Watching your newborn struggle to sleep can be heartbreaking and exhausting. As a new parent, you're likely wondering what's normal, when to worry, and most importantly—how to get your baby (and yourself!) some much-needed rest. This comprehensive guide covers all aspects of newborn sleep, from establishing healthy habits to identifying potential medical issues.
Why Won’t My Newborn Sleep? Common Causes and Solutions
Newborns sleep differently than older babies or adults. In the first few weeks, your baby will sleep 16-18 hours per day, but in short stretches of 2-4 hours at a time. This erratic pattern is completely normal and stems from:
- Small stomachs needing frequent feeding
- Underdeveloped circadian rhythms (they don’t yet know day from night)
- Rapid brain development, requiring lots of sleep
If your newborn won’t sleep, these are the most likely reasons:
- ✅ Hunger – Newborns need to eat every 2-3 hours
- ✅ Discomfort – Wet diapers, gas, or temperature issues
- ✅ Overstimulation – Too much activity before bedtime
- ✅ Overtiredness – Missing the "sleep window" (newborns can only stay awake 45-60 mins)
- ✅ Need for closeness – Many newborns prefer being held

How to Get Your Newborn to Stop Fighting Sleep: Expert Tips
If your baby resists sleep, try these proven soothing techniques:
- ✔ Swaddling – Mimics the snug feeling of the womb
- ✔ White noise – Helps block out startling sounds
- ✔ Rocking or gentle motion – Many babies love rhythmic movement
- ✔ Pacifier – Satisfies the sucking reflex (if breastfeeding is established)
- ✔ Dark, cool room – Ideal for melatonin production
Avoid overstimulation before sleep—keep lights dim, voices soft, and interactions minimal during nighttime wake-ups.
Newborn Won’t Sleep Unless Held? Safe Transition Techniques
Many newborns only sleep when held, which is exhausting for parents. Try these steps to transition to the crib:
- Warm the bassinet with a heating pad (remove before placing baby down)
- Wait for deep sleep (limp arms, steady breathing) before transferring
- Place baby down bottom-first, then slowly lower the head
- Keep your hand on their chest for a few moments for reassurance
If your baby still fusses, try baby-wearing during the day to meet their need for closeness while keeping your hands free.

Newborn Won’t Sleep During Day? Fixing Day/Night Confusion
If your baby sleeps all day but is awake all night, try:
- Expose them to natural sunlight in the morning
- Keep nights dark & boring (no playtime during feeds)
- Limit daytime naps to 2-3 hours max
- Establish a simple nap routine (swaddle, white noise, rocking)
Newborn Won’t Sleep After Feeding at Night? Feeding-Sleep Solutions
If your baby feeds but then stays awake:
- Burp thoroughly to prevent gas discomfort
- Keep nighttime feeds calm & quiet (no talking or eye contact)
- Offer a pacifier if they just want to suck (not hungry)
- Check for reflux (arching back, frequent spit-up)

Medical Reasons Your Baby Won’t Sleep at Night: When to Worry
While most sleep struggles are normal, these medical conditions can disrupt newborn sleep:
- ⚠ Reflux – Painful acid backup after feeds
- ⚠ Colic – Intense crying for 3+ hours a day
- ⚠ Tongue tie – Makes feeding inefficient, so baby wakes hungry
- ⚠ Food sensitivities – Dairy or soy intolerance causing gas/rashes
When to call the doctor:
- ❌ Fever (100.4°F+ in newborns)
- ❌ Poor weight gain
- ❌ Fewer than 4 wet diapers/day
- ❌ Noisy/labored breathing during sleep
Baby Sleep Disorders Signs: Recognizing Red Flags
True sleep disorders are rare in newborns, but watch for:
- 🔴 Consistently sleeping less than 11 hours in 24 hours
- 🔴 Extreme difficulty waking for feeds
- 🔴 Pauses in breathing or choking sounds
Most babies start sleeping longer stretches (5-6 hours) by 3-4 months.
When Should I Worry About Baby Not Sleeping Through Night?
It’s normal for newborns to wake frequently. But if your baby:
- ➡ Still isn’t sleeping longer stretches by 6 months
- ➡ Shows signs of distress (rashes, breathing issues)
- ➡ Isn’t gaining weight well
Final Thoughts
Newborn sleep is unpredictable, but with patience and the right strategies, it will improve. If you're ever concerned, don’t hesitate to ask your doctor.