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Do breastfed babies sleep worse than FF babies?

65 replies

baddecisions11 · 20/04/2023 08:53

Not asking to start any fights, genuinely interested in peoples thoughts/experiences or maybe any links to research on the topic? It was my understanding that breast fed babies usually wake more often during the night as they are probably drinking less at a time than FF babies maybe? So more of a little and often approach. What do you think?

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Xjshdvf · 20/04/2023 08:59

I’ve done both and my FF baby slept worse than my breastfed baby BUT when I introduced a bottle of formula to my breastfed baby as a dream feed she went through the night better so who knows

AnneLovesGilbert · 20/04/2023 08:59

With newborns I think bf babies wake more often as you’re right they feed less volume more often, and breast milk passes through them quicker. It’s how babies are meant to be fed and waking up regularly is normal and good for them.

AliceinSlumberland · 20/04/2023 09:00

I think in general yes they do (and that’s one of the reasons BFing is a protective factor for SIDS) but obviously there’s exceptions to any rule.

My baby slept better at night instantly when we added in a formula feed at night.

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TheOrigRights · 20/04/2023 09:00

You could say that since BF is the natural way to feed babies, their sleep is expected and normal, not worse than FF babies.
I have heard the same and for sure my BF babies took a long time to sleep through.

AnneLovesGilbert · 20/04/2023 09:01

In terms of your post question, there’s no worse. Babies are designed to consume breast milk and wake as often as they need. Babies on formula may sleep longer stretches but that’s not necessarily better.

bigbabycooker · 20/04/2023 09:04

Honestly, I think it can go either way with different babies, but IME when baby is ready a bottle of formula in the evening can be very handy to provide a big feed, as I always felt a bit flat before I had my own dinner and my babies wanted a big feed then (but didn't like to work too hard!).

I think with bf, it is often used as a comfort, which is magical when coldy or unsettled, but then for some babies it becomes the thing that gets them to sleep throughout the night. That's less likely to happen with formula as such - cuddles replace that in the early days and the comfort sucking expectation is just less strong (or replaced by a dummy). You can choose to bf without doing too much comfort sucking.

MisschiefMaker · 20/04/2023 09:05

I think FF babies sleep in longer stretches. I also heard bf mothers get better sleep in between feeds, something about bf before sleep having a relaxation effect on the mum so she can handle the wake-ups easier. Not sure how true that is but wouldn't be surprised if it is.

Judgyjudgy · 20/04/2023 09:09

My baby was EBF and a wonderful sleeper from day one. Actually I lie, probably day 4 or 5 🙂

decor340 · 20/04/2023 09:10

So formula is much harder to digest than breast milk so yes they generally sleep for longer. Babies are meant to wake because it's preventative for SIDS. Formula is going against nature in a sense and puts them into a deeper sleep.
My son woke so many times in the night up until a year old and then started sleeping through. I didn't change a thing. He's not fed in the night since 13 months and he's 16 months now. He is well established on solids so I think he gets all his calories in the day.

decor340 · 20/04/2023 09:12

decor340 · 20/04/2023 09:10

So formula is much harder to digest than breast milk so yes they generally sleep for longer. Babies are meant to wake because it's preventative for SIDS. Formula is going against nature in a sense and puts them into a deeper sleep.
My son woke so many times in the night up until a year old and then started sleeping through. I didn't change a thing. He's not fed in the night since 13 months and he's 16 months now. He is well established on solids so I think he gets all his calories in the day.

I meant to add that he's breast fed.

Wishiwasatailor · 20/04/2023 09:15

Formula has longer chain hydrocarbons that take longer to digest than breast milk meaning that babies sleep longer as they are full longer but also use more energy to digest the milk so need more. Breast feeding is said to prevent SIDS due to more frequent wakings

Judgyjudgy · 20/04/2023 09:16

decor340 · 20/04/2023 09:10

So formula is much harder to digest than breast milk so yes they generally sleep for longer. Babies are meant to wake because it's preventative for SIDS. Formula is going against nature in a sense and puts them into a deeper sleep.
My son woke so many times in the night up until a year old and then started sleeping through. I didn't change a thing. He's not fed in the night since 13 months and he's 16 months now. He is well established on solids so I think he gets all his calories in the day.

Yes that's correct, and also why you're not meant to swaddle (even though many do, actually it can cause hip issues too, but thats another thread), it's actually a reflex to prevent sids. It's quite fascinating. You'll see most babies that aren't swaddled sleep with their arms up by their heads. Mother nature is amazing!

FlounderingFruitcake · 20/04/2023 09:19

I think research has proven this not to be true. But anecdotally all the really awful sleepers I’ve known were breastfed and all the ones that slept through early (before 6 months) were formula fed.

I also think there’s something to be said for formula feeding if you have a supportive partner as you can take turns and hopefully get at least one uninterrupted night’s sleep a week, so you’ll feel less tired! But equally if you’re breastfeeding and have a co-sleeping crib there’s a lot less faff to it and the night feed can be done without even getting out of bed so you’re back to sleep in no time which definitely beats going downstairs to the kitchen, firing up the perfect prep machine and having to turn on the light’s because you can’t see the scoops in the dark!

AnneLovesGilbert · 20/04/2023 09:22

I didn’t know that about swaddling. DD loved it and we did it till she was too big. Current newborn DS hates it and will only sleep with him arms up by his head so he’s been in a grobag since he was a couple of days old.

DD slept about 10 hours a night from 6 weeks, scared the crap out of me the first time she did it and my boobs nearly exploded. She kept that up till the 4 month regression hit us all like a ten tonne truck and she was very wakeful for too long to even talk about 🙄 But the norm is more wake ups with bf babies.

With DS I’ve been topping up with expressed milk as he’s tiny and he’s done longer stretches after half a bottle of that after a feed late evening. Still wakes enough to be reassuring 😆

AnneLovesGilbert · 20/04/2023 09:23

Learning how to feed lying down is a total game changer, if you can do it with barely opening your eyes the nights are a lot smoother.

shakeitoffsis · 20/04/2023 09:27

My experience is Iv formula fed 2 babies and both slept 7-6 ish from 10 weeks with no night feeds. Never considered breastfeeding.

BertieBotts · 20/04/2023 09:31

My theory (totally from my own head/people's anecdotes rather than any research) is that it's behavioural, but the behaviour that tends to lead to more consolidated independent sleep earlier is correlated with bottle feeding.

Consider this: A baby wakes in the night.

If you're breastfeeding, the easiest thing to do is to feed them back to sleep. It's instant, it works, you don't have to think about it, you don't even have to be particularly awake (once you've got the hang of latching anyway), you are probably more likely to bring them into bed and you all go back to sleep. Baby likely falls asleep with boob in mouth. If they wake an hour later you just do the same thing again. Most co-sleeping breastfeeding mothers report that their sleep is not very disturbed by night feeds, especially in the in between phase (newborn is tricky because of wind, nappies and getting started with breastfeeding; toddlers tend to turn into windmills with a limb in each parent's eye)

If you're bottle feeding, you have to go and get the bottle, and to do that means getting out of bed (or waking up partner and sending them) so you probably initially try something like jiggling, shhhing, patting, rocking or offering a dummy. This is easier than getting a bottle. You probably do this even if you're not actively trying to stop night feeds yet because the baby is still too little.

If you do give up and get the bottle, you might have to go to another floor of the house, you almost definitely have to go to another room. You might have to wait for the kettle or the prep machine or the bottle warmer. You might have to perform thinking tasks like counting scoops or seconds. It's likely that it is at least a couple of minutes if not longer between you making the decision to get the bottle and the bottle being available to the baby. Even if you decide immediately to offer the bottle, the baby has to wait for a brief period first.

If the bottle is empty before the baby falls asleep, it is unlikely that parents will get a second bottle. They'll try other methods to soothe the baby - a dummy, rocking, patting, holding, or some babies are happy to be laid down now that they have a full tummy and just go off back to sleep (the legendary "drowsy but awake" Grin)

If the baby wakes 45 minutes later, the parents are likely to think that hunger is not the cause of waking and try other soothing methods for longer before offering a bottle.

So the bottle fed baby is more used to falling asleep in different ways. They are not expecting to get fed immediately on waking up. Sometimes they will be able to be soothed to sleep without feeding at all (parents find it easier to soothe in other ways than feeding, vs breastfeeding mothers finding it easier to breastfeed vs other soothing methods, humans tend to default to the easier option) They may be more likely to sleep in a separate space where they can't smell milk and follow instinctual rooting behaviour.

Anecdotally, it seems to me that people who breastfeed but in a pattern more closely following typical bottle-feeding patterns - roughly sticking to a routine, trying not to feed all the way to sleep, ensuring to put baby in a separate sleeping space, trying other soothing methods before feeding - you tend to see that babies fed in that way follow the more typical bottle feeding sleep patterns.

Also, some babies are just unicorn sleepers / wakeful sleepers whatever you do and will do their own thing regardless of what you try, but I think there's probably a good majority in the middle that can be swayed by parental behaviour and this is why you tend to see a generalised difference between bottle fed and breastfed babies.

But I also think it's unhelpful to moralise sleep - more consolidated, independent sleep is not the only goal and I don't like seeing things as feeding to sleep or co-sleeping called "bad habits", personally I found that cosleeping and feeding on demand works absolutely brilliantly for me and it's my preferred method right up until the point that it stops getting us more sleep. I did refine it a bit over 3 babies and currently working on getting DS3 to spend more of the night in his own cot, a year or so earlier than I bothered with the other two and yes, it's clear that parental behaviour can absolutely influence the baby's waking pattern.

BertieBotts · 20/04/2023 09:38

IME as well if you're putting the effort in to change sleep patterns it does result in more disrupted sleep in the short term and so for me, because babies' sleep can be so disrupted over the first year or 18 months or so, I'd rather go with the path of least resistance (BF/co-sleep) until that phase has passed AND we're in the windmill toddler stage so I have the incentive to keep trying with the resettling in cot, delay, other soothe, cut off feeds early methods. Because that is more effort than breastfeeding in the middle of the night.

FlounderingFruitcake · 20/04/2023 09:42

@BertieBotts I think you’re on to something, I bottle fed and my approach was pretty much as you described. Mine only ever had 1 feed overnight and I probably conditioned that without even realising I was doing it.

BertieBotts · 20/04/2023 09:47

Oh Anne congratulations on your new baby! :)

AnneLovesGilbert · 20/04/2023 09:52

Aww, thank you Bertie. The highly tweaked meds regime worked again, still pinching myself 😊

roseopose · 20/04/2023 10:08

My DD was FF and was a shocking sleeper, still isn't great at 2.5. I have a friend who breast fed both hers and they have been sporadic poor sleepers, another friend FF and baby slept like a dream..another friend breast fed and had an awful sleeper. I really don't think you can predict it or attribute it to how they're fed.

TheSnailAndTheWaaaail · 20/04/2023 10:35

I breastfed first for 7 weeks then moved to formula due to static weight for a month. Awful sleeper til he was 3.

With 2nd child went straight to formula after 3 days colostrum and they did 5 hours overnight from day 1 and were sleeping at least 9 hour stints by 4 weeks and now at 7 months sleeps a solid 12 hours every single night. Didn't even get the 4 month sleep regression that nearly killed us the first time 🤷‍♀️

I honestly think it's just the personality of the child more than anything else.

CurlewKate · 20/04/2023 10:42

I don't know- but I do think wakings are easier to manage if you've cracked bf. Generally, bf babies can be scooped up then fed back to sleep-you don't really have to wake up much. All part of my "most sleep for the most people" child rearing philosophy.

Hazelnuttella · 20/04/2023 10:43

My DS remained a nightmare sleeper after I stopped breastfeeding.