PEDIATRICS Vol. 92 No. 6 December 1993, pp. 884-885
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Sleep, Feeding, and Opinions

THERESA PINILLA PHD1 and LEANN L. BIRCH PHD1

1 Dept of Human Development and Family Studies, College of Health and Human Development, The Pennsylvania State University, University Park, PA 16802-6504

In Reply.—

In our recent paper, we reported the results of a study using behavioral procedures that were successful in helping breast-fed infants to sleep through the night by 8 weeks postpartum.1 The caretaking techniques taught to parents included giving a feeding between 10 pm and midnight, and first using caretaking procedures other than feeding to sooth the distressed infant who awakened between midnight and 5 am In the newborn, feeding and sleeping patterns are tightly linked, and breast-fed newborns must wake and feed frequently in order for successful lactation to be established.