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.
All sleep-training methods have pros and cons, says Vanessa Vance, a child-sleep consultant in Austin, Texas, so it’s important to suss out which one is best for you. “When I work with a family, we discuss what their needs and goals are. Some families may not want any crying, so a gradual approach may work best,” she says. Here, an overview of some of the most popular sleep-training methods:
Nicole Johnson is the founder and lead sleep consultant of The Baby Sleep Site®. Since she began in 2008, and with the help of her team of sleep consultants, she has helped over 40,000 families improve their sleep. She has also held a position on the board of the International Association of Child Sleep Consultants (IACSC) since 2015. Millions of visitors land on The Baby Sleep Site each year, and Nicole and her team are here to find solutions for your family’s sleep problems that will match your baby's temperament and your parenting style.
"As you modify your baby's sleep behavior, you are going to have to give up middle-of-the-night crutches, known as negative associations, that may get her back to sleep in the short run but won't prevent her from popping up again in an hour. She may resist the change. The behavior may even get worse before it gets better as she adjusts to new routines, to new positive associations."
"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."
• 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.
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.
Most sleep coaches say the ideal time to start sleep training (or promote independent sleep, not necessarily using the cry-it-out method) is based on your baby’s development, but is usually somewhere between four and six months, when your baby hasn’t had much time to get used to nursing or rocking to sleep. At this stage, most babies are also developmentally ready to learn the skill of falling asleep on their own, explains Jennifer Garden, an occupational therapist who runs Sleepdreams in Vancouver. Around four months of age, some babies go through a sleep regression because their sleep cycles change and there are longer periods of lighter sleep per cycle. “It’s a great time to work on independent sleep skills,” says McGinn. Other babies’ slumber derails around this time because they are working on new skills, like moving around and rolling. Some parents choose to wait until things settle down before embarking on a sleep-training method, but you don’t have to, says McGinn.