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Six States of Alertness for Newborns

Babies have their own special language and it is our job to learn that language. By observing your baby you can begin to understand her language and communication. Being able to read your baby’s cues and communications allows you to respond appropriately to her needs. One way to understand baby’s communications is through recognising key behavioural states. This helps you decide when your baby is ready for sleep, feeding or interaction so you can provide most sensitively for her needs.

Dr. T. B. Brazelton, and American paediatrician with a long-standing career working with newborns, identified six states of alertness in newborns, described below. Noticing these states in your baby can help you read your baby’s behavioural cues and recognise what she might need. All babies cycle through these states repeatedly throughout the day. Each baby is unique in her rate of change between these states; some babies oscillate quickly between them while others may spend considerable time moving between the states. Her rate of change will also depend on her stage of development.

Overview of each state and what your baby does:

1. Deep sleep

Lies quietly without moving; eyes are firmly closed; breathing is deep and regular with no motor activity; baby may have brief startles but will not rouse; in this state growth hormones are active.

2. Active (light) sleep

Moves while sleeping; startles at noises; eyes are firmly closed, but there may be slow rotating movements of the eyes, as this state is REM (rapid eye movement) sleep; bodily twitches and irregular or shallow breathing may be apparent; facial movements include frowns, grimaces, smiles, twitches, mouth movements and sucking; it is thought that brain growth and differentiation may occur during active sleep.

3. Drowsy state

Eyes may open and close, but look glazed in appearance; may doze; arms and legs may move smoothly; breathing is regular but faster and shallower than in sleep; babies in this state may be stimulated to a more alert, responsive state.

4. Awake, alert state

Body and face are relatively quiet and inactive with bright shining eyes. Sights and sounds will produce predictable responses. In this state the baby can be very rewarding for parents. This is the state in which your baby is most amenable to play.

5. Alert but fussy state

This is a transitional state to crying; available to external stimuli and may be soothed or brought to an alert state by attractive stimuli; if stimuli are too much, may break down to fussiness; movements are jerky, disorganized and these movements may produces startles in themselves.

6. Crying

Cries, perhaps screams; sets off automatic responses of concern, responsibility and guilt in parents; this is the most effective mode for attracting a caregiver; different types of cries communicate hunger, pain, boredom, discomfort and tiredness.

Adapted from ‘The Earliest Relationship’, by T. B. Brazelton & B. G. Cramer

This post originally appeared on and it has been published here with permission.


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