Caring for Preterm Babies’ Sleep: What Parents Need to Know

Sleep – The Golden Key for Preterm Babies

Babies born before 37 weeks (preterm) have underdeveloped bodies and nervous systems. This makes sleep a vital factor for recovery, brain growth, and immune strength. However, caring for a preterm baby’s sleep can be challenging. Parents need the right knowledge to create a safe and nurturing sleep environment.

Sleep Characteristics of Preterm Babies

• Sleep longer than full-term babies, often 18–22 hours per day.

• Short and irregular sleep cycles, with frequent waking.

• Frequent body movements during sleep, due to immature nervous systems.

👉 Understanding these traits helps parents adjust care routines and reduce unnecessary worry.

Factors Affecting Preterm Babies’ Sleep

1. Environment

   • Light, noise, and room temperature can easily disrupt sleep.

2. Sleeping position

   • The back-sleeping position is often recommended to reduce the risk of Sudden Infant Death Syndrome (SIDS).

3. Frequent feeding needs

   • With smaller stomachs, preterm babies require more frequent feedings, both day and night, which interrupts sleep cycles.

How to Help Preterm Babies Sleep Better

• Keep the environment quiet with dim lighting during sleep times.

• Maintain stable room temperature (around 26–28°C / 78–82°F).

• Always place babies on their backs, on a firm surface, with no soft pillows or toys nearby.

• Establish early sleep routines: help babies distinguish day and night using natural light and regular schedules.

• Practice skin-to-skin care (kangaroo care): it promotes bonding, regulates heartbeat, and improves sleep quality.

When Should Parents Be Concerned?

• Persistent sleep difficulties with frequent startling or crying.

• Signs of breathing issues: pauses, rapid breathing, or bluish skin during sleep.

• Sleeping significantly less than recommended (under 16 hours/day for newborns).

👉 In these cases, parents should consult a pediatrician promptly.

For preterm babies, sleep is not only rest but also a critical process for healing and development. Parents can nurture healthier sleep by ensuring a safe environment, maintaining consistency, and monitoring unusual signs.

👉 Patience, care, and the right practices will help preterm babies grow stronger and thrive happily.