Also on the far end of the cry it out spectrum is the Baby Wise approach by pediatrician Robert Bucknam and co-author Gary Ezzo. In their book On Becoming Baby Wise, they advise against feeding babies on demand around the clock and instead advocate a parent-led feeding, wake, and sleep schedule. Their method involves following a strict nap and sleep schedule and putting your baby down awake so she can learn to soothe herself to sleep. This means there will be some crying, especially at first, as your baby adjusts to your schedule.
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.
As we previously mentioned, introducing healthy sleep habits and routines as early as possible will help significantly during sleep training. If you haven’t already, try to establish a bedtime routine before you start sleep training baby — this will encourage healthy baby sleep patterns. This should be a series of soothing activities that help to calm your baby and prepare them for sleep - things like swaddling, bathing, and rocking usually work well, but every family’s routine will look different.
If your baby is growing poorly or is difficult to console, you should talk to your child’s pediatrician to ensure that your child’s sleeping difficulties have no medical cause. Likewise, if you are struggling with depression, it is critical to discuss this with your child’s pediatrician as well as your own physician. Poor sleep can prolong postpartum depression in mothers.
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.
"A young child cannot yet understand what is best for him, and he may cry if he does not get what he wants," Ferber writes. "If he wanted to play with a sharp knife, you would not give it to him no matter how hard he cried, and you would not feel guilty or worry about psychological consequences. Poor sleep patterns are also harmful for your child and it is your job to correct them."
• 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.”
“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.
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.
• Ferber method. Also known as timed-interval sleep training, modified sleep training or graduated extinction sleep training, parents using this method put baby down to sleep even if he’s crying, then return to check on him at different time intervals —every five, 10 and 15 minutes, and so on. You don’t pick baby up during these checks but can verbally soothe or pat him. Gradually, the intervals will get longer until eventually baby is sleeping through the night. “We did Ferber once my son was 8 months old. He got the hang of it pretty quickly and has been sleeping on his own for 10 to 12 hours ever since,” says Anika, a mom of one.
• DIY methods work. Don’t love the rigidity of a particular method? Modify it to suit your own family’s circumstances. Sometimes, a sleep coach can be helpful to come up with modifications that won’t affect the goal of getting baby to sleep through the night, but it’s fine to mix and match until you find a strategy you’re comfortable with. “I don’t think I’ve ever loved and loathed anything as much as I do sleep training. We did it with my son because he was still waking up every three hours at 3.5 months old, and I felt it was more out of habit,” says Margaret, a mom of one. “My husband and I decided that we valued teaching him self-soothing and that in the long run it was worth some short-term effort. I did a ton of research and came up with our own plan—similar to Ferber, but our time limits of letting him fuss weren’t as rigid. It worked, and he’s been a solid sleeper since.”
“I always say bedtime and nap routines can start from day 1. A child is never too young to learn healthy sleep habits and routines! But to get a baby sleeping through the night there are a few things I check. The baby should be at least 15 lbs, no medical concerns, and on a healthy growth curve approved by their pediatrician. If all these points are met, then I'm ready to start getting that little one sleeping through the night!"
Sleep training will look a little bit different for every family, depending on what method you choose to follow. The different methods require different tactics from the parents in order to be successful. Melissa’s tip: take notes! Having a record of how your baby has progressed throughout the sleep training will come in handy when you’re too tired to remember how long (or little) they slept the previous night.
Crying isn't the goal of this sleep training method, but advocates say it's often an inevitable side effect as your baby adjusts to sleeping on his own. They say the short-term pain of a few tears is far outweighed by the long-term advantages: A child who goes to sleep easily and happily on his own, and parents who can count on a good night's rest.
"My first daughter was sleeping through the night (10 p.m. to 9 a.m.) by 6 months. We had a complete bedtime routine: a bath, a book, a bottle, then to bed, a little music in the crib, and asleep in 10 minutes. It was wonderful, but that scenario didn't work for my second daughter and hasn't worked for my son, so I've tried different things for each of them. Sometimes a plan doesn't work. Listen to your baby – he or she will tell you what you need to know."
Hi @Farzana – Thanks for writing, and I’m sorry to hear that getting your little one to fall asleep has been so tough! We definitely understand how tough this can be! It sounds like you’re working hard to get her sleeping better! It could have been the 4 month sleep regression, that is still causing issues! Since you’ve been doing your reading and research, and you’re still struggling, I’d recommend one on one help from one of our consultants. This way, she can look at your daughter’s full sleep history, and create a Plan with you to get her on a good schedule and falling asleep on her own again!
The idea behind extinction (or full extinction to differentiate it from graduated extinction) is that you want to extinguish the behaviour (crying) by not responding to it. As with the check-and-console method, go through your bedtime routine, put them in their crib awake, say good night and walk out. This is certainly the most controversial sleep-training method, and even experts disagree on what you should do next—it all depends on what stage your baby is at developmentally, as well as what works for the parents.