Why Are Newborns Fussy at Night?
Having a fussy period during the late afternoon or evening is very common. Parents often feel blindsided by what is happening and may call a health care provider, thinking something is physically wrong with their baby. They may feel as though they have failed as a parent because they aren’t able to soothe their baby.
However, usually, there is nothing physically wrong with your baby, and you can rest assured that fussy evenings aren’t attributable to anything you are doing wrong as a parent.
For the most part, the witching hour is attributable to the enormous developmental changes that are happening with your baby during these first few weeks and months of life.
Think about it: In the period between birth and 3 to 4 months, your baby goes from being a little human who barely opens their eyes to a tiny little person who begins to become aware of their surroundings. Now, they can react to the sound of your voice and are learning to communicate their needs.
It is a challenging time because your baby is aware they don't feel happy, but they also don't know how to fix it. And the only way they know how to ask for help is by crying.
— Michelle Haas, MD
Dr. Haas says this heightened awareness is caused by rapid changes in your baby’s brain and nervous system. They are developing a different kind of self-awareness and sensory awareness than they had before, she says, and this can make them fussy.
“It is a challenging time because your baby is aware they don't feel happy, but they also don't know how to fix it,” Dr. Hass explains. “And the only way they know how to ask for help is by crying.”
Christina Johns, MD, a pediatrician and senior medical advisor at PM Pediatrics, says that these developmental changes can cause your baby to feel overstimulated, which can lead to fussiness. Not only that, but this overstimulation can cause babies to sleep and nap less, which can also contribute to the evening fussies.
“As babies grow, they become more aware of their environment and of their own bodies, so being overtired, missing naps, or being overstimulated can contribute to a tough evening,” Dr. Johns explains.
During this time, your baby still has a developing digestive system and may be more prone to gassiness, says Dr. Haas. “Gas is a very normal symptom for a baby,” she says. Experts have theorized that gassiness can contribute to this fussy period, Dr. Haas explains.
Babies who have upset tummies might show the following signs:
If you think your baby’s upset stomach may be contributing to their evening fussiness, you should contact a health care provider.
The period of highest fussiness is also a period where your baby is doing a whole lot of growing. Infants tend to have growth spurts at around 2 weeks, 6 weeks, 3 months, and then 6 months.
Growth spurts usually last a week or so. In addition to wanting to feed more frequently than usual, your baby may be extra fussy during these times. If you are breastfeeding, you may notice that your baby gets frustrated at the breast and wants to feed again almost as soon as they’ve finished. This is your baby’s way of driving up your milk supply to meet their demands, and if you follow your baby’s cue, your milk supply will increase, and they will settle.
Keep in mind, milk supply varies throughout the day: It's the highest in the early morning and drops as the day goes on. Supply is lowest in the evening, which also contributes to the tendency to cluster feed during the witching hour. Cluster feeding is an important part of the supply and demand process because it can lead to an increase in milk supply. At around 6 weeks, breast milk supply tends to stabilize.
Parents who have fussy babies often wonder if their babies have colic. Although it’s very common for babies to have fussy periods in the evening, colic is less common.
Dr. Johns explains that colic is defined as the following:
Fussiness in the evening tends to last for a shorter amount of time each day and don't involve hours in a row of intense crying.
If your newborn is fussy at night but is otherwise growing well, is healthy, and doesn’t have any concerning physical symptoms, there is likely nothing to worry about. You can take a “this too shall pass” approach to this part of the newborn phase.
Sometimes your baby may be fussy for more serious reasons, and you should always take these concerns seriously. The following signs warrant a visit to a health care provider:
In addition, Dr. Ganjian recommends seeing a health care provider if they aren’t wetting their diapers or are crying for more than three hours in a 24-hour time period.
“If any baby is truly inconsolable then it’s reasonable to have a conversation with a baby’s pediatrician," Dr. Johns adds.
For the most part, getting through the witching hour with your baby is about finding ways to soothe them and also figuring out how you, as a parent, can cope with the fussiness. Below are a few techniques:
You’ve got to take care of yourself, too. Caring for a fussy baby can take its toll on your mental health. Try to stay as calm as possible, Dr. Haas says. Sometimes babies can pick up on your stress and become even more fussy, she explains.
Whenever possible, get help caring for your baby. Parenting is not something we are meant to do alone, and when you are dealing with a fussy baby, having another parent or caretaker take over sometimes can be immensely helpful.
“If you have a supportive partner or friend who can help you take a break during the difficult hours, your patience will last longer,” Dr. Johns advises. “Take a deep breath and go with the flow, understanding that this tricky period won’t last forever.”