with 40 mins and see what happens?

If night feeds are a big part of your issue, then I would definitely try introducing a DF and then try not to feed again until a decent period had elapsed - say at least 3 hours?  The idea with the DF is to get an extra feed in at a time that suits you, so time it for before you go to bed, 10/10.30 whatever's best for you.  Keep it very low key, low lights, no nappy changing unless really needed, create that relaxed and sleepy atmosphere.  Of course, on when you feed next, that's a judgement call for you and your family.  I would be content to get from where you are right now to a DF and one NF.  And you do need to offer an alternative source of comfort at that point - it might be easiest if Dad does it instead of Mam because of course LO knows that Dad has no milk :)
*Anne*, loving mama to a honeybee (2010) and a sweetpea (2012).  BF for 4 proud years.


Offline tipofthetree

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #10 on: March 22, 2016, 18:10:22 pm »
Right, so, not particularly structured, but yesterday morning nap I tried PUPD, and after 25 mins of the worst crying I've ever heard him do and 10 PUPDs, he seemed to just give up and drift off with me shushing loudly and patting him on his chest. It was sad, but also felt successful. Rest of the day was just 'normal'  sleeping on walks because it was a nice day and fed to sleep at bed time.

Day 2, the same. PUPD for his first nap. Was just as hard as day 1. 35 mins of crying, then just gave up and fell asleep. And again, we've been out most of the day as it's been nice.

Is this pointless? Do we just do it for the naps we can (we've been out the house because it's nice, and because people are coming to view the flat as we're trying to sell), and hope this contributes to him learning to sleep on his own or MUST it be a concerted effort for every nap and bed time?

Sorry, still no timetable. But this morning he woke at 7, then we started PUPD at 9:30 and he fell asleep for 45 mins at 10:10.

Offline lauradj

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #11 on: March 22, 2016, 20:26:23 pm »
You're doing wonderfully!!  You cannot except a magical, instantaneous change after one round of PU/PD, that's unrealistic.  However, when you used it you have experienced success and that is a great stride forward.  Continue on.  It would be great to have your LO at home for every nap so you can set up a consistent WD/resettling routine but sometimes that is just not possible.
Good luck with the sell! 


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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #12 on: March 22, 2016, 20:36:15 pm »
Pick Up/Put Down (PU/PD) - Everything you ever needed to know!
Please re-read some of this material - PU/PD is a method of last resort and should not be used where there is no EASY routine in place. You should not use it if you've tried nothing else first.  You need to start by getting the routine right (or approximately right at least, and then tweaking) and using sh-pat.  You are free, of course, to read through all this and decide that PU/PD is the best option for you at this point.
10 Reasons You Cannot Use Pu/Pd
*Anne*, loving mama to a honeybee (2010) and a sweetpea (2012).  BF for 4 proud years.


Offline tipofthetree

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #13 on: March 23, 2016, 03:12:39 am »
Why shouldn't you use PUPD unless you have an established EASY routine in place? These two posts seem to contradict each other. One says I'm doing great, the other says I'm doing it wrong / stop it.

Offline tipofthetree

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #14 on: March 23, 2016, 10:25:08 am »
Day 3, morning nap and 3rd go at PUPD. My wife suggested I calm him more before putting him down after a pick up, i.e. Not the second be stopped crying, but give him a minute to settle and get drowsy, which he did, then put him down. Also, only did singing today and not loud shushing. Took just over 22 mins, only 3 PUPD and felt a lot less brutal.

Offline lauradj

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #15 on: March 23, 2016, 19:34:20 pm »
That's great!  I'm glad to hear your PU/PD times are decreasing, that's a good sign.  What does your EASY look like now?



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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #16 on: March 23, 2016, 22:06:49 pm »
Hi there, welcome to BW, I don't think we've 'met' before :)

Why shouldn't you use PUPD unless you have an established EASY routine in place? These two posts seem to contradict each other. One says I'm doing great, the other says I'm doing it wrong / stop it.
I'd like to see if I can help with this confusion.
In the BW books (I'm not sure if you have read them/one/which) Tracy describes sleep training with young babies and using shush/pat, with this method you pick baby up if he cries and continue to shush/pat in arms until he is totally calm and relaxed (this may take quite some time) then put him down in the cot and continue to shush/pat, if he cries again you pick him up again and continue to shush/pat in arms until he is totally calm and relaxed.  It sounds to me like this is what you are doing although I do not know for sure, but from your description of waiting for him to stop crying and then your wife suggesting holding him a minute longer after the crying stops, well it sounds like the shush/pat method to me (even if you have adapted the shush by using song). so you will see this method involves picking up and putting down, this could in effect be called 'pick up put down' and Tracy does refer to it this way in her book. This is the method we would suggest is always used first.  There are adaptations which are generally accepted on the forums such as singing or a key phrase if/when shushing starts to bother an older baby or for some people rubbing or stroking if patting is disturbing LO or if they have reflux which it can aggravate, or indeed if parents arrive at the forums having already established another method of soothing such as hand holding or stroking LO's head, we usually accept this as an adaptation and work from there to gently wean rather than totally stopping the head stroking in favour of patting.  So then, this method is refered to as PUPD in the books, BUT here on the forums we like to make a distinction between shush/pat and PUPD so we call one shush/pat and the other PUPD.
However there is a difference between the type of picking up used in shush/pat and the method we refer to as PU/PD.  If you read the links given above on PU/PD (there is one for shush/pat too, within that PUPD link) you will be able to see in more detail.  In short the PUPD method involves timed put downs.  A baby is put down after a maximum of 5 mins hold even if he has not stopped crying, he is immediately picked up again.  For a slightly older baby you put down right after saying the key phrase, so this is a *short* amount of time to hold for.  For slightly older again they are not picked up at all but just put down repeatedly if they sit or stand on their own, if they become frantic you pick up for a moment and put back down.
It think you will see the two methods are quite different and why we do not advise PUPD (second version above) for young babies or for babies where shush/pat has not been attempted for a good period of time.
From your posts, from your description of your LOs tears I really don't think you would be comfortable to use a true PUPD as set out in the books or in the FAQs and I believe that like us you would agree to using a gentler method for a reasonable amount of time before moving to a 'last resort' method.
I hope this helps to clarify the confusion - really both the posts above are correct despite appearing to be totally contradictory.  It may help to refer to your chosen method as shush/pat from here on in as it just helps the community to be clear about which method you are using.

Whilst I'm here...  I know a few others have asked for the EAS times. I can't stress to you how important those are. Tracy Hogg set out the first 2 days of sleep training as observation days, to see what your LO does how often he feeds, when he sleeps and so on, this is for good reason.  A baby who is too tired or not tired enough will cry a whole lot more about being put for nap than one who is just about ready for a nice sleep.  This is another reason we would strongly advise against beginning PUPD (which can be quite a hard method on baby and parents) without the routine being looked at first, it just isn't fair on anyone involved to have all that crying and picking up and putting down at the wrong time of day when baby just isn't ready to sleep.

Despite you feeling that shush/pat has been somewhat brutal, it does sound like you are making good progress.  I urge you to let the community look at your times.

hth :)


Offline tipofthetree

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #17 on: March 30, 2016, 14:34:30 pm »
Thanks for that. I'm still a bit unclear on the difference, as I have been putting him down after 5 mins whatever is going on. But he generally calms before then.

Still not EAS timings for you. Need to get login details of app from my wife.

He has a cold, so all stop on sleep training efforts for now.

We've only focussed on the morning nap, and we were going to expand to other naps and maybe even night depending on how it's been going. But results have been variable, i.e. from 8 attempts we've had about four 30 min sessions of crying and then he fell asleep. A couple of 15 minute sessions of whimpering and then he fell asleep. And two failures where after 40+ minutes of trying, we just took him out for a walk and sleep.

The longest he slept for any of these naps was 40 mins. We didn't get the chance to do wake to sleep as he kept waking up before we would try it. After which he's obviously still tired, so a bit of awake time then a long walk for a proper nap. So all a bit confused.

Last nights wakings (some of these were feeds - he's EBF):
20:37 put down (after being fed to sleep)
21:29 woke up
22:05 put down
22:43 woke up
23:50 put down
12:37 woke up
1:20 put down
1:38 woke up
2:57 put down
5:20 woke up
5:51 put down
6:17 woke up

I get the impression that without giving you EAS timings you can't provide much feedback. BUT, we were just hoping to teach him the tool of falling asleep in his cot on his own, and piece everything else together around that.

Offline lauradj

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Re: 4 month old: around 4 night feeds. Too many? Habit?
« Reply #18 on: March 31, 2016, 04:10:36 am »
The main reason we ask for everyone's EASY right away is that often the difficulties experienced around naps and night wakings can be eliminated without any sleep training, just by modifying the routine to reflect baby's age.  As an example, I can see from your post that your baby is waking around 6am but isn't going to sleep until almost 8pm, so something I would suggest is that you bring bed time forward by at least an hour.  Frequent night wakings can be a result of an over tired baby. 
If we know what your EASY during the day looks like, it gives us a blueprint to tackle the nights.   :)