It’s common for newborns to get sleepy at the breast — especially in the early days. If your baby is dozing off before getting a full feed, try these gentle strategies:

Practical Positioning Tips

  • Support your breast with your free hand so baby’s chin isn’t pressed down by its weight.

  • Switch breasts frequently — even every 30–60 seconds at first — to keep baby alert and encourage active nursing.

  • Try a less cuddly position like the football (clutch) hold instead of cradle hold.

  • Burp upright on your lap instead of over the shoulder to reduce sleepiness.

  • Change baby’s diaper mid-feed to gently wake them up.

 Gentle Stimulation Ideas

  • Massage the crown of baby’s head in small circles.

  • Wipe with a cool cloth against the grain of hair growth.

  • Remove a layer of clothing this helps baby not be too warm and cosy causing sleepiness

  • “Sit-up” baby: Rest baby on your lap (head on your knees, legs near your tummy), and gently guide them into a sit-up position 2–3 times.

  • Follow with a gentle side-to-side sway.

 Breast Compressions

Encourage milk flow by gently compressing the breast when baby slows down or pauses:

  1. Squeeze gently near your chest wall,

  2. Then midway between chest and areola,

  3. Then close to the areola.

  4. Repeat the sequence — stop when baby starts sucking again.

 Supporting Active Sucking

Tips adapted from Kathy Kuhn, RN BSN IBCLC

When your baby pauses longer than 15 seconds while nursing:

  • Take a deep breath — the movement can trigger baby to suck again.

  • Try breast massage as described above.

  • Stroke under the chin from chin to collarbone with medium pressure.

If baby still isn’t sucking after all three steps:

  • Gently take them off the breast.

  • If they haven’t had about 10 minutes of active suckling per side, consider supplementing unless other feeds are going well.

Sleepy babies at the breast