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.
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.
"When my son was younger, we often 'walked him to sleep' by putting him in a sling. Now that he's older, reading him a book, nursing, and cuddling does it. Also, we stopped fighting the earlier bedtime. Since he sleeps with us, he snuggles down with us, and it's become a habit that when the lights go out and Mommy and Daddy snuggle with him, it's bedtime. We rarely struggle with sleeping unless he's having bad teething pain."
On the advice of a sleep consultant, Welk and her husband took away Greyson’s pacifier, moved his bottle to before his bath (so he wouldn’t associate feeding with going to sleep) and chose to start with a very gentle method (because he was only four months old at the time). Greyson’s dad put him in the crib and stood next to him, patting him until he fell asleep, for about a week. That went well, and then they started leaving him immediately after putting him in the crib without patting him fully to sleep. “For about a month, he would cry or fuss every night for 10 to 15 minutes before falling asleep,” recalls Welk. It was hard to hear her baby cry, but she feels confident that it was for the greater good because they were both well rested and happy during the day. Now, Greyson is 11 months old and a champ sleeper, having weaned himself from night feeds at seven months.
With the fading technique, continue with whatever method you were using to help your baby fall asleep (such as rocking or nursing), but decrease the amount of time you spend doing it until, in theory, you don’t have to do it at all. This is a great technique for minimizing crying, but unfortunately, many parents find it difficult to sustain. “There has to be an end in sight,” explains Mitelman. “For example, we’ll meet this need for five to seven days and then we’ll pull back a little bit.” But if you’re willing to stick to the plan and get your baby to the end goal of going to bed without your assistance, Mitelman says it’s worth a try. “Whichever way the child can get to sleep independently is fine because that’s the key ingredient to sleeping through the night.”
"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."
• Pick-up-put-down method. In this sleep-training method, you put your child to bed while he’s awake and check on him at gradual intervals, as you do with the Ferber method. Unlike with Ferber, you can pick him up and comfort him, holding him for a few minutes before putting him down. Eventually baby will become drowsy enough to fall asleep on his own.
For my wife and me, those early days passed in a blur. Nights seemed endless, and no government ordinance was about to come along to shorten our shifts. When he was around 3 months old, our son started sleeping for longer periods and our relief was profound. But after about a month, the baby started waking up at night again. After one nightly waking became two, then three and four, I realized it was time to sleep train our son.
Parents are often hesitant to go this route, worried about how much crying will be involved. While McGinn doesn’t deny it can be difficult at first, she finds parents are often surprised by how quickly it works. “Yes, there is a lot of crying, but it’s short term,” she says. “You might get a lot of crying for two to three nights, but then every night is less and less.” She says you should see significant improvement with this method by night three or four but adds that it’s important to try it for a week before determining that it’s not working.