A gentle guide to newborn sleep support: Newborn Sleeping 20 Hours? What"s Normal & When to Worry

Newborn Sleeping 20 Hours? What's Normal & When to Worry Seeing your newborn sleep for long stretches can feel soothing and puzzling at the same time. This article walks through what is typical for newborn sleep, why some babies sleep up to 20 hours a day, and clear, gentle ways to tell when extra attention or a call to your pediatrician is needed. Understanding normal newborn sleep Newborns sleep a lot compared with older infants and adults. Typical newborn sleep totals range widely, most often between 14 and 17 hours in a 24 hour period, but many healthy newborns will sleep more or less than that. Sleep at this age is fragmented into many short cycles. A newborn may spend time in light sleep, deep sleep, and active or active sleep that looks like movement, twitching, or irregular breathing. It helps to remember that newborn sleep is not consolidated. Babies are built to wake often for feeds and comfort. Their sleep cycles are shorter and their circadian rhythm is immature. Across the first weeks of life you will likely notice frequent changes in sleep patterns. Some days a newborn looks especially drowsy and sleeps a lot. Other days they may cluster feed and wake more. Both patterns can be normal if the baby is feeding well, gaining weight, and showing normal wet and dirty diapers. Why a newborn might sleep 20 hours A newborn who seems to sleep 20 hours in a 24 hour period may be doing so for many benign reasons. Growth and the energy demands of rapid brain and body development can make babies sleep more than average at certain points. Newborns also have different baselines: some infants are naturally more drowsy and need longer sleep. Babies born prematurely will often sleep longer than their chronological age peers when corrected for gestational age. Other common reasons for long sleep include recent vaccinations, though this article will not cover vaccination details, or the baby simply recovering from a busy or stimulating day. Certain medical issues can also increase sleepiness. If a baby is difficult to wake for feeds, feeds poorly, has few wet diapers, looks pale or blue, or seems floppy, those are reasons to contact a healthcare professional promptly. In most cases, a very sleepy newborn who otherwise feeds normally and reaches expected diaper and weight goals is not a reason for panic, but close observation is wise. Safety checks: when to call your pediatrician It is important to know when extra sleep is a sign of a problem. Call your pediatrician or seek urgent care if your newborn is hard to wake for feeds, feeds very little, has fewer than the expected number of wet or dirty diapers, or shows any breathing difficulty. For the first few days of life fewer diapers are expected as milk comes in, but by day four or five most babies produce several wet diapers daily. Sudden or progressive lethargy, color change in the skin, persistent vomiting, or a fever in newborns are other clear reasons to get medical advice quickly. Weight is anothe