Dream Feeds: Pros and Cons

By Dr. Sarah Johnson, Pediatrician
Published on January 17, 2024
sleep

Dream Feeds: Pros and Cons

By Dr. Sarah Johnson, Pediatrician

Published on

Category: sleep

A 'dream feed' involves gently rousing your baby (without fully waking them) to feed them one last time before you go to bed, typically between 10 PM and midnight. The theory is that this 'tops them off' and helps them sleep a longer stretch before their next natural waking. Some parents find it very effective, while for others, it disrupts baby's sleep or makes no difference. It's worth trying for a few nights if you're struggling with frequent early-night wakings, but don't feel obligated if it doesn't seem to help your baby. Ensure the baby remains drowsy and is placed right back in their crib afterward.

What Exactly Is a Dream Feed?

Understanding the concept and proper technique:

  • Definition - A feeding given to a sleeping baby before the parent goes to bed, without fully waking the baby.
  • Timing - Typically offered between 10 PM and midnight, depending on parent's bedtime.
  • Purpose - To potentially extend the baby's longest sleep stretch to coincide with parent's sleep time.
  • Age range - Most commonly used from 6 weeks to 6 months, though some parents continue longer.
  • Process - Gently lift sleeping baby, offer breast or bottle with minimal stimulation, return to crib still drowsy.

The Science and Theory Behind Dream Feeds

Understanding why dream feeds might work:

  • Stomach capacity - Young babies have small stomachs and may genuinely need nutrition during the night.
  • Sleep cycles - The first portion of night sleep is typically the deepest for babies, making dream feeds less disruptive.
  • Parental sleep maximization - By feeding proactively before a baby would naturally wake hungry, parents can potentially get a longer uninterrupted sleep stretch.
  • Disruption prevention - Feeding during deep sleep may avoid the full awakening that would occur if baby woke hungry later.
  • Alignment of schedules - Can help synchronize the baby's longest sleep stretch with the parent's sleep time.

Potential Benefits of Dream Feeds

  • Extended sleep stretches - May help baby sleep 4-6+ hours after the dream feed, particularly beneficial for younger babies.
  • Better parental sleep - Parents can go to bed knowing they've recently fed their baby.
  • Reduced overnight hunger - May decrease middle-of-night wakings driven by hunger.
  • Easing breastfeeding pressure - Can relieve engorgement for breastfeeding mothers before their longer sleep stretch.
  • Gradual night weaning tool - Can be part of a strategy to reduce other night feedings over time.
  • Caloric distribution - Helps ensure adequate 24-hour intake for babies who may not eat enough during the day.

Potential Drawbacks and Concerns

  • Disruption of sleep cycles - May interfere with baby's natural sleep patterns and transitions between cycles.
  • Creation of habit/dependency - Baby may come to expect or need this feeding to connect sleep cycles.
  • Sleep association concerns - May reinforce feeding-sleep associations that could be challenging to break later.
  • Ineffectiveness - Some babies wake up shortly after a dream feed anyway, negating the benefit.
  • Full awakening risk - Some babies wake completely during the attempted dream feed, causing more disruption.
  • Digestive discomfort - Feeding a horizontal, drowsy baby may increase risk of gas or reflux.
  • Interference with self-regulation - May prevent baby from learning to connect sleep cycles naturally.

Implementing a Dream Feed

If you decide to try a dream feed, here's how to do it effectively:

Timing Considerations

  • Parent's bedtime - Schedule the dream feed just before you go to sleep.
  • Baby's sleep cycle - Many parents find 10-11 PM optimal, about 3-4 hours after baby's bedtime.
  • Consistent timing - Try to offer the dream feed at the same time each night to establish a pattern.

Step-by-Step Technique

  • Minimal stimulation - Keep lights dim, movements slow, and voices hushed.
  • Gentle approach - Quietly enter room and lift baby without fully rousing them.
  • Feeding position - Support baby in a semi-upright position to reduce air intake and reflux risk.
  • Feeding initiation - Touch nipple (breast or bottle) to baby's lips to trigger sucking reflex.
  • Duration - Allow baby to feed until they naturally stop or slow significantly.
  • Burping - A gentle burp may be needed, but some parents skip this step to minimize waking.
  • Return to crib - Place baby back in crib still drowsy or asleep.

Common Questions and Concerns

What if baby won't take a dream feed?

Some babies simply don't accept dream feeds well:

  • Try 30-60 minutes earlier or later to find a better timing in their sleep cycle.
  • Ensure baby is truly in light sleep (not deep sleep) when you attempt the feed.
  • Some babies naturally rouse slightly 2-3 hours after bedtime, which can be an ideal moment to attempt.
  • If baby consistently refuses after several attempts, they may not need this additional feeding.

What if baby wakes fully during the dream feed?

  • Keep stimulation minimal - low lighting, quiet, no eye contact or playful interaction.
  • Feed fully, then use your normal soothing techniques to return to sleep.
  • Try again the next night - some babies need time to adjust to dream feeds.
  • If full waking continues to be an issue, dream feeds may not be suitable for your baby.

How long should I continue dream feeds?

  • Natural discontinuation - Many babies naturally begin refusing dream feeds around 6-9 months.
  • Developmental readiness - Consider phasing out once baby:
    • Is eating solid foods well
    • Can sleep longer stretches consistently
    • Has doubled birth weight or is following growth curve
    • Is around 9 months old (though some continue longer)
  • Phasing out - Gradually decrease volume (or time at breast) over 5-7 nights, then eliminate.

Effectiveness by Age and Development

Dream feeds tend to have different success rates at different ages:

  • Newborns (0-6 weeks) - Often too young for predictable dream feeds; feeding on demand is typically more appropriate.
  • Young infants (6 weeks-4 months) - Often most receptive and may benefit most due to small stomach capacity.
  • Middle infants (4-6 months) - May still benefit, but some babies begin to wake fully during attempt.
  • Older infants (6-9 months) - Effectiveness often decreases as sleep patterns mature and solid foods are introduced.
  • Babies over 9 months - Many sleep experts recommend discontinuing by this age to avoid sleep association issues.

Dream Feeds with Different Feeding Methods

Breastfeeding Dream Feeds

  • Ensure good latch even in drowsy state to prevent nipple damage and efficient transfer.
  • Consider dream feeding from only one breast to minimize full awakening.
  • May help relieve engorgement for fuller sleep for mother.

Bottle Feeding Dream Feeds

  • Warm bottle before entering room to minimize waiting time.
  • Some babies accept dream feeds more easily from bottles.
  • Easier to track exact intake compared to breastfeeding.
  • Consider slow-flow nipples to prevent choking when feeding a drowsy baby.

Special Considerations

  • Reflux babies - Keep upright for 15-20 minutes after dream feed; consider consulting physician.
  • Premature babies - May benefit from dream feeds longer; follow pediatrician guidance.
  • Sleep training considerations - Some sleep training approaches recommend against dream feeds; consider your overall sleep philosophy.
  • Multiple babies - Can be logistically challenging but potentially very beneficial for parents of twins/multiples.

The Bottom Line

Dream feeds work well for some families and not for others. Consider these takeaways:

  • Worth trying for 3-5 nights to assess effectiveness for your specific baby.
  • If it doesn't extend sleep or causes more disruption, discontinue without guilt.
  • Not a solution for all sleep issues – address other sleep factors concurrently.
  • Some babies simply sleep longer naturally without any intervention.
  • Trust your parental instincts about what works for your family situation.