How to handle a newborn waking up every hour at night?

It’s the middle of the night, and you’ve just gotten your newborn to sleep after what feels like an endless round of feeding and rocking. You finally settle in, hoping for at least a couple of hours of rest—when suddenly, there it is again. The crying. The wide-eyed baby staring at you like you’ve personally betrayed them.

You check the clock. It’s only been an hour.

If this sounds familiar, you’re not alone. Newborns waking up every hour at night is a common struggle for parents. But why does it happen? Is it hunger? Discomfort? Something else entirely? And most importantly—is there anything you can do about it?

The good news? This is normal. But understanding why it happens (and how to handle it) can make those sleepless nights feel just a little easier.

What to expect

In this post, we’ll dive into the most common reasons newborns wake up so often, from hunger to discomfort. You’ll also get some practical tips for creating a sleep environment that helps your baby—and you—rest a little better. Here’s what we’ll cover:

The first nights with your newborn: Why is sleep so unpredictable?

As a new parent, you might wonder, "When do they sleep?" and "Why are they up every hour?" Newborns have a very different sense of time than adults. From birth to about three months, they typically need between 11 and 19 hours of sleep per day [1]. However, their sleep is spread out in short bursts, both during the day and night, since they haven't fully developed their internal clock yet.

This means your little one might sleep more during the day and be awake more at night, leaving you wondering if you'll ever get a full night’s rest. But don't worry—this is totally normal! Your newborn’s sleep patterns constantly evolve, and those wake-ups every hour (or so it seems) are just part of the process. Remember, this won’t last forever, and the unpredictable nature of their sleep is just a phase of their development.Why is my newborn waking up every hour?

Newborns do sleep a lot—just not when you want them to! Their sleep is far from predictable—especially in the first two months. Instead of long stretches, they snooze in short cycles, waking up for feedings and brief periods of alertness. It’s not exactly the rest you were hoping for, but it’s totally normal during this stage!

Your little one might sleep anywhere from 30 minutes to 3 hours at a time [2], followed by 40 to 90 minutes of wake windows in between before they go back to sleep. During this time, they transition between light and deep sleep stages, which means they often wake up and need your help to get back to sleep.

There are a few key reasons why your little one might be waking up so frequently:

1. Hunger

At this stage, your baby’s tiny stomach needs frequent refueling. Breastfed newborns typically wake every 2–3 hours for a feed, and formula-fed babies usually follow suit, needing a feeding every 3–4 hours. 

Hunger is the main culprit behind many middle-of-the-night wake-ups for babies under 4 months. While this can feel exhausting for parents, it’s completely normal and necessary for their growth.

2. Gas and discomfort

Your newborn's digestive system is still developing, which means gassiness can lead to pain and discomfort. Even if there’s no milk intolerance, your baby may struggle to fully digest breast milk or formula. 

As a result, your baby may wake up squirming, fussing, or crying as they try to relieve the discomfort. If you notice your baby scrunching their legs or making distressed facial expressions, gas might be to blame.

3. Uncomfortable environment

A disrupted sleep environment can also cause your baby to wake up frequently. A dirty diaper, a too-warm or too-cold room, or uncomfortable crib sheets can all lead to a cranky baby. Keep an eye on the room temperature (it should be between 68-72°F) and check to make sure your baby is dry and comfortable.

4. Growth spurts

Newborns go through frequent growth spurts, and this means more hunger. During these periods, they may feel extra sensitive and wake up more often wanting to nurse or bottle-feed. 

A growth spurt typically lasts only 2-3 days, so it’s likely temporary. However, if nothing seems to satisfy their hunger, it's likely just their body needing a little extra energy to grow.

5. Sickness

A sudden change in your baby’s behavior—like suddenly waking up crying more than usual—could also indicate they feel unwell. If your baby has a fever, a runny nose, or seems uncomfortable in other ways, they may be experiencing an illness. It’s important to check for signs of sickness and consult your pediatrician if needed.

How do you handle a newborn waking up every hour at night?

If your newborn is waking up every hour, you probably feel stuck in an endless loop of diaper changes, feedings, and soothing. The good news? You’re not doing anything wrong—this is completely normal in the early months. Newborns have short sleep cycles and still need time to develop their internal clocks. But you can make things a little easier on both of you.

In this section, we’ll walk through some practical, actionable methods that can help you handle the midnight (and 1 a.m. and 2 a.m.!) wake-ups so you can both get more sleep—and maybe even feel human again.

#1 Tackling hunger during those midnight wake-ups

We all know that hunger is the main culprit behind those frequent night wakings—newborns just need to eat a lot! Their little tummies don’t hold enough to keep them satisfied through the night, and that’s totally normal. So, here’s how to handle feeding during the night in a way that can help both of you get a bit more sleep:

  • Feed right before bed: Try giving your baby a dream feed just before you head to bed (ideally between 10 p.m. and midnight). Gently wake your baby if needed, and feed them without fully waking them up. This can help them sleep a bit longer before needing another feed.
  • Increase daytime feedings: Make sure your baby is eating enough during the day, which can help them sleep better at night. Aim for a feed every 2-3 hours during the day. If your baby is getting full feedings during the day, they’ll be less likely to wake up hungry at night.
  • Don’t skip night feeds just yet: Even if your baby is under three months old, it still needs nighttime feedings for growth. Expecting them to sleep through the night isn’t realistic just yet, but making sure you’re giving them a solid feed before bed can help extend their sleep and give you a longer stretch.

By working on these small adjustments, like adding a dream feed and ensuring enough daytime milk, you can help your baby (and yourself) get some much-needed rest!

#2 Soothing your baby’s tummy troubles

Due to their immature digestive systems, newborns can experience tummy issues. Gas and reflux are common, leading to discomfort and frequent nighttime wakings. Thankfully, there are several ways to ease these discomforts and help your baby sleep more soundly.

  • Add tummy time during the day: Tummy time isn’t just for building muscles—it’s great for digestion, too! With a newborn, you can start by laying your baby on their belly across your lap or chest for 30 seconds to 1 minute at a time. Do this up to three times per day and gradually increase the duration as your baby strengthens. This helps with physical development and allows gas to move through your baby’s digestive system, which can reduce discomfort at night.

Note: Tummy time should start once the umbilical cord stump has fallen off and the area has healed, usually around 1 to 2 weeks or up to a month after birth. Until then, newborns can still get similar benefits by lying on their caregiver’s chest while being supervised.

  • Burp your baby properly after feedings: Make sure to burp your baby after every feeding, even if they don’t seem irritated. Holding them upright over your shoulder or sitting them on your lap and gently rubbing or patting their back for 1-2 minutes can help relieve trapped gas. 

If your baby has trouble burping, you can try switching positions or holding them in a more upright position during feedings to prevent excessive air intake.

  • Monitor feed positions: Keep your baby upright during feedings for about 20-30 minutes after eating. This can help reduce the chance of reflux and prevent gas buildup. If your baby is formula-fed, consider using an anti-colic bottle to reduce the amount of air they swallow during feeding.
  • Addressing reflux: Some newborns experience reflux, making them wake up more frequently and feel uncomfortable. If you notice that your baby seems to fuss, arch their back, or act like they’re in pain after feeding, reflux could be the culprit. 

To help, try holding them upright for about 20 minutes after each feeding. You can also elevate the head of their crib (by about 30 degrees) to help with digestion and prevent acid from rising.

  • Gently massage your baby’s tummy: If your baby seems particularly gassy or uncomfortable, a gentle tummy massage can help. Use your fingers to gently make small circular motions around the baby's belly button in a clockwise direction. This motion can encourage the passage of gas and provide some relief.
  • Use a warm compress: A warm compress on your baby’s tummy can be soothing for gassiness. Take a soft, warm (not hot) washcloth and place it on your baby’s tummy for a few minutes to provide relief from discomfort.

Note: These tips are for informational purposes only. Please consult a pediatrician for personalized advice.

With time and consistency, you’ll start to see improvements in your baby’s sleep and overall comfort.

#3 Creating the ideal sleep environment for your baby

Your baby’s sleep environment greatly affects how well they sleep, especially during those early months. With their circadian rhythms still developing, creating a calm and soothing atmosphere will help them transition through their sleep cycles and get the rest they need. Here’s how you can make your baby’s sleep space as comfortable as possible:

  • Keep the room cool and dark: Newborns are sensitive to their surroundings, so it's key to ensure that the room is both cool and dark. Aim for a temperature of 68-72°F. If your baby’s room is too warm or too bright, it can disrupt their sleep and make it harder for them to settle down, especially during light sleep transitions. 

Invest in blackout curtains to block out any unwanted light that might disturb their rest, especially during naps or early morning hours.

  • Use blackout curtains: Blackout curtains are a simple but essential addition to your baby’s room. These curtains help create the ideal environment for sleep by keeping the room dark, even if it's daylight outside. 

This is particularly important for babies who are still developing their ability to distinguish between day and night. It’s also helpful if your baby’s room faces a street, as it blocks out headlights, street lamps, or any other light disturbances.

  • Incorporate white noise: White noise is a game changer when it comes to keeping your baby’s sleep undisturbed. Think about it—inside the womb, your baby was surrounded by the sound of your heartbeat and the rush of blood, which was incredibly soothing to them. 

White noise machines can mimic these sounds and provide that same comforting environment. This sound soothes your baby and helps block out other noises in the house or from the street. It’s a simple way to ensure your little one stays relaxed and asleep throughout the night.

  • Set up a consistent sleep space: In addition to keeping the room cool, dark, and quiet, ensure that your baby’s crib or bassinet is comfortable. Choose a firm mattress without loose blankets, pillows, or stuffed animals, as these can pose a suffocation risk. 

Swaddle your baby or use a sleep sack to keep them cozy and safe. Establishing a consistent, safe space for your baby to sleep will help reinforce healthy sleep associations.

  • Eliminate distractions: Try to keep your baby’s room free from distractions, especially as sleep time approaches. Keep toys, bright lights, or loud noises out of the area where your baby sleeps. These distractions can overstimulate your baby, making it harder for them to fall asleep or stay asleep.

By making your baby’s sleep environment as calming and soothing as possible, you can help them feel secure and comfortable, ultimately leading to better sleep for both of you. A consistent, peaceful sleep environment will go a long way in helping your baby (and you!) get the rest you need.

#4 Follow a (flexible) sleep schedule to ease nighttime wake-ups

A sleep schedule helps create consistency by setting a routine for your baby’s sleep, feeding, and wake times. When you establish a routine for sleep, it provides structure and predictability, which can reduce the stress of the unknown. Here’s how it helps:

  • Routine equals predictability: A sleep schedule brings more consistency, so you’ll know when your baby is likely to sleep, making your day feel less chaotic.
  • More rest for you: A predictable sleep time gives you the chance to rest, recharge, or take care of yourself, knowing your baby is getting quality sleep.
  • Here’s how a sample sleep schedule for a newborn look like:

Image Title: "Sample sleep schedule for newborns"

Caption: "A sample newborn sleep schedule to help establish a consistent routine."

#5 Establishing a soothing bedtime routine for your baby

A calm, consistent bedtime routine is one of the best ways to help your newborn sleep better. Babies thrive on predictability, so creating a soothing pre-sleep routine signals to your baby that it's time to wind down. Here's how you can help your little one get ready for dreamland:

  • Start with a calming routine: About 20-30 minutes before bedtime, introduce a few relaxing activities like gentle rocking, singing a lullaby, or reading a short story. These simple actions create a soothing ritual and help your baby associate them with sleep. Consistency is key here—keeping the routine the same every night helps your baby recognize it's time to sleep.
  • Embrace the 5 S’s: The 5 S’s (Swaddle, Shush, Swing, Side/Stomach hold, and Suck) are proven methods to help soothe your baby and activate their calming reflex. These actions mimic the comforting sensations they experienced in the womb, easing them into sleep.
    • Swaddle: A snug swaddle provides the comfort of the womb, reducing startling reflexes and helping your baby feel secure.
    • Shush: The rhythmic sound of “shushing” instantly calms your baby by reminding them of the soothing noises they heard while in the womb.
    • Swing: Gentle rocking motions help soothe your baby and promote relaxation.
    • Side/Stomach hold: Holding your baby on their side or stomach can help calm them before sleep. Just be sure to always place your baby on their back to sleep.
    • Suck: Sucking, whether through breastfeeding or a pacifier, helps your baby relax and settle for sleep.

A simple, predictable routine combined with the calming power of the 5 S’s will make bedtime smoother for both you and your baby.

#6 Navigating growth spurts and sleep disruptions

Growth spurts are a common part of your newborn's development and can often lead to more frequent night wakings. Here's how to handle these natural phases of growth without losing your sleep (too much, anyway):

  • Understanding the impact of growth spurts on sleep: During growth spurts, your baby’s body works hard to grow and develop, making it extra hungry. This often leads to more frequent night feedings, as their little bodies demand more nourishment. While it can feel exhausting, it's important to remember that this is just a phase. 
    Want to know more about why your baby isn't sleeping? Check out our articles on sleep regression.
  • How long do growth spurt-related sleep disruptions last? Growth spurts typically last just 2-3 days. During this time, you might notice your newborn waking up more often to feed, sometimes even every hour! This increased wakefulness usually resolves as the growth spurt passes and your baby settles back into a more regular sleep pattern. 
  • Expecting the next growth spurt: Newborns usually experience growth spurts at 2-3 weeks, 6 weeks, and around 3 months. If your baby suddenly wants to eat more frequently or is fussier than usual, they’re likely going through one of these growth spurts. 

Curious to learn more about growth spurts and their impact on your baby’s sleep? Check out our blogs on the 4-month sleep regression and the 8-month sleep regression.

While it’s a short-term disruption, know that it’s completely normal and part of your baby’s development. Just hang in there—this too shall pass! 

#7 Managing illness and discomfort during sleep

When your newborn is sick, whether it's a cold, fever, or just general discomfort, their sleep can be deeply affected. Here's how to handle those restless nights when your baby is under the weather:

  • Managing illness-related sleep disruptions: Sick newborns often struggle with sleep due to discomfort from symptoms like fever, congestion, or irritability. This can lead to more frequent night wakings and a harder time settling down. Always monitor for signs of illness, such as a fever or difficulty breathing, and don’t hesitate to contact your pediatrician if needed.
  • How to comfort a sick newborn: Comfort is key when your baby is feeling sick. Hold them close to offer reassurance, and ensure they’re hydrated by offering small, frequent feedings. Keep the room dark and quiet, reducing any unnecessary stimulation. If your baby has a stuffy nose, try using a saline nasal spray or a bulb syringe to clear their airways, making breathing easier and helping them sleep better. However, always consult with your pediatrician first.

Note: This guide is for informational purposes only. Please consult a pediatrician for personalized advice.

Sick nights can be tough, but with plenty of love, comfort, and a bit of patience, you can help your baby through these challenging times.

#8 Handling night wakings without creating sleep crutches

It’s completely normal for your newborn to wake up during the night—they’re still getting used to the whole "sleeping through the night" concept. But as much as you want to rush in and comfort them immediately, it’s important to avoid creating habits that could become harder to break down the road.

  • Don’t create sleep crutches: If your baby consistently relies on you to rock them or feed them back to sleep every time they wake, they may start expecting it each time they stir. Gradually, your goal should be to help them learn to self-soothe and fall asleep on their own.
  • Give them a minute: Wait a moment before rushing in at the first cry or wiggle. Sometimes, babies just need a few seconds to transition between sleep cycles and might settle back down without help. You’d be amazed how often this works.
  • Keep nighttime interactions boring: If your baby wakes up in the middle of the night, it’s important to avoid stimulating them too much. Keep the room dim, quiet, and as uneventful as possible. Changing a diaper? Do it quietly and quickly. Offering a quick feed? Keep it short; no extra attention. This teaches them that nighttime is for sleeping, not playtime.

This approach can help them gradually learn to fall back asleep without relying on you to step in each time, setting the foundation for more restful nights in the future.

#9 Consulting healthcare providers

It can be tough when your baby’s sleep patterns are all over the place, and sometimes, no matter what you try, it doesn’t seem to improve. So, when should you reach out to a healthcare provider?

  • When to seek professional help: If your newborn’s sleep disruptions are more than just the occasional rough night, or if they seem unusually fussy, unwell, or in discomfort, it’s time to talk to your pediatrician. Whether it’s to rule out medical issues or get more personalized advice on sleep strategies, reaching out for guidance is always okay.
  • Signs to watch for: Symptoms like fever, extreme fussiness, or feeding issues might indicate that something else is happening. A pediatrician can help you pinpoint if a medical issue is affecting your baby’s sleep.
  • Sleep management advice: Your pediatrician may also provide recommendations specific to your baby's age and development. Sometimes, simple adjustments or tips from an expert can help your baby (and you!) get back on track.

Finding a consistent sleep routine

Establishing a consistent and healthy sleep routine for your newborn can feel like a never-ending challenge, but hang in there! The secret to getting through those sleepless nights lies in two key ingredients: consistency and patience.

Start with a consistent bedtime routine. It doesn’t have to be elaborate—just a few soothing steps like a warm bath, some quiet cuddle time, or a gentle lullaby. Doing the same thing every night signals to your baby that it’s time to wind down, helping them feel secure and ready for sleep.

When night wakings occur, be consistent in how you handle them. Whether it’s giving your baby a few moments to self-soothe or offering a gentle pat, try to respond the same way each time. This will help your baby understand what to expect and gradually encourage them to settle themselves.

And here’s the thing—patience is key. It might take some time for your little one to stretch those sleep cycles. They’re still learning how to sleep for longer periods, and that’s totally normal. Keep at it, stay consistent, and in time, those longer sleep stretches will come. You’re doing great! Keep it up.

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Short & Sweet

Handling your newborn waking up every hour can feel like a marathon, but remember, it’s all part of the journey. From tiny tummies to developing sleep patterns, your baby’s world is constantly changing—and sleep is no exception. Consistency and patience are your best friends as you help your little one settle into longer sleep stretches. Trust me, this phase won’t last forever.

Every baby is different, but with the right strategies, you'll both be catching some much-needed zzz’s before you know it. Keep calm, stay consistent, and soon enough, those hourly wake-ups will be a thing of the past.

You're doing an amazing job—keep it up!

If you're looking for a way to help your baby sleep longer and more peacefully, Happy Baby is here to help. With personalized sleep schedules, soothing sounds, and expert-backed tips, you can confidently guide your baby through those early sleep challenges. Try it today and start building better sleep habits for you and your little one!

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FAQ - Everything else you should know

1. What is considered sleeping through the night?

2. When do babies start sleeping through the night?

3. When can I let my baby sleep through the night without feeding?

4. How do I help my newborn sleep longer at night?

5. How long does the newborn's waking-every-hour phase last?

Sources

[1]. https://www.sleepfoundation.org/baby-sleep/newborn-sleep-schedule

[2]. https://my.clevelandclinic.org/health/articles/14300-sleep-in-your-babys-first-year