Is it normal for a baby over two months old not to feed at night?

Aug 31, 2022 Source: Cainiu Health
Dr. Xie Zixing
Introduction
For a baby over two months old who does not feed at night, it is generally considered normal if the infant appears alert and in good spirits during the day, has a good appetite, and shows no abnormalities during sleep. However, if a baby over two months old refuses nighttime feeds *and* exhibits symptoms such as restless sleep, severe crying, or refusal to eat, this is typically abnormal. Possible underlying causes may include fever, intestinal obstruction, or respiratory illness.

       It is generally normal for a baby over two months old to skip nighttime feedings, provided the infant appears alert and content during the day, has a good appetite, and shows no abnormal sleep behaviors.

However, if a baby over two months old skips nighttime feedings *and* exhibits signs such as restless or disturbed sleep, severe crying, or refusal to feed, this is typically considered abnormal.

Babies over two months old have relatively small gastric capacity and therefore require frequent feedings throughout the day. Skipping nighttime feedings may simply reflect longer uninterrupted sleep periods at night. If the infant shows no abnormal nocturnal symptoms—such as night terrors, night crying, or excessive sweating—and remains alert, calm, and content when awake (without excessive crying or irritability), while also feeding well and adequately during the day, this pattern is usually normal.

Conversely, skipping nighttime feedings *combined* with sudden awakenings, intense crying during sleep, difficulty calming the infant, or refusal to feed is typically abnormal. Such symptoms may indicate underlying conditions such as fever, intestinal obstruction, or respiratory illness.