这是达医晓护的第3597篇文章
我什么时候可以给宝宝断夜奶？
从六个月大开始，如果宝宝发育良好，可以考虑给母乳喂养的宝宝和人工喂养配方奶的宝宝逐步停止夜间喂养。在这个年龄，绝大多数的婴儿在白天都能获得足够的食物以满足健康生长和发育的需要。
从另一方面来说，如果你愿意在夜间给宝宝喂食，那么也可以不用急着放弃宝宝的夜间喂养。你可以选择哪种最适合你和宝宝。
在做决定之前，如果不确定的话，不妨听下宝宝的儿科医生的建议，以获得适合你个人和家庭情况的建议。在你和宝宝都合适的时候，可以参考我们下面的建议如何逐渐停止夜间喂养。
母乳喂养宝宝如何断夜奶？
如果决定尝试给宝宝断夜奶，白天继续母乳喂养其实还是能让孩子获得母乳的全部营养。
如果宝宝夜间喂奶时间比较短（少于五分钟），您可以直接停止喂夜奶，使用你自己的哄睡方法来帮助宝宝再次安静并入睡。不过，宝宝和妈妈可能都需要需要几个晚上才能适应新的夜间作息常规。
如果宝宝的夜间喂养喂食时间通常超过5分钟，您可以逐渐减少5-7晚的喂食时间。这将帮助您的宝宝适应变化。
如果母乳宝宝的夜奶喂养一般在5分钟以上，可以用5-7个晚上的时间逐渐减少夜间喂养，以帮助宝宝慢慢适应变化。具体方法如下：
1. 统计一下宝宝通常所需的夜间喂养时间。
2. 每两晚减少宝宝2-5分钟的喝奶时间。比如，如果宝宝通常喝夜奶会有15分钟的话，那么你可以先减少到13分钟，连续两晚，然后在接下来的两个晚上喂奶11分钟，随后再连续两晚每晚夜奶9分钟，以此类推。
3. 在每次缩短夜奶时间的时候，选用适合的方法来安抚宝宝重新入睡。
4. 一旦宝宝喝夜奶时间减少到5分钟以内，可以直接停喂夜奶。
5. 如果选择更快的方式也可以，比如，每两晚缩短五分钟夜奶时间。
配方奶喂养宝宝如何断夜奶？
如果在这个阶段宝宝的夜奶量不超过60毫升，那么完全可以直接停止夜间喂养，并用你自己觉得适合的方法安抚孩子重新入睡。
如果宝宝夜间的奶量超过60毫升，可以用5-7个晚上逐渐减少宝宝夜奶。具体方法如下：
1. 每两晚减少20-30毫升的配方奶。比如，如果宝宝通常喝180毫升的话，你先给每晚150毫升，连续两晚，然后在接下来的两个晚上分别给120毫升，以此类推。
2. 每次减少夜奶量后，用合适的方法重新哄睡宝宝。
3. 一旦夜间的配方奶量减少到60毫升以下，则可以直接停止宝宝的夜奶。
在完全停止夜奶后，你会发现宝宝在白天开始奶量增多，可能会在之后的一周慢慢安稳下来。
Night weaning and phasing out night feeds: when to do it
From six months of age, if your baby is developing well, it’s OK to think about night weaning for breastfed babies and phasing out night feeds for bottle-fed babies. At this age, most babies are getting enough food during the day for healthy growth and development.
On the other hand, if you’re comfortable with feeding your baby during the night, there’s no hurry to phase out night feeds. You can choose what works best for you and your baby.
Before you decide, it’s a good idea to talk with your child and family health nurse or GP to get advice that suits your individual situation. When the time is right for you and your baby, our suggestions below can help you make the transition away from night feeds.
Night weaning breastfed babies
If you decide to try night weaning, your baby still gets all the benefits of breastmilk if you keep breastfeeding during the day.
If your baby’s night-time feed is short (less than five minutes), you can phase out night feeds by stopping the feed altogether and re-settling your baby with the settling techniques of your choice. Note that it might take several nights for you and your baby to get used to the new routine.
If your baby’s feed is usually longer than five minutes, you can gradually cut down the time you spend feeding over 5-7 nights. This will help your baby get used to the change. Here’s how:
1. Time the length of your baby’s usual night feed.
2. Cut down on the time your baby spends feeding by 2-5 minutes every second night. For example, if your baby usually feeds for 15 minutes, you’d feed for 13 minutes for two nights, then 11 minutes for the next two nights, then 9 minutes for the next two nights, and so on.
3. Re-settle your baby after each shortened feed with the settling techniques of your choice.
4. Once your baby is feeding for five minutes or less, stop the feed altogether.
5. If you choose, you can cut down the time faster – for example, by five minutes every two nights.
Phasing out night feeds for bottle-fed babies
If you decide to try phasing out night feeds and your baby is having 60 ml of milk or less during a night feed, you can stop the feed altogether and re-settle your baby with the settling techniques of your choice.
If your baby’s feed is more than 60 ml each night, you can gradually cut down the amount your baby drinks over 5-7 nights. Here’s how:
1. Reduce the volume of milk by 20-30 ml every second night. For example, if your baby usually drinks 180 ml, you would give 150 ml for two nights, then 120 ml for the next two nights, and so on.
2. Re-settle your baby after each smaller feed with the settling techniques of your choice.
3. Once you get down to 60 ml or less in the bottle, stop the feed altogether.
After you stop the night feed, you might notice that your baby begins to feed more during the day. This improvement in daytime appetite could take another week to settle in.
作者：澳大利亚墨尔本大学医学院儿科博士
百汇医疗（中国）儿科医师
蒋本然
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