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.Parents will see the “Eat, Wake, Sleep” (EWS) cycle recommended in various books and online as a way to encourage their newborn to sleep longer. There is a reason the eat wake sleep (EWS) cycle has persisted as a recommendation for over a decade. It is because it really is an effective way to get longer stretches of sleep from our babies. However, EWS is useful beyond just the newborn months. I recommend my clients to follow EWS until their toddler is totally weaned off of breastmilk/formula feedings all together. So what is the Eat-Wake-Sleep Cycle?
What Is the Eat-Wake-Sleep Cycle?
The definition of the EWS cycle is very simple. When your child wakes from nighttime or nap sleep, you immediately feed them. You want to keep them 100% fully awake from the start to the end of their feeding. (With very, very young babies the “keeping awake part” is a challenge! But your job is to simply try your best and know that it will improve with time.) Once the feeding is complete, you keep your baby awake until it’s time to sleep. That could be anywhere from 30 minutes to 2 hours depending on your kiddo’s age. Then when it’s time to put them down for a nap, they fall asleep in any way that does NOT involve feeding.
If they are not yet sleep trained, this means they may fall asleep while being rocked or held. Once they’re sleep trained, they will fall asleep on their own.
While following the Eat, Wake, Sleep cycle can be an effective feeding method, you should always feed your child when you believe they are hungry, and should only follow the Eat, Wake, Sleep cycle with approval from your pediatrician
When implementing the EWS cycle, you typically do not feed your baby again within the same cycle. Unless in rare circumstances when a child is, for example, on a two nap schedule and their first nap ends around 10 am and their next nap doesn’t start until 1:30 pm. In a case like that, they’d have a milk feeding upon waking from nap one. Then another feeding about 2+ hrs later (say, around noon). And then a nap about an hour or two after that. Even in this example, eating and sleeping are never associated with one another.
How the Eat-Wake-Sleep Cycle Works
The reason behind why EWS encourages longer periods of sleep is simple. In the early months of life, babies fall asleep frequently while eating. This often causes them only to take small meals, which means they wake quickly, hungry for another feeding. If you focus heavily on trying to keep them awake during feedings you will eventually see that they can take more substantive feedings at once.
Things like reflux can impede a young infant from taking larger meals, but reflux can be dealt with by using medication that your doctor prescribes. Or simply waiting until baby is older and has outgrown it. Once baby’s feedings get larger, they will be able to sleep for longer periods of time. When combining the EWS cycle with other newborn sleep tips, you will likely find your newborn sleeping much longer periods of time overnight, and perhaps for naps as well. Even if you are experiencing short naps, the EWS cycle will still be helpful. Feed your baby every time they wake, and focus on making it a full feed. The more they eat during the day, the less likely they are to wake to eat overnight.
For older babies (those about 4-5 months and older)…
The EWS cycle is helpful for the same reason above, and because it eliminates a common sleep prop. Even when I work with an 8-month-old baby, I encourage the parents to only feed upon waking. This is because feeding in between naps can cause a child to fall asleep while eating. Generally speaking, if an older baby takes a good, full feeding upon waking, they are unlikely to be hungry again before it’s time for their next sleep period.
Tired signs are often mistaken for signs of hunger. So if a parent feeds baby, they’ll likely find their child falls asleep. This then defeats the purpose of sleep training because
1. the child is being helped to sleep,
2. the child is sleeping outside of when they are supposed to be sleeping, and
3. they will be unlikely to take a full feeding once they wake, since they just took a feeding before their nap.
Also generally speaking, infants and toddlers should be offered some form of calories, whether through milk or solids, every two to three hours. You can see a sample two nap schedule with feeds here.
How to Start an Eat-Wake-Sleep Cycle
Many parents simply cannot see how their child who is used to being fed to sleep could ever get on an EWS sleep cycle. The secret is in the morning feeding. Try to get your child to take a big, full feed when they wake in the morning. Then, don’t give them a milk feed before their nap. They should then be hungry enough to take a full feed after their first nap.
Often parents are unable to get their baby to take a large morning feeding because they are feeding too much/too often overnight. To those parents, get an okay from your pediatrician to cut out all night feeds. Or to keep just one night feed. If keeping a single night feeding, try to make it a feed that occurs the first time your child wakes after 1 am. This should give them enough time to be very hungry for the first feed of the day.
As with anything feeding-related, do not implement any of these recommendations without going over them in detail with your pediatrician.
Remember, the Eat-Wake-Sleep Cycle…
- Is very helpful for newborns through toddlerhood.
- The goal is to feed baby as soon as they wake up, and then NOT feed them again until after they wake from their next sleep.
- EWS can help parents extricate themselves from a feeding-to-sleep relationship.
- Start EWS as soon as baby wakes up for the day.
If you’re interested in learning more about healthy sleep habits for your baby, and age-appropriate sleeping and feeding schedules – sign up for my newsletter!
Towards the end, you mention to try and give them a feeding after 1am so they can be very hungry foe their first feed of the day. So say my baby went down at 7 and woke up at 1am, then I give him a bottle. Is this considered the first feed of the day? or when he wakes around 7am, is this the first feed of the day?
Also, what if baby doesnt want his bottle when he wakes from the 2nd or 3rd nap?
Natalie the questions are above are good. Can you re-post your answers?
Hi Amalia!! I don’t think I understand. Are you referring to the color tiles? Those are links to other blog posts 🙂
Hi Natalie! Cathy Luong had a follow up question on 10/4/2017 asking “what if baby doesn’t want his bottle when he wakes from the 2nd or 3rd nap? I don’t see that you responded.
Also, when you reply to a question here on your blog, am I supposed to get notified via email?
Hi!! I would keep trying every 15 minutes until baby eats <3 And I'm not quite sure – I think it alerts you via email but I'm not certain.
Trying to implement this with my 8 month however he never seems hungry when he wakes up. For example, last night he went to sleep at 9-2:30am ate a small 4 oz bottle. Slept again from 3-7:30 am. I tried to feed him a full bottle upon waking up, it was 8 am by the time I fed him, but he only ate 3 oz.. His nap time was 9-10:30, again he didn’t want bottle until around 11:30, and he only had 3 oz again. What am I doing wrong? Thank you!
Hi Sara,
I’d ask the pediatrician if it’s ok to cut all night feeds cold turkey for 12 hours. If s/he says yes, then I suspect you’ll have an easier time with daytime feeds.
My daughter falls asleep or closes her eyes when she is breastfeeding. If they are to be awake during the feed how will I know when they have finished eating?
This is what sleep training is all about. It’s hard to get a child not to close their eyes during a feeding if they’re not learning how to fall asleep on their own for all sleep periods. Check out this blog post to learn more: https://www.babysleeptrainer.com/what-is-baby-sleep-training/
Hello,
Most of my 3-month old son’s naps are very short (45 minutes), should I still feed him after EVERY nap ? Even though right now he is on 6 formula bottles per day (1 every 4 hours) ?
If he has 5 naps per day (excl. his night sleep) then i would have to feed him 5 times only during day time (in addition to the 3 night feeds: 2 at night and one upon waking up).. which would lead me to 8 bottles in 24h instead of 6..?! Or should I try to wean him off at least one night feed first before trying to implement this EWS cycle ?
As long as the pediatrician is comfortable with that, yes! The more he’s fed during the day, the less likely he’ll wake up hungry overnight. I think 8 small bottles is just fine.
I’m having a very hard time with my 7 mo. old’s day care following this. She’s sleep trained and takes nice naps at home. Then goes to day care and takes one nap the whole day and it’s only for 20-30 minutes. She’s exhausted when she comes home. Any tips for me? If you can email me, I would really appreciate some advice!
Oh mama! I’m sorry. Send along white noise, and see if they’ll let her sleep in one of these: https://www.slumberpod.com/products/slumberpod?aff=12
You can even bring them a camera so they can monitor her.
[…] the eat, wake, sleep cycle for your baby! Find out more from the Baby Sleep Trainer, Natalie Willes http://www.babysleeptrai… #ews #eatwakesleep […]
Do I wake my daughter up after 2hrs from the last feed or 2hrs of napping?
If i feed my 3 week old right when he wakes up, then keep him awake for a few mins and change his diaper, then how do I get him to go to sleep? Do i rock him? He is too small to sleep on his own, so he normally sleeps by feeding.
Yep! You’d rock or calm or soothe him to sleep however is safe and seems appropriate to you.
I’m confused about when to change the diaper. Should we do it before or after feeding. It seems like it should be after feeding, as part of awake time, but what if he’s got an uncomfortable wet/dirty diaper?
Changing the diaper immediately upon waking is just fine, followed by a feed.
Hi Natalie
I’m trying to get my baby better at sleeping in her bassinet for day naps rather than on me (8 weeks old).
Typically we sleep, feed one side, nappy change, play, feed other side then sleep after the feed. How do I get her to take both sides for a full feed rather than two feeds in the one cycle?
Overnight she’s.able to sleep in her bassinet but wakes every 3 hours for a feed (one side) then goes straight back to sleep.
Hi Hannah,
You may not be able to at this age, but it should get better with time!!
Hi, how would this work for bedtime routine. My 9 week old starts his bedtime routine around 7:30pm finished with a bedtime bottle. However feeds after each sleep during the day or when awake.
Would you give him his last feed then have 30mins to put pjs on ect before putting down to sleep for the night?
Thanks
Hi Chloe!!
At this age, it doesn’t matter. Once/if you sleep train him (after the age of 16 weeks) you can make the change for his evening feed.
Natalie
Hi Natalie,
I WAS following EwS cycle until about 2 months ago. My son simply refuses to eat while awake now. He’s so alert and engaged in the world around him that he won’t stay latched for more than a minute or two after waking from sleep. I try to feed him in a dark quiet room, but even hearing his brother’s voice or the dog barking in the other side of the house will distract him. Catching him in his drowsy state has been the only way to get him to eat, and unfortunately it’s getting to the point where it interferes with his ability to sleep unassisted. My son will be 5 months in a little over two weeks, and I feel like once he hit 4 months he’s been a completely different baby and I’m at a loss of how to fix this.
Hello Jen,
This is a tricky situation but I assure you not a unique one. I can help you work through it but it’ll take a bit more work than I’m able to do here in comments <3 Check out the BST+Support program and we'll be able to work together to get baby sleeping as well as possible.
https://www.babysleeptrainer.com/purchase/
I am in day 5 of this new routine and I was advised by our new parent advocate to leave baby in crib until next feeding cycle if she wakes early. But she almost always wake early and then sit in her crib screaming for the remainder of the time. It’s becoming quite difficult.. is this the appropriate tactic and if so, how long will it continue? She stated that baby will eventually learn to sit there until I come to get her, but like I said,… Day 5.
If you consider your new parent advocate to be a medical provider (I am personally unfamiliar with the term or role, so am not aware if they are a medical provider or something else), then you can determine if you feel their advice is safe.
I don’t think it’s necessary to give more than 10-15 minutes after a short nap to see if baby will fall back to sleep. Some parents will wait up to 30 mins. Use your best judgement on what you feel is safest for your baby.
My son is 11 weeks (8 adjusted) and I am having a hard time finding a good awake window for him. If I spend 10-15 minutes trying to get him back to sleep after a short nap unsuccessfully would you count that as part of awake time? Thanks!!
Hi Mallory,
Yes it would, assuming his eyes are mostly open during that time.
I’m a new mom to this and trying to figure this all out. So my 2 month old sleeps usually from 830pm-9pm and wakes up at 7-730 am. He fusses around 3-4 am but goes right back to sleep after a couple minutes. So no night feeds. Sometimes he wakes up and wants the bottle as soon as he wakes but then sometimes he doesn’t. Then takes longer naps as in 1-2 hours during the morning and small catnaps in the evening maybe 30-45 min before bedtime. How would I implement this? Half the time he wakes up and then can only stay up an hour then fusses would you feed after each catnap?
Hi Megan!!
I think your newborn is doing GREAT and as long as the pediatrician approves baby going this length overnight without eating then you are golden and shouldn’t change a thing right now. Keep things as they are until they no longer work for you, or until baby starts to have sleep issues, then consider sleep training him.
https://www.babysleeptrainer.com/what-is-baby-sleep-training/
I’m having a hard time getting my baby to fall asleep with anything other than a bottle (she is fed breast milk). She will take a full bottle when she wakes in the morning and after each nap but also needs about 1oz to fall asleep too. She will scream to the point of making herself sick if I try any other tactics I.e. rocking, patting, singing, pacifier. Any suggestions on how to discourage this habit?
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Hi Natalie! Trying to get my 5 month (4.5 month adjusted) back on an EWS routine. I was feeding him 10 min after waking and then again and hour later. I’ve started implementing EWS, but I can’t help but worry he might be a little hungry when he goes down for his naps. Is that biologically normal for them to be a little hungry prior to naps? And if so, that’s okay right? He does take pretty full feeds (at least I think he does), but FTM and can’t help but worry.
Hi Julia,
I would ask your doctor this question. If a baby is hungry, they typically wont’f all asleep, so if he’s falling asleep for his naps, then taking what you feel is a full feed after, it’s possible you’re mistaking tired signs for hunger signs. If baby is growing and producing an adequate amount of poop and pee diapers, they’re probably getting enough. The only person that can tell you for sure is your pediatrician so follow up with them for an answer to this question.
Hi Natalie, Loved your post and I am a fan of the EWS process. Prior to my baby turning 4 months, she was following this process just fine. Now mid day, she needs a feed before her nap as she is drinking very little from her morning nap. I try to feed her during her wake time but she will not take the bottle. Is this part of the 4 month regression? I’ve even tried to let her cry for 7-10 minutes before her nap to try to have her fall asleep however she will not due to her being hungry. She’s a great night time sleeper and only wakes up once around 4am if she wakes up at all. Any suggestions/tips? Thanks in advance!
Hi, my baby sleeps most likely at 12:00 or 1 : 00 byherself though and last feed would be around the time or hoir before then she wakes up very late like 10 in the morning and yet not hungry. What should I do?
HI Jemima!!
This is a good question. I wouldn’t change anything right now, until you decide to formally sleep train baby 🙂
https://www.babysleeptrainer.com/what-is-baby-sleep-training/
I am struggling to implement the EWS cycle with my 3 month old. He wakes at 6:30-7 and has a full feeding, we play, then he takes a morning nap, but he only naps for a short amount of time (40 minutes) so he is not hungry when he wakes up, but before his next nap at 10 he is hungry. I was also advised to try to spread out the feedings to 3 hours or so to ensure he is hungry and gets a full feeding each time. I am not sure how to adjust so that he only eats after sleeping.
Hi Ashley,
If your doctor has told you not to feed him not closer than 3 hours apart, EWS may not be compatible at this time. Once you get the okay to stick to offering feeds after naps, I’d focus again on seeing if baby will accept a feeding immediately after naps. It may get easier as he gets older.
Hi Natalie! I’ve purchased your newborn program and my baby took very well to full feedings and the EWS cycle. He’s ten weeks old now and seem to be going through. Growth spurt — he’s cried and asked to be fed constantly today and it has thrown the EWS routine way off. He’s eating large amounts before and after naps. Do any of your resources address growth spurts?
Hi Julie,
I mean, you’re addressing it perfectly! If he’s hungry, feed him. Check with your pediatrician to find out how long growth spurts usually last and once you are confident it has passed, go back to the EWS cycle.
Thank you for replying. I think that since I worked so hard to break the nursing to sleep habit, the lack of routine was frustrating. My pediatrician said the same thing – – things will calm down in a few days, and if he took to the routine well the first time, then we will be able to get back to it once the growth spurt is over.
Hi Julie!!
I TOTALLY get that!! And keep in mind, frequent feeds doesn’t mean assisting baby to sleep. Work to keep them alert and also keep in mind if you feel baby is hungry, you feed them, and they instantly fall asleep, it’s possible it’s not hunger at all and just baby being fussy and wanting to nurse for help to fall asleep. If baby eats well and stays awake (even outside of the EWS cycle) that’s great way to know it’s really a growth spurt as opposed to normal newborn fussiness. When in doubt, always always always feed baby.
Hi,
My baby is 5 weeks old and I have such a hard time keeping her awake during feedings. Even if she falls asleep right at the end, I can’t keep her awake for awake time before napping. Is it just too early to implement this? Thank you!!
Hi Kate!!
It’s just really hard at this age, but keep trying!! It will get easier with time, but I truly wouldn’t get overly stressed at this time about this <3
Natalie
But what if they won’t eat! My first was textbook eat play sleep. My second (10 weeks) take anywhere from 2-6oz. Will not eat when he wakes in the morning. Pushes the bottle out of his mouth or gags. Takes a full feed after that nap but then doesn’t after the second. Literally all over.
Hi Kristen,
It will be easier to follow the eat, wake, sleep cycle as baby grows older and you’ve been given the all clear from the pediatrician to cut some/most/all night feeds. That way, baby will be very hungry first thing in the morning and accept a full feed, then they will nap, then wake hungry again. I would think about what time baby eats overnight/in the early morning and consider if that feed is close to their morning wake up time, hence making it so baby is not that hungry.
Hi Natalie! I am so glad I found your blog! I am trying to use the EWS cycle on my 4 week old, a working progress I must say but very effective. I just have a couple of questions I hope you can help me with.
First of all, when my baby wakes and has a feed sometimes he will only have 10-15 minutes from both breasts and nap for 3.5-4hours. Should I wake him after 2hours or is this ok? Or do the daytime naps needs to be shorter than the nighttime sleep? (Which he usually sleeps for the same length of time)
Second question, is there a specific wake window? I’m worried he’s not staying awake long enough or he’s awake too long ready for his next nap!
I love this cycle but it raises so many questions haha.
Thank you x
Hi Sophie,
Yes, I think it’s fine to wake baby after two hours of nap sleep as long as that’s ok with your pediatrician.
At this age wake windows can be as short as 30-40 minutes.
Natalie
Hi,
Do you do the eat, wake, sleep during the night feedings too?
Hi Jamie!
No, at night you just allow baby to go right back to sleep after the feed (and encourage them to fall asleep during the night feed as well).
Natalie
Hi!
I have a 13 week old in the middle of this 12-13 week growth spurt. During this spurt, she has decided really to only nurse when she wakes and spends the time before naps Fussing demanding I Simultaneously rock-sway-bounce her to sleep. But when going down for the night- she usually nurses quite a bit and into sleep. Do I not feed her like that before the long night sleep? She typical goes 7 hours during the night, last night she went nearly 12, with a 1/2 asleep snack at 7. So do I not feed her before her night bed?
Hi Carrie,
I would keep doing whatever you’re doing now (nursing before bedtime) and worry about making changes once you officially sleep train her once she’s 16 weeks of age or older.
Natalie
My 13 week old has always typically eaten upon waking and before naps to sleep. Right now she is in the 3 month growth spurt and has decided she wants to eat upon waking and be Simultaneously be rocked, swayed, bounced to sleep. I’ve been following her lead. But question is what about before night bed. She typically nurses 20-45 minutes before bed into sleep. Then sleeps 7 -9 hours. Last night she slept 12 hours with a snack at 7am before returning to slumberland. Do I not give her that last long feed before bed?
Hi Carrie,
I would keep doing whatever you’re doing now (nursing before bedtime) and worry about making changes once you officially sleep train her once she’s 16 weeks of age or older.
Natalie
My son is 6.5 months old and we’re currently transitioning from 3 to 2 naps. He takes a big full feed at 7am when he wakes up. No feeds at night. He is sleep trained and does 11-11.5 hour of overnight sleep. I’m slowly trying to push his first nap since our 3rd nap was getting skipped everyday and he was getting overtired before bed. To adjust schedule now our first nap starts closer to 9:15am and we have pushed it 10 mins every 2 days from 8:40am. He sleeps close to 11am. Is a 4 hour gap too much? We were managing 6 feeds when we were on 3 nap schedule but now with the 2 naps it’s more like 5 and one offer of solid around lunch but he doesn’t eat a substantial amount. Should I do a top up feed before the first nap ? I tried that today but he gets really sleepy. I don’t want him to catch a second wind and ruin the nap. He can go 4 hours between the first and second feed .. I just worry if he might be hungry. And before second nap after lunch I try to feed him a little too which makes him sleepy. He would be ok if I give bottle but feels sleepy on the breast. I don’t want to pump and feed as I have a 4 year old too. When she was younger she fed every 2 hours but she I was exclusively pumping then so it was different. I also worry if I give too long a gap between feeds I will have a dip in supply.
We love the EWS cycle and have perfected it. My 3ish month old wakes from her last nap at 5:30/6 and I feed her. I try and put her down by 6/7:30. Should I do one more feed before bed?
Hi Penny!!
If she’ll accept one, sure!
Natalie
Hii! I have a 5 month old , he eats nice and full feeds every 4 hours. I’d like his day to start at 7am and feed at that time but he’s waking at 6am. Do I keep feed at 7am to not reinforce a 6am wake or just feed upon waking and see if we can adjust to 7am later… also how could I push wake time? Thanks! (3 naps/4 feed a day
My son Just turned 1. He’s been sick. So do I keep him up after feeding or just let him fall asleep after eating