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7 Reasons Why Your Newborn Refuses to Sleep

May 14, 2025 By SwaddleAn

The clock strikes 3 AM, and while the rest of the world sleeps peacefully, you're wide awake with a newborn who refuses to sleep. Sound familiar? You're definitely not alone in this exhausting journey.

Nearly 70% of new parents report significant sleep challenges during their baby's first three months. Understanding why your newborn won't sleep and what you can do can make all the difference. This knowledge can help you go from just surviving to actually thriving in those precious early weeks.

This comprehensive guide will walk you through the most common reasons behind newborn sleep struggles. We will also provide a practical, step-by-step approach to help your baby get the rest they desperately need.


Is This Normal?

Before diving into solutions, let's address the elephant in the room: yes, this is completely normal. Your newborn's refusal to sleep isn't a reflection of your parenting skills or a sign that something's wrong.

Welcome to the Fourth Trimester

For nine months, your baby lived in the ultimate comfort zone. A warm, snug environment with the rhythmic sound of your heartbeat and your gentle movements.

Now, your baby just arrived in our big, bright world, and you're here to help them adjust. Your baby's sleeping pattern doesn't coincide with yours, and that's biologically normal.

If you spent your whole life in a cozy, dimly-lit room, wouldn't you struggle to sleep in a vast, unfamiliar space too? Your baby's desire for warmth, closeness, and rhythmic movement isn't "bad behavior"—it's a fundamental biological need.

Understanding Newborn Sleep Cycles

Newborn sleeping peacefully in sleep cycle when newborn refuses to sleep with phases explained

Newborns haven't developed a circadian rhythm yet, which means they don't naturally distinguish between day and night. Their sleep cycles are incredibly short—only about 45-60 minutes compared to an adult's 90-minute cycles.

Additionally, newborns spend much more time in REM (active) sleep, during which you might notice twitching, smiling, or soft noises. This can trick you into thinking they're waking up when they're actually in a normal sleep phase.


Newborn Won't Sleep Checklist: 7 Common Reasons and Solutions

When your little one refuses to settle, work through this systematic checklist. Often, the solution is simpler than you might think.

Reason #1: Baby Is Hungry (Even After Just Eating)

A newborn's stomach is roughly the size of a cherry on day one, growing to about the size of a walnut by day 10. This means they digest breast milk or formula incredibly quickly—sometimes within 1-2 hours. Look for these 3 signs:

  1. Early hunger cues like rooting, sucking on hands, or turning toward your chest
  2. Cluster feeding patterns, especially in the evening
  3. Fussiness that calms when you offer feeding

Quick fix: Don't watch the clock; watch your baby. Cluster feeding, particularly during growth spurts, is nature's way of boosting milk supply. It also helps your baby store energy for longer sleep periods.

Reason #2: Physical Discomfort

Babies can't tell you when something's bothering them, so they communicate through crying and restlessness. Remember to check these basics:

  1. Diaper status (even a slightly wet diaper can disturb sleep)
  2. Need for burping—try different positions like over your shoulder or sitting upright
  3. Gas trapped in their immature digestive system
  4. Clothing tags, hair wrapped around tiny fingers or toes, or uncomfortable temperature

Quick fix: Try “bicycle” leg movements to help release gas. Also, check for irritating clothing and ensure your baby isn’t too hot or cold.

Reason #3: Moro Reflex Disrupting Sleep

The Moro reflex—also known as the startle reflex—causes babies to suddenly throw their arms out and then pull them back in. This involuntary response can jolt your baby awake just as they're drifting off to sleep. Here is what it looks like:

  1. Baby suddenly "jumps" or throws their arms out while sleeping
  2. Frequent wake-ups just as they seem to be settling down
  3. Arms flailing during sleep attempts

Quick fix: Swaddling is your best friend here. A properly done swaddle mimics the snug feeling of the womb and prevents the startle reflex from disrupting sleep. Make sure the swaddle is snug around the arms but allows hip movement.

Reason #4: Overtired Baby

How to recognize overtired newborn signs when baby refuses to sleep past optimal window.

It might seem strange, but an overtired baby has a much harder time falling asleep than a pleasantly drowsy one. Newborns can typically only stay awake for 45-90 minutes before becoming overstimulated. 4 signs your baby is overtired:

  1. Crying that escalates rather than decreases with soothing attempts
  2. Arching back or stiffening body
  3. Avoiding eye contact
  4. Clenched fists

Quick fix: Learn to recognize early sleep cues like yawning, heavy eyelids, or staring into space. When you miss the optimal sleep window, your baby's body releases cortisol. This stress hormone makes them wired and harder to settle.

Reason #5: Overstimulating Environment

Newborns are incredibly sensitive to their surroundings. What seems normal to us can be overwhelming sensory input for them. Environmental factors to consider:

  1. Room temperature
  2. Lighting
  3. Noise levels
  4. Visual stimulation

Reason #6: Day-Night Confusion

In the womb, there was no difference between day and night. Your baby needs help learning this distinction. A few steps to help establish circadian rhythm:

  1. During day feeds: keep lights bright, engage in gentle play, don't worry about household noises
  2. During night feeds: keep interactions minimal, use dim lighting, speak in whispers
  3. During daytime hours: expose baby to natural daylight 

Quick fix: Be consistent with your day-night routine. Even though it may take several weeks, this consistency will help your baby's internal clock develop.

Reason #7: Baby Simply Needs You

Sometimes there's no "problem" to solve—your baby just needs you. After nine months of never being alone, the need for physical closeness is profound and normal. Signs baby needs comfort:

  1. Calms immediately when picked up
  2. Settles when hearing your voice or feeling your touch
  3. Sleeps well when in physical contact but struggles when put down

Quick fix: This isn't about creating bad habits; it's about meeting a basic biological need. Try skin-to-skin contact, baby wearing, or simply placing your hand on their chest while they're in their sleep space.


Creating the Perfect Sleep Environment

Safe sleep environment setup for newborn nursery when baby refuses to sleep.

A safe, comfortable sleep environment is crucial for helping your newborn settle. The American Academy of Pediatrics (AAP) recommends placing infants on their backs to sleep. They should be in their own sleep space, using a crib or bassinet. The mattress should be firm and flat, and there should be no other people in their sleep space. Essential elements:

  • Temperature: Keep room between 68-72°F (20-22°C)
  • Lighting: Use blackout curtains or shades for consistent darkness
  • Sound: White noise can mask household sounds and provide comfort
  • Safety: Follow safe sleep guidelines—back sleeping, firm mattress, nothing else in the crib

When to Call Your Pediatrician

While newborn sleep struggles are typically normal, trust your parental instincts. Contact your healthcare provider if you notice:

  1. Inconsolable crying for hours despite trying all comfort measures
  2. Fever over 100.4°F in babies under 3 months
  3. Refusal to eat for several consecutive feeding sessions
  4. Signs of illness like rash, unusual lethargy, or breathing difficulties
  5. Your own mental health concerns—postpartum anxiety and depression are serious and treatable

Remember, your mental health is just as important as your baby's physical health. Don't hesitate to reach out for support when you need it.


This Phase Will Pass

Remember, those first few weeks with a newborn who won't sleep can feel endless, but this challenging phase is temporary. By working through your baby's needs, you can identify what's causing the sleep resistance and address it effectively.

Every baby is unique, and what works for one might not work for another. Be patient with both your little one and yourself as you both learn and adapt. You're doing an incredible job during one of parenting's most challenging phases. With each passing day, you're building a deeper understanding of your baby's needs and preferences.

Trust your instincts, lean on your support system, and remember that seeking help is a sign of strength, not weakness. Sweet dreams are coming; sometimes they just need a little extra patience to arrive.


Related Blog Posts

4 Easy Steps to Building a Consistent Baby Bedtime Routine

Give Your Baby Comfort and Security with A Sleep Sack

Recognizing 3 Stages of Baby Sleep Cues for Better Sleep

5-Step Guide on How to Get an Overtired Baby to Sleep

5 Ways to Help Your Baby Connect Sleep Cycles for Longer Naps

Should You Use a Sleep Sack for Naps?


References

  1. Infant Sleep: https://www.stanfordchildrens.org/en/topic/default?id=infant-sleep-90-P02237
  2. Safe Sleep: https://www.aap.org/en/patient-care/safe-sleep/
  3. 100+ Sleep Statistics: https://www.sleepfoundation.org/how-sleep-works/sleep-facts-statistics
  4. Longitudinal Study of Sleep Behavior in Normal Infants during the First Year of Life: https://pmc.ncbi.nlm.nih.gov/articles/PMC4173090/
  5. The Tension Between AAP Safe Sleep Guidelines and Infant Sleep:  https://publications.aap.org/pediatrics/article/153/4/e2023064675/196919/
Dr. MONA

Dr. MONA

Pediatrician, Sleep Specialist

--Content is referenced by SwaddleAN from the sharing of Dr. MONA--
Dr. Mona Amin—a pediatrician, lactation consultant, and mom of two. My mission is to empower you with confidence on your parenting journey. Parenthood is one of life’s most challenging (and rewarding) adventures, and I’m here to help make it a whole lot easier.

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