Healthy sleep is so important for your baby AND you! If your baby isn’t sleeping, chances are you aren’t either. Sleep deprivation in children has been linked to obesity, behavioral problems, learning issues, and more later on in life. Sleep deprivation in adults can lead to similar issues, and has even been shown to play a role in Postpartum Anxiety and even depression in parents. Teaching and establishing healthy sleep habits right from the start will make sleep training easier and, more importantly, help keep you and your baby well-rested!
A consistent bedtime routine is the cornerstone of good sleep for children. It should also be a time for parents and babies to bond. Bedtime routines need not be complex. Bathe your child (if you like), change her into pajamas, read her a story, sing a song and feed or soothe her, then put her in her crib. The key is consistency — performing the same activities, in the same sequence, at the same time each evening.
It’s definitions like this that have given the general term “sleep training” a bit of a bad rep. There are certain methods of sleep training, such as “Cry-It-Out” or the Ferber method, that might make some parents wearisome of sleep training as a whole. However, sleep training does not necessarily equal cry it out. There are many different sleep training methods and practices behind sleep training, including gentle sleep training—the most important part of sleep training is finding the method that works best for you and your baby!
"My 3-month-old doesn't sleep through the night, and it's fine with me. I keep her in her crib or a bassinet until her 3 a.m. feeding, and then she joins my husband and me until we get up for work. She won't go in her crib unless she's already asleep, usually from nursing and rocking, but she'll fall asleep in her bassinet beside our bed. She's happy and we're happy, and even if it goes against the wisdom of the experts, it's working for us."
In clinic, I help parents with their children’s sleep problems. But in my own home, I found it challenging to apply the techniques I recommended to others. What seems obvious in a brightly-lit exam room is harder to follow at 2 a.m. Like many pediatricians do with their own children, I elected to try extinction sleep training, which involves letting a child cry in order to learn to soothe himself to sleep on his own. Night one was relatively easy, but night two left my wife in tears and me feeling like a heel. Things improved on night three, and our son scarcely cried on night four. By the end of the week, he was sleeping through the night again.
While you may have read up on various sleep training methods while pregnant or in the early weeks of baby’s life, it’s a good idea to speak with your pediatrician before you start. For example, if your child is gaining weight slowly or was a preemie, he may not be ready to drop a nighttime feeding and may need a sleep-training schedule that’s adapted to a few middle-of-the-night wake-ups.
Whatever you decide, remember that sleep training baby is different for everyone. You’ll always hear about a baby who was able to sleep through the night from day one, but don’t expect overnight miracles. So how long does sleep training take? Experts say most strategies will take a week or longer to implement, and sticking them out is key to making them work.
I have a 5 month old girl who has been inconsolable when it’s has come to going to sleep, whether it be nap time or bedtime. Up until 6 weeks ago she was very good at self soothing, where I’d put her down drowsy/almost asleep, put on some soothing music and she’d toss and turn for a few minutes and fall asleep. Initially I thought it was the famous 4 month sleep regression but now it’s starting to get out of hand. Just to note, she used to sleep about 30-45 minutes and occasionally longer. She seemed happy and content when she woke so I assumed she had had enough rest, although I would’ve preferred longer naps. Also to note, She currently sleeps anything up to 8 hours at night and wakes for a feed around 3-5am.
While researching the different sleep training methods to decide which one is right for you, also remember that every baby and every family is different. What one mom swears by, another mom swears off. You will see the most success from sleep training if you use your intuition to pick a method that you know you and your baby will be comfortable with.
• Weissbluth method. This sleep-training method suggests you set up a bedtime routine (bath, book, lullaby), then put baby to sleep, shut the door and don’t re-enter until the next morning. “I tried this, and the first night was awful,” says Jen, a mom of one, who did the Weissbluth method at 4 months. “I turned on the shower and sat in the bathroom so I wouldn’t hear my son cry. But I was watching the baby monitor and saw that after an hour, he found his thumb and fell asleep. The next night was maybe 40 minutes of crying, then 20 minutes the night after that. He’s always happy in the morning, and I feel this was the right choice.”
"My daughter woke every hour on the hour in her crib. I tried every other method available. Finally, at 7 months, we let her cry it out. It took three to four weeks to complete the sleep training and even though it was the hardest thing I've had to do thus far, it was so worth it. She now sleeps about 10 hours a night and loves her crib. We're both happier and have more energy to play."
• Chair method. Also called the sleep lady shuffle or gradual withdrawal and popularized by Kim West, LCSW-C, author of Good Night, Sleep Tight, this method starts with you sitting in a chair next to baby’s crib. Each night, you move the chair farther away from the crib, verbally soothing or shushing baby when she cries (although occasional patting and picking up are okay) until you’re no longer in the room. This method can be helpful for older babies and toddlers who may suffer from separation anxiety and can understand that Mom and Dad are just on the other side of the door, but it also works for younger babies.
Finding the ideal bedtime can be tricky in the first few months of life. Infants who take a late afternoon nap (say, 4 to 6 p.m.) may go to bed as late as 9 or 10 p.m. A good rule of thumb is that your baby will probably sleep three to four hours after his last nap ends, but you may need to experiment, adjusting your baby’s nap and bedtime schedule to figure out what works best.
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.)