s******1
发帖数: 624 | 7 Wakeful 4 Month Olds
by Jan Barger, RN, MA, IBCLC
Reprinted with permission from the author.
zz from kellymom.com
概要： 小小孩可以一觉睡5－6小时，怎么长到4个月忽然开始半夜经常醒，要吃的呢？
主张sleep train的人（包括医生）认为小孩曾经6小时不醒，证明他不饿，不要喂夜奶
，cry it out. 本文作者表示小孩此时神经系统发育，对周围环境敏感，导致白天胸喂
不能集中精神，吃不好，夜里黑，安静，胸喂效果最好。
简单的说，小孩醒，要吃，是生理发育的结果，和坏习惯无关，与其想办法train孩子
，不如大人改变对婴儿行为的期待。
更简单的说，一个字，忍。
One of the concerns I have about some parenting books and pediatricians who
give advice about sleeping infants is this: Baby starts sleeping through the
night at, say, about 3 months -- or at least sleeping 5 to 6 hours.
Suddenly around 4 months, little Buford starts waking up at night to nurse.
Mom is understandably distressed. Some books say "it's a bad habit that must
be stopped." Her pediatrician says essentially the same thing. Someone else
points out that since the baby slept through the night at 3 months, it is
OBVIOUS that the baby CAN sleep and isn't hungry. The book goes on to talk
about how the baby is now manipulating the mother. The pediatrician says he'
s big enough to go without eating at night. Grandma tells her to let Buford
cry it out. So does the book. There may be different ways, but in essence,
don't pick him up and feed him....
Has NO ONE stopped to consider the developmental stage of the breastfeeding
baby that begins at about four months and can go on to 6 or 7 months? Think
about your four month old breastfeeding -- what are they doing? This baby is
on and off the breast -- so interested in the world around him he can
hardly stand it. "Oh look! There's the dog! Hi, Mommy, I love you SOOOO much
! The phone?! A car went by. The TV is on. Big sister comes into the room...
.hey, there's just too much going on for me to concentrate on eating. I
think I'm full now. I'll see you later....."
When I get one of these babies in my office, I have to observe the feed
without saying a word to the mother. The entire feeding is done in complete
silence so that the baby will EAT and not look around at me. How many times
have you been told to go into a darkened, quiet room to get a good feeding?
OK, now think about night time. Buford is really hungry -- he didn't eat
well during the day. Nighttime is here; it's dark, quiet, and he has mommy's
undivided attention. So he has a really great meal. Doesn't take long -- he
's pretty efficient by now. But it is down to business and complete.
But WAIT! Someone told the mother that the baby can't possibly be hungry --
just let him cry it out. Now mom's milk supply diminishes because punkin isn
't eating well during the day -- too many things going on, and he's going
through some new developmental stages (when Hildegarde is learning something
new, she doesn't nurse as well until the new skill is mastered). IF mom has
kept Buford/Hildegarde on a schedule since day 1, then she will probably
NOT be able to increase her supply -- not with pumping, not with herbs. If
she fed her baby frequently enough and laid down enough prolactin receptors
in the first two weeks to a month, there is hope that we can bring the milk
back up. But if she was truly "obeying" a schedule and only feeding every 2.
5 to 3 hours, she may not be able to (depending on mom's breastmilk storage
supplies, etc).
Why don't bottle feeding babies wake up as much at 4 months? Because by this
time, mom has often handed the bottle off to baby to feed himself, and/or
seats him looking out so he can check out the dog, the phone, the sibling,
etc -- and continue eating at the same time.
Please don't deny that your breastfeeding baby is quite possibly very hungry
at night at four months, even though they may have been sleeping through
the night prior to this. Look at the feed -- can you hear swallowing? Does
your breast get softer? Is he EATING? Then don't make him cry it out! He
needs to eat....and he needs his mommy.
【在 w******0 的大作中提到】
: 各种方法，不同的书一大堆一大堆的。
: 最残酷的是CRY IT OUT
: 比较温柔的PUPD: PICK UP PUT DOWN
: 最温柔的 www.kellymom.com找FORUM之后，在对应的论坛里看置顶的SLEEP相关帖子
: 另外有用没用的睡眠书我买过一大堆，多数最后都没仔细看
: ：）
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