#Breastfeeding

What Is a Dream Feed and How Can It Help Your Baby?

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Dream feeding is the practice of feeding a sleeping child with the intention of lulling the infant to sleep for an extended period of time. In either case, the main goal of dream feeding is to give parents longer durations of unbroken sleep without interruptions during the night.

Are these actions beneficial? They may result in longer stretches of sleep for both babies and parents, according to some evidence. However, dream feeds probably only contribute minimally to newborn sleep development when taken alone. The most effective strategy for promoting mature sleep patterns is to mix dream feeds with other sleep-friendly behaviours.

Here is a summary of the topic, including definitions, supporting data, advantages and disadvantages, and frequently asked questions.

What is dream feeding exactly? 

Dream feeding is defined by Tracey Hogg, who first used the term, as feeding a small child while they are asleep. To achieve this, you gently put your sleeping infant in a feeding position while attempting to trigger the rooting reflex by softly massaging the baby's lips and providing breastmilk or a bottle. Many infants are able to feed in this manner without waking up (Hogg and Blau 2005). 

However, other people use the term "dream feed" in a different way. For example, Harvey Karp mentions purposefully rousing a baby in a blog post: "Dream feeding is when you wake your baby to nurse one last time before you turn in for the night" (Karp, n.d.). 

Others refer to any attempt to get your infant to "tank up" before you go to bed as a "dream feed," or "feed." You can either wake your child up for this purpose or feed them when they are already awake

In summary, there are many different ways that "dream feeding" is characterised. But all of the descriptions have one thing in common: they all refer to feeding a baby a large meal (a "focal feed") just before going to sleep.

 

The scientific argument for dream feeds 

A part of a newborn's frequent and easy awakening is hunger. This is what makes caring for newborns so exhausting, 24 hours a day, feeding them every few hours! However, if you go to bed soon after your baby has a substantial meal, you might have a little longer time before they wake up again. And every little bit helps, especially if it allows you to get at least four unbroken hours of sleep. 

Why? The first few sleep cycles of the night are when our brains are programmed to prioritise deep, slow wave sleep, the most restorative period of sleep. Therefore, the first 4-5 hours of sleep should be the part of each night's sleep cycle that is protected from disturbances. 

Many parents find it impossible to reach this ideal state in the first few days after giving birth. If that's the case, you should have hope: People who are severely sleep deprived, who have a significant NREM3 deficiency, frequently experience an increase in the duration and intensity of their brief naps as a result. You might have adequate NREM3 if you can take a few 30-minute naps during the day to offset most of the negative effects of sleep deprivation  (Farout et al 2015). 

However, getting your infant to have at least one 4-5 hour sleep session that starts around the time you go to bed can make your life easier. You will have the chance to get the very minimal quantity of rest that you require to stay healthy. Additionally, it might be a beneficial step in helping your infant develop mature, nightly sleep patterns

 

But is dream feeding effective? Does it really result in longer infant naps? 

It appears to work, according to many parents who have given it a try. As the weeks pass, their infants begin to sleep in longer, more uninterrupted stretches. However, we would naturally anticipate that to happen. When everything goes as planned, young infants establish more consistent nighttime sleep patterns. 

A study that followed the sleep-related activities of 313 infants over time provides more convincing supporting data. When babies were just one month old, Mirja Quante and her colleagues conducted interviews with the parents of the infants. They discovered which of the parents had a habit of giving their children a substantial feed before night.  

The length of newborn sleep cycles was examined, and the researchers discovered a definite pattern: Babies who had had focused, bedtime meals at one month postpartum tended to sleep for longer lengths by the time they were six months old. In fact, there was a sizable difference. The longest nighttime sleep period averaged an additional 62 minutes when compared to babies who hadn't gotten these bedtime meals (Quante et al 2022). 

In one randomised trial, researchers observed how 125 families with young infants responded to a thorough sleep education program (Paul et al 2016). The program covered how to give newborns dream feeds, but it also contained more than 20 other suggestions, such as advice on how to swaddle babies, use pacifiers, play white noise, establish nighttime rituals, prevent overstimulation, and provide babies opportunities to self-settle or self-soothe. 

Do infants in the therapy group sleep more soundly than infants in the control group? Yes. However, it is impossible to determine how much of the outcome may be attributed to dream feeding on its own. This leaves us with a far more limited study that examined dream feeds as one of three intervention components. In this study,13 parents were allocated at random to use all three of these strategies: 

  1.  Give babies a large feed between ten o'clock at night and midnight. 

  1.  By first "carrying out alternate caretaking activities" like re-swaddling, and strolling babies around, you can gradually increase the time between night feedings. 

  1. Infant exposure to social stimulation and artificial light at night should be kept to a minimum in order to "maximise environmental contrasts between day and nighttime." 

All 13 of the parents who have used this three-part method at eight weeks postpartum stated that their infants were soundly sleeping every night between midnight and five in the morning. In comparison, only three of the thirteen parents in the control group mentioned this developmental milestone (Pinilla and Birch 1993). 

There is, hence reasons to believe that the intervention was effective, although we are unsure of the extent to which dream feeding contributed to the final result. According to separate studies, the other two strategies (#2 and #3) may be able to assist infants in acquiring better sleeping habits. Dream feeding was probably simply one of many contributing elements.