• 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.
Proponents of these sleep training methods say it's okay for your child to cry when you put him to bed and leave the room, although they don't advocate letting a baby cry indefinitely. Typically, these methods suggest putting your baby to bed when he's still awake and allowing short periods of crying punctuated by comforting (but not picking up) your child.
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.
Once you launch your plan, stick to it. Parents who've been through sleep training agree that consistency is the key. Unless you realize that your child simply isn't physically or emotionally ready and you decide to put the program on hold for a while, follow through with it for a couple of weeks. When your baby wakes you up at 2 a.m., you may be tempted to give in and hold or rock him, but if you do, your hard work will be wasted and you'll have to start over from square one.
“I knew I didn’t want to sleep train, so I co-slept with my son until he was about 5 months old,” says Corinna, a mom of two. “At 5 months, I was able to put him in a room on his own, but I would attend to him if he cried. By 10 months, he was sleeping through the night on his own. Maybe I was lucky, but I felt like what worked best for our family was following his lead.”
A version of this technique called graduated extinction was popularized by Dr. Richard Ferber in his book “Solve Your Child’s Sleep Problems.” Here, parents check on their child at set intervals. Checks should be brief and to the point: Picking up your child, spending too much time hovering over the crib or otherwise offering more contact than a quick soothing word can be counterproductive. Some babies find these brief checks soothing and will go to sleep more quickly. Others will redouble their crying as soon as their parents leave the room. Parents need to make a judgement about whether or not checking in is helping their baby through this process. If you decide to use checks, I would recommend checking no more than every five minutes and resisting the temptation to check if your child seems to be calming down.
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.
"My 5-month-old was waking every two hours at night. I was so tired I wanted to die. I finally caved in, put in earplugs, and let him cry it out – which he did, all night! But then, something amazing happened the next night: He slept a full 12 hours and awoke rosy and cheerful. It's been that way ever since, and he's even a better napper now. I know that it is hard to listen to your precious little one cry, but a sleep-deprived, miserable mom and baby is a terrible thing too."
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.