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Hello again! I haven’t been as consistent about my posts- oops! This has been a crazy year for my family. I’m hoping the arrival of our 3rd baby next month brings us much-needed joy, peace, and excitement.
Remember how I promised you that I would be writing a series of posts dedicated to sleep training? Well I have not forgotten! Here is the second post!
Just as a reminder, these sleep training posts are based on principles from the book Healthy Sleep Habits, Happy Child, by Marc Weissbluth, MD.
“Sleep begets sleep!”
There’s often a common misconception or belief that if a parent puts a baby down later at night, or waits longer to put them down for a nap, the baby will sleep better. The truth is, which Dr. Weissbluth stresses in his book, sleep begets sleep! The better a baby sleeps, the more and better he sleeps. The best example of this is in the way naps are done.
Naps are EXTREMELY important. Not only do they help a baby feel well during the day, they set the baby up for good, restful sleep at night. Weissbluth teaches how to help a baby nap well. These principles should be taken seriously when a baby is 3-4 months old. Hopefully, good sleep habits are already being established the first 4 months of life (see the first post in this series), but even if your baby has bad habits (or has been colicky) the 3-4 month age is a great time to start. These principles all go under the idea that as parents, we need to “protect the naps”.
Naps at 3-4 months old
- Nap rhythms begin at 3-4 months old
Pay attention to your baby’s sleep cues and natural rhythms. What does she do when she’s getting drowsy? When does her body naturally want to fall asleep in the morning? What about in the evening? How long does she stay asleep when put down for a nap?
- Baby has a harder time sleeping anywhere- likely will need a quiet, dark environment
Newborns can oftentimes sleep anywhere- in the moving car, while on a walk, at the grocery store, etc. But at this age, it’s getting harder for a baby to be able to sleep with this much flexibility. Do everything you can to go with this change! This is a good thing! It means that your baby is ready or is getting ready for more consistent sleep routines and schedules.
The concept of “protecting the nap” is tested here. Give your baby the opportunity, each naptime if you’re able, to sleep in a dark, quiet environment. It can be socially isolating to have a strict nap schedule. But I can tell you from experience that it is truly LIBERATING to have a baby who naps well! Even though a lot of your day is spent putting the baby to sleep and keeping the house a conducive environment for those naps, it is so worth it to have a baby that is well-rested and content!
- Goal is to have deep day sleep (long periods of it)
Again, deep sleep during the day (naps) is conducive for deep sleep at night.
- “‘Catch the wave’ of developing drowsiness and synchronize their soothing to a drowsy-but-awake state… before it crashes into a second wind.” page 147
This was talked about in the last post in this series. It is important that your baby learns how to soothe himself to sleep. You still don’t need to let the baby cry it out, but if he doesn’t have any self-soothing abilities yet, it may be okay to let the baby cry for a few minutes after you lay him down- then go in and rub his head and softly talk to him. If he is crying hard, pick him up and try the routine again. At this young age, it’s still okay if baby falls asleep in someone’s arms and is then laid down to sleep. But you should be trying to encourage the “put down drowsy-but-awake” concept.
- Midmorning nap (typically starts around 9:00 am) becomes more regular before the midday nap (typically starts between 12:00 and 2:00 pm)
- Another nap or 2 naps happen in late afternoon or early evening
- It’s okay for first 2 naps to be brief at first; between 4-6 months old they get longer and more predictable (each is 1-2 hours long)
- Often there is a late afternoon nap that doesn’t happen every day and is usually shorter than the first 2 naps
- You can combine being more strict with one of the naps (like the midmorning nap) with being flexible with the other naps (“flexible” meaning going off of sleep cues and “strict” meaning going off the clock)
Early Bedtime at 6 weeks old
Weissbluth explains that at around 6 weeks old, infants need to start being put down early for their bedtime. They aren’t going to be sleeping through the night yet, but their bodies need an early bedtime.
- Last nap starts between 4:00 and 5:00 pm.
- Bedtime 30-90 minutes after last nap ends
- Put him to sleep drowsy but awake
- If he cries hard, pick him up right away or let him cry for just a few minutes
Prevention versus treatment
For typical babies (not colicky), prevention of sleep problems includes:
- Starting early to teach self-soothing
- Utilizing many hands (involve dad and others)
- Putting baby down drowsy but awake
- Providing opportunity for many naps
- Feeding only when hungry at night
- Having bedtime routines
- Starting early bedtime around 6 weeks of age
- Protecting naps around 3-4 months
Other notes
- Correcting sleep problems can involve more crying it out (improvement in sleep patterns often brings rapid improvement in child)
- Patience and reasonable consistency can do wonders and bring a well- rested baby and family
- The more resources you have in the first 4 months, the more likely your baby is to sleep well the first 4 months and prevent sleep problems after 4 months old
- It’s okay and normal for baby to get overtired sometimes, despite parents’ best efforts. Stick to the overall plan and keep trying! Help your baby learn to self-soothe.
- For colicky babies, first 4 months require more parent soothing and this isn’t parents’ fault. After 4 months old, colicky baby should start to be able to learn how to independently fall and stay asleep. This is when to start teaching self- soothing skills.
Interesting studies
Weissbluth discusses some interesting research that’s been done on infant sleep and maternal attitudes/feelings. Here are some notes on these results:
- Factor most strongly associated with babies not sleeping through the night at 5 months old: Feeding after awakening, even when the baby isn’t hungry.
- Factor most strongly associated with babies not sleeping through the night at 17 and 29 months: “Parental presence until sleep onset”
- “Mothers with elevated depressive symptoms and worries about infant nighttime needs were more likely… to be hyperresponsive to nondistressed infant vocalizations, to pick up and nurse the infants even when it appeared that the infants were not in need of nursing, to go to their soundly sleeping infants and move them from their cribs to the parents’ bed to sleep (and in the process, wake their infant up), and to poorly structure bedtimes that in turn led to prolonged infant wakefulness.” p. 157
- “We suspect that mothers who worry excessively about their infants’ well- being at night may be motivated to seek out and intervene with their infants, regardless of whether the infants require intervention or not, in order to alleviate mothers’ anxieties about whether their infants are hungry, thirsty, uncomfortable, and so on.” p. 158
- “We suspect that mothers with elevated depressive symptoms may be motivated to spend time with their infant at night in order to satisfy mothers’ emotional needs.” p. 158
- This is called “dysfunctional cognition”- incorrectly believing that their nondistressed infants need their attention and feeding, even if they had just eaten — this dysfunctional cognition is associated with depressive symptoms in mothers.
- It’s okay to delay feedings when baby wakes at night, “in order to dissociate waking from feeding”. You can do this gradually, by using diaper changes or gently touching in order to delay the feeding. This doesn’t involve leaving baby to cry. You can start doing this at 3 weeks old, with a healthy baby that’s putting on weight normally. This doesn’t mean ignoring your baby’s hunger cues; it simply means learning what cues are actually hunger, and slowly teaching baby that they only need to eat at night when they are actually hungry.
- Recognizing issues (like maternal depression) can help family set up a game plan and get professional help if needed
I hope this helps! Happy sleeping! 🙂