Tuesday, June 9, 2009

McKenna Newborn Summary: Week Ten

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sisterly love
This is a summary for McKenna age 9-10 weeks old, or the tenth week. This week was really quite exciting because McKenna started to sleep through the night some nights! If you have read previous posts on the newborn summary, you know that I was not expecting her to be able to do this yet since she is small. She weighs nearly two pounds less than Brayden and Kaitlyn did at this. It is nothing I am worried about since she weighed nearly two pounds less than they did at birth. I don't know that I have ever mentioned this, but she was born three weeks early. Some people will adjust for age if baby is born three weeks early, but I don't. I do, however, consider that she was three weeks early and because of that there is a good chance she will be slower on some milestones. She is moving up her growth curve, so she is growing well. She is just small.

NURSING
I realized that McKenna was falling asleep while nursing again. It is not uncommon for her to doze off from time to time, but she was really trying to sleep instead of nurse. I remembered that when Kaitlyn did this, she cried more before naps. My theory was that she was not as tired for a nap since she had a mini nap while nursing. So I put my efforts into keeping her awake again.

I also started to notice that she is seeming to finish nursing faster. She seems to fall asleep around 10 minutes into one side. I think that she is snoozing since she is basically done. So I have been switching sides at that point if she just won't eat any more.

WAKETIME
This week, I moved McKenna's waketime back more, and that seemed to do the trick. I am feeling really anxious for her to be awake longer and spend more time with the family. I have to tell myself that she will get there some day. Right now she needs more sleep. Before too long she will be awake longer. I now swaddle her after she has been awake for 45 minutes and have her down for sure by 50 minutes.

This is excepting the first waketime of the day when she has her bath. That process takes more time, so she is typically up about 60 minutes, but that is always her longest nap of the day. You are probably thinking I should then change her other waktimes to 60 minutes, but that is no good for her. She seems to have different optimal waketime lengths for different times of day, which just adds to the joy of figuring out her optimal waketime length :)

I also decided to accept that she takes 20 minutes to fall asleep. I decided that since she is not crying, it isn't a big deal. The Baby Whisperer, Tracy Hogg, says the average baby takes 20 minutes to fall asleep. So, I accept! The funny thing is that as soon as I accepted that, she seemed to start to fall asleep faster.

NAPS
Naps got back on track for the most part. She still had some shorter naps than I would have expected this week, but in reality I think that is to be expected. Short naps will happen, especially in these newborn months.

WITCHING HOUR
We decided that since McKenna has a witching hour in the evening, we would just go out during that time. There was no point in trying to stay home so she could sleep if she was going to be fussy the whole time. So we ran errands, visited friends, and even went to dinner one night. She would fall asleep for little catnaps and she wasn't fussy. This is our solution to her fussiness. I think this has really been a blessing for our family. We are able to have a nice stretch of time to get out and enjoy the summer. I am sure Brayden and Kaitlyn are happy for it.

NIGHTTIME SLEEP
As I mentioned in the beginning, McKenna started sleeping through the night some nights! The first night of the week, she only slept five hours straight before eating. That is roughly what she had been doing for a while. The second night, something interesting happened. My husband took Brayden camping for a father/son campout. I had a bunch of girlfriends over for a girls night out. We ended up talking until about 12:30 AM. I didn't get McKenna up for her 10:00 PM dreamfeed until just after midnight. That night, she went 5.5 hours before waking to eat again.

The next night, She went nearly eight hours without waking! This might have been a coincidence. But it also might have happened because of the late dreamfeed the night before. It was enough to get her past the 3 o'clock hour hump. It is impossible to know if it is the reason, but it is worth a shot for you!

The next night, she went 6.5 hours. I fully expected her to go back and forth. I didn't think she would STTN consistently yet.

The next night she went 8.5 hours. Wahoo! I was thrilled. The next night was 6.5 hours again. The next night was 6 hours. The last night was eight hours.

You can see her nights are random right now. I know some babies start to sleep through the night and never look back. Brayden was that way (though he was much older--this is how old he was when we started Babywise!). Kaitlyn wasn't. She was back and forth. I fully expected McKenna to be the same way, and I was right. I am not worried. She will get consistent when she is ready. If she doesn't, I can help her along when I see she definitely doesn't need to eat in the night.

I like to wait until baby is 12 weeks old before starting to evaluate and worry about nights. I would change this policy if I felt like night feedings definitely weren't needed, but if I have any doubt, I just go with the flow.

EARLY MORNING FEEDINGS
There is a down side to baby starting to sleep through the night. The down side is that you usually end up with early morning feedings. This is true for us since our dreamfeed is early, at 10 PM. In the end, I want our morning waketime to be anywhere from 7-7:30 AM. McKenna is often waking between 6-6:30 AM now, which creates a difficult situation.

There are many ways to handle these early wakings. With Kaitlyn, I fed her, put her immediately back down, and then woke her at 8:00 AM (her morning waketime was 7:30, so 8:00 AM was within our 30 minute window). I have tried that with McKenna, but it doesn't work well. She ends up not eating well at 8:00 AM and then she wakes early from her first nap. Then her first nap was short, and she again doesn't eat well. It creates a cycle like this for the day.

With McKenna, I treat anything after 6 AM as our first feed of the day. I then let her sleep 30 minutes extra for her first nap and slowly adjust her day as it goes on. By the end of the day, she is back on schedule. This makes our day go much more smoothly. I know many people worry about 6 AM becoming their waketime. That is a risk of doing it this way. I figure that if she gets stuck there, I can move her just as I would a time change. I am not worried about it. I would rather have our days run smoothly right now.

This brings up an important point that your morning waketime can change as needed. Change it as your baby changes. Just try to remain consistent during that time period. Kaitlyn's waketime was 7:30 for a really long time, but it isn't what I wanted for her throughout her toddler years. I wanted it to be 7-7:15. In the end, I want my children all getting up at the same time so we can all eat breakfast together, but that obviously is not possible right now. McKenna nurses; she isn't joining us at the breakfast table :). Some day, she will.

COLD
McKenna had a cold this week. This fact made me even more impressed with how well she slept at night. I have the same cold. It isn't a terrible cold (it is summer), but it is still annoying. One night, I woke up every two hours in desperate need for a drink. So if McKenna wants to eat once a night, I have nothing but sympathy for her.

OUTINGS/EVENTS
As I mentioned, we went out a lot this week. I did focus on our days being consistent, but for her witching hour (the period between her 5:30ish and 7:30ish feedings), we often went out. One night we had a girls night and had friends over. One night, we went out to dinner. One night, we went to visit friends. One night, we ran errands. One night, Grandma and Grandpa watched the kids and she slept in Grandma's arms during her fussy period (which Grandma of course loved).

McKenna had her first full feeding from a bottle with formula this week. I took Brayden to go get his four year old pictures done while my husband stayed home with the girls. She ate it well. We figured out about how much she should eat through the calculation in the book Super Baby Food. That book says babies eat about 2.5 ounces per pound of body weight. You then would want to divide that by the number of feedings in a day. So if she is about 10 pounds, she should have about 25 ounces a day. With 7 feedings, that is roughly 3.5 ounces. My husband made a four ounce bottle. He wanted to get at least 3 ounces in her, with ideally feeding her 3.5-4 ounces. She ate nearly 3.5 ounces. There is a more exact calculation (you calculate down to the ounce of your baby's weight) in the book The Nursing Mother's Companion: Revised Edition. I hear there is also a calculator on kellymom.com.

One day, I put McKenna in her bassinet for all of her naps. This is because we have the bassinet set up so the mattress is elevated (we did this for Kaitlyn's reflux). McKenna has a little cold, so I put her in it that day so she could breath easier being on an incline. She slept well.

OUR SCHEDULE
I thought it might be helpful to post what our schedule is like each week. I will put two schedules. One is what happens when she wakes around 6 AM. The other is what happens when she wakes in the night and then I start her day between 7:30-8:00 AM.

6:00 AM--eat
7:00 AM--nap
9:30 AM--eat
10:20 AM--nap
12:30 AM--eat
1:20 AM--nap
3:30 or 4:00 PM--eat (sometimes she wakes at 3:30, sometimes she continues sleeping and I get her by 4:00).
4:20 or 4:50 PM--nap
5:30 or 6:00 PM--eat (I always get her by 6)
WITCHING HOUR TIME PERIOD--sometimes she sleeps, sometimes not
8:00 PM--eat
8:30 PM--in bed
10:00 PM--Dreamfeed

7:30 AM--eat
8:30 AM--nap
10 or 10:30--eat (I always get her by 10:30)
10:50 or 11:20--nap
1 or 1:30--eat (I always get her by 1:30)
1:50 or 2:20--nap
3:30 or 4:00--eat (I always get her by 4:00)
4:20 or 4:50 PM--nap
5:30 or 6:00 PM--eat (I always get her by 6)
WITCHING HOUR TIME PERIOD--sometimes she sleeps, sometimes not
8:00 PM--eat
8:30 PM--in bed
10:00 PM--Dreamfeed

You can see how I end the day on the same schedule either way. Some times with a 6 AM start, she might start her last feeding between 7-7:30 instead of 8:00 PM. That is no problem for me. She still takes her dreamfeed at 10:00. She will often even take a better feeding at the dreamfeed since she has gone longer since eating.

HELPFUL BOOKS
There are three books I found very helpful this week. One was
Secrets of the Baby Whisperer: How to Calm, Connect, and Communicate with Your Baby , one was Super Baby Food, and one was What to Expect the First Year . I looked to the Baby Whisperer for a refresher on the stages of sleep and for how long it takes a baby to fall asleep. I looked to Super Baby Food to easily figure out about how much formula to feed McKenna. I read What to Expect the First Year to read up on McKenna's development for month 2-3 months. Here is my list of books for the newborn stage (and a couple of websites):
RELATED POSTS/LABELS

26 comments:

Dvorak Family said...

I have a question regarding swaddling. I have a 12 week old who had just started sleeping 7 1/2 to 8 1/2 hours a night. He went through a growth spurt, which I believe is over, and during that he would only go 5 hours or so. After the growth spurt was over, I thought it might be a good time to eliminate swaddling him since he is just about 3 months old. He never cried going down for naps and rarely before bed. He is now crying quite hard at bedtime for up to an hour and wakes in the night more frequently. He's been sticking with waking around 5 hours and then 3 hours. He's not been swaddled for 4 nights, but I am thinking about swaddling him again since I was getting quite a bit longer stretches. Should I just commit and stop cold turkey or should I keep doing it in hopes he will be ready in another month? He really likes to chew on his fists and gets very frustrated with them, which is the problem. Also, according to babywise, he should be sleeping 10 hours instead of the 8 he was doing. Should I be letting him cry it out at night? I've tried and he just wakes an hour later. He's a healthy 14 1/2 pounds, so technically he shouldn't need to eat in the night either. Thanks for any recommendations you have!

njoiner said...

Thanks for this blog, it is very helpful!

I have one question that I have not been able to find on the site (yet)
If our 2-3 week old stays awayke either A) Crying B) fussing or C) happily awake through almost an entire nap cycle, then goes to sleep 30-15 minutes before his next feed time at 3 hours should we wake him or is it more important to allow him to get the full rest?

Today he cried for 20 minutes then slept 30 minutes then cried again for another 20 min. We put him in the swing and he fell asleep. Should we wake him to keep him on schedule?

njoiner said...

Two other quick questions. You said that babies usually take 20 min. to fall asleep. Do you count that as wake time or nap time?

We've been trying to cut the wake time back. But since he's been nursing 40 min. he doesn't really get much wake time. Is there still a difference between nighttime and daytime if his wake time in the day is nursing? THanks!

Amanda said...

I'm so relieved to hear you gave Mckenna formula because I have been struggling with the thought of pumping for Baby #2 who is on the way. I had a VERY hard time pumping for my first baby and ended up never being able to get much. So, here's my question: did you pump the night your husband gave her the bottle? thank you!

Dori and Seth said...

Hi! I have been following this blog for a few days and I find it SOOO helpful. Pretty much all my questions have already been answered, so I haven't needed to post. And, coincidentally, my little boy is about the same age as McKenna - he is 10 1/2 weeks now.

I have been very lucky b/c he started STTN at 7 1/2 weeks. And by that I mean, he would sleep from the DF (bet (9:30pm-11pm) to around 5:30-6:30am. I was doing more of a routine than a schedule, b/c he would wake up at dif't times and I would start the day then with the feeding every 2.5-3.5 hrs. I am trying to do better about that following your consistent schedule guidelines. However, I am having a problem as to whether to drop the DF. He has not been interested in eating more than an ounce if at all (usually this feed is expressed milk in a bottle from DH). We manage to wake him up for it, but he doesn't want it. He then goes back to sleep and sleeps until 5:30-6am. Ideally we would like him to start the day at 6:30-7:00am. So, I don't know if I should drop the DF, or wait until he sleeps later. If we DO drop it, I am a little confused as to what the rest of the day should look like. Assuming I want to start the day at 6:30-7:00, and he eats every 3 hours and naps for about 1-2 hrs at a stretch, what would you recommend??
Thanks so much!

PlageFille said...

Thanks for your blog. I like how you mentioned that not all babies STTN once and never look back. My first two did it that way, so we were surprised that it took my third almost two months from the first time before she was consistent. But she is finally getting it.

njoiner said...

Well, I did find some posts which addressed the questions we had. A: try to decrease the wake time B. even if he's fallen asleep 5 min. before his next feeding wake him.

As of today my wife and I have been trying these and I think it is helping. We had a pediatrician appointment which kept him up longer and reversed his cycle (wake feed) and he cried through the next two 3 hour cycles. Now he's been sleeping well often, however the evening cycle 7-10 he it has taken him 1 and 45 min. 3 nights in a row to fall asleep. We put him upstairs for bedtime, rather then leaving him in the basket in the living room at this time, and I'm wondering if that is what is distressing him.

Usually he has been waking up on his own 3 hours on the dot at night. Two nights ago he began waking up around 2.5- 2 hours and 45 min. Last night he woke up on the clock at two hour intervals. He was his usual 'squirmy hungry baby look' so we figured he might be in a growth spurt at 16 days old. (The pediatrician is amazed because he is already holding his head up, and rolling on his side) He nursed full feedings, although he was a bit sluggish. Today we are thinking moving to a strict 2.5 hour routine in order to add an extra feeding in the day. If you get a chance to answering the blogs what are your thoughts?

If he wasn't really extra hungry then I'm afraid he might be reversing his nights and days again because there isn't much difference between night-time feedings and diaper changes and day time feedings and changes now that we've cut back on the wake time. (Except we have been putting him down asleep at night and awake during the day, by doing the diaper change before the feeding at night)

Thanks,

Nathan

Colleen said...

I have a nap question: I have to wake my baby almost every nap, and almost every morning. She's 18 weeks old tomorrow. I've noticed the waivering optimal waketime as well... and I've been wondering how/when to change to Hogg's suggested 4 hour schedule since she's around 4 months old now. I've been wondering if I need to wake her because her routine (nearly 3 hour routine) isn't fitting, or if she's truly needing the sleep. Any suggestions?

Becky said...

I have a question for anybody...
My baby is eleven weeks. Two weeks ago she began STTN but only for about a week. Even though she was STTN, she still had a brief "whining" period like clockwork at around 5 a.m. After about a week, the whining turned to crying and I made up my mind to let her cry for 15 minutes before I got up. That worked for about 2 days. Then I made up my mind to try to pat her and put her back down and that worked for one night. Finally I was feeding like clockwork at 5 a.m. every morning. I've tried to hold out 30 minutes, 45 minutes, an hour, but it seems she won't stop crying and it only gets more intense. I've tried a pacifier. I've thought about dropping her "dream feed" just to throw off her internal alarm a little, but I worry about backsliding on the progress I've made even getting her to sleep until 5. I honestly don't mind feeding her at 5 now (I'm still getting between 6 and 7 hours of continuous sleep and after I feed her I can go back to sleep for another 2 1/2 hours or so), but I'm going back to work soon and I won't have time to go back to sleep and don't really want to get up at 5 every morning. Suggestions?

Colleen said...

Becky, you could try setting your alarm for 45 or 30 minutes before 5 AM and rub her and get her to just BARELY wake up. It might throw her internal clock off enough to last another hour. You've tried everything else I would've!!

Plowmanators said...

Dvorak Family,

Sorry this reply isn't very timely for you.

For the swaddle, I personally dont' stop the swaddle until the baby is ready for it, and by that I mean baby can stop being swaddled and sleep just as well if not better. We stopped swaddling Kaitlyn at about 3.5 months old. When I did, she started sleeping better! McKenna is 14 weeks old and still swaddled. I plan on trying the weaning process again soon, but if she isn't ready, I will continue with the swaddle. I would only stop swaddling even if baby wasn't ready if baby was rolling onto tummy since it would be safer for baby to have arms and hands to work with in that situation.

At 12 weeks, BW says some babies are just starting to sleep 7-8 hours. McKenna is 14 weeks and not sleeping 10 hours and I am not considering pushing it yet. She goes to bed between 7-7:30 and gets up in the morning at 8:00 AM, but she has a dreamfeed around 10 PM and then feeds from one side around 5-6 AM most nights.

Plowmanators said...

njoiner,

During the newborn period, I might allow baby to go up to 30 minutes extra if he fell asleep close to feeding time--but you don't want to do it to the extent that you drop a feeding in the day.

I count the time taken to fall asleep as time in bed. It isn't part of waketime, but it isn't part of sleep either.

At that young of an age, it is common to have no waketime after nursing. Now your baby is 6-7 weeks old. He should be able to stay awake longer, but no longer than 60 minutes, and at that age 45 minutes is still common. He will get there :)

Plowmanators said...

Amanda,

When I give my kids formula, I will try to pump an equal amount that they ate, and I try to do it at the same time that they ate.

So if she ate three ounces, I would try to pump three ounces.

Once they get to three months old, I tend to not worry about it as much. I will skip one feeding per week without stressing. I absolutely will not skip more than one, though. If there was a circumstance where I needed baby to take a bottle more than once in the week, I would definitely pump to make up for it.

Plowmanators said...

Dori and Seth,

Thanks! I am glad you like the blog! I don't drop the dreamfeed until baby sleeps from the dreamfeed until the desired start of day consistently for at least two weeks (I actually do a month, but two weeks is a good number).

Plowmanators said...

PlageFille, McKenna is definitely not a do it once and never look back! If only! I just have to be patient while she works her way up, though :)

Plowmanators said...

njoiner, that is definitely a growth spurt age. They happen every 3-4 weeks. I like what Yaron, author of Super Baby Food, says. She says the first year is one long growth spurt with several boosts along the way (basically).

Night and days usually even out around 6 weeks old if they haven't before then.

It sounds like the evening you might be experiencing the witching hour. If it is hard for him to sleep at that time of day, you can put him in a swing or even hold him to sleep if needed. It is a hard time of day for some babies. It usually starts around 3 weeks, peaks at 6 weeks, and is gone around 3-4 months.

Plowmanators said...

Colleen,

To move to a four hour schedule, you might have to adjust waketime length (but only if baby is ready). You can have longer naps in order to meet the 4 hour schedule, also.

I like to drop the dreamfeed before moving to a four hour schedule. I think the uninterrupted night sleep is more important than feeding on a four hour schedule. But Hogg suggests four hour schedule first, so take that for what it is worth.

You can also see the blog label "four hour schedule" for more.

Plowmanators said...

Becky,

Colleen's idea is called "wake to sleep" and is described in "The Baby Whisperer Solves All Your Problems." That is one idea.

Another idea is to not drop the dreamfeed, but move it back several hours just one night to see if that works. If she still woke at 5, you could be pretty sure it was habit.

But it is also possible that she is going through a growth spurt. If so, she needs the extra food. So you can try adding a daytime feeding to see if that helps. Good luck!

Jen S. said...

I have a question about the witching hour/crying it out. I have been doing CIO for about 1.5 weeks with my 6 week old daughter, with some success. She settles into her morning and day naps after only a few minutes of fussing, but once we get to the 4:30 p.m. nap, she screams and fusses the ENTIRE nap time. I let her cry for an hour tops, then go rescue her and rock her so she will at least get 30 minutes of sleep in my arms. Then we feed at 6:00, try to put her down at 7:00, and she screams once again until 8 pm. She basically won't sleep well after 4:30 p.m. She finally goes to bed at 9 pm and only wakes up once in the night (3:30 a.m.) until the next morning. Do you think this is just fussiness bc of the witching hour? And how do I get her to nap during this time frame? Ideally, I want to get her to bed at 7 pm for the night, but she won't have any of it! Any advice? Thanks! Love the blog!

Plowmanators said...

Jen, it sounds like the witching hour. During this time frame, do whatever it takes to get her to sleep. I would suggest you just don't put her in her bed at this time. Rock her, hold her, put her in a sling or swing or bouncy seat...do what it takes so she doesn't get overly tired.

She does well for other naps, so don't worry about starting a bad habit. I did this with McKenna. She eventually outgrew it.

FloridaMom said...

Hi...I absolutely love your blog and reference it everyday! I have a 9 week old baby who I have been doing Babywise with since week 2. CIO has been going well, we are getting better but not there yet. I am having trouble with her night time sleeping though. Around week six she started giving me 7-8 hours at night. I was thrilled b/c I did babywise with my first child and he started sleeping 11 hours by 9 weeks. My problem is, is that there is no consistency. Sometimes, a few nights in a row she'll sleep from 10:30 to 7am or 7:30 and then others she sleeps from 10:30 to 5:00. Whenever she wakes, I feed her typically and then put her back down and wake her up around 9:30am. I am feeding her on a 3 hour schedule during the day, minus the last two feeds which I feed every 2 hours as a cluster feeding....here is our schedule

5-7:30am- feed and back to bed
9:30- wake her up and feed and start day
10:30- nap
12:30- eat
1:45- nap
3:30- eat
4:30- nap
6:30 - eat
7:30- nap
8:30- eat
9:30 -down for bed
10:30 - dream feed

Her napping was going well up until last week and it has been a little erratic now. I have a 20 month old who can be loud and wakes her up sometimes. I am wondering if I am starting my day too late? I just feel like there is no consistency in the night and therefore I don't know if I should start letting her cry it out. She has proven that she can go until 7:30am on more than one occasion. Any advice would be greatly appreciated! Thank you so much for your blog...it really is a lifesaver!

FloridaMom said...

I forgot to put in my schedule "eat and wake time" Sorry!

Plowmanators said...

FloridaMom, I do think that you are starting your day too late--except that she is going to bed quite late also.

Unless you have a strong reason for a late bedtime, I would move everything. I would shift to starting around 8/8:30 (since I am guessing you want to start later in the morning) and ending around 8/8:30. There are natural sleep rhythms that are true for all people, so doing things too late will throw off sleep.

My girls were both like yours; sleeping longer, waking earlier, sleeping longer, waking earlier...etc. I think that is just the process for some kids. Since it is so erratic, I would say that is a sign that it is NOT time to CIO. You CIO when it is a habit that is stuck.

FloridaMom said...

Thank you so much...after I posted my comment, I started waking her up at 8am to start our day just to see if that would make a difference. It's been a little over two weeks now and she has been sleeping from 8:00pm -8:00am (with a 10:30 dream feed). I think I was definitely starting the day too late. Thank you for your advice!

I have one more quick question...when do you feel like you should drop the dream feed? With my son, I was so scared to drop it b/c I didn't want him to wake at night so I did a dream feed until he was nearly 5 months old. When do you think is a general good time to drop it? Thanks in advance!

Plowmanators said...

The dreamfeed...it varies. BW says to drop it around four months, I believe. Hogg (Baby Whisperer) says to drop it somewhere around 6-8 months.

McKenna is 6 months and still has it. We are in the process of dropping it. I would have dropped it around 4 almost 5 months, but we were about to move and I didn't want a drastic change right before we moved. So we are working on it now. See the blog label "dreamfeed" for more on this.

Renee Cook said...

I just looked this post up because I have a 10 week old and have a nap question...

I happened to follow roughly the same schedule as you describe here.

Feed 7/10/1/4/7 (ish) but we don't do a dream feed. I do an early morning feed when she needs it instead. The past few days she's started sleeping 8-10 hours. For the week or 2 prior, it's been 7-8 pretty consistently.

My question is - how long should naps be at this age? I find her optimal wake time is 45-50 minutes.
So she naps...
7:50-10 easily,
10:00 eat
10:50-1 easily
1:00 eat

but then after 1:00, her naps aren't as easy. She seems to take a 45 minute nap around 1:45 or 2:00 and then wakes up crying. To me, she still seems tired but it also seems harder for her to nap soundly after this 1:00 feed. She doesn't nap well after the 4:00 feed either, although if she hasn't had a long nap since the 1:00 feed, she often passes out because she's so tired around 5.

Any ideas?? Do your babies always nap until the next feed? If not, what do you do? Along these lines, does sleeping 9-10 hours a night change the length of naptime during the day?

Thanks :)

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