Exhausted parents may be eager to get training underway—so how do you know when to start sleep training? “Most infants are ready for some sort of sleep training at 4 to 6 months,” says Lauren Kupersmith, MD, a clinical instructor at the department of pediatrics at NYU Langone Medical Center. “While some pediatricians adhere to the guidelines that infants are ready to be sleep trained when they achieve a particular weight, I feel it’s much more appropriate to wait until they are developmentally ready to self-soothe, at about 4 months old.”
That’s right! Your baby of course needs to be ready - but before they are, YOU need to be ready too. Sleep training requires a commitment from parents. You’ll also want to be sure you’re logistically ready for sleep training, as it’s best to start when you don’t have anything that might disrupt the training coming in the near future, such as a vacation or trip.
One of the biggest mistakes parents make, no matter what method they use, is being inconsistent. At some point your little one will cry for you in the middle of the night, even if you think you've all made it over the sleep-training hump. Go to his cribside to check on him and make sure all is well—just be sure not to restart an old sleep crutch during this check. After that, try comforting him from outside the door, if you can. If you regress due to illness or travel, get back on the training wagon as soon as possible. Otherwise you risk sabotaging the weeks of hard work you've already put in.
Sleep training advocates in this category encourage a more gradual approach – soothing the baby to sleep and offering comfort right away when the child cries. Pediatrician William Sears, author of The Baby Sleep Book, is a leading proponent. Parent educator Elizabeth Pantley outlines a step-by-step no tears approach in her book The No-Cry Sleep Solution.
As your baby gets older and their sleep needs change, make sure that you’re adjusting wake times, naps and bedtimes accordingly to help them continue to easily fall asleep and stay asleep. Some parents think of sleep training as a “one-and-done” endeavour: You endure a lot of crying for a few days and your prize is a perfect sleeper. But it’s really a lifestyle change—once your child has the skills to fall asleep, they’ll still need routines, consistency and help adapting when life throws curveballs, like starting daycare, the arrival of a new sibling or going on a trip (where they may have to sleep in a different space or crib). Colds and illnesses, as well as time changes, can also throw a wrench in your perfect schedule. The trick here is to get back on track as soon as possible. If you start allowing or enabling the old, bad habits and sleep associations, it will take longer to return to the regular routine.
My baby is 5 weeks old. Since I brought her home she willll notttt lay down to sleep on her back by herself hardly everrrrr. I breast feed her and she falls asleep, but when transferring her, she instantly squirms and fusses until eventually she cries and I pick her up. She won’t take a pacifier, won’t sleep in a swaddle loose or tight, won’t sleep in a swing, vibrate, white noise, etc. Nothing. Suggestions? Sometimes during the day I can let her fall asleep on me and then transfer her but I can NEVER do this during the night, she just wants to constantly be in my arms. Help!
Prepare yourself for a few difficult nights. Hearing your baby cry can be excruciating, as every parent knows. During the waiting periods, set a timer and go to a different part of the house, or turn on some music, so you don't have to hear every whimper. As one BabyCenter parent says, "The first week could be rough. Try to relax and know that when it's all over, everyone in your household is going to sleep more easily and happily."
• Ferber method. Also known as timed-interval sleep training, modified sleep training or graduated extinction sleep training, parents using this method put baby down to sleep even if he’s crying, then return to check on him at different time intervals —every five, 10 and 15 minutes, and so on. You don’t pick baby up during these checks but can verbally soothe or pat him. Gradually, the intervals will get longer until eventually baby is sleeping through the night. “We did Ferber once my son was 8 months old. He got the hang of it pretty quickly and has been sleeping on his own for 10 to 12 hours ever since,” says Anika, a mom of one.
• 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.
Thank you for your comment! We agree, and we think most parents do, that cry-it-out is a last resort, and we always recommend trying a gentle sleep coaching method first. That said, the research on cry-it-out is that, done correctly and not as a replacement for parenting your baby, it is not harmful, and can indeed be beneficial when you consider the damage that lack of sleep can do to a baby’s overall health and well-being. We have an article with further information about our philosophy on cry-it-out here: https://www.babysleepsite.com/sleep-training/cry-it-out-age/
"My first daughter was sleeping through the night (10 p.m. to 9 a.m.) by 6 months. We had a complete bedtime routine: a bath, a book, a bottle, then to bed, a little music in the crib, and asleep in 10 minutes. It was wonderful, but that scenario didn't work for my second daughter and hasn't worked for my son, so I've tried different things for each of them. Sometimes a plan doesn't work. Listen to your baby – he or she will tell you what you need to know."
This is a very gentle, no-tears/no-cry (or very little cry) method of sleep coaching where you “fade it out” (FIO). With the Fading method, you continue to help your baby fall asleep (by rocking or feeding to sleep, for instance), but over time, you gradually do less and less of the ‘work’ to put your baby to sleep, and your baby does more and more. For instance, if you normally rock your baby completely to sleep, you may shorten the amount of time you rock each night until you are rocking for only a few minutes only as a part of the bedtime routine. This method requires quite a bit of patience on the parent’s part, in some cases, but it’s great for families who want to minimize crying as much as possible.
This is a very gradual sleep-training method ( McGinn gives her clients a two-week plan for implementation) and requires a lot of discipline on the part of the parents. Again, you prep your baby for bed, but instead of leaving the room, you sit in a chair next to the crib. When they fall asleep, leave the room, but every time they wake up, sit back down in the chair until they fall back asleep. Every few nights, move the chair further and further away until you’re out of the room.