Effective management of lactating sows significantly influences various aspects of swine production. This study compared the impact of an hourly feeding regime and a five-times-daily feeding regime on the productive performance, body condition, and welfare of lactating sows, as well as on the growth performance of their offspring. Twenty-eight lactating sows (Landrace × Yorkshire) were divided into two groups: Group 1 was fed five times a day, and Group 2 was fed according to an hourly regime. The data were analyzed using independent-samples T-tests and the Mann–Whitney U test using Statistical Analysis System (SAS, 2011, Version 9.3) software. An hourly feeding regime positively affected (p < 0.05) sows’ feed intake and body condition, significantly reducing the days from the weaning-to-estrus interval. Group 1 exhibited significantly higher (p < 0.05) reductions in backfat thickness (BFT) and body condition score (BCS) during the weaning period compared to Group 2. Additionally, significant differences (p < 0.05) were observed in regard to sow body weight loss, feed intake, piglet livability and mortality rate at weaning, sow index, and calculated milk yield. Feeding sows according to an hourly regime positively impacted their productive performance compared to those fed five times daily. No significant differences (p > 0.05) were recorded in regard to the total number of piglets born, live births, mummified piglets, stillbirths, piglet mortality, litter size at weaning, and sow feed conversion ratio (FCR). However, the number of piglets weaned per sow per year (PSY) was numerically higher in Group 2 (p > 0.05). The piglets from Group 2 had significantly higher (p < 0.05) weaning weights and exhibited lower feed intake, greater weight gain, improved average daily gain, and greater litter size weight gain than those from Group 1. Statistically, sows from Group 2 exhibited a higher frequency of standing (p < 0.05), which potentially contributed to the reduction in shoulder skin lesions in sows (p > 0.05). In conclusion, an hourly feeding regime could optimize sow productive performance, body condition, milk yield, welfare, and piglet growth in swine production.