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Query about sleeping habits in infants - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Growth and Development in Children
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3303 Questions
Doctor :   Hi
User :   Hi
Doctor :   How can I help you ?
User :   I have query regarding my 1 month old baby
Doctor :   Please go on.
User :   I want to know how much a month old baby should sleep. My baby sleep around 5-6 hrs during night and during day time he hardly sleeps for 2-3 hours
User :   is this much sleep enough for him
Doctor :   Ok
User :   he will turn 1 month on 16th of January
Doctor :   Could you give me some more details.
Doctor :   Like his birth weight ?
User :   His birth weight was 3.335 Kg
Doctor :   How much was his head circumference ?
Doctor :   Do you remember ?
User :   I don't have detail about his head circumference now
Doctor :   Ok, That is fine.
Doctor :   Let me tell you, that he has to sleep for more than 15-16hrs a day.
Doctor :   So if he sleeps for 8-9 hrs it is not enough.
User :   ok. My wife keep feeding him for around every 2-3 hours. Can it be that he is not getting enough milk.
Doctor :   I will give you some details that have to be taken care of : User :   ok
Doctor :   1. Babies till 4th month usually require breast feeds every 2-3 hrs.
Doctor :   2. As their stomach starts to grow and cannot take more than that she has to feed him at short intervals and then carefully create a climate suitable for sleep.
Doctor :   3. The baby needs Cozy, Warm & Wrapped up place resembling a mother's womb.
Doctor :   4.There needs to be absolutely no noise except for white-noise like a lullaby or small soft music or flute,etc. constantly.
User :   ok
Doctor :   5. A small noise can perplex them or stun them and after the startle reflex they get scared and start crying.
Doctor :   6. At this point I need to tell you that till 2-3 months please do not use a cradle and keep the baby beside the mother 7. And I need to add that even the sound of the closure of the zip pr click of a button can wake them up.
Doctor :   Hope you followed ?
User :   we are trying to do most of this. But ususally when he get the feed and is trying to sleep he pass the urine and his sleeps get disturb.
User :   I want to know if the baby pass urine do we need to feed him instantly again?
Doctor :   8.To make the baby sleep well give her a nice hot water bath or hot water massage with a cloth and then a warm oil massage with Olive oil or sesame oil.
User :   actually we are giving him sponge bath only as this year its too cold in delhi.
Doctor :   A baby can pass urine for more than 6 times a day which is considered normal. Feeds can vary from 10-12 times a day. If the baby doesnt wet for more than 6 times in winter , then it is considered Dehydrated. So nothing to worry. But,
Doctor :   Ok, Thats fine, also use a room heater to keep the room temperature at 28-30centigrade.
User :   he is usually passing more than 10 urine a day. I have one more concern that he is getting more than 3-4 bowel movements is that alarming?
Doctor :   Also if you have Charcoal or any other method, gently massage with nice medicated oil twice a day and give him the warmth from a fire place which is very good.
Doctor :   No not all, nothing to worry.
Doctor :   It is called Gastro-colic reflex, when the baby feeds his contractions start and they defecate.Finally let me add one more thing.
Doctor :   Hope you are following.
User :   one more query should we top feed him with lactogen to make sure he is getting enough feed so that he can sleep after every feed which is not the case now. He hardly sleep after my wife feed him.
User :   most of the time we are concerned if he is getting enough milk.
Doctor :   No, The WHO,UNICEF,all the pediatric associations do not and will never advise to feed the baby with anything else other than Mother's milk.
Doctor :   Is the mother getting enough milk ?
Doctor :   I mean is she able to generate enough milk for the baby ?
Doctor :   If she is able to produce than there is no need .
User :   Our main concern is that baby keep sucking when she feeds him but how do we know if he is actually getting milk or if he has fallen into habit of nipple sucking
Doctor :   Please note down the following points : Doctor :   These points are vital indicators, keep a note of them : Doctor :   Hope you are following.
Doctor :   1. Does the baby urinate more than 6 times a day ? If so he is being fed well.
Doctor :   2. Does the baby play well or is he active ? Are his skin and eyes bright and fine ?
Doctor :   If so he is doing fine ?
Doctor :   Hope you are following.
Doctor :   There is absolutely no need to worry if he is urinating for more than 6 times, So please do not hit the panic button.
User :   Yes he does urinate more than 6 times a day. and his eyes looks bright. His skin to looks ok.
Doctor :   But You need to follow certain things : Doctor :   So You need to follow certain things that I advise you right now : Doctor :   1. The mother should be given enough fruits, bread, oats, dry fruits, milk and basmati / good quality rice and dals,legumes.
Doctor :   She must have adequate amount of water at least 5-6 litres to produce enough milk.
Doctor :   2.She must have adequate amount of water at least 5-6 litres to produce enough milk.
Doctor :   3. The baby's room has to be dimly lit , aromatic with eucalyptus oil which makes the lungs clear and is natural.
Doctor :   4. Need to use diapers otherwise wet clothes can irritate the baby after the baby urinates or passes stools.
Doctor :   5. Need to play soft music or lullabys to create white noise for the baby.
Doctor :   6. To sum up make him feel he is the womb, cozy and wrapped up and no much place to start licking around if in sleepy mood.
User :   ok we used diapers for 2-3 days during night but baby got bad rashes so we stopped using them. we used pampers. should we go for a particular brand.
Doctor :   Alternate use of cloth diapers and keeping the baby in huggies can prevent rash, Use an ointment called Rashfree if he has too much rash.
Doctor :   So hope your questions got answered.
User :   are there any brands of cloth diapers available in market
User :   where can i get eucalyptus oil. and is there any particular brand of it available in market.
Doctor :   The most important thing is being a parent for a new born can cause sleeplessness for both the parents. First is it is a difficult time to take so much care for a new born and second , after every feed carefully making the bay sleep, See that you have help from your family members like your parents or your wife's parents who can do that after the feed.
Doctor :   Dabur, Baidyanath, Zinda telismat have good eucalyptus oil, Also for massaging you have BalaKrishna tel.
Doctor :   Hope I have answered all your queries, If you still have some doubts on feeding you must approach A Feeding expert - A Pediatric feeding expert or places like Mom & Me.
Doctor :   Wishing you a happy parenting.
User :   thanks a lot doctor
Doctor :   Thank you for consulting me.
Doctor :   Take care, Bye fro now.
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