Hogg agrees with Sears that sleep associations should be positive but disagrees with his techniques. She cautions against letting your baby depend on "props" such as nursing, patting, and rocking to get to sleep. Instead, Hogg's approach calls for going to your baby when he cries, picking him up, and putting him back down as many times as necessary.
Yes. Multiple studies have shown that sleep training is both safe and effective, without any studies showing evidence of harm. The best long-term study followed 326 children for the first six years of life. The authors reported that children who had sleep trained via any method in infancy slept better at 2 years of age than children who were not sleep trained, and their mothers were less likely to be depressed. Several years later, the researchers looked at these children again and noted that there was no evidence of emotional or behavioral problems in children who had been sleep trained versus those who had not. As part of this follow-up, the researchers measured the children’s levels of the stress hormone cortisol, which is frequently cited by opponents of sleep training as the mechanism by which crying affects developing brains. The researchers did not find any evidence of differing levels of cortisol secretion between children who had been sleep trained and those who had not.
Though many of the parents I see in clinic have put up with terrible sleep for years, sleep training is a safe and effective tool to help babies learn to soothe themselves at night. For this guide, I reviewed the literature on infant sleep. As director of the Pediatric Sleep Center at Yale University, I have extensive experience helping families to address sleep problems. I have also written a book on the topic, which was inspired by sleepless nights with my own children.
Cry It Out: This method involves putting your baby into the crib drowsy, but awake. The goal is for your child to learn to fall asleep without your help, so that when your baby inevitably wakes up in the middle of the night, he or she will be able to go back to sleep on his or her own. You say goodnight and leave the room—even if your baby cries. Then, you go back in at increasingly long intervals to briefly reassure your baby. It can be difficult to listen to your baby cry, but parents who have been successful with the technique report that it results in fewer tears overall and more sleep for everyone.
12 baby-sleep tips for exhausted new parents Before you even think about “training” your baby to fall asleep on their own, make sure you’re following a regular schedule and putting them to bed at a consistent time each night (hint: early is usually better, typically around 7 or 8 p.m.). Starting at about two months old, it’s a good idea to try to put them down drowsy but awake whenever you can, just to get them (and you) used to it, even if they fuss a bit. Make sure that they’ve been awake for an appropriate amount of time before bed (an over- or under-tired baby will have trouble falling asleep), and establish a calming and consistent bedtime routine, like a feed, bath or massage followed by pyjamas and stories or songs. Some experts recommend feeding at the beginning of the routine to avoid having the baby associate the feeding with falling asleep. Ideally, your baby won’t have started to nod off at any point during your bedtime routine. “You really want to make sure your baby is primed for sleep,” says Pamela Mitelman, a psychologist in Montreal who specializes in infant and child sleep. Be conscious, too, of filling their daytime awake periods with enough activity and stimulation, says Garden. “Kids need to be moving in all sorts of ways when they are awake, not just sitting in a bouncy chair,” she says.
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/
Create a comfortable sleep environment that's tailored to your child. Some babies need more quiet and darkness than others. Recordings of soft music or nature sounds or the sound of a gurgling aquarium can be soothing. Make sure the sheets are cozy (warm them with a hot water bottle or a microwavable heating pad, for example, before laying your baby down) and that sleepwear doesn't chafe or bind. Younger babies may sleep better when swaddled. Don't overdress your child or overheat the room.
"By the time your baby is 3 months old and has developed a fairly predictable 24-hour pattern, it becomes more important for you to provide increasingly consistent structure. If you do your best to establish a reasonable and consistent daily routine and keep to it as much as possible, then it is likely that your child will continue to develop good patterns. If instead you allow the times of your child's feedings, playtimes, baths, and other activities to change constantly, chances are his sleep will become irregular as well."
"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."
Adapt the method to fit your family. If you want to try a method like this but find it too harsh, you can use a more gradual approach. For instance, you can stretch out Ferber's seven-day program over 14 days, increasing the wait every other night rather than every night. Remember your primary objective: To give yourself and your child a good night's rest.
“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!"
Simply put, sleep training—also called sleep teaching or sleep learning—is the process of helping your infant learn how to fall asleep and stay asleep. It’s also become a pretty controversial topic, with experts and parents speaking for or against various sleep-training techniques. “It’s like talking politics,” says TJ Gold, MD, a pediatrician at Tribeca Pediatrics in New York City. “But there’s no one right way to get your child to sleep through the night. There are a lot of different ways.”
"My first cried it out, and all was well. My second cried it out but it took much longer until all was well. My third, if allowed to cry too long, literally freaked out. He threw himself around his crib and would rarely calm down and fall asleep. On the rare occasion that he fell asleep, he'd wake up within minutes screaming bloody murder. Letting him cry it out was clearly not working so I looked for other options. Find your child's groove. You'll be glad you did."
Sleep experts who support the cry it out approach (as well as most pediatricians) disagree. They say it isn't traumatic for babies to cry alone for short periods of time with frequent check-ins by Mom or Dad – and the end result is a well-rested, happier child. They say no tears sleep strategies may cause babies to be overly dependent on comfort from a parent at bedtime, making it harder for them to learn to soothe themselves to sleep.
If your baby is older than six months, don’t worry, McGinn says: “It’s never too late to develop good sleep habits.” Dickinson says he finds nine months to be a bit of a sweet spot for parents in terms of getting babies to sleep through the night. “They are at a good age for understanding routines and don’t need to eat during the night,” he explains.