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"As you modify your baby's sleep behavior, you are going to have to give up middle-of-the-night crutches, known as negative associations, that may get her back to sleep in the short run but won't prevent her from popping up again in an hour. She may resist the change. The behavior may even get worse before it gets better as she adjusts to new routines, to new positive associations."
The most well known cry it out technique is the one developed by pediatrician Richard Ferber, director of the Center for Pediatric Sleep Disorders at Children's Hospital Boston. Ferber says that in order to fall asleep on their own and sleep through the night, babies have to learn to soothe themselves. Ferber believes that teaching a baby to soothe himself may involve leaving him alone to cry for prescribed periods of time.
Honestly, in our personalized consultations, we try to avoid this method as much as possible. If you are going to use cry it out, we recommend your baby is at least 6 months old, but preferably 10 months or older, when we expect almost all babies to be able to get through the night without a feeding. It is not for the faint at heart. We find that laying a foundation in the beginning with other strategies and techniques can reduce crying even if this method is used in the end, however.
"I have a 6-month-old who has refused to sleep longer than 30 to 90 minutes day or night since he was born! I've tried everything out there except CIO. He's strictly breastfed and relies on that or rocking to get to sleep. He doesn't know how to soothe himself to sleep, and he naps for only 15 minutes. I'm severely sleep deprived. I don't have the heart for CIO, but I think I'll try the revised method where you pat him down and reassure him lovingly while allowing him the opportunity to comfort himself. He's been co-sleeping since day one, and it's going to be tough, but I'm at my wits' end and cannot function."
Typically, formula-fed infants who are growing well no longer need to feed at night by 6 months. Breastfed infants may continue a little bit longer, but typically no longer feed at night by 9 months. If your baby has been falling asleep independently at bedtime for a month but still waking to feed, you may want to consider weaning at night. Be aware that if you are breastfeeding, this may lead to a reduction in milk supply.
Pantley offers a gentle and gradual approach to all aspects of sleep, customized to your baby's needs. She recommends rocking and feeding your baby to the point of drowsiness before putting him down – and responding immediately if he cries. Parents are urged to keep sleep logs, nap logs, and night-waking logs. Pantley also describes a six-phase process for teaching a child to sleep in a crib.
Some families opt to hire a sleep consultant or sleep coach to help them with sleep training. Just like deciding what sleep training method is best for your family, the decision to hire a sleep coach is a completely personal one. We talked to Rachel Turner, a certified sleep consultant and owner of Hello Sleep, and asked her how why a family might consider hiring a sleep consultant. Here's what she had to say:
"There are good times to sleep-train and periods when it may be less likely to work," says developmental psychologist Isabela Granic, Ph.D., coauthor of Bed Timing: The 'When-To' Guide to Helping Your Child to Sleep. "This is because infants and toddlers go through mental growth spurts that make them especially clingy, fussy, and prone to night wakings. They're learning new cognitive skills and often don't sleep as well."
Thank you for checking out The Baby Sleep Site! I’m sorry to hear you’re having so much trouble with sleep. Based on your comment, it does sound like your little one might be coming into the 4 month sleep regression. We have an article with a lot of information on that here: https://www.babysleepsite.com/baby-sleep-patterns/4-month-sleep-regression/
After going through your bedtime routine, put your baby in their crib, leave the room and wait a specific amount of time (say, a minute). Then go in and reassure your baby with words like “Mommy loves you” or some kind of touch, such as a rub or pat. McGinn says it’s preferable not to pick the baby up. Garden, on the other hand, reserves this method for babies seven months and older. (In her opinion, younger babies require a parental presence so they know they haven’t been abandoned, especially if they’ve worked themselves up into a frenzy.)