It might be a bit surprising, but here you are, a whole month into your parenthood journey! Your 1-month-old bundle of joy still fits the newborn mold, spending much of their time munching and snoozing. At 4 weeks old, though, they’re starting to become more aware of their surroundings, gaining strength, and hopefully catching on to the difference between day and night. [1]
By now, you may feel you're getting into the swing of things. If you find this phase a bit trying, don't worry, you're in good company. Many 4-week-olds aren’t sleeping through the night yet and need to eat often. Some might have fussy evenings or even signs of colic. But don't worry, their newfound alertness and interaction can make up for some of the tough spots.
Let's explore some of the thrilling milestones you can anticipate this week and delve into tips on sleep, feeding, care, and safety for your 1-month-old.
1-Month-Old Baby Development
At 4 weeks, your baby is becoming a little more expressive and attentive. They start to really listen and turn their head towards your voice. Even though they can only focus well on objects a few inches away, they’re thrilled to see human faces, especially yours! [1]
You might notice your baby is at their fussiest around this time, perhaps showing signs of colic or inconsolable tears. Calmness usually begins to return around the six-week mark and eases off by the 12-week point. Don't hesitate to reach out to your baby’s doctor if you have concerns. [2][3]
Many infants this age sleep a lot and, understandably, not much else seems to be happening. '>[4] If you're wondering when you’ll see more of your baby's personality, know that for now, their main activities revolve around eating, sleeping, and filling diapers. It might not feel like much is happening on the bonding front, but your baby will soon become more interactive.
Every baby is unique and develops at their own speed. However, you should see a noticeable growth spurt, with your baby gaining about 1.5 to 2 pounds and growing around an inch each month.
1-Month-Old Baby Milestones
As they grow, your little one is becoming stronger. During tummy time, you might observe them lifting their head more easily and turning it from side to side. Even though they still need head support, you’ll notice their neck muscles are getting stronger. [5]
At this age, you should start seeing more purposeful movements, such as when your baby deliberately brings their hands to their mouth. [1]
Naturally, it’s easy for parents to worry if their baby isn’t hitting certain milestones. It's early days yet, but if there are signs you're concerned about, like poor suckling, not following objects closely, missing out on responding to sounds, or not gaining strength, it's wise to discuss these with your baby’s doctor. [1]
1-Month-Old Baby Food
By this age, your baby has likely surpassed their birth weight and is gaining steadily. Each baby is unique, and now you do not need to count every meal as before. Instead, focus on their weight gain. Feeding on demand, following your baby’s cues to feed when they’re hungry and stop when they're full, can be very effective.
Most breastfed babies will eat around eight to twelve times daily. For those using formula, starting with 2 ounces and increasing gradually as required is advised. A common area of concern is your baby’s pooping habits. It’s normal for newborns to have varied bowel patterns, and almost anything from three times a day to three times a week is fine at this stage. '>[6]
Another frequent concern is spitting up. Rest assured, while it might make for more laundry, it's perfectly normal if your baby is gaining weight and isn’t distressed. If excessive spitting up is accompanied by signs of discomfort, you may want to discuss possible infant acid reflux solutions with your pediatrician.
1-Month-Old Baby Sleep
Right now, sleeping takes up much of your little one’s day, nearly 15 hours in total. '>[4] Sleep time is fairly even between day and night, though night sleep might gradually increase. Typically, they’ll sleep 8 to 9 hours at night and another 7 hours during the day. '>[4]
Although your baby’s sleep is still likely punctuated by frequent wake-ups for feeds, the promise of longer night stretches might seem just out of reach. Don't worry; it will come with time. '>[4]
Keeping safe sleeping practices in mind is crucial to prevent SIDS. Make sure to keep your baby in your room on a firm mattress, without any loose bedding or toys, and always lay them on their back to sleep. [7] Avoid using heart or breathing monitors at home, as they're not needed at this stage. [8]
1-Month-Old Baby Schedule
While your baby might not have a fixed schedule yet, you’re likely starting to notice some routine. Regular tummy time is a good addition, with the AAP advising several short sessions daily. [5] At this age, they might also enjoy colorful toys and time in a baby swing.
1-Month-Old Baby Health and Safety
Around now, your baby will have another check-up with their doctor. Bring your questions and be ready to discuss your thoughts about their growth and activities.
Your baby may receive their second hepatitis B vaccine, unless scheduled for the next visit at two months. During this visit, you’ll get to discuss how to best prepare for what’s next.
Be sure your baby remains safely strapped into their rear-facing car seat during travel. Don’t use the car seat for naps outside of the car or during feeding times. '>[9]
Expect sleep safety to be a part of your conversation with the pediatrician, who will reinforce the importance of safe sleep practices. [7]
1-Month-Old Baby Care Basics
Diaper changing is still a big part of your daily routine at this stage, with around six changes each day on average.
Diaper rash can be a common nuisance, so keep up frequent diaper changes and use highly absorbent diaper options, especially at night. Clean the diaper area well and consider applying a cream with zinc or petroleum to help prevent irritation. '>[10]
What Else to Know About Your 1-Month-Old Baby
You're bound to receive lots of tips—some useful, some not so much. Remember, you’re the one who knows your baby best and will decide what’s right for them.
Always prioritize your doctor’s advice on crucial safety aspects like sleep, feeding, and health basics. Beyond that, feel free to make choices that suit your family best, whether that's feeding techniques or lifestyle decisions.
Key Takeaways About Your 1-Month-Old Baby
Though many new parents feel like they’re finding their footing by this point, it's completely normal if you still feel unsure. You and your baby are learning together, and this is a particularly challenging time as colic peaks. Remember, it’s okay to ask for help around the house, seize the opportunity for some fresh air, or take a much-needed nap. If you have any questions about your baby’s needs or health, never hesitate to reach out to your pediatrician.