Exhausted parents may be eager to get training underway—so how do you know when to start sleep training? “Most infants are ready for some sort of sleep training at 4 to 6 months,” says Lauren Kupersmith, MD, a clinical instructor at the department of pediatrics at NYU Langone Medical Center. “While some pediatricians adhere to the guidelines that infants are ready to be sleep trained when they achieve a particular weight, I feel it’s much more appropriate to wait until they are developmentally ready to self-soothe, at about 4 months old.”
That said, sleep training isn’t a must-do for everyone, and many families who skip sleep training go on to have a child who learns to sleep through the night on her own. “It’s your family and your child, and I think there’s a misconception that pediatricians will force sleep training on your family, when that’s not the case,” Gold says. Experts emphasize that the best approach to sleep training is the one that fits your family.
There are many different sleep training methods to choose from, but the most common methods are one of or a variation of one the five we've explained below. You might find that one of these methods sounds like it would be a perfect match for you, OR you might find aspects from each plan that you like. Just like Melissa said, don't feel like you need to stick to a certain method 100%. Make the plan work for you!
Not to be confused with the bedtime-routine fading technique described above, bedtime-hour fading involves putting your baby into the crib at the time they usually end up dozing off, and making that their new bedtime for a couple of nights, and then gradually moving it to an earlier time. For example, say you always put your baby down at for the night at 7:30 p.m., but they tend to fuss or cry in the crib for 20 minutes or more, until they finally nod off around eight. This means 7:50 to 8 p.m. is actually their “natural bedtime,” even though you’d like it to be earlier. To figure out when your baby naturally falls asleep, keep a diary for a few nights to track when they finally settle for the night. (Using a video monitor can help with this.) A few nights later, move the whole routine 15 minutes earlier. Continue moving the bedtime earlier by 15 minutes each night (if needed) until your baby has shifted their old habits to nod off at the desired time instead of the later one.
“You’ll never sleep again.” Sound familiar? There’s a reason this cliche is often repeated at baby showers: In those first few months of parenting, before baby has an established sleep-wake cycle and needs to be fed only every few hours, sleep is fractured and confusing, with a long stretch just as likely to occur midafternoon as it is in the middle of the night. And that’s normal. But once baby is a few months old—after she’s dropped those middle-of-the-night feedings and has established a somewhat predictable sleep-wake cycle—sleep training her can help your whole family get some much-needed nighttime shut-eye. Here, what you need to know before choosing the best sleep-training method for your family.
"My 4-and-a-half-month-old will only sleep through the night if we do everything the experts say not to do. She must be nursed to sleep unless we want to see her turn purple and cry for 45 minutes or more. She's like a wind-up doll when she starts and never settles until she's comforted, and she's been that way from the beginning. It really became a matter of, "Do we want to sleep, or do we want to do what the books say?" If she's comforted and put down sleeping, she sleeps eight to 10 hours. To all you parents out there who have a baby like mine, do not despair – just do what works for you."
Raising a healthy sleeper starts with a consistent bedtime routine. You can start enforcing this when your baby is roughly six weeks old. At the same time every night, read a book together, sing songs, and feed your baby before putting him or her into the crib. It may also help to get your child up at the same time every morning and put him down for naps at regular times.
There’s also no need to institute a regimented cry-it-out plan if what you’re currently doing is working for your family. But good sleep habits never hurt, and being able to fall asleep on one’s own is a necessary life skill. If you sleep-train at a time that’s developmentally appropriate for your baby and with the basic ingredients of healthy sleep in place, you can minimize the amount of crying your baby (and, let’s face it, you) will do.