"As a last resort, I broke down and gave Ferber a try. It's been two and a half weeks, and I see no real improvement. My daughter goes down faster at night, but the crying breaks my heart. I miss snuggling with her. She still wakes up every 30 to 90 minutes after her first two-hour stretch. She shrieks when it's time for a nap. I broke down and nursed her to sleep for her afternoon nap because I couldn't stand to see her so exhausted."
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:
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.
"My well-meaning friends are all Ferber addicts. I went against my own instincts with our son and tried with no success. They promised it would get better each night, but on the third night he cried for three hours, much longer than the first two. I felt like a failure and, of course, stressed from all of his crying. Babies have their own personalities, and you shouldn't feel pressured into doing something that 'works for everyone else.'"
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.
Singing a few lullabies to set the mood, put her down while she’s settled, she’ll play with her hands and feet for about 10-15 minutes, she starts fussing so I give her a chance to settle (but never does), then it turns into full blown crying. I try to lull, shush, pick up and rock but it doesn’t help. It seems like she doesn’t want to be held nor put down. After crying so much that she turns blue and me rocking the life out of myself she falls asleep. I can’t put her down until she is in deep sleep otherwise she will wake.
West says once an infant is older than 3 or 4 months, habits like rocking, singing, or nursing her until she dozes off become "sleep crutches." "These are not negative or bad behaviors," says West, "but they become a problem when they're so closely linked in the child's mind with slumber that he cannot drift off without them." Continuing with these sleep crutches will mean every time your baby wakes up (multiple times throughout the night), she'll need you to rock, sing, or nurse her—but your goal is to teach her to self-soothe and put herself back to sleep.
The idea behind extinction (or full extinction to differentiate it from graduated extinction) is that you want to extinguish the behaviour (crying) by not responding to it. As with the check-and-console method, go through your bedtime routine, put them in their crib awake, say good night and walk out. This is certainly the most controversial sleep-training method, and even experts disagree on what you should do next—it all depends on what stage your baby is at developmentally, as well as what works for the parents.