Friday, September 28, 2012

Day/Night Confusion

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Day and Night Confusion
Your baby sleeps like a champ all day but wants to be up bright-eyed and bushy-tailed in the middle of the night. Many babies have some day/night confusion when they first enter the world. If you follow Babywise or Baby Whisperer principles of Eat/Play/Sleep, you are less likely to have it, or will have it a shorter time or less intensely. There are some strategies you can apply if your baby wants to be awake in the night more than in the day.

Regular Feedings In Day
Waking baby up regularly at 3 hour intervals in the daytime will help with day/night confusion. Be sure to stick to your 2.5-3 hour routine in the day as closely as possible (always feeding baby sooner if baby is hungry). Work to keep baby awake for feedings so she gets full meals all day long.

Start Day at Consistent Time
Start your first feeding of the day at a consistent time. For more on this, see:


and


Have Waketime
You don't want your baby sleeping so much during the day that she isn't tired enough at night. However, with a brand newborn, remember that often times just being awake for a feeding and diaper change is all the awake time she can handle. Remember waketime as a newborn is typically anywhere from 30-60 minutes. For more on this, see:


and


Keep Blinds Open in Day
If your baby will nap with the blinds open, leave them open for naps in the day. Three of my four children have napped great with blinds open as babies. McKenna wouldn't even as a newborn. If your baby will sleep, keep the blinds open to help baby's body know when day is happening and when night is happening.

No Playing in Night
When you feed baby at night, keep things dark and calm. Whisper if you need to talk. Keep lights dim. 

Change Diaper Mid-Feeding at Night
I change the diaper mid-feeding in the night. Not all people change the diaper at all at night feedings, but I don't want a wet diaper waking my baby. So I feed between sides so the baby won't be fully awake when I put her back in her bed. For more about diapers at night, see:


Expose to Noon Sun
You can try taking your baby out for a few minutes at noon each day. This can work with people of all ages; exposure to the sun at noon can help your circadian rhythm get on track so your body knows what time is day and what time is night. Of course you need to use common sense here. If it is the middle of July, you might not want to stand in direct sunlight with a newborn. Try standing in the shade. For more on this, see:


Turn the Lights Up
This is going against everything I just said. The tips above are all good and are from sleep experts. However, sometimes doing all of those things doesn't solve the problem. They will say "give it time," but when you are in the moment and it is 12 AM and your cutie just wants to look around, you don't want to wait a couple of weeks. You want to sleep. 

Kaitlyn was a sleepy, sleepy newborn. She was very hard to keep awake for feedings all day long. After her late evening feeding, however, she was suddenly wide awake and not ready to go right back to sleep. After a night or two of this, I had an idea. Instead of keeping the lights dim and sleep-friendly, I turned them on as bright as can be. She ate and went right back to sleep.

I figured she wanted to stay up because her eyes were not used to bright light, so having it be nice and dark with low lights was perfect for her to check out the world around her. For a couple of days, I tried to keep her in lower lighting during the day and kept the lights bright for her late evening feeding at night. After a couple of days, her body was adjusted to being awake in the day and not the night.

With McKenna, I tried the same trick and it worked again.

Brinley never did have the issue of being more awake at night and less awake in the day. This led me to wonder if it was the timing of her birth. Kaitlyn and McKenna were both born late in the day--the 8 PM and 9 PM hours. Brinley was born in the 4 PM hour. I don't know if it is just coincidence or if there is something to it.

Reader Input
Do you have any tips for helping with day/night confusion?



13 comments:

Unknown said...

I think you're on to something with the time of birth. My son was born at 10:00 pm and stayed awake, of course, for several hours, but fell asleep and stayed asleep until about 10:00 the next morning. We've never had a problem with day/night confusion and I believe it's because he got started at the best time.

Sarah Patten Howell said...

You need a fan page. I can't find one, so I'm posting here. THANK YOU. That's all I have to say. Thank you.

Sarah (mom of 4 month-old twins Hank & Annie)

SM said...

My daughter is 12 days old and was doing great with sleeping at night with two 4 hour stretches up until a few days ago. I cluster feed in the evening and do a dream feed. Suddenly she is waking at 2:30 a. m. and then is awake until 5 when I give in and nurse her again just to get her to fall asleep. During the day she is on a 2.5 and 3 hour combination schedule. There are a couple of wake times in the middle of the day that I can not get her to have hardly any wake time. I can usually get her to nurse and that is it. I know that is normal for newborns, but it seems like she is getting all her nighttime sleep in during that time. I go outside with her a few times a day just so she can see it is daytime. I really don't know what to do...when she is wide awake at 2:30 how do I handle that? I have tried the 4'S but her eyes just pop open and won't close until I nurse her again. Any suggestions are most welcome!!!

Plowmanators said...

SM it could be a "needs time" thing, but I would try out turning the lights on fully in the night to see if that helps her just go back to sleep. Also, try to get more wakefulness in the middle of the day--though I do know how hard that can be :)

Plowmanators said...

Thank you Sarah!

Jennifer Maroney said...

My baby girl is 1 week old. I just started babywise yesterday. She has been sleeping really well for all her naps so far. She barley cries at all. I have a question about the late night feedings. I am a really light sleeper and she sleeps in a bassinet next to our bed and I can hear every noise she makes. Sometimes after 3 hours I can hear her sucking and making noises like she is hungry. Should I feed her or wait for her to actually start crying? If she was in a separate room I wouldn't even know she was doing that unless she cried. When should I put her in a different room? I know with my son when I put him in his own room I slept a lot better.

Jenae Craig said...

Hi,
My daughter is 3 months old and, since she was born, has not been willing to go to sleep before midnight (sometimes not until 2 or 3am!). She is on a 3 hour feeding schedule (following the sleep, eat, awake-time routine) and will take 1.5-2 hour naps throughout the day. We have done CIO with her and she is able to fall asleep on her own after 2-3 minutes of fussing/crying. Our day typically is as follows:
8: first feeding & awake time, 9-11: nap
11: second feeding & awake time, 12-2: nap
2: third feeding & awake time, 3-5: nap
5: fourth feeding & awake time, 6-8: nap (have tried skipping this nap but she gets so tired after an hour of being awake)
8: fifth feeding & awake time, 9: “bedtime”
11: last feeding and straight back to bed
After this last feeding, she will sometimes fall asleep for up to 40 minutes but then will wake up and cry/sleep on and off until sometime after midnight when she finally will fall asleep and stay asleep until 8 when I wake her for her first feeding. I check on her every 15 minutes and sometimes she will take a 7th feeding, but sometimes not.
I’ve tried adjusting the time of our first feeding and keeping her up longer during the day along with the above advice, but nothing seems to dramatically affect her bedtime. I would love to be able to get her to go to sleep earlier than midnight (and to go to sleep myself!) as I know she is tired and trying to catch up on sleep throughout the day (I have to wake her up at 8am and from every nap during the day).
Any advice or thoughts would be appreciated!
Thanks so much.

Kristin L. said...

My 4 week old son was born at 11am and is always wide awake (and FUSSY) overnight, so I'm not sure its a time of birth thing. He was, however, very active in the womb at the time he is always up over night now (after the 10pm feeding), so I think its just a cycle his body always went through while he was growing and developing before he was born! I will give the lights on thing a try for a few nights and see if that helps!

Kristin L. said...

Two questions I have though... if turning bright lights on during the feeding works to help your baby get back to sleep after the feeding... do you keep doing it every night after. Or once they are going back to sleep after the feeding, do you return to using low lighting and a quiet environment for the feeding. Also, if you have a sleepy nurser, do you could the feeding time as a part of their wake time... even if they seem like they are sleeping during that time? Or do you start the wake time once the feeding is over and they actually become more alert!? Please let me know! I feel like I'm actually having a tougher time with my second little one than I did with my first! :(

Valerie Plowman said...

At some point, you need to get the lights back low. Not too long.

Waketime should count with feeding even with a sleepy nurser, but if your baby is sleeping through the feeding, it will definitely cause napping issues. I have a post on that with the words "keep baby awake!" In the title if you want to read more.

Kp Goh said...

Hi, thanks for keeping up this fantastic blog! Our 7 week old baby had night day confusion from early on. She would fuss in 3 hourly blocks any time of the night e.g 4am -7am. The last few days it has gotten worse, starting at 9 pm all the way to 9am the next morning, getting snatches of sleep in between only.

Does turning on the lights work for a 7 week old who is already used to bright light in the day? Also, this goes against all the other advice we've been reading: keep nights dark and day bright. What do we do with her when she cries at night? She can go on for hours! We are ok with CIO but it doesn't seem to help. Also, when we do PUPD or shh pat, she calms down for awhile and starts again.

As the night deteriorates,we carry her to deep sleep only to have her wake at the next transition, then it goes on... We start the day at 9am and it's such a vicious cycle as she simply can't wake in the day though we've tried everything- even bathing her. She gets very angry and then sleeps.

Thank you for your help in advance! My hubby is getting chest pains from the sleep deprivation hearing her cry from the other room.

Valerie Plowman said...

I don't know if it would work at that age, but it sounds like it wouldn't hurt to try it one night. My guess is she is too old for this trick, though.

Does she have reflux?

So she is sleeping well in the day, just not night? If that is the case, really analyze what is different with th day versus the night and try to get the night more like her days.

Kp Goh said...

Thanks for your response! Yes she was probably too old for the trick but she came out of the night day confusion after week 8 gradually. And you're right, at about that time, she was diagnosed with silent reflux as she screamed at her feeds. She is formula fed. She is now 12 weeks, on omniperozole and motilum. With meds, she has been doing ok in the day, with a long morning nap(about 2 hrs 20 min), two 1.5 hour naps then one half hour nap (she wakes herself from this nap only) before bath and bedtime feed. She has a dream feed at 1.30am as we wanted to keep her from being overly hungry and space out the night feed in case gastric juices built up over the night. She settles ok for naps but not well for bedtime and she wakes at the transition after falling asleep for the night (20min - 60 min) then cries for the next 1-2.5 hours. For the past 2 nights we resorted to feeding her 30 ml which seemed to help her settle a bit. We don't want to create a habit of feeding her shortly after bedtime though. We would also prefer to keep the 1.30am feed, and a feed at 10-11pm could put her off 1.30pm and have her wake for a feed 3-4am and affect 7am feed even more. Could she be undertired as she looks v awake during the crying stretch? This is her current schedule, would very much appreciate your thoughts!

7-715: Morning feed (does not feed well as she feeds much better when she is half asleep)
8.40: nap
11: Feed (i wake her from all naps as its easier to feed. If awake she can struggle for an hour to get half a feed in. could be reflux effects...)
12.30: nap
2.10: Feed
3.40: nap
5.15: Feed
7-7.30: catnap
8.20: Bedtime feed
(Takes long as she is awake and a lot of the time struggling with feed. Upright for 20 min after she finishes)
9 onwards, 20 min from when she finishes: Bedtime

Then after about 1/2 hour-1 hour sleep cycle, the crying begins and she can't settle. At all other times, she is able to settle herself.

Thanks Val!

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