Baby sleep training: The basics

Reviewed by the BabyCenter Medical Advisory Board

Last updated: January 2007

Highlights
What is sleep training?
When can I start and what are the stages of sleep training?
What are my sleep training options?
What the experts say
Do I have to use a sleep training method for my child?
Parents' voices

What is sleep training?

Sleep training is the process of helping a baby learn to get to sleep and stay asleep
through the night.

Some babies seem to develop a regular sleep routine quickly and easily. But many others
have trouble settling down to sleep — or getting back to sleep when they've been
wakened — and they need help and guidance along the way.

When can I start and what are the stages of sleep training?

The first three months

Don't try to impose a sleep schedule or training program on a newborn. Your new baby
will need to feed every few hours, around the clock, so it's normal and healthy for him to
sleep for just a few hours at a time. Respond promptly to his cries, feed and comfort him,
and try to sleep when he does to minimize your own sleep deprivation.

Beginning at about 6 weeks, you can reinforce your child's biological rhythms by
establishing a regular bedtime routine. At about the same time every night, for instance,
give him a warm bath, read him a book, and then feed him before putting him to bed.
(For more ideas, see our article on bedtime routines.) Try to get your baby up at around
the same time every morning and put him down for naps at the same point in the day.

At this stage, consider your routine and your baby's sleep schedule as a work in progress:
During the first three months of life, your baby will gradually sleep more at night and less
during the day. You'll need to keep adjusting the schedule as your baby matures and
develops.

3 to 6 months and beyond

Typically, by age 3 months or so, babies have started to develop more of a regular
sleep/wake pattern and have dropped most of their night feedings. And somewhere
between 3 and 6 months, experts say, most babies are ready for sleep training and are
capable of sleeping through the night. They're not talking about eight hours, though —
they generally mean a stretch of five or six hours.

Of course, every baby is different: Some may be ready earlier, others later. And some
will sleep seven hours or longer at an early age while others won't do so until they're
much older.

Before starting sleep training, make sure your baby doesn't have any medical conditions
that affect his sleep. Then be flexible about how you apply your chosen program and
carefully observe how your baby reacts. If he's very resistant or you see a change for the
worse in his overall mood and behavior, stop and wait a few weeks before trying again.

If you're not sure whether your baby's ready for sleep training, ask your doctor.

What are my sleep training options?

There are many different ways to teach healthy sleep habits to your child. Which
technique should you try? That depends on what you feel comfortable with — and which
sleep strategy you think your child will respond well to.

Consistency is more important than method. A review of 52 sleep studies using various
methods, published in 2006 in the journal Sleep, found almost all the techniques effective
if applied consistently. Choose a sleep training method you can live with and follow
through on it — and chances are, it'll work for you.

Most sleep training methods follow one of two basic approaches:

"Cry it out"
These sleep training methods say it's okay to leave your child to cry, if necessary,
although they don't advocate letting a baby cry endlessly. Typically these approaches
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.

The most well known "cry it out" technique is the one developed by pediatrician Richard
Ferber, director of the Center for Pediatric Sleep Disorders at Children's Hospital Boston.
Ferber says that in order to fall asleep on their own and sleep through the night, babies
have to learn to soothe themselves. Ferber believes that teaching a baby to soothe himself
may involve leaving him alone to cry for prescribed periods of time.

Find out more:

Article: Baby Sleep Training: Cry It Out Methods

Video: Baby Sleep: The Ferber Method and follow-up article, How I Got My Baby to
Sleep Through the Night: Two Families Tell All
Follow first-time parents Mike and Margie Gunn's efforts to teach their 5-month-old to
sleep through the night using the Ferber method.

Sleep resources: Experts, books, websites, and more

No tears
Sleep training methods in this category encourage a more gradual approach, with the
parent offering comfort right away when their child cries. Pediatrician William Sears,
author of The Baby Sleep Book, is probably the most well known proponent. Parent
educator Elizabeth Pantley outlines a step-by-step no-tears approach in her book The No-
Cry Sleep Solution.

Find out more:

Article: Baby Sleep Training: No Tears Methods

Video: Baby Sleep: The Sears Method and follow-up article, How I Got My Baby to
Sleep Through the Night: Two Families Tell All

Watch as first-time parents Tamara and Cameron O'Neil try to teach their 5-month-old to
sleep through the night using the Sears method.

Sleep resources: Experts, books, websites, and more

What the experts say

Richard Ferber, author of Solve Your Child's Sleep Problems

"By the time your baby is 3 months old and has developed a fairly predictable 24-hour
pattern, it becomes more important for you to provide increasingly consistent structure. If
you do your best to establish a reasonable and consistent daily routine and keep to it as
much as possible, then it is likely that your child will continue to develop good patterns.
If instead you allow the times of your child's feedings, playtimes, baths, and other
activities to change constantly, chances are his sleep will become irregular as well."

Marc Weissbluth, author of Healthy Sleep Habits, Happy Child

"For infants under 3 or 4 months of age, you should try to flow with the child's need for
sleep. Don't expect predictable sleep schedules, and don't try to enforce them
rigidly...After about 4 months, I think parents can influence sleep durations."

William Sears, author of The Baby Sleep Book

"Be prepared for one style of nighttime parenting to work at one stage of an infant's life
yet need a change as he enters another stage. Be open to trying different approaches.
Follow your heart rather than some stranger's sleep training advice, and you and your
baby will eventually work out the right nighttime parenting style for your family."
Cathryn Tobin, author of The Lull-A-Baby Sleep Plan
"After completing my residency at the Hospital for Sick Children in Toronto, Canada,
one of the world's busiest pediatric medical centers, it struck me that our culture goes
about infant sleep training completely backward. First we allow bad sleep habits to form,
then we go to extremes trying to break them. Once I recognized this crucial mistake, the
solution to the dreadful problem of sleep deprivation became crystal clear: Encourage
young babies to develop good habits right from the start, and you won't need to break bad
ones down the road."

Jodi Mindell, author of Sleeping Through the Night

"The more practice your baby gets putting himself to sleep, the quicker the process
works. He will fall asleep on his own, and you will get the sleep you need...Don't wait too
long, though. The earlier, the better. Remember, once your baby gets older — that is, at
least 5 or 6 months — the process of getting your child on a sleep schedule and to sleep
through the night gets more difficult."

Tracy Hogg, author of Secrets of the Baby Whisperer

"What a good many people don't realize is that babies need parents' direction to establish
proper sleep habits. In fact, the reason so-called sleep problems are common is because
so many parents don't realize that they, not their babies, must control bedtime."

Do I have to use a sleep training method for my child?

No. Parents often decide to try a particular method because they're exhausted or frustrated
by their child's sleep habits and nothing they've tried on their own seems to work. If
you're happy with the way things are going, count your blessings and continue what
you're doing.

Families have different expectations and tolerances. A 9-month-old who wakes up twice
a night might have one set of parents tearing their hair out while another family wouldn't
have it any other way. If sleep isn't going well for your family, you'll know it — and you
might want to read up on methods devised by experts and other parents for help.

Here are a few things to consider:

• Some children are naturally good sleepers and before too long they fall into a pattern of
sleep that everyone's happy with. Others are naturally fussy or wakeful and may need
more structure — or more nurturing — to help them sleep well.

• Every child, even within the same family, is different. So if the sleep strategies you used
with your first child aren't working with the next one, you may need some new ideas.

• You don't have to follow an entire method. You might find just one aspect of a
particular method that's effective for your child. Feel free to take what you can use.
• Sometimes common sense is the best "method." Families often develop their own ways
of getting their kids into good sleep habits. If it works, keep going.

Parents' voices

"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 ten 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."
— LaKisha

"My 3-month-old doesn't sleep through the night, and it's fine with me. I keep her in her
crib or a bassinet until her 3 a.m. feeding, and then she joins my husband and me until we
get up for work. She won't go in her crib unless she's already asleep, usually from nursing
and rocking, but she'll fall asleep in her bassinet beside our bed. She's happy and we're
happy, and even if it goes against the wisdom of the experts, it's working for us."
— Anonymous

"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."
— L.B.'s Mama

"My 4-and-a-half-month-old will only sleep through the night if we do everything the
experts say not to do. She must be nursed or slept with unless we want to see her turn
purple and cry for 45 minutes or more. She's like a wind-up doll when she starts and
never settles until she's comforted, and she's been that way from the beginning. It really
became a matter of, do we want to sleep or do we want to do what the books say? If she's
comforted and put down sleeping, she sleeps eight to ten hours. To all you parents out
there who have a baby like mine, do not despair — just do what works for you."
— Amanda

http://www.babycenter.com/0_baby-sleep-training-the-basics_1505715.bc?showAll=true

won't sleep through the night

alright So, I'v heard about all these wonderful babies who by 5 months sleep from 8pm-
8am with maybe waking up once to eat. I'v been blessed iwth a wonderful baby, he
hardely ever cries and the past few days has been taking naps with only a nuk to
sooth(big acomplishment from nursing to sleep!). But, He wont sleep through the night.
its not that big of an issue because we have a 'family bed', but it would be nice to not have
to wake up every 3 hours or so to flip. Any advice? he can put himself to sleep at night
when he wakes up also. I'v been told it might be becuase hes teething and needs comfort?
I have been giving him tylonal and its helped a little. but any other help would be Much
appreciated!!

Posted: 8/16/2007

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Community Answers

I have a 2 months and 3 weeks old and he is sleeping through the night from 8 pm to 8
am... he wakes up only once for feeding!!!... the secret???, this website, I swear it worked
for us... is a online book with email support if you need it... just in a coule of days Aidan
was sleeping all night long and I couldn't believe it! this is the website:
www.sleepsense.net We are so gratefull for it... it is a lot of things you probably know
already, but it puts everything together in the right order... It was amazing how quick my
son learned to put himself to sleep.... so he didn't need me anymore to put his paci on or
turn on some music. I highly recommend this book after reading 10000 other ones that
didn't work at all! Good luck with it!
posted 8/26/2007 by Marcela1812
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18 out of 23 found this answer helpful

Thank you!
The "sleepsense program" on the website mentioned is a Cry It Out program. if you
are co-sleeping and/or breastfeeding, you are likely practicing attachment parenting skills
and shouldn't do a cry it out (CIO) method. If it doesn't feel right to you, then it isn't.
posted 8/31/2007 by sweet_caroline
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15 out of 20 found this answer helpful

Thank you!
Isn't it frustrating how little info is out there for co-sleeping, breastfeeding parents! I'm
totally impressed w/the easy daytime naps. Our boy doesn't like to nap and gets overtired
and is a challenge to put to sleep - even on breast. I have 2 books. "Good Nights (family
bed)" Dr. Jay Gordon "The No-Cry Sleep Solution" - Elizabeth Pantley Wish I had the
Pantley book when baby was born. Sadly, things I was doing made it worse - not better.
Good luck.
posted 8/20/2007 by skortmansky
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14 out of 21 found this answer helpful

Thank you!
my advice is don't give up. i have a seven month old and he was doing the exact same
thing at that age. I think he did all of his growing during the first five or six months.
Suddenly, he started sleeping through the night two weeks ago at age 6.5 months. He
doesn't need to eat for 9-10 hours. Just be patient with your baby and give her what she
needs now. Don't deny your baby milk- I'm sure you aren't, and she'll figure it out very
soon. Good luck
posted 8/22/2007 by amimaikanai
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 10 out of 13 found this answer helpful
Thank you!
I have a soon to be five month old baby boy. He used to sleep in bed with us, until
three weeks a go when I realized that I was to tired during the day from not getting
enough sleep at night (he continuosly woke up during the night to nurse). Well, I figured
out. As long as he kept "smelling me" he would wake up "thinking he was hungry". SO I
moved him into his crib and let him cry out for a couple of days and he started sleeping
fine, only waking up once to esat. I alos started giving him a bottle with cereal before
going to bed.
posted 8/25/2007 by pate26
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8 out of 12 found this answer helpful

Thank you!
If he wakes up at night and can put himself back to sleep, why don't you move him to
his own bed so he can do this without waking you? As for the feeding at night, my
pediatrician advised that once my son was a certain weight he metabolically didn't need
to eat during the night (it was just a habit) and if he woke up I should just rock him back
to sleep.
posted 8/21/2007 by moyster720
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 9 out of 14 found this answer helpful
Thank you!
I have a two month and 4 week old. He has been sleeping throughout since a month
old. I had to increase his feedings to six ounces because he goes eight to nine hours
sleeping without waking out!!!His doctor told me I am so lucky because usually when a
baby sleeps throughtout they only sleep for 5 to six hours. He usally takes 3 naps during
the day every 2-3 hours.
posted 11/18/2008 by Irene32486
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2 out of 2 found this answer helpful

Thank you!
You should read a book called Babywise. It teaches you to teach your baby to sleep
thru the night and some other things. my baby started sleeping thru the night at around 6-
7 weeks. Its an excellent book. I'd advise all new mommys to read it!
posted 12/17/2008 by Anonymous
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 0 out of 0 found this answer helpful
Thank you!
I am really sorry to say this but co-sleeping is not an easy way to sleep (and this
includes a crib in your room). I tried doing it (family bed and a crib beside my bed) until
my son was 10 months old. He never slept for more than 2.5 hours in 10 months. We then
converted a bathroom into a little nursery (all safety requirements followed) and he slept
through the night the same week. We are still nursing at bedtime and at 6 am when he
goes back to sleep for another one and a half hour. I believe it is because they can hear
you breathe and smell your presence that they stir and want to attach. If they are on their
own they don't rouse themselves to wake. Good luck with whatever decisions you make.
posted 12/09/2008 by CarolA.
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0 out of 0 found this answer helpful

Thank you!
I have a two month and 4 week old. He has been sleeping throughout since a month
old. I had to increase his feedings to six ounces because he goes eight to nine hours
sleeping without waking out!!!His doctor told me I am so lucky because usually when a
baby sleeps throughtout they only sleep for 5 to six hours. He usally takes 3 naps during
the day every 2-3 hours.
posted 11/18/2008 by Irene32486
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 0 out of 0 found this answer helpful

won't sleep through the night

alright So, I'v heard about all these wonderful babies who by 5 months sleep from 8pm-
8am with maybe waking up once to eat. I'v been blessed iwth a wonderful baby, he
hardely ever cries and the past few days has been taking naps with only a nuk to
sooth(big acomplishment from nursing to sleep!). But, He wont sleep through the night.
its not that big of an issue because we have a 'family bed', but it would be nice to not have
to wake up every 3 hours or so to flip. Any advice? he can put himself to sleep at night
when he wakes up also. I'v been told it might be becuase hes teething and needs comfort?
I have been giving him tylonal and its helped a little. but any other help would be Much
appreciated!!

Posted: 8/16/2007

Report this question

Community Answers

This is in reponse to skortmansky...THANK YOU for introducing me to Dr. Jay's book

and site. A home for those of us who swear by the family bed and would rather die than
let my girl cry it out. THANK YOU
posted 1/22/2008 by steph7507
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 1 out of 2 found this answer helpful
Thank you!

http://www.babycenter.com/400_wont-sleep-through-the-
night_670139_164993885928.bc?print=true&intcmp=rel_wps_qa&pn=Article
%20page&pn=Answers

My baby is up all night and sleeps all day. How can I get him to
switch his schedule?
My baby is up all night and sleeps all day. How can I get him to switch his schedule?

Expert Answers
Deborah Lin-Dyken, pediatric sleep disorders expert

It would be great if your baby were born with the same awake/sleep schedule as the rest
of the family, wouldn't it? Lots of babies seem to prefer the nighttime hours for activity,
though, and the daytime hours for slumber. If your baby's fussy during the night, it's even
harder on you, of course.

You might have had a hint of whether or not your baby was a night owl when he was in
utero. Did you feel him moving around most nights when you were trying to sleep? Even
if his schedule synched up with yours during pregnancy, his sleeping patterns could have
been disrupted by your labor and delivery if they were long and took place in the middle
of the night.

Be patient. Most babies adjust to the family timetable in a month or so. In the meantime,
when your baby is just a few weeks old, you can begin to gently coax him into a more
reasonable schedule.

• Establish a wake-up time and stick to it, even if your baby was up most of the night.
Sleeping in may be attractive option for both of you, but it won't help you reach your goal
of sleeping soundly at night.

• Rather than let your baby sleep for long periods during the day, wake him for feedings
for the first month or so, even if he's fast asleep. (He'll still need feedings during the
night, but you may be able to stretch the interval between them to three or four hours.)

• During daylight hours, when you want your baby to be awake, open your shades and
curtains and put on some lively music. Play with him. Let the phone ring, run the
dishwasher, and in general allow normal household noise to happen.
• When bedtime (and nap time) rolls around, keep his room quiet and dark, and use only a
soft light or a nightlight for feedings and diaper changes. Talk to him quietly and move
slowly. Be brief and boring rather than engaging.

Keep in mind that your baby may sleep well one night and not so well the very next night
You'll have good nights (and days) and rough ones for a while. But as your baby's brain
and central nervous system mature, his sleep cycles will lengthen and more sleep time
will occur at night.

Community Answers

I had the same problem with my son when he was first born. My partner and I spent a
week when he was around 4 weeks old waking him up every hour to either play, feed,
change his nappy or bath him. It was a hard week but completely worth it. A week later
he was sleeping 8 hours every night and now he is 14 weeks old and sleeps 12 hours.
Obviously you have to make sure you wake your baby slowly but just don''t let him sleep
for long periods during the day. Do not feel guilty for this either, as i did instead
remember if you get a good nights sleep your happier and therefore so is your baby. I
started to enjoy being a mum when his night time and day time were not the wrong way
round. Hope this helps!
posted 9/14/2007 by Lauren!
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213 out of 224 found this answer helpful

Thank you!
Most young babies want nothing more then a nipple in their Mouthes and to be cozy
warm, if you undress and take off the blankets he/she is wrapped in he will feed when its
time and the cool air will keep him/her awake. My 3rd child slept and wouldnt eat while
in the hospital, I kept undressing and unwrapping to get her to take the bottle every 3
hours during the day. By 6 weeks she was napping for 3 hours during the day and
sleeping 6-8 hours a night sometimes only waking 1 time to feed sometimes not at all
posted 7/01/2008 by Meliss24
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9 out of 13 found this answer helpful

Thank you!
To wake the baby, try changing his diaper and/or clothes. Babies this young hate
those.
posted 6/04/2008 by Anonymous
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9 out of 14 found this answer helpful

Thank you!
My baby is 15 days old and has his days and nights mixed up. He'll sleep in his
bassinett during the day but not at night. He'll only sleep on either my husbands or my
chest at night. At first he liked being swaddled, now he can't stand it! I'm breastfeeding,
so I wake him every 2-3 hours regardless to eat. He eats anywhere form 10-20 minutes
and falls asleep immediately but when I try to put him asleep he wails. Oh, and he hates
to burp! He'd rather wait to spitup or go to bathroom. help!
posted 12/25/2008 by hollyjordana
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 1 out of 1 found this answer helpful
Thank you!
I guess I'm going through the same thing. My two week old is so restless at night, will
not settle. Doesn't want to be in her bassinet or her chair. She is fine when I'm holding
her. She does fine on her own during the day though, sleeps in her bassinet and bounces
in her chair...I'm not sure what to do..its been the last 5 nights...she just will not settle.
Since she's come home, I've tried to do the same thing...at 8 o'clock I sponge bath her and
change her diaper, get her ready for bed...give her a bottle...Try to keep her up till at least
9...nothing works...I try to keep her up during the day but I'm not sure what else I can
do...she's tuckered out from keeping me up all night...
posted 11/05/2008 by girty_mae
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2 out of 5 found this answer helpful

Thank you!
My baby gets fussy anywhere from 8 to 9 pm and doesn't stop fussing, sometimes
until 2 am. I notice my babysitter keeps her house very, very, dark. I wonder if she has
her days and nights mixed up. She is only 8 wks old, but I can't handle getting only 3 hrs
of sleep at night and working 9 hrs a day and then coming home and doing my nightly
"chores" too. I am exhausted.
posted 1/29/2009 by Anonymous
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 0 out of 1 found this answer helpful
Thank you!
this is more of a question rather than an answer. Will this work on my 3 month old as
well?? Daddy works until 2:30 in the morning so when he gets home, he eats watches tv,
and doesn't go to sleep till 6:00a.m and now the baby is used to that scheduale.
posted 9/18/2008 by Anonymous
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Thank you!
My baby is just 10 days old and he sleeps during the day and for most of the night
when he is beside me but i will try all thre advices given
posted 9/07/2008 by Anonymous
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 0 out of 4 found this answer helpful
Thank you!
You should NEVER wake up a SLEEPING NEWBORN so you can be moe
comfortable. Should have thought of the sleep deprivation that was sure to come
BEFORE you choose to get pregnant.
posted 3/01/2009 by Anonymous
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0 out of 4 found this answer helpful

Thank you!
How do you wake him? I can't get mine to wake up during the day and when I do, I
can't manage to keep him up.
posted 2/28/2008 by [email protected]
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0 out of 15 found this answer helpful

Thank you!
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My baby is up all night and sleeps all day. How can I get him to
switch his schedule?
My baby is up all night and sleeps all day. How can I get him to switch his schedule?

Expert Answers
Deborah Lin-Dyken, pediatric sleep disorders expert

It would be great if your baby were born with the same awake/sleep schedule as the rest
of the family, wouldn't it? Lots of babies seem to prefer the nighttime hours for activity,
though, and the daytime hours for slumber. If your baby's fussy during the night, it's even
harder on you, of course.

You might have had a hint of whether or not your baby was a night owl when he was in
utero. Did you feel him moving around most nights when you were trying to sleep? Even
if his schedule synched up with yours during pregnancy, his sleeping patterns could have
been disrupted by your labor and delivery if they were long and took place in the middle
of the night.

Be patient. Most babies adjust to the family timetable in a month or so. In the meantime,
when your baby is just a few weeks old, you can begin to gently coax him into a more
reasonable schedule.

• Establish a wake-up time and stick to it, even if your baby was up most of the night.
Sleeping in may be attractive option for both of you, but it won't help you reach your goal
of sleeping soundly at night.

• Rather than let your baby sleep for long periods during the day, wake him for feedings
for the first month or so, even if he's fast asleep. (He'll still need feedings during the
night, but you may be able to stretch the interval between them to three or four hours.)

• During daylight hours, when you want your baby to be awake, open your shades and
curtains and put on some lively music. Play with him. Let the phone ring, run the
dishwasher, and in general allow normal household noise to happen.

• When bedtime (and nap time) rolls around, keep his room quiet and dark, and use only a
soft light or a nightlight for feedings and diaper changes. Talk to him quietly and move
slowly. Be brief and boring rather than engaging.

Keep in mind that your baby may sleep well one night and not so well the very next night
You'll have good nights (and days) and rough ones for a while. But as your baby's brain
and central nervous system mature, his sleep cycles will lengthen and more sleep time
will occur at night.

Community Answers

i know this is going to sound out of this world but it works. when your baby fall asleep
flip him and then lay him back down and his sleep patter with chance.
posted 9/16/2007 by Anonymous

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