The first days after a baby’s birth are often considered golden days for the mother, as the newborn spends most of their time sleeping. During this period, mothers typically don’t worry about sleepless nights or crying; instead, they can simply admire their baby with love and affection.
As the baby grows, it’s normal for sleep duration to gradually decrease, though the newborn still spends several hours sleeping each day. This is usually when mothers begin to worry.
Pediatrician and neonatology consultant Dr. Mohamed Osman shared insights in an exclusive interview with Nadormagazine regarding situations in which a baby’s continuous sleep is a cause for concern, and when parents should wake their newborn.
Benefits of Sleep for Newborns
Sleep in the early months is essential for a baby’s physical and cognitive development:
Proper sleep helps weight gain by allowing the baby to store energy from breast milk or formula.
It supports the development of muscle tone and body strength, enhancing gradual skill development.
Lack of sleep can lead to excessive calorie burn, poor weight gain, irritability, and mood swings.
Sleep can also be affected by teething, which may begin as early as the third month and reduce sleep duration, causing increased fussiness and restlessness.
When Continuous Sleep is Normal
A healthy newborn may sleep for long stretches—up to seven hours at around two months old—especially after full feeds, either breast or formula. Signs that prolonged sleep is normal include:
Steady weight gain according to pediatric growth charts.
Frequent wet diapers (6–8 per day).
Alertness and responsiveness upon waking.
Continuous sleep in a healthy baby indicates a well-functioning nervous system and proper sleep regulation.
When to Be Concerned
Be alert if:
Your baby is premature—they should be woken every four hours for feeding to ensure proper weight gain.
The baby’s eyes appear dull or unfocused, with minimal interaction upon waking.
The baby fails to gain weight or has very few wet diapers.
These signs may indicate underlying health issues requiring immediate medical attention.
When to Wake Your Baby
1. Car Seat
Do not let your baby sleep in a car seat for extended periods. Restricted posture can block airways and increase the risk of suffocation, especially in infants under six months. Check frequently and adjust their position, or hold them while traveling.
2. Stroller or Pram
If the baby sleeps in a stroller, monitor them closely. Avoid covering the face and consider moving the baby to a safer sleep location, even temporarily. Prolonged sleep in a stroller can increase the risk of suffocation or sudden infant death syndrome (SIDS).
3. Rocking Chair or Swing
Remove the baby from rocking chairs or swings after a period of sleep. While these devices can soothe, prolonged use may be dangerous, particularly if the head is not properly supported. Studies also warn that excessive shaking may negatively impact the baby’s brain development. Use swings with head support if necessary, and avoid vigorous motion.
Key Takeaways
Early months require monitoring sleep patterns but do not panic over long stretches if the baby feeds well, gains weight, and is responsive.
Wake premature babies or those showing signs of poor health or low responsiveness.
Avoid letting newborns sleep in unsafe positions like car seats, strollers, or unsupported swings for long periods.
Continuous observation and safe sleep practices help ensure the baby’s healthy growth and safety.
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