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Cluster feeding, or frequent feedings with only short breaks between, can be typical newborn behavior. Certain practices, such as staying hydrated and planning ahead, may help you manage it.

Cluster feeding is when a baby suddenly starts eating much more frequently — in clusters — for a period of time. It usually lasts a couple of hours at a time and differs from your baby’s usual eating behavior.

Cluster feeding is normal baby behavior, seen primarily in breastfeeding newborns in the first few weeks. It doesn’t necessarily mean there’s anything wrong with your baby or your milk supply.

Read on to learn more about cluster feeding and how to manage it.

Cluster feeding can be hard to identify because newborns rarely have a predictable eating or sleeping schedule.

Your baby may be cluster feeding if:

• they’re a few days or weeks old
• they’re showing their usual hunger signs or won’t stop crying until they’re fed
• they want to eat constantly or they eat very frequently for short sessions each time
• nothing else seems wrong and they’re content when eating
• they still have regular wet and dirty diapers

Cluster feeding is more common in the evenings. With an older infant, though, there may be several days in a row when they eat a lot more than usual throughout the entire day. This may be due to growth spurts or teething.

What’s a normal baby feeding schedule?

Every baby is different, but a typical feeding session for a baby that isn’t cluster feeding can range from 10 to 30 minutes. Experts advise to feed your newborn baby an average of at least 8 to 12 times in 24 hours. Your baby may show hunger signs and need to eat more frequently.

Frequent feeding may help:

• prevent jaundice
• promote healthy weight gain in babies
• mothers develop a milk supply

Cluster feeding vs. colic

If your baby is fussier than usual, you might wonder if they have colic. Colic is similar to cluster feeding in that it can come on suddenly and often occurs in the evening.

A baby with colic usually can’t be soothed with nursing or formula. However, a cluster feeding baby will be soothed during nursing sessions.

Colic is defined as at least three hours of crying for at least three days a week, at least three weeks in a row. It affects 10 to 40 percent of all babies worldwide. There’s no difference in risk between male or female babies, nor between breastfed or formula-fed babies.

Colic symptoms include:

• crying that sounds more like screaming
• face and body that appears tense or contorted
• crying at a predictable time each day, often in the evenings
• crying that peaks at six weeks and usually passes by 3 months old

Researchers don’t fully understand why babies cluster feed, but there are many unproven theories. Cluster feeding probably meets a combination of needs that your baby has at this developmental stage.

Heather Turgeon, MFT, a psychotherapist and author of The Happy Sleeper, says, “cluster feeding is likely a way for babies, who have maturing nervous systems, to regulate. It could also be a way to store up on food for the night.

“What we do know about breastfeeding is that it’s a supply and demand system. When little babies want to feed, that’s a good sign that we should let them, because trying to schedule or space feedings out doesn’t give that supply and demand system the right feedback.

“So while we can have theories about why they cluster feed, what matters is that we let them do it — that’s the way to establish and maintain mom’s milk supply.”

Cluster feeding can be exhausting and you may hear people stressing the importance of a schedule for baby, but cluster feeding is a normal part of the development of many babies.

Is cluster feeding a sign of low milk supply?

More frequent eating shouldn’t cause worry about your milk supply. A doctor can easily tell you if your baby is getting enough milk based on their weight gain.

Tracking a young baby’s wet diapers can also help you tell if they’re getting enough milk. Below are the average number of wet diapers per day, based on baby’s age:

If you’re ever concerned about your baby’s eating, ask your pediatrician and meet with a lactation consultant. Babies who struggle to gain weight or seem frustrated while eating may not be getting enough milk.

Other reasons for nighttime fussiness

Some babies just tend to get fussier in the evenings. Reasons may include:

• being overtired or overstimulated
  
• missing parents who’ve been at work or away all day
• needing to be burped if they’ve been eating a lot

Cluster feeding has both positive and negative effects.

Benefits

• Baby may sleep longer after cluster feeding.
  
• It may help to increase your milk supply.
  
• It may help babies emotionally and neurologically regulate.
  
• It can increase your skin-to-skin time with baby, which has benefits for both mom and baby.

Risks

• It can increase nipple soreness.
  
• It’s unpredictable.
• It can be exhausting, both physically and emotionally.
  
• It often takes time away from other family or household needs in the evening.

While cluster feeding is a normal, brief behavior, it can still be taxing on the whole family. Here are some tips for taking care of yourself, your family, and your baby during cluster feedings:

• Keep a large bottle of water and snacks near your nursing area to stay hydrated and nourished during cluster feeds.
• Set up a nursing area in front of the TV so you can watch something during cluster feedings. Or use the time to listen to audiobooks or podcasts. Keep chargers within reach.
• Change breastfeeding positions often so you don’t get sore.
• Use the downtime to call a friend. Since you’ll want to keep your hands free to hold and aid your baby, consider using earbuds.
• Sit on the couch or floor while you feed baby so you can read or play with older kids at the same time.
• Have a basket of special toys for older siblings that they only play with when the baby is nursing.
• Practice nursing your baby while they’re in a baby carrier so you can potentially walk around while they feed.
• Plan ahead. If baby usually starts cluster feeding around 7 p.m., plan to use the restroom, eat, and get comfortable before then.
• Hand off the baby to your partner or a close friend whenever you can to get a short break. This also allows for other people to have time with them.
• Talk with your partner about expectations and plan for how you’ll handle evening chores if the baby starts to cluster feed.
• Let friends help cook or do housework, or, if possible, consider hiring a housekeeper for the first few weeks postpartum.

Cluster feeding isn’t a sign that you need to supplement with formula. If you’re nursing and need a break, you or someone else can offer a bottle of breastmilk.

You’ll still need to pump at this time in order to keep up your milk supply at pace with the baby’s eating, however.

There are many tricks other than feeding you can try to soothe a fussy baby. Some babies may be soothed by the same method every time. For other babies, what worked yesterday, or even earlier in the same day, may no longer work. Feel free to experiment with these or other ideas:

• Wrap baby in a swaddle to help recreate the experiences from the womb.
• Offer a pacifier.
• Hold baby as you slowly walk or rock.
• Dim the lights and reduce other stimuli, such as loud noises.
• Use white noise, either from a white noise machine or cell phone app, or from a fan, gently running water, or even a vacuum. You can also create your own white noise by holding your baby upright on your chest and humming in low tones.
• Hold them in different positions. They may be fussy because they’re uncomfortable or want a change of scenery.
• Sing peaceful songs, recite poems, or speak to baby in a soft, gentle voice.

It’s important to go to your baby’s recommended checkups or wellness visits so the doctor can keep track of growth and development. These visits are more frequent when your baby is first born, when tracking weight gain is vital.

Your doctor will tell you if they suspect your baby isn’t getting enough milk or if they aren’t gaining enough weight. More frequent feedings, fussiness, or breasts not feeling full don’t necessarily mean your baby isn’t getting enough milk.

Always call your pediatrician if your baby seems very sick, lethargic, or has trouble breathing.

Cluster feeding is normal baby behavior and can happen any time, though it’s most common with newborns and in the evenings. Researchers don’t totally understand why it happens, but it’s not a sign that there’s anything wrong.

You may need to reset your expectations for these periods but cluster feeding isn’t permanent and will pass eventually.

🎖▷ Why you don't have to worry about weight gain with Lamictal

psychology

6,221 2 minutes read

If you're worried that taking Lamictal (lamotrigine) might cause weight gain, there's good news. It probably won't affect your weight much. If anything, you're more likely to lose weight due to Lamictal than gain weight, but either way, the changes are likely to be pretty small.
The effect of Lamictal on weight has been little studied and various clinical trials have found minimal effect. In fact, some researchers even considered the drug as a possible remedy for obesity and as a remedy for overeating. This information should be reassuring for people with bipolar disorder, as many of the medications used to treat this condition can cause weight gain. nine0003

Lamictal findings and weight gain or loss
Lamictal is an anticonvulsant that can be used to treat seizures such as epilepsy. It is also used as a mood stabilizer for bipolar disorder.
In the first clinical trials with the drug, 5 percent of adults with epilepsy lost weight while taking Lamictal, while 1 to 5 percent of patients with bipolar I disorder gained weight while taking the drug. The researchers do not disclose how much weight patients have gained or lost. nine0007 Meanwhile, a 2006 study comparing the effects on weight of Lamictal, lithium, and placebo found that some Lamictal-treated patients gained weight, some lost weight, and most remained about the same weight. Weight changes are usually not many pounds anyway. Obese patients taking Lamictal lost an average of four pounds, while the weight of non-obese patients remained virtually unchanged.
Relationship between weight gain and other bipolar drugs
Weight gain from medications used to treat bipolar disorder is unfortunately quite common. Some mood stabilizers commonly used for bipolar disorder, especially lithium and Depakote (valproate), carry a high risk of weight gain.
In addition, the atypical antipsychotics Clozaril (clozapine) and Zyprexa (olanzapine) tend to cause significant weight gain in people who take them. Finally, some antidepressants, notably Paxil (paroxetine) and Remeron (mirtazapine), have been associated with weight gain. nine0007 Therefore, if you are already overweight, you and your psychiatrist may want to consider additional weight gain when determining your bipolar medication regimen. Based on this, Lamictal may be a good choice.
Lamictal as a possible treatment for obesity
Lamictal has also been studied as a possible treatment for obesity in people without epilepsy or bipolar disorder.
In a small clinical study of 40 people conducted in 2006, researchers randomly assigned participants to receive either lamiktal or placebo for up to 26 weeks. Each participant in the study had a body mass index (BMI) between 30 and 40, placing them in the obese group to the level of severe obesity. Those who took Lamictal lost an average of just over 10 pounds. Those who took the placebo lost about 7 pounds in the meantime, so while those who took Lamictal lost more weight, they didn't lose all that much more. nine0007 Another study in 2009 looked at Lamictal as a remedy for overeating. This study involved 51 people with the condition that 26 of them received Lamictal, and 25 - placebo.
Those who took Lamictal lost more weight than those who took placebo (about 2.5 pounds vs. about one third of a pound) and did have significant improvements in blood sugar and cholesterol lab test results. However, Lamictal did not appear to affect other aspects of the eating disorder when compared to placebo. nine0003

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The baby began to breastfeed more often. This is fine?

This is the period in a baby's life when he begins to breastfeed more often. For example, if yesterday your child ate an average of once every two hours, and today he requires a breast every half an hour or an hour, we are talking about cluster or group feeding. This is a temporary change in the feeding regime, however, parents are unlikely to be happy with such changes and may think that they are doing something wrong. We hasten to reassure you: cluster feeding is normal. nine0003

This usually happens within the first 28 days of a baby's life. As David Hill, Fellow of the American Academy of Pediatrics, says, the first "attack" of cluster feeding usually occurs on the 10-12th day of life, and then repeats in the region of three months. But in general, cluster feedings are typical for the entire first half of a baby's life.

Most often, cluster feedings occur in the late afternoon, when the baby is tired of external stimuli and wants to calm down and fall asleep. Cluster feedings often accompany growth and developmental spurts. Sometimes they can last all day. nine0003

The first weeks and months of a baby's life are a difficult time for him, because he is constantly growing and developing, accepting new conditions of life outside the womb, adapting to the outside world. To do this, he needs not only to get food regularly, but also to calm down, because this big world is such a complicated thing.

Sucking and being at the mother's breast is a natural need for the baby, so he uses cluster feedings not only to eat, but also to get close contact with the mother. So don't get mad at him, he really needs it. And do not listen to those who say that "that way he will make a dummy out of you." Won't. Listen to yourself and the child, you are doing everything right. nine0003

The good news is that there is evidence that this behavior of the child precedes a longer sleep (we are talking about four to five hours). Why, it's a whole chasm of uninterrupted sleep when you have a newborn!

Yes, indeed, cluster feedings can exhaust a mother. But, as the same Hill says, they are important for her, especially if they occur at the initial stage of motherhood. The fact is that by frequent application, the baby stimulates the production of milk, thus helping the mother to quickly establish full lactation. nine0003

Of course, the baby needs maternal care and warmth, skin-to-skin contact, but you should not forget about yourself during this exhausting period of group feedings! More precisely, it is strictly forbidden, otherwise you risk bringing yourself to emotional exhaustion. Here's what can be done.

Do not blame yourself and the child. He is all right, all babies have such days, and you are doing everything right - offering him what he needs most now.

Do not forget to drink and eat , because your body is now intensively establishing lactation, which means it consumes a large amount of energy. Eat well and don't limit yourself to kuro-buckwheat.

Sleep between feeds . Facebook and Instagram can wait. Especially if cluster feedings caught you at night, and the baby wakes up every hour. Yes, it will seem to you that it is easier not to sleep at all than to spend time on short sleep sessions, but this is not so.

Connect partner . Yes, you may think that this is rather pointless, because he does not have breasts with milk. But he can carry the baby in his arms while you drink tea or spend time in the shower - during this period it is important to give yourself a little respite.

Don't listen to the "experts" . You will definitely be advised to put the child down and "let him scream" or do something else so that "God forbid, spoil him." But you shouldn't do that. We now know more about children and their needs than ever before. So: cluster feedings will not spoil your baby. He really needs them. In any case, more than senseless motion sickness, attempts to distract and hiss are more necessary. nine0003

It is believed that one episode of grouped feedings should not exceed two days, and the application itself should not exceed an hour. If the baby “hangs” on the chest for an hour and this has been happening for two days, you need to contact a lactation consultant or a pediatrician you trust.

We asked Daria Utkina, a doula and mother-and-child care consultant, to talk about cluster feeding.

Not all babies go through this period, but most do. It seems to me that knowing in itself that this is a physiological norm, and not an epic fail in becoming a milk fairy, already gives a lot of peace of mind. Often women worry that the reason for cluster feedings is the notorious “not enough milk”, although the child has just enough of everything. nine0003

Speaking of support, it's very cool when there are people nearby who also know that cluster feeding is a variant of the norm and you don't have to fight with it. Because even a confident and informed mother will be disturbed by the constant background anxiety of relatives. And if this is the first baby and everything is still completely new, then any comments on the topic “something is not working out for you”, “something is wrong with the child” will fall into the most vulnerable point.

Evening time can also be planned in advance, taking into account the baby hanging on the chest. Arrange with a partner to come to the beginning of vigils, call a postpartum doula or a friend / mother / anyone to be around. nine0003

On the contrary, it helps some women to break the stereotype about crazy evenings at home, pack the baby in a sling where he can feed non-stop, and go out into the world.

Well, adjust expectations all the time. Cluster feedings become a problem when the idea sits in your head that a baby usually eats at least once an hour, or even every three hours. And when everything happens differently, it makes you reconsider your ideas not only about babies, but also about your life with them.

Many of my clients find it helpful to remind themselves of "one thing a day." Especially for those who are accustomed to work tirelessly and assumed that while the baby was sleeping and eating, it would be possible to continue almost in the same rhythm.

Plus, sometimes it happens that cluster feedings are just situations where a child for some reason (inefficient attachment, a short bridle, for example) has to be on the breast all the time to get the right amount of milk. In this case, it would be good to call a consultant on breastfeeding and find out what is the reason. nine0003

During cluster feedings, a mother has a huge responsibility and may feel overwhelmed, exhausted and frustrated. Obviously, dads can't offer to help feed their baby, but there are some important ways they can help moms.

Get up with your mother. This is really important, she will not feel so lonely if the partner tries to cheer her up during feeding (and at the same time not fall asleep next to her).

Bathe, walk, entertain the child (and also his brothers and sisters). Cluster feeding will be much easier for mom if she can focus only on this.

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