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.
Honestly, in our personalized consultations, we try to avoid this method as much as possible. If you are going to use cry it out, we recommend your baby is at least 6 months old, but preferably 10 months or older, when we expect almost all babies to be able to get through the night without a feeding. It is not for the faint at heart. We find that laying a foundation in the beginning with other strategies and techniques can reduce crying even if this method is used in the end, however.
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.
Sleep training means using behavioral techniques to teach your baby to sleep independently by altering her “sleep onset associations” — or the circumstances your baby needs to fall asleep at bedtime. By removing your presence at bedtime, you are providing new associations with the result that she will learn to fall asleep independently, both at bedtime and when she awakens during the night.
That said, sleep training isn’t a must-do for everyone, and many families who skip sleep training go on to have a child who learns to sleep through the night on her own. “It’s your family and your child, and I think there’s a misconception that pediatricians will force sleep training on your family, when that’s not the case,” Gold says. Experts emphasize that the best approach to sleep training is the one that fits your family.
Some experts suggest techniques that are slightly different than these methods. Perhaps the best known is pediatrician Harvey Karp, author of The Happiest Baby on the Block. His method suggests a very specific routine involving the so-called five S's: swaddling, the side or stomach position (for calming your baby, not for sleeping), shushing, swinging, and sucking.
This method involves more tears than the previous two; however, you don’t leave your baby unattended in the room at all. Here’s how the chair method works: start by doing your normal bedtime routine. Then, put a chair very near the crib, bassinet, or bed and sit on the chair as your baby falls asleep. The goal is not to help your child fall asleep, nor to help her calm down necessarily, depending on how you implement it. You are generally not supposed to give your child any attention. The reason you are in the chair is only to reassure them that you are there with them and have not left them alone. Each night you move the chair farther and farther away from the crib until you are right outside the door until eventually, you no longer need the chair at all.
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It might be strange to think of sleeping as a skill that does not come naturally. As a new parent, you’re probably so exhausted that you pass out as soon as your head hits the pillow. Your baby, however, doesn’t have this same ability yet. Although they spend a lot of time sleeping, they need to learn when to sleep (day vs. night) and how to sleep. Until they do, they need your assistance, which is why you (as you should) help soothe them to sleep at bedtime and comfort them when they wake in the middle of the night. Sleep training is teaching your baby how to sleep without any help from you - just like you’re able to fall asleep without anyone there to help you do it.
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.
As you might suspect, this method can be very difficult, depending on temperament, and can take many days or weeks. It can be difficult to avoid engaging with your child (and “watching them cry” is very difficult), and it will likely be a little confusing to the child (particularly younger ones) when you don’t. However, with time and consistency, this can be a good option for parents who do not want to leave their child alone to cry but who haven’t had success with other methods, either.
Thank you for your comment – I’m so glad to hear that the article was helpful for you! Generally we suggest trying for about an hour before giving up, but it can depend on the baby’s age and personality. We do have an article all about nap training that may help you here, as well: https://www.babysleepsite.com/baby-naps-2/nap-training-how-and-when/
"No Tears" Techniques: Just as some parents and experts believe that it is harmless to allow an older baby to cry for set periods of time, others prefer sleep-training methods that gradually teach the baby to fall asleep without Mom or Dad’s help. For example, one "no tears" method involves sitting in a chair next to the crib while the baby falls asleep, and then, each night, moving the chair farther from the crib until it's in the doorway—and then, finally, outside the room.
"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."
Not to be confused with the bedtime-routine fading technique described above, bedtime-hour fading involves putting your baby into the crib at the time they usually end up dozing off, and making that their new bedtime for a couple of nights, and then gradually moving it to an earlier time. For example, say you always put your baby down at for the night at 7:30 p.m., but they tend to fuss or cry in the crib for 20 minutes or more, until they finally nod off around eight. This means 7:50 to 8 p.m. is actually their “natural bedtime,” even though you’d like it to be earlier. To figure out when your baby naturally falls asleep, keep a diary for a few nights to track when they finally settle for the night. (Using a video monitor can help with this.) A few nights later, move the whole routine 15 minutes earlier. Continue moving the bedtime earlier by 15 minutes each night (if needed) until your baby has shifted their old habits to nod off at the desired time instead of the later one.