top of page
black and white image of mother holding babies hand

BEDTIME BLOGS

Insights from The Pediatric Sleep Nurse

Why Is My Newborn Waking Every Hour?

  • Writer: Thorne Rintel
    Thorne Rintel
  • Apr 27
  • 6 min read

parent trying to soothe newborn back to sleep at night

Real Reasons (Besides Hunger) & Real-Life Solutions


Let’s be honest—when your newborn is waking every hour, sleep becomes a distant dream, and surviving the night feels like a marathon you didn’t sign up for. You’re not just tired—you’re wrecked.


The good news? This isn’t forever. But if you’re stuck wondering why your newborn is waking every hour, and what you can actually do about it (that doesn’t require 47 Google tabs open at 2 a.m.), you’re in the right place.


Parent Pep Talk: You’re Doing So Much Better Than You Think


Let’s pause for a second—because if you’re reading this, it means you care deeply about your baby’s well-being. And that makes you an amazing parent.


The truth is, this newborn stage is intense. You’re learning your baby. They’re learning everything. And most of it is happening on very little sleep.


So if today felt like a mess, or if you cried during tummy time (yep, been there)—that doesn’t mean you’re failing. It means you’re in the thick of it, doing the hard work of love and care.


Give yourself grace. Celebrate the little wins. And remember: this doesn’t last forever. You’re guiding your baby through a massive adjustment—and doing a beautiful job, even when it doesn’t feel like it.


Is My Newborn Waking Every Hour Normal?


Yes—and no.


Newborns are biologically wired to wake frequently. Their sleep cycles are short (just 40–60 minutes), their bellies are tiny, and their circadian rhythm isn’t fully developed yet. That means lots of waking… but every hour? That’s a red flag your baby might need a little extra support—and so do you.


newborn baby waking up every hour at night

Reasons Your Newborn Is Waking Every Hour (and It’s Not Always Hunger)


Let’s break down the real reasons your newborn may be waking hourly—and spoiler alert: it’s not just because they’re hungry.



1. They’re Not Actually Hungry: A newborn waking every hour often gets chalked up to hunger, but here’s the deal—not all wakes are hunger wakes. If your baby just ate and is waking again 45 minutes later, they might be waking because they’re uncomfortable, overtired, or unable to connect sleep cycles.


Signs it’s hunger:


  • Rooting

  • Sucking hands

  • Cry that ramps up quickly


Signs it’s not:


  • Squirming and grunting without opening eyes

  • Crying that stays low and fussy

  • Quick return to sleep if held or rocked (but not fed)


2. Day/Night Confusion: Babies are born with zero clue what time it is. In the womb, movement lulled them to sleep during the day and they partied all night. Now? They’re still on that schedule. If your baby is waking hourly at night but sleeps well during the day, this might be the issue.


3. Overtired = Overwired: A baby who’s awake too long between naps builds up too much sleep pressure, and their brain floods with stress hormones (cortisol), making it harder to stay asleep. This often leads to early wakeups, short naps, and—you guessed it—hourly night wakings.


4. They’re in Active Sleep, Not Fully Awake: Newborns are noisy sleepers. Grunting, squirming, squeaking—it’s all part of their normal active sleep. If you swoop in too soon, you might accidentally wake a baby who was about to settle back to sleep.


Tip: Try waiting a few minutes before responding unless the cry escalates. You might be surprised how often they settle.


5. Sleep Association Dependency: If your baby always falls asleep being rocked, fed, or held, they may need that same condition to fall back asleep when they wake from a sleep cycle wake. So each sleep cycle = a full wakeup until baby gets these dependencies met and is able to fall back asleep.


For example, if your baby is rocked to sleep for every nap and bedtime, they might wake after each 40-minute cycle looking for that same motion to fall back asleep. One parent I worked with noticed that her son would startle awake if the rocking stopped—even though he wasn’t hungry. Once we gently introduced a consistent, non-motion bedtime routine, he began linking sleep cycles on his own.


6. Discomfort:


  • Room too warm or cold

  • Dirty diaper

  • Swaddle too tight/too loose

  • Discomfort from being overfed

  • Clothing seams or tags


Even tiny discomforts can trigger hourly wakeups in newborns.


How to Help a Newborn Waking Every Hour Sleep Longer


Let’s get into some actionable things you can start today.


Optimize Daytime Feedings:


Make sure baby is taking full feeds during the day (every 2–3 hours or on demand). If they’re snacking or dozing off early, they’ll make up for it at night. Try feeding in a distraction-free environment and making sure they’re fully awake.


Watch Wake Windows Like a Hawk:


Newborn wake windows are short. Like, really short.


General guide:


  • 0–4 weeks: 45–60 minutes

  • 4–8 weeks: 60–90 minutes

  • 8–12 weeks: 60–120 minutes


Start your nap routine at the first yawn, not the last cry. Putting your baby down overtired is a recipe for overnight chaos.


Create Day/Night Cues:


  • Daytime: Natural light, normal household noise, interaction, play

  • Nighttime: Dim lights, quiet voices, minimal stimulation, white noise


Your baby’s circadian rhythm is still forming. Help it along with predictable cues.


Master the Pause:


This is a game-changer. The pause gives your baby a shot at resettling. That moment when they grunt, stretch, or let out a little cry? Pause. Give it a few minutes. Then decide if they actually need you.


crying newborn in the middle of the night

What Not to Do When Your Baby Wakes Hourly


Let’s talk about what not to do when your newborn is waking every hour—because even with the best intentions, some common reactions can actually make things harder in the long run.


Don’t feed every single wake-up (unless you’re sure it’s hunger).If your baby is waking frequently and you’re offering a feed each time, they might start waking because they expect to eat. It becomes a cycle. If they’re not showing hunger cues, try soothing another way first.


Don’t turn on bright lights or talk a lot.Even quick diaper changes or soothing during the night should feel super boring and calm. Keep lights dim, voices soft, and movement minimal. Nighttime should feel very different from daytime.


Don’t stretch wake windows during the day thinking it’ll tire them out.That backfires—big time. An overtired baby usually sleeps worse, not better. Protect naps and stick to age-appropriate wake windows.


Don’t panic.I know, easier said than done at 3 a.m. But hourly wake-ups don’t mean you’re doing something wrong—they just mean your baby might need some gentle course-correcting. You’ve got this, and it’s fixable.


Quick-Start Checklist: What to Try Tonight


If you’re reading this in the middle of the night (been there), here’s what to try tonight:


✅ Stick to a short bedtime routine—same steps, same order

✅ Keep lights low and the vibe calm starting at dusk

✅ Double-check: is the room temp comfy? Diaper dry? Swaddle good?

✅ Feed baby in a calm space with no distractions

✅ Use white noise to signal “sleep time”

✅ When baby stirs, pause. Wait 1–2 minutes before intervening


It won’t all click overnight—but these small tweaks add up fast. Try one or two things, and build from there.


Still Struggling? You’re Not Alone—And You Don’t Have to Do It Alone


Let’s be real: even knowing why your newborn is waking every hour doesn’t mean you’re not losing your mind at 3 a.m.


This is where I come in.


Personalized Help for a Newborn Waking Every Hour


If you’ve tried all the things and your newborn is still waking hourly, it’s time for personalized support. I offer 1-on-1 virtual newborn sleep support that goes beyond the Google rabbit hole.


What You Get:


  • A custom sleep plan based on your baby’s age, feeding needs, temperament, and your parenting style

  • Real-time virtual guidance during the day—yep, I’ll be right there (virtually) while you navigate daytime naps and feeding to set you up for successful nights.

  • Help timing feeds and naps so you’re not laying them down too early or too late (that’s a big one!)

  • Ongoing tweaks—because newborns change fast, and your plan should too

  • Support that’s kind, honest, and judgment-free


Client Love:


“Within a week, my newborn went from waking hourly to 3-hour stretches. I’m sleeping again. Thorne changed our life.”

— Emma, mom to 6-week-old Noah


“Thorne’s support felt like having a nurse in my pocket. She helped us make changes that actually worked.”

— Michael, dad to 8-week-old Ava


pediatric sleep specialist helping newborns sleep with personalized support

Ready for Better Sleep?


Hourly wake-ups don’t have to be your forever. With the right strategy, even newborns can start sleeping longer—and you can start feeling like yourself again.


Let’s get you sleeping.


Because every baby deserves good sleep—and so do you.



 
 
thorne the pediatric sleep nurse holdng a baby in overalls

Hi! I'm Thorne

My goal is to make the journey to restful sleep clear, simple, and achievable for every family.

Categories
The pediatric sleep nurse holding a baby in overalls

Hi! I'm Thorne

My goal is to make the journey to restful sleep clear, simple, and achievable for every family.

Categories
bottom of page