A baby who is fussing, crying, seems hungry, does not appear satisfied after feeding, and has fewer wet diapers may not be getting enough to eat. If you're concerned that your baby isn't getting enough to eat, call your doctor.
There are a few reasons that a newborn baby may not be eating enough — a tongue tie, illness, or being born prematurely. But regardless of the reason, if your newborn isn't feeding normally, you should call their healthcare provider, especially if your baby's sleepy and has a loss of appetite.
It could be from a cold, ear infection, stuffy nose, upset stomach, injury, teething, thrush, cold sore, or other reasons. Your baby is upset. Maybe there is a big change in nursing routine, you were apart for a long time, or your baby's environment is uncomfortable. Your baby is distracted.
There are many reasons infants may be finicky about food. They may be teething, tired, not yet ready for solids, or just don't need as much food as you're feeding them. Familiar foods provide your baby comfort in stressful, busy times. Although picky eating may linger awhile, it rarely lasts.
While most babies will let you know when they're ready for their next feedings, some may not or there may be a time when your baby is quieter than usual. When that happens, remember that newborns should not go more than 4-5 hours without eating.
There are many reasons for healthy babies to cry and refuse to feed or eat when hungry or eat less than they need for healthy growth, besides acid reflux. A common cause to consider is feeding aversion. An unrelated or coexisting problem: Acid reflux has been effectively managed through the use of medications.
In the first few weeks of life, breastfeeding should be "on demand" (when your baby is hungry), which is about every 1-1/2 to 3 hours. As newborns get older, they'll nurse less often, and may have a more predictable schedule. Some might feed every 90 minutes, whereas others might go 2–3 hours between feedings.
Stress or distraction.
Overstimulation, delayed feedings or a long separation from you might cause fussiness and difficulty nursing. A strong reaction from you to being bitten during breastfeeding might have the same effect. Sometimes a baby is simply too distracted to breastfeed.
The nipple needs to be the right size and speed for your baby's size, age and sucking ability. If the nipple is too long, too short, too fast or too slow for your baby, she may experience feeding difficulties and express her frustration by fuss or crying.
Another reason causing your baby's discomfort—and therefore the need to comfort feed—is gas. Infants have immature digestive systems, causing them to trap gas or struggle with pushing food through their bodies. Even though he may not be hungry, your baby feels comfort with feeding (even when he's not eating).
The amount of sleep an infant gets at any one stretch of time is mostly ruled by hunger. Newborns will wake up and want to be fed about every three to four hours at first. Do not let your newborn sleep longer than five hours at a time in the first five to six weeks.
For the first few days you may need to wake them to feed if they are still sleeping by 3 hours from the last day feeding and 4 hours at night. If baby still won't eat, allow baby to sleep another hour and try again to wake and feed them.
Over the first few weeks and months, the time between feedings will start to get longer. On average, most exclusively breastfed babies will feed about every 2 to 4 hours. Some babies may feed as often as every hour at times, often called cluster feeding. Or may have a longer sleep interval of 4 to 5 hours.
A feeding aversion refers to a situation where a physically well baby, repeatedly exhibits partial or full feeding refusal despite obvious hunger. A feeding-averse baby has a history that demonstrates he's capable of feeding but for reasons yet to be identified and corrected, he refuses to feed or eats very little.
One in five babies cry enough that people call them colicky. Colic usually starts when babies are about 3 weeks old. It gets worse when they are between 4 and 6 weeks old. Most of the time, colicky babies get better after they are 6 weeks old, and are completely fine by the time they are 12 weeks old.
In the first week after birth, babies should be eating no more than about 1 to 2 ounces (30 to 60 ml) per feed. During the first month, babies gradually eat more until they take 3 to 4 ounces (90 to 120 ml) per feed, amounting to 32 ounces per day.
Babies should be fed before they get upset and cry. Crying is a late sign of hunger. But every time your baby cries is not because of hunger. Sometimes babies just need to be cuddled or changed.
Sometimes babies pull away from the breast and fuss because the milk is flowing too fast. If this is the case, you may find that your baby pulls away soon after starting to feed and just as the milk is letting down.
If a fast letdown isn't the problem with your baby unlatching, perhaps a slow milk flow could be the issue. She could be tugging at your nipples in the hopes of getting more milk, especially if she's particularly hungry. One simple remedy is to switch sides.