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BABYSLEEPMIRACLE SLEEP TIPS
INTRODUCTION.........................................................................................................................................5
FINAL THOUGHTS..................................................................................................................................102
4
INTRODUCTION
Sleepless nights
You’re a parent. A loving and caring parent. And you do everything you can to
make sure your child gets nothing but the best.
Because you want to see your child grow up healthy and happy.
What’s worse, your child’s sleeping issue is not only a problem in itself, but it also
falls onto you, emotionally and physically.
You’ve read other books, talked to other parents, and scoured the Internet for
solutions. But somehow, frustratingly, your sleep problems remain unresolved.
You want this to change, but you love your child more than anything and your
brain can’t overlook what your heart is guiding you to do.
When it’s 2:00 AM and your child isn’t sleeping, your mind may tell you that spend-
ing hours rocking or walking with him isn’t the best solution, but your heart insists
it is because he’s crying and you must help him.
The answer is simple: To help your child sleep—and to help yourself in the
process—you need to bring these two, seemingly opposite approaches, together.
Finding a happy medium between head and heart is the best way to help a child
sleep better, because it doesn’t force parents into the extremes of either cold,
clinical approaches (“He’s gotta sleep, so he’s gotta cry it out alone”) or completely
ignoring the family’s need for sleep (“We don’t care if we’re all exhausted, we’ll just
keep holding him because we love him and don’t want to see him cry”).
It’s this essential balance that gives parents the confidence to know that they’re
doing what’s best for their children, and that confidence helps families sleep well.
The National Institute of Health (NIH) states that “sleep deficiency is linked to an
increased risk of heart disease, kidney disease, high blood pressure, diabetes and
stroke.”
If you don’t refuel, your body will eventually begin to shut down certain systems,
making you feel not only tired, but also irritable.
And if you push too hard and for too long, you’ll eventually crash.
Similarly, if even one family member is off balance, it causes the whole
family to be out of balance.
Walks can feel like a heavy load; strolling in the park, a burden.
And chasing your toddler around can feel far more like work than play. But here’s
the good news: it doesn’t have to be like this.
You don’t have to live like this. Let’s face it: sleep deprivation can bring out the
worst in anyone. More often than not, parents’ sleep is so far off track that depres-
sion or hostility with each other becomes “normal”.
Fortunately, sleep problems are manageable because children can learn easily.
And, as a result, your marriage and your family can stay strong and thrive.
© Mary-Ann Schuler – BABYSLEEPMIRACLE.COM
9
How Sleep Debt Affects You
You and your spouse are each important spokes of the family wheel, and if you
aren’t taking care of your own needs, then the entire wheel will be out of balance.
To make things a little clearer, consider this: You’re on an airplane and the flight
attendants explain what will happen in case of an emergency.
They instruct parents to put their oxygen masks on first, and then assist
their children.
Sounds like the opposite of what would come naturally, right? You’d instinctively
want to help your child first. But if you yourself aren’t breathing, then how could
you help your child? If you can’t breathe, your child is left alone to fend for himself.
Parents aren’t the only people in the family who suffer from tiredness or extreme
fatigue. If taking care of yourself or your marriage isn’t enough motivation to help
your child sleep better, then knowing the effects of exhaustion on your little one
will be.
If the sleep requirements are not met, children are deprived of one of the most
important foundations they need to be healthy. This deprivation will usually lead
to decreased alertness, poor physical coordination, and increased emotional and
behavioral instability.
© Mary-Ann Schuler – BABYSLEEPMIRACLE.COM
11
CHAPTER 2 – UNDERSTANDING SLEEP
Although our knowledge remains incomplete, a great deal has been discovered
about what happens in the brain during sleep: what areas of the brain become
active or inactive, how cellular activity changes, and which neurotransmitters are
released or blocked.
Much has also been learned about the so-called biological clock, a small cluster
of cells that maintains our sleep-wake cycle running on about a twenty-four-hour
rhythm.
There can be no single answer to these questions, in any case, because how you
answer them depends on the level at which you approach the problem.
At the most basic level, the neurophysiological level, we sleep because of changes
in the brain’s chemical environment and in its cellular activity.
On a higher level, that of function and behavior, we can say we sleep because
sleep serves a restorative function for our bodies and minds. Sleep is necessary if
we are to function properly during the day—if we don’t get enough, we feel sleepy
and our mental efficiency drastically decreases. Finally, from an evolutionary view-
point, the purpose of sleep lies in the benefits it provides for our survival.
As various researchers have pointed out, humans have always sought secure
places to sleep.
Until the middle of the 20th century, doctors and other scientists believed that
sleep was a single state distinguishable only from waking.
During non-REM sleep our breath is slow and regular, and our muscles tense.
Children also have both REM and non-REM cycles, although their sleep cycles are
different.
For the first four months, their sleep—particularly daytime napping—is not very or-
ganized neurologically.
About half of their sleep is light, REM sleep, when they are quite active and easily
disturbed.
For example, about every 90 to 110 minutes (50 minutes for infants), while we are
still in the light sleep phase, we have a partial arousal but we don’t wake up com-
pletely – we may roll over or mumble.
But every three to four hours, we experience a partial awakening that is a little
more pronounced.
Perhaps we want a glass of water, we need to adjust our blanket or we notice that
our pillow is on the floor.
© Mary-Ann Schuler – BABYSLEEPMIRACLE.COM
14
Usually we get right back to sleep
and, more often than not, we
don’t remember the awakening in
the morning.
They cry and you rush in and nurse them, rock, them, walk them, and so on.
In other words, you are performing whatever parental tricks you have taught them
are conducive to their sleep.
Each night.
Once we help our children give up these associations, they can sleep through the
night. They will still have the partial awakenings, but they will no longer require
you to be up and ready.
They can open their eyes for a second, recognize they are safe, and then can get
themselves back to sleep.
Babies, on the other hand, don’t know how. They need us to protect their sleep
by paying attention to the clock—both the external time and the baby’s internal
rhythm.
To keep ourselves active and alert, we should regulate our sleep. We sleep better
and we feel better if we go to sleep at about the same time each night, and wake
up at the same time each morning.
Remember: babies need routine, predictability, and stability for their emotional
well-being. But they also need routines to keep their biological clocks working in
order to allow the brain to produce melatonin.
If you miss your child’s natural time to sleep—the sleep window—his body won’t be
producing soothing melatonin.
In fact, the opposite will occur. His adrenal glands will boost the production of
cortisol, a stress-generating hormone that will overstimulate your baby. To him, it
probably feels like you swapped his milk with an espresso. He will be more agitat-
ed and more difficult to console.
In addition, he will be more likely to need a lot more of your time (and energy!) to
help him calm down and get to sleep.
That’s why, if by natural rhythm and habit, he is ready for sleep at 7:00 but you
keep him until 8:00, he is going to have a hard time getting to sleep.
And even after he does get to sleep, the cortisol and the accumulated overtired-
ness make it harder for him to stay asleep. He is more likely to wake up at night,
and to wake up too early in the morning before he is truly rested.
This unnatural cycle can then lead to poor naps the next day, which will lead to an
overtired baby at bedtime, which leads to poor nighttime sleep. The task at hand
is to correct this cycle before it becomes a self-perpetuating downward spiral.
Furthermore, it is wrong to believe that your child needs less sleep than average.
Children need to get the right amount of sleep and they need to get the right kind
of sleep. Quality is as important as quantity. After a newborn’s first six to eight
weeks, good sleep also means sleeping in a crib, bed, or bassinet—not in a car,
stroller, or swing.
But they rarely say a word about how to put our babies to sleep.
They don’t tell us that sleep is a learned skill and that we have to teach our babies
to develop healthy sleeping habits.
Of course, a newborn baby requires a lot of work, and you won’t get eight hours of
uninterrupted sleep.
But there’s clearly a difference between being tired, yet functional, and drained
and psychologically dismantled.
© Mary-Ann Schuler – BABYSLEEPMIRACLE.COM
18
Rule 1 – Create a Flexible
Sleeping and Feeding Routine
A lot of parents literally cringe at the word routine, but you don’t have to think of it
as a rigid and energy-consuming minute-by-minute schedule.
Routine in this case means a commonsense framework with a time mapped out
for eating, sleeping, napping, and playing—a framework that can be adapted as
you become more skillful reading your baby’s signals.
Babies like predictability, even very young ones. They find it calming and that al
lows them to sleep better.
The reason why many parents fear routine is because they think it’ll ruin their
freedom.
The thing is, a flexible routine actually contributes more to your freedom than you
can possibly imagine.
Simply put, a routine makes parenting easier. If your baby is crying, a routine
helps you figure out what he wants.
You can ask yourself how long he’s been awake, or when did he last eat?
If you know by his routine that he is well-fed and rested, then you can go through
a list of questions to figure out the cause of his problem.
It could be the temperature, his clothes, his diaper, his environment, or sickness.
If you have a completely unstructured day, you won’t be able to answer the basic
questions about his wellbeing because you simply won’t know where to begin.
The lack of routine makes it harder for you to interpret what he is trying to tell you.
This way, you’ll be able to notice his natural patterns and establish your own in
accordance. A routine also involves a modified approach to feeding on demand.
And while true that you need to feed on demand during the first few weeks, most
parents don’t understand when their child is hungry.
More often than not, we think every cry is a hunger cry, and we end up feeding
them until we turn ourselves into human pacifiers.
At the beginning, when our nursing skills are just starting to form, it’s very hard to
tell how much our babies are ingesting.
And as new and loving parents, we worry so much about whether they are eating
enough and growing enough that we feed them every time they cry.
It is wise to arm yourself with knowledge about how often babies genuinely need
to eat.
Of course, your newborn baby may have to eat every two to two-and-a-half hours.
But if you are routinely nursing your baby more frequently, you need to stop and
think why—is it his hunger, or your reflex?
If you are having these concerns, a visit to the doctor can address those questions
(or any other, for that matter).
• Swaddling
The pressure of swaddling, similar to what babies
felt in utero, comforts babies and lengthens their
sleep.
Nurse him until he has had enough to eat and is getting drowsy. Then unlatch him
gently before he falls fully asleep. Sometimes he will fall asleep nursing, and then
of course you shouldn’t wake him.
It may take a little patience, but you’ll figure it out within a few days.
Given the fact that you have no way of knowing how your baby will respond
several months from now, familiarizing him with the bottle as early as possible
is crucial.
Most parents fear that if they switch to the bottle, the baby will reject the breast,
but this form of nipple confusion is actually a lot less common than people think.
This only tends to be an issue if you give a bottle at the very beginning, before he
has learned to latch onto the breast.
One bottle a day after nursing has been established for several weeks shouldn’t be
a problem.
Fans or white noise machines are more effective than music in screening out
sounds, but many parents prefer lullabies, and that’s fine.
If you choose the music strategy, take care to use the music to set the mood
around two to three months.
If you let music become a sleep crutch, you’ll spend the night running in to turn it
on each time he becomes agitated.
Play music as your baby gets ready for bed but don’t keep it running as he is falling
asleep. Let it wind down at bedtime, or turn the volume very low.
© Mary-Ann Schuler – BABYSLEEPMIRACLE.COM
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• Bedtime Routine
Developing a bedtime routine early—by about six weeks—is absolutely essential.
Predictable routines not only help babies relax, they cue the brain to slow down
and make the necessary sleep “arrangements”—just like a good book does for you.
If a baby is tired but doesn’t get to sleep, he gets a cortisol rush, which then makes
it even harder for him to go to sleep.
By family bed, I don’t mean keeping the baby near you for two or three months.
That’s an acceptable option.
I mean a several-years commitment in which the parents and children sleep in the
bed together, every night.
Many couples choose short-term co-sleeping to keep the baby with them for the
first few months for bonding, nursing convenience, and anxiety control.
Some parents keep the baby with them for a few months, and then sleep on a
spare bed in the baby’s room for a few days or weeks when they move him to the
crib or bassinet.
Either way is okay, just make sure you
have a plan for getting yourself out of
the room, because he’ll get more accus-
tomed to it than you might realize.
In cases like these, the child does not learn to sleep on his own, and the pattern
can last years, to everyone’s dissatisfaction. This isn’t a satisfactory route to good
sleep.
When it comes to co-sleeping, you also need to be aware of some safety issues.
Studies have found a higher risk of Sudden Infant Death Syndrome in families that
make co-sleeping
a habit.
Newborns sleep a lot, approximately fifteen to eighteen hours a day, but their
sleep is neither organized nor well-developed.
Young babies also cycle between the REM and non-REM sleep, much more than
adults or even older children. And each time they switch, they experience a partial
awakening.
For adults, a partial awakening may only last a few seconds and, more often than
not, we don’t remember it in the morning.
But that very moment of partial wakening can startle babies, and make them
wake up even more. Then they cry and we rush in to rescue them from their fears
and tears.
I strongly believe in responding to a child’s cry, both for his sake and for your own
peace of mind. As parents, we always need to know that they are safe. But we
shouldn’t overdo it. We need to find a healthy balance between comforting our
children and allowing them to learn to comfort themselves.
If we rescue them by creating a sleep crutch, by teaching them that they must al-
ways be held, rocked or nursed to get back to sleep, they will never learn how fall
back to sleep on their own.
© Mary-Ann Schuler – BABYSLEEPMIRACLE.COM
30
The First Month
During these first few weeks, your baby will begin to pick up on your cues and
feelings and to realize that he can influence and affect the world around him.
He will recognize the scent of your breast milk, will prefer soft sensations, and like
to be handled very gently.
Although he won’t fully distinguish day from night for six to eight weeks, he will
develop this ability faster if you expose him to light now. But do it gently and
gradually, you don’t want to shock him with bright light in his eyes.
You can open the blinds when he gets up in the morning and keep him in brighter
rooms. Be careful, however, not to overstimulate him.
If you spend thirty minutes trying to soothe your newborn and he’s still fussing, try
swaddling him and putting him down in a dimly-lit room.
If they can’t get that peaceful awake time during the day, they will seek it—you
guessed it—at night.
Babies in the first month need to eat every two to two-and-a-half hours.
Try not to feed more often than that. If she’s really sobbing, and you’ve already
tried other soothing methods, then feed her—particularly if you’re getting pretty
close to the two-hour mark.
© Mary-Ann Schuler – BABYSLEEPMIRACLE.COM
31
But if you feed her more frequently, pay close attention to her reaction. If she
stops sucking after just a few minutes or she turns away from the breast, she
wasn’t really hungry.
The one time when it may be a good idea to feed a little more frequently (but not
constantly) is late afternoon/early evening.
It helps a lot in that fussy getting-tired part of the day. I am talking roughly 3:00
PM to 6:00 PM.
At night, be grateful for every minute of sleep he gets past two hours. If he needs
to eat, he’ll let you know. During the day, he should sleep two or three hours.
But remember, you can’t let him stay awake too long either.
Before bedtime, keep him awake for two hours. Lots of babies stay up easily
during those two hours, and that time can become a nice family time.
A consistent bedtime and some basic bedtime rules, even at this age, are essen-
tial. It’s how you start to regulate your baby’s sleep.
These first few weeks he may well need you to hold, rock, or nurse him to sleep
in your arms, but at least once a day, try to use those techniques only to the point
of drowsiness, not until he’s fully asleep. Then, very gently lower him into his crib,
swaddled, and let him finish falling asleep.
Napping isn’t very predictable these first few weeks, but the first morning nap is
a good time to practice the basic rules, including the “drowsy-but awake” routine.
The morning nap usually starts only an hour or two later after he wakes up.
Remember: Many new parents don’t realize he has to go back to sleep so quickly,
but if he gets overstimulated in the morning, you are going to have trouble all day.
Don’t forget about your own well-being, though. Remember to take care of
yourself and sleep whenever you can.
© Mary-Ann Schuler – BABYSLEEPMIRACLE.COM
32
The Second Month
During day, however, you still want to wake him after three hours so he keeps his
best sleep for later.
Aim to keep him awake from about 8:00 PM to 10:00 PM so he can have a final
feeding around 10:00 PM and then go to bed.
He should then be able to comfortably sleep until 2:00 AM, wake briefly to eat,
and then sleep again until about six in the morning.
Put him down again when he’s calm, but don’t wait
until he’s fully asleep.
Even so, your baby will take three or four naps a day.
© Mary-Ann Schuler – BABYSLEEPMIRACLE.COM
34
The majority of new parents often underestimate how frequently babies require
sleep.
If your baby stays awake more than two hours at a time, he will become overstim-
ulated and overtired. As such, it will be harder for him to nap.
To help him get ready to nap, place him in a quiet environment a half hour or so
before you want him to fall asleep.
That might mean nursing, or holding him while you sing him a song.
By the end of this month, around week eight, eliminate motion-sleep in cars and
swings and get him napping in a crib or bassinet.
Many naps will still be short—forty-five minutes or so—but gradually some of the
naps should last an hour or more.
Not surprisingly, even at this age, some babies act on their growing recognition of
their parents by trying to resist sleep.
They want to stay awake and hang out with you, a pattern that may intensify as
they go through moments of separation anxiety in the coming months.
As babies sleep longer, they eat a little less frequently if they are healthy and
growing well. Some will only wake up once at night, some will still need to eat two
or three times.
There’s a “change my diaper” cry, a “pick me up and hold me” cry, “I’m ready for
bed now” cry, and so on. Don’t treat all cries as hunger cries.
At about four weeks, many babies enter an over-fussy period, when late after-
noon/early evening becomes a hard time for parents.
This period peaks at about six weeks, and wanes by about twelve weeks. Just do
the best you can to get through this phase. Give the baby regular naps and avoid
overstimulation.
Feed him in a quiet, dim room, without any distractions and make sure you keep
older siblings away from the baby at this time of day.
If possible, enlist Dad’s help. Fathers tend to arrive home just as the baby hits the
fussy peak, between 6:00 and 7:00 PM.
I remember my husband was totally convinced that our baby hated him because
he’d walk in the door, and he’d greet him with a howl, instead of a smile.
Sometimes he’d scream for an hour in the early evening and my husband learned
how to be a very lovable dad, swaddling and holding our baby until he finally got
calm and happy.
They are awake more during the day, asleep more at night, and beginning to find
their own natural sleep-wake rhythms.
Your task will be to adjust that rhythm into a flexible schedule. Your baby’s brain
and biological clock will lay the groundwork for you.
Around the third month, babies begin producing melatonin, the hormone that re-
laxes the muscles and promotes drowsiness.
At this age, babies are less portable for day sleep—they need a quiet and familiar
environment without light or noise pollution.
Get him out of the habit of napping in car seats and get her home and into her
crib.
At around twelve weeks, the morning nap should fall into place, lasting about one
to one-and-a-half hours.
A few weeks later, the stubborn afternoon nap takes on a more dependable shape
as well.
Your baby will probably take a brief third nap in the late afternoon, forty-five
minutes to an hour, depending on the quality and quantity of earlier naps.
© Mary-Ann Schuler – BABYSLEEPMIRACLE.COM
37
Bedtime should now look like bedtime, and it should be the same every night.
Sure, you can make small adjustments, but you don’t want a completely disorgan-
ized schedule.
The bedtime routine should be kept simple and include bath, pajamas, perhaps
some infant massage, listen to a soothing song or start to look at a simple picture
book—you will build on this as she gets older.
Nurse or bottle feed her, and put her down drowsy but awake.
If she knows how to put herself to sleep at bedtime, it will be easier for her to start
learning to put herself back to sleep in the middle of the night without crying.
At this age, babies still need five or six feedings a day, about every three hours, but
they don’t need to eat as much at night.
The sixth feeding is the bedtime feeding. That may still be 10:00 PM, or 11, at the
beginning of this month, but gradually you will move it earlier, to about 8:00 PM.
There is some natural variation to how long babies in this age range can sleep at
night without feeding—anything from six to ten hours is normal.
Your goal this month should be to lengthen your baby’s nighttime sleep, working
toward that eight-to-ten hours of uninterrupted sleep.
If your baby is waking up to eat much more frequently, and you’ve ruled out any
health factors, then you should begin gently helping her to replace that pattern
with a new one.
© Mary-Ann Schuler – BABYSLEEPMIRACLE.COM
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Whether you are breast feeding or bottle feeding, make sure that she’s eating well
during the day, which means she’ll have less incentive to eat at night.
Try not to let her snack all day, and try not to feed her more than every three
hours. Feed her in a quiet place with few distractions, so she can focus on her
meal instead of the world around her.
In the evening, feed your baby before bed, somewhere around 8:00 PM.
Then feed her in the morning, at about 6:00 PM. And you will feed her only once in
between.
You can wake your baby to give her a dream feed, at about 11:00 PM, before you
go to sleep.
Keep the lights off, feed her and put her back to bed or you can wait for her to
wake up on her own, as long as it’s after 10:00 PM.
If your baby cries a bit, just sit by him and reassure him, but don’t feed him.
If necessary, pick him up, but put him down when he’s calm so he falls asleep in
his bed, not your arms.
If you are clear and consistent, they usually stop waking up for those other feed-
ings within just a few nights.
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The Fourth And
Fifth Months
At four months, babies should be able to sleep
about eight hours a night without feeding, and
by five months they go for about ten or eleven
hours.
Moreover, many parents expect babies to start sleeping better after three months,
and they think it will happen magically overnight. And then they get an unpleasant
surprise.
Remember: This is the ideal time to step in and help a baby to sleep better,
because bad sleep habits are not yet fixed and the baby is going through physical
and developmental changes that are very conducive to a more predictable food
and sleep schedule.
The fourth and fifth months are a time of transition. Babies are more awake and
become more active. They begin to understand object permanence, realizing that
people and things exist even when they are out of the baby’s view. That’s one rea-
son they love hiding games and peek-a-boo so much.
But this also brings a bout of separation anxiety. When your baby wakes up at
night, he may not be searching for a feeding anymore so much as a brief
reassurance that both Mom and Dad are right where they should be.
Melatonin secretion rises and non-REM sleep increases, meaning she sleeps more
deeply than she did as a newborn. But the non-REM also means that when your
baby has a partial awakening every three to four hours, he feels more awake and
may need a brief reassurance from you as he adjust to this change. He doesn’t
need a feeding, however.
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The thing is, you want to comfort your baby, but
you don’t need to create a new sleep crutch.
Because four- and five-month-olds are more alert, they require an evening routine
that helps them switch the mental gears that get them ready for bed.
Bedtime should be between 8:00 and 9:00 PM. Remember to get him down drowsy
but awake—that’s increasingly important at this age.
If he consistently falls asleep during that last pre-bedtime feeding, pay attention.
Your baby’s telling you he needs an earlier bedtime, so shift it up fifteen or twenty
minutes at a time until you find the right moment.
At four months, your child should be able to sleep about eight hours at night with-
out feeding, and at five months, he should reach ten hours.
The more adept he is at putting himself to sleep, and back to sleep at night, the
easier it is for him to give up nighttime feeding.
If the situation lingers and he’s getting up frequently at night to eat, you need to
tackle it properly.
You want to get him down to one feeding at night, with the goal of stretching out
the time he can go without breast or bottle to eight and then ten hours.
Often it is the parent as much or more than the child who holds onto excess night
feedings, not quite convinced that the child won’t starve.
It’s an understandable reaction because that’s what you have been doing since his
birth, and it’s hard to feel certain that he just doesn’t need them anymore.
Lots of babies at this age make it almost but not quite through until morning.
They get up at about 5:00 AM to nurse, and then go back to sleep until 8:00.
Remember: Phase out that 5:00 AM feeding because it can cave have profound
consequences later on. It can become an extremely stubborn habit to change and
it can cause you grief for the next several years.
If he cries, stay with him and soothe him. Once the clock strikes 6:00, if he’s still
fussing, go ahead and feed him.
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Don’t forget to be consistent—this is extremely
important!
For example, a baby can wake up at 7:00 AM, nurse, nap at 9:00 and not need an-
other nursing until he wakes at 10:30 or so.
Feeding him when he’s up and active, instead of ready to go to bed, helps weaken
that food-sleep association, strengthening the message that he can get to sleep
and stay asleep without a breast or bottle.
Ideally, four- and five-month-old babies should nap for ninety minutes or longer,
morning and afternoon.
Once his biological clock adjusts to a longer nap, he should gradually learn how to
get through that partial awakening state on his own without needing your assis-
tance.
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Six To Eight Months
You may also notice that at six or seven months, a baby who had been a good
sleeper starts having difficulties. As he experiences the first wave of separation
anxiety, he may protest being left in his crib at night, or may start waking up more
often to see you.
As your baby grows, bedtime can be fun as you create family rituals and games.
As you make changes you may have to tolerate some tears—but you don’t have to
let him cry endlessly or alone. Sit by him as he cries, stroke his head or pat his back
a little, while whispering soothing words.
Eventually, he will learn to cope and adapt to the new sleep pattern—and don’t
worry, it won’t take as long as you fear.
Many sleep issues at this age involve associations between sleeping and eating.
For example, it’s okay to nurse your baby when he wakes up in the morning or
from a nap, but you may want to create a gap between nursing and going to sleep.
You don’t want him falling asleep at your breast, or with a bottle in his mouth.
If your child is not already attached to a lovey, help him create that attachment.
A lovey helps the baby cope with separation anxiety, making him feel safe and
sound when you are not with him.
If he hasn’t already formed a preference, pick a lovey for him. Usually a soft stuffed
animal or baby blanket will do, but pay to his emerging preferences to help inform
your choice.
Simply put, the lovey should be small, soft, and safe—nothing that could choke an
infant and nothing that he could later use to climb out of his crib.
Encourage the bond by placing the lovey between you and your baby when you
nurse or bottle feed him. Tuck it in his arms, or next to him for naps, bedtime,
and when he wakes up during the night. The bond grows even stronger when the
lovey has your scent.
If you are worried that your baby can roll onto her tummy but can’t yet return
herself to the safer back-sleeping position, talk to your doctor about whether you
need to gently help her flip over or whether she possesses enough control over
her neck and head movements to protect herself from Sudden Infant Death
Syndrome while she develops her rolling skills.
Don’t overdo flexibility, however. Just as we adults need basic structure in order to
feel good and function properly, babies need predictability too.
Your baby will not be at his best if his morning naps are at 9:00 one day, and 11:30
the next. The same applies to bedtime.
The trick is to get your child on the right schedule, then stick to it regularly but not
completely rigidly because you’ll have to adapt at times. Sometimes he’ll sleep a
little more, sometimes a little less.
When unexpected events force you to deviate, get back on schedule as soon as
possible. Schedule variations are much easier for a child who is well rested than
for a tired baby whose life is always in disarray.
There is no “right” schedule for all babies, but the Custom Schedule for Constant
Sleep is a very good framework, although some variation is inevitable.
A lot of babies have negative associations, or sleep crutches, which they need to
get themselves to sleep or back to sleep.
One of the hardest tasks is convincing mothers that most healthy six-to eight-
month-old babies on a normal growth curve don’t need to eat at night.
Even a thoughtful mother who knows this in her head may still have a fear in her
gut of letting her child go hungry.
Check with your doctor, but the overwhelming odds are that the main reason your
baby still gets up in search of breast or bottle is that you allow it.
Don’t be hard on yourself, though. There are many other moms just like you.
But don’t worry, there’s good news.
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There are other ways of putting your baby to sleep besides nighttime feeding.
First though, I need to tell you gradual techniques don’t work for everybody,
therefore you need to choose what feels right for you.
Also, please consult with your pediatrician and make sure that your child does not
have a medical or growth issue that does require more frequent feedings.
Some babies who haven’t yet outgrown their reflux might still need more fre-
quent, small meals, but even with these babies, try to do as much of the feeding
as possible during the day or else you’ll be living with the sleep-disrupting side
effects of reflux long after her tummy problems are over.
Whatever approach you take, it will be easier if you try to reset his hunger clock so
that he takes in more calories by day and is not looking around for more at night.
I know some babies, even this young, who do a remarkable job of resisting food all
day so they can feast all night. Review your daytime feeding schedule, and keep a
written log of his diet.
Talk to your pediatrician about whether she’s getting the right mix of milk and sol-
id food.
Remember: Try to nurse or bottle feed him in a quiet, dim place without distrac-
tions. That may help him feel more like it’s a night feeding
Try cutting down on nursing time at night. If he usually feeds for twenty minutes,
give him fifteen. Keep cutting back every few days until he’s ready to give it up.
Make sure you are unlatching him when he finishes eating heartily—don’t let him
just gently suckle and doze. This applies to the bottle as well. Let him eat, but
don’t let him play with it. Get him back to bed while he’s drowsy but awake.
When you cut the nursing time all the way back to five minutes, or the bottle to
just three ounces, it’s time to stop. Anything smaller than that is just a tease.
If you or your pediatrician think your baby still needs to eat at night, or if you want
to cut back nighttime feedings but aren’t ready to eliminate them for good, re-
strict it to once a night.
Feed him quickly, and avoid other interaction that will encourage him to stay up
and cling to you. You can also try a “dream feed,” where you wake him for a final
feeding before your own bedtime, probably around 11:00 PM.
Or you can wait until he wakes up, as long as it’s at least eight hours after his last
feeding, which usually means around 3:00 or 4:00 AM.
The key here is consistency.
And only feed him once at night, and not again until at least 6:00 AM. And keep
reminding yourself that he is a healthy, well-fed baby, not a starving waif. Mixed,
intermittent messages will only worsen the situation.
Some parents find that when they get on more consistent, organized schedules,
the babies just start skipping this final feeding on their own. Other parents use this
one feeding as a temporary solution for a few nights between multiple feedings
and eliminating the night feedings. When you are ready to eliminate the nighttime
feedings, go in and comfort your baby when he gets up but don’t nurse him.
Try not to pick her up unless she’s hysterical, and then only pick her up briefly.
Some babies adjust in approximately four days, while others take a little longer.
But if you’re consistent, the tears will ebb quickly and she’ll wake less frequently.
Many of us walk or rock our newborns to sleep, or start this habit when we find
that nursing doesn’t get them to sleep anymore. But if your child is six months or
older, it is time to phase it out.
You’ll know it’s a problem if your child needs to be walked for more than a few
minutes at bedtime, if she wakes up again as soon as you stop walking, or if she
needs to be walked each time she wakes up at night. The same goes for rocking.
Begin by focusing on bedtime, when you are most awake and better prepared to
follow through consistently.
Walk or rock only in her bedroom, not all over the house. This helps create a posi-
tive association between the bedroom and sleep.
Reduce the amount of time you walk, even if she isn’t entirely asleep when you
stop it. In other words, if you usually walk twenty minutes, try walking fifteen min-
utes for a couple of days, then ten minutes for two or three days.
Put her down when she’s drowsy but awake. If she cries, stand or sit by her crib
and soothe her. Don’t engage too much, though. Just whisper reassuringly and
stroke her a bit now and then.
Often babies who want to be walked to sleep at bedtime will insist on the same
habit in the middle of the night.
Pick him up only if things get very hysterical. Help him calm down, but keep him in
his room. Build a pleasant association between his room and sleep. Put him down
calm and drowsy but awake and let him take that final step and fall asleep on his
own.
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3. Getting Rid Of The Pacifier
Pacifiers are great for the first month or so of life, when newborns really need all
that extra sucking. After that, pacifiers retain their role but their place is not in the
crib overnight.
At six to eight months, it’s fine if your baby is using a pacifier to calm himself, but
not as a sleep crutch.
If he spits it out, leave it out. Don’t assume he wants it back. Make sure that you
are not blocking his blossoming efforts to communicate with you by plugging it in
all the time, especially during the day.
To begin eliminating this habit, choose a night when you are ready to face a little
unpleasantness and put him to bed without his pacifier.
Make sure you have an especially nice and calming bedtime routine, and try to get
him to bed drowsy but awake. Stroke or soothe him instead of giving him the pac-
ifier.
Do this every night when he wakes and be consistent. Keep in mind, if you
“surrender” after he’s cried for an hour, you aren’t teaching him to sleep without
the pacifier. You are teaching him to cry for an hour in order to get a pacifier.
If your child wakes up at 6:00 AM, refreshed and ready to start anew, you’ll proba-
bly have to live with it. That’s a biologically appropriate wake-up time for a baby or
small child. Remember to adapt the meal and nap schedule to suit his early hours.
Babies who wake up before 6:00 AM, or who wake up cheerful at 6:00 but are a
total grump by 7:00, are a different story. You need to step in and coach him to
sleep later, because the longer you endure early risings, the harder it becomes to
change the pattern.
Once they’re older, it can take months. Make sure your early riser is getting
enough daytime sleep. Nap deprivation can cause poor night sleep and early
awakenings.
If you think he is waking up very early because he is hungry, try waking him for a
final feeding about 11:00 PM as an interim step, and also work on making sure he
takes more food during the day.
When you hear the first sign of him waking up early, go to him very quickly. Soothe
him, and offer him a lovey. Try to get him and his lovey back to sleep without
taking him out of his crib.
Letting him get up earlier, while it is still dark, sends a confusing message, and is
another example of intermittent reinforcement.
He can’t understand why he can get up in the dark at 5:50 AM but not at 2:15 AM.
Also, many parents have learned the hard way that if they let him get up at 5:50
AM, he’ll gradually wake up earlier and earlier.
At this age, I recommend that the parent stay in the room while the child gets
back to sleep in the early morning.
When the clock finally strikes 6:00, leave the room for a minute or two.
He may cry but it’s only one minute. When you reenter the room, do a dramatic
wake-up.
Open the blinds, turn on the lights, sing a cheery morning song—a reverse lullaby.
Think of it as a morning routine. The idea is to help the baby make the distinction
between day and night, to know when it’s really time to get up and start his day.
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5. Napping
Napping is difficult for babies, and nap training is almost as hard for parents.
Nighttime problems are generally solved reasonably quickly. Most parents begin
to see progress in just a few nights and they see considerable improvement in ap-
proximately two weeks. Tackling day sleep requires more patience and persever-
ance.
Like adults, babies simply have trouble sleeping when it is not dark. Our brains are
programmed to be awake during daylight, and asleep at night. Nap training is hard
on parents because it is time-consuming and patience-eroding.
Remember that babies from six to eight months need two naps a day, about one-
and-a-half to two hours apiece. The short third nap in late afternoon is optional as
long as they are getting two decent naps earlier in the day.
To start a good napping program, start by reviewing your child’s schedule, paying
attention to the correct timing of naps and his daytime sleep windows.
Try turning off the night-light or leaving only a very dim light on. Some babies
need near total darkness to nap, as well as sound-dampening devices.
Follow the same basic rules as bedtime to avoid early attempts at delay:
Don’t feel obligated to feed him before every nap, especially if you are working on
breaking a food-sleep association.
Also, if you do have to pick him up, keep it brief and put him down again as soon
as he is calm. However, if your presence is making him stay awake instead of fall-
ing asleep and he’s trying to engage you, then you should try leaving the room.
Come back to check him frequently, every five to fifteen minutes.
If after a full hour, your baby hasn’t fallen asleep, leave the room for at least one
complete minute. Come in and, with a little drama and flourish, take her out of the
crib and act like naptime is over, much like you do at morning wake time.
You want to send the message that when she gets up, it’s because you’ve decided
it’s time, not because she has been crying.
If she doesn’t sleep a wink during the morning hour, try to get her down for her af-
ternoon nap earlier than usual because she’s going to be very tired. Watch her for
sleepy cues, and catch her when she’s ripe for a nap, maybe in as little as forty-five
minutes.
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Nine To Twelve
Months
At this age, babies need on average eleven
hours of sleep at night and three hours during
the day.
Most of the problems encountered in babies from nine to twelve months are quite
similar to those found in babies from six through eight months, with the exception
of several sleep-related developmental differences.
At this age, babies are more mobile, crawling and pulling themselves up in their
cribs.
Some walk by their first birthday, a major developmental milestone that can
temporarily disrupt sleep.
Moreover, increased activity can tire the baby, so you need to pay very close
attention to his sleep window, when he is most ready (and able) to fall asleep.
Some can resist sleep, and hide that window. If you wean during this period, that
can also influence the bedtime rhythms.
What makes babies at this age different from younger ones are developmental
changes.
Those physical changes often makes them wake up more at night, and the accom-
panying cognitive changes make them more aware of strangers and new places.
Around their first birthday, babies experiencing these anxiety peaks often begin
to test their parents to see what the response will be, and this can make bedtime
even more difficult to manage.
If your baby has not already grown attached to a lovey, you should encourage
one now. The lovey makes the baby feel safe, particularly at bedtime or when he
wakes up at night.
To make things easy and encourage the bond with the lovey, hold it between you
and your bay when you are nursing or bottle feeding him, and include the lovey in
bedtime games like peek-a-boo.
If he doesn’t bond despite your best efforts, try a lovey again in a month or so—or
perhaps he’ll choose one from among the presents he is sure to receive on his very
first birthday.
At this age, most babies can pull themselves up and stand—which leads to new
twists at bedtime or nap time, when you put them down in the crib and they can
pop up again.
My advice is not to intervene, or to put the baby down only once. Babies do tend
to learn how to get up before they can get back down, so let them practice during
the day.
As babies get older, they can form an emotional bond with the bottle or breast. It
basically becomes a lovey that can become a sleep-disrupting habit.
Nurse or bottle feed at set times, and use the cup at set times, giving him water,
milk, formula, diluted juice, whatever your doctor recommends.
Most moms find that they and the baby both like nursing in the morning and
evening, and using the cup during the day, especially with solids at mealtimes.
Remember: Don’t let your baby fall asleep on the breast or with the bottle, don’t
let him be dependent on nursing to fall asleep or stay asleep or you’ll be nursing
him back to sleep all night for months.
9:00 or 9:30 AM – Start the morning nap. If your child is sleeping eleven to
twelve hours uninterrupted at night, he might be able
to stay wake until 10:00 AM. Some children need a small
morning snack after the nap
That’s why, during the first weeks of sleep scheduling, you are better to err on the
side of too much rigidity than too little.
The biggest scheduling differences between younger and older infants focus on
eating. Check with your pediatrician, but healthy children from nine to twelve
months on a normal growth curve can almost always go eleven to twelve hours at
night without a feeding.
If your child is still waking to eat frequently, you probably have to either adjust his
body clock or change his habits. Separating food time from sleep time, and creat-
ing recognizable meal and snack times instead of nonstop nibbling is conducive to
a sleep-friendly structure.
Many babies also have morning and afternoon snacks, but you want to get away
from the idea of constant feeding and grazing all day—and all night.
If your baby goes to bed or takes a nap right after a meal, make sure there is some
time between nursing or bottle feeding and going into the crib.
You want to remove that suckle-snooze association, and teach her that milk is part
of mealtime, not sleep time.
These associations aren’t actually bad behaviors, they only become negative when
they disrupt sleep. For example, a child should be hugged and snuggled. But if he’s
hugged and snuggled until he falls asleep, and each time he wakes up at night, he
will never learn to fall asleep on his own or get himself back to sleep at night.
Nursing or feeding a baby even when he is seeking food purely for comfort, not
hunger, is another negative association that disrupts sleep.
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Our job as parents is to help the baby get rid of these associations by creating
positive new ones that will help him get the sleep required by his growing body
and his expanding mind.
If your child is still waking up at night, take another look at his routine. Are you
putting him to bed a little too drowsy?
If the answer is yes, he may have learned to put himself to sleep at bedtime when
you’ve done much of the sleep preparation work for him, but he can’t get himself
to sleep at night without your assistance.
Try putting him down at bedtime when he’s a tad less drowsy, and a bit more
awake so he can refine those self-soothing skills. You may also try moving bedtime
earlier by 15 minutes or a half an hour, and maybe create a little more separation
between that last nursing or bottle feeding and bed.
Try leaving a soft light on while you nurse—this will help him break that suck-
le-sleep association.
Many parents who are still feeding nine- to twelve-month-old babies all night look
at me with skepticism when I tell them this, but healthy babies this age who are
on a good growth curve don’t have to eat at night.
Check with your doctor, but if your baby is still waking up at night, you’re dealing
with habit, not hunger.
Either your child’s hunger clock needs some readjustment, so he eats more during
the day and doesn’t have a growling tummy at night, or he is using nursing or bot-
tle feeding as a sleep crutch.
If that’s too abrupt for you, do a dream feed for two or three nights. Wake him at
about 10:00 or 11:00, about three hours after he goes to bed but also before you
turn in for the night, for one last feeding. Don’t feed him again until morning.
He will wake up very hungry and eat better during the day, which in turn will help
him eat less at night. I know a lot of us experience anxiety about not feeding our
children at night. We are afraid of hurting them, that we are leaving them with
severe pangs of hunger that they can’t even articulate. We aren’t. They will be fine.
If you are consistent, he’ll probably give those nighttime feedings up in just three
to four days. But if you are not sticking to this schedule, it’s just going to be more
difficult for you and more confusing for him.
When nursing proves ineffective, or when we cut out nighttime nursing because
we know it interferes with sleep, some of us end up walking or rocking our babies
to sleep instead.
A few minutes of walking or rocking at bedtime is fine, but if your baby demands
more than that, or if he wants to be walked and rocked several times during the
night, it’s time to stop.
As with so many sleep issues, the easiest time for you to make changes is at bed-
time, when you are more likely to be consistent.
Begin by doing all the walking or rocking in the bedroom, not all over the house.
You need to create a positive association between the room and sleep.
Reduce the amount of time you walk or rock—slice off five minutes or so every few
days.
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Stop walking when he’s nearing drowsiness,
and put him down in his crib. He needs to
be aware that he is going into the crib.
Sit by the crib and soothe him. If he gets really hysterical, pick him up briefly and
put him down as soon as he’s calm.
If he calms down in two seconds once you’ve picked him up, you know you’ve
been had!
He didn’t need to be picked up as badly as you thought he did. Offer swift comfort
when he wakes up, but don’t start walking and the rocking again. Be consistent.
Pacifiers are great for the first month, when newborns really need all that extra
sucking. After that, pacifiers have their place, but it is not in the crib.
You have two options: you can either wean your child off the
pacifier or, if that seems too harsh to you, you can let him
keep it but help him learn to put it back in his mouth
by himself. To make it easier, leave several in the
crib so one is always within easy reach.
I would encourage you at this point to limit the pacifier to crib and car so that your
child will experiment with other forms of self-soothing.
If you decide to go without the pacifier, or if you try to let your baby take care of
his own pacifier but he still resists and still wakes up in search of it repeatedly,
choose a night when you are ready to face a little unpleasantness.
Make sure you have an especially nice and calming bedtime routine, and try to get
him to bed drowsy but awake. Don’t give him the pacifier.
Stroke or soothe him, just as you would a child you were weaning.
Instead of giving him the pacifier, use techniques similar to those that break night-
time nursing or walking and rocking habits. Do this each time she wakes up at
night. As always, consistency is important.
If you surrender after she’s cried for an hour, you’re teaching her to cry for an hour
before he gets the pacifier.
If your child is awake at 6:00 AM, you’ll probably have to accept that, even if your
own preference is to sleep another hour or so.
Don’t force him to stay up when he really needs to go to sleep or he won’t be able
to fall asleep when you want him to. Room-darkening blinds may help, and white
noise machines can be useful if there’s a lot of noise around.
For a baby who wakes up before 6:00 AM, you need to step in and take action,
teaching him to sleep later. Address the problem now, even if it takes several
weeks to see results.
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If you want until he’s a toddler or preschooler, it can take even longer. Make sure
your early riser is getting enough daytime sleep, because nap deprivation can
cause poor night sleep and early awakenings.
You may have to change his nap schedule too, to make his morning nap a little lat-
er.
Try moving it back a half hour or so, but don’t let him get so tired that he won’t be
able to nap.
When your early riser stirs, go to his room right away. You want to try to get him
back to sleep as soon as possible, not let him scream himself awake.
Bring the lovey and give it to him while trying to soothe him back to sleep without
picking him up.
Even if he doesn’t doze off again – and not all babies will at first – do not turn on
the lights or get him out of his crib until 6:00 AM not matter how much he pro-
tests. You don’t want to send confusing messages.
At this age, I recommend that the parent stay in the room for this early morning
routine. If, however, you feel your presence is more disruptive than helpful for
his sleep, you can try leaving his room after a bit of reassurance and see if he falls
asleep again on his own.
Your message must be clear: ‘I’m getting you of the crib because it’s morning, not
because you were crying.’
To ensure good sleep, limit the morning nap to one-and-a-half hours for the nine-
month-old, and one hour for the twelve-month-old.
Get that afternoon nap started about three hours after the morning one ends. If
he’s been ill, or slept poorly one night, he might need a longer nap once in a while,
but don’t make it a habit.
Don’t stay in the room if you sense that your presence keeps him awake. Not all
babies will take that full hour, or they may only take the full hour for the first few
days.
Have a backup plan for the afternoon. Give him that hour to fall asleep but when
the hour is up and he’s still awake, do a dramatic wake-up.
Then do whatever it takes to get him to sleep. If he falls asleep but only catnaps,
waking up after twenty or thirty minutes, resettle him and start your sixty-minute
count again.
A common mistake is to offer the child a brief comfort nursing right before nap
time. What often happens is that the baby dozes after about fifteen minutes while
nursing—a little ‘power nap’ on the breast. It gives him just enough sleep to fight
off a genuine nap.
Their increased mobility, a peak in separation anxiety around the first birthday,
and emotional attachment to objects such as bottles and pacifiers can all compli-
cate bedtime and contribute to nighttime awakenings. At around fifteen to eight-
een months, toddlers switch from two naps to one. What makes it tricky is the fact
that one nap becomes insufficient and two naps become too many. The result is
an overtired child who doesn’t sleep well at night.
As if that wasn’t enough, temper tantrums often emerge at this age, and toddlers
start testing their parents. Not surprisingly, bedtime is a common battlefield.
A soothing bedtime routine is extremely important for children at this age, and
adhering constantly to routines and clear rules is crucial, because the next stage is
only tougher.
At this age, separation anxiety hits a peak right around the first birthday. Saying
“night-night” to parents can be though. That nice long transition to bedtime, good
focused time with one or both parents, helps ease the fears.
Although one-year-olds can’t say much, they understand an awful lot, so give
plenty of verbal assurance about how Mommy and Daddy are nearby.
Tuck the lovey in with her in the crib at bed and nap time. At some point, your
baby might mimic bedtime activities for the lovey, giving the toy a goodnight kiss
and tucking it in.
Even if the lovey bond hasn’t stuck before, I strongly recommend making anoth-
er effort now. Toddlers often get emotionally attached to the breast, their bottle,
or pacifier, and they wake up often at night wanting a bottle or cup, not because
hunger or thirst steps in, but because it helps them feel secure.
Weakening the attachment to these things goes hand in hand with strengthening
the attachment to the lovey—you’ll face trouble helping create the lovey bond if
you don’t reduce the previous attachment simultaneously.
Snuggly toys help toddlers get themselves back to sleep independently at night.
In contrast, attachment to a breast, bottle, cup, or pacifier often makes kids wake
up and call for you to nurse them. When it comes to eating, we, as parents, have
to acknowledge the fact that milk isn’t the heart of our children’s diet anymore. By
their first birthday, babies get most of their nutrition and calories from solid food.
On the contrary, it might contribute to his habit of associating milk with sleep,
and wanting to drink all night. It may also invite him to wake up and let you know
loudly that he has a soaking wet diaper.
If you wean—and many mothers do around the first birthday—I recommend going
from breast feeding to a cup, not to a bottle.
Weaning should be an easy, natural transition. It rarely disrupts sleep, but sleep
that is already disrupted can make weaning harder for an overtired, unhappy baby.
Weaning is more difficult if he has not learned how to fall asleep without a breast
or bottle in his mouth.
There’s no right way to wean, but the most common advice is to drop one daytime
feeding one week, drop a second one the second week, and so on.
Then begin reducing the amount of milk in the bottles that you offer before or af-
ter lunch and dinner. Give him a cup with his meal instead. You may find that if
you give him the bottle after his meal, he won’t really want it much anymore, he
won’t be hungry. If your baby becomes fussy during daytime and asks for a bottle,
look at the clock and your sleep log. Is he really hungry or does he want the bottle
out of habit? Don’t assume that the bottle is the only thing that will make him feel
calm and happy.
9:00 or 9:30 AM – Start of one-hour morning nap if he’s still taking one.
He’ll probably want a snack right before or after the nap
12:30 - 1:30 PM – Start of afternoon nap. About 1.5 hours if it’s a second
nap, about 2 to 2.5 hours if it’s the only nap of the day.
Snack after nap
Their bodies need the routine to regulate day and night hormone cycles, and to
keep them in sync with their internal clock.
Their little minds need certainty and predictability to feel safe and secure. But
don’t forget about flexibility.
The custom schedule is a good starting point that is flexible and can be adapted
to your specific situation—it’s not a rigid structure.
Remember: Watch your baby’s daytime behavior. If he’s easy and happy, he’s
probably on a pretty good schedule. If he’s fussy and demanding, he may need
longer naps, an earlier bedtime, a later wake-up time, or all of the above.
If you have to skip a nap because of a doctor’s appointment, for example, most
toddlers fare better missing the morning nap than the afternoon one.
You can move the afternoon nap up a bit to compensate for a missed morning
one.
Most snack twice a day, either before or after the morning nap, and upon
awakening from the afternoon one.
Babies who have trouble getting to sleep and staying asleep experience what
sleep experts call negative associations, or sleep crutches. These behaviors aren’t
bad, they only become bad when they interfere with sleep—yours of your baby’s.
For example, children should be hugged and snuggled, but if they are hugged and
snuggled until they fall asleep and each and every time they wake up at night,
they will never learn how to fall asleep without being hugged and snuggled.
As you probably know, healthy toddlers should be able to go from dinner until
breakfast without a feeding, eleven or twelve hours. Your pediatrician can confirm.
With infants, I usually suggest a gradual elimination of nighttime feedings, but af-
ter the first birthday it’s usually best to just stop it cold. When she wakes up want-
ing to nurse or take a bottle, sit by her side and find other ways to calm and com-
fort her.
Pat on her mattress a bit, murmur “sh-sh” sounds, tell her it’s night-night time.
Don’t surrender and feed her, or the inconsistency is going to make the change
more prolonged and difficult for her.
If you can’t stop at once, try a dream feed for a few days, no more than a week.
Now there are easier ways to get weight-bearing exercise that don’t involve sleep
disruption.
A few minutes of walking or rocking before bedtime is fine if you can then put him
down without him squawking and if he doesn’t wake up at night demanding an-
other walk. But if walking and rocking have become a sleep crutch, you need to
get rid of it.
Make sure you have a nice long and comforting bedtime routine. You can include
a little bit of walking or rocking in it, just don’t let it maintain the negative associa-
tion.
Most pediatricians recommend weaning your child off the pacifier by eighteen
months to two years, but if your child is waking up a lot at night seeking his paci-
fier, you may want to act now. Moreover, be prepared for a few nights of unpleas-
antness.
If your toddler is up at 6:00 in the morning, joyful and happy, it may be a strain on
you but it’s not a crisis for him.
If he’s up at 6:00 but cranky after half an hour or so, or if he wakes consistently
before 6:00, it may indicate sleep deprivation.
Try getting your baby to sleep between 7:00 and 8:00 PM, and ensure that he is
getting enough naptime – this might help him shift his biological clock and help
you overcome the early awakening.
You are walking on a thin line and you must balance between pushing him to nap
later and not postponing it so long that he is too wired to sleep.
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If your baby wakes up before 6:00 AM, however, you are going to have to teach
him to sleep.
After his first birthday, if early rising is an established habit that has gone on for
several months, it will probably take between three and four weeks of parental
consistency to change it.
When he gets up, respond immediately. Your goal is to get him back to sleep
quickly and quietly, not to let him scream himself into total wakefulness.
Give him his lovey and try to soothe him back to sleep without picking him up.
No matter how much he may protest, don’t turn on the lights or let him out of the
crib until 6:00 AM. Letting him get up earlier, especially if it’s still dark, sends a
confusing message that acts against you.
Sleep training at 5:00 in the morning, when we are being pulled out of a dream
sleep ourselves, is very difficult. It’s up to you whether you stay in the room or
leave, and you may have to experiment to see what works best for you and your
child.
Try sitting in a chair with your eyes closed. That helps convey a message that it’s
still night-night time.
If he’s still awake when the clock finally strikes 6:00, leave the room for a couple
of minutes. He may cry, but don’t let that bother you—you will be right back in two
minutes.
I’m going to talk about two aspects of napping. First, I’ll try to help the toddlers
who don’t nap well or who don’t nap at all. Then I’ll address the problem of nap
consolidation—how to know when the time is right, and how to make the transi-
tion easier for all concerned.
The thing is, the two problems overlap—nap training is hard and it may be harder if
his body is getting ready for a nap transition.
The advice applies whether your toddler is on a two-nap or one-nap schedule. Re-
member, when she’s taking two naps, the morning one should be about one hour
long, and the afternoon one about an hour and a half. A little flexibility is allowed,
but don’t let him sleep so long in the morning that he can’t go down in the after-
noon—nap needs will slowly shrink to about ninety minutes by age three.
Keep in mind how hard it is for children to switch gears and get to sleep in day-
light, particularly toddlers who are in constant motion.
Set the stage for him in a quiet, dim room. Listen to some quiet music, read a book
or two, or play some gentle games before putting him into the crib. Put him down
drowsy—even a little drowsier than he is at night, but awake. It’s up to you whether
you stay in the room and soothe him, or leave. If your presence calms him, stay. If
your presence stimulates him, leave. But don’t go too far away and check on him
every ten or fifteen minutes. Either way, don’t converse—you can, however, mur-
mur “sh-sh” comforting sounds. Resist picking him up unless he is about to reach
that point-of-no-return, and then pick him up briefly and put him down as soon as
he is calm. Give him an entire hour to fall asleep.
Even though I usually advise against motion-induced sleep, this is a time to make
an exception to the rule.
Take him for a car ride, put him in the stroller, do whatever it takes but avoid re-
turning to the original sleep crutch. Otherwise he will be too overtired to go to bed
at night and you’ll be back to that downward spiral of sleep deprivation leading to
more sleep deprivation.
Go back to the nap training again the following day—eventually he’ll get the mes-
sage that when you put him in the crib, it’s time to sleep.
The transition from two naps to one nap is an essential physical and psychological
change, and almost all children undergo the “one nap is not enough, two naps are
too many” phase.
Lots of parents get very nervous about this, and even in the best case scenario you
will probably have a little bit of crankiness and disruption for a couple of weeks.
The trick is to know when your child is ready to make the transition to a single af-
ternoon nap and to make sure he doesn’t get so overtired during the transition
that he crosses the line between mildly cranky and totally sleep-deprived.
Try to get your child to bed earlier than usual for two weeks or so during the tran-
sition—maybe 7:00 or 7:30 PM—to cushion him from being overtired.
Your aim is to have one nap starting around 12:30 or 1:00 PM. It should last two to
two and a half hours—it will become shorter during the next three years. But you
need to get him there gradually over a period of about seven to ten days. Just
skipping the morning nap and trying to keep him up until 1:00 PM is not going to
make anybody happy.
Start by pushing his morning nap a bit later. Delay it until 11:00 AM or so for two or
three days, then 11:30 for a few days, then noon, and so on.
Don’t let it get bogged down in late morning. You want him on that early after-
noon schedule within seven to ten days, although it may take another week or so
for his body’s sleep cycles to adjust.
In addition, if your child is not yet sleeping through the night, work on that before
you address the issue of nap consolidation.
When he’s slept through the night consistently for a few weeks, then you can be-
gin changing the nap schedule if you see that he is ready.
Toddlers and early preschoolers are definitely funny, but bedtime can be a great
challenge.
They are learning to follow simple directions, yet they also test their limits. At this
age, curiosity is bursting through every inch of their body and their language skills
are improving greatly by the day. But as their language skills improve, they just
love to stall and negotiate around bedtime.
To prevent bedtime from becoming a war zone, make sure that you have a very
consistent and predictable routine. Clear rules and parental consistency are essen-
tial, along with plenty of love, cuddles and kisses.
Sadly, and all too often, many parents rush to get their child out of a crib or into a
bed, as though it were a sign of achievement, maturity, or their guaranteed suc-
cess as adults.
A twenty-month-old
walking around in his room at night, pulling
out drawers and unplugging lamps can be
wonderful but potentially hazardous.
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Starting with age three, however, a child acquires the verbal skills to understand
the big bed rules and to communicate when he has gotten out of bed for the
tenth time at night.
One of the most difficult aspects of sleep training for one-and-a-half to two-and-
a-half-year-olds is that parents are a bit skeptical that they can change their ba-
bies’ ingrained habits, and they are so sleep-deprived after two years that the re-
quired nighttime consistency is hard to keep.
As you will see, children can—and do—learn to renounce their sleep crutches.
They give up their bottles, their midnight nursing, and their need to be walked or
rocked. Regarding developmental changes, separation anxiety comes first. While
true that it may have peaked at the first birthday, starting from eighteen months
onward and throughout early childhood, separation anxiety will remain somewhat
present.
A nice, gentle, and predictable transition to bedtime and quality time with one or
both parents helps soothe those worries.
At some point, your child may begin to articulate that he wants you to stay with
him at bedtime. It can be heartbreaking to hear him plead “Mommy, stay.” Be gen-
tle but firm when the time comes to say good night.
If your child isn’t talking yet, he can probably still understand your verbal reassur-
ances about how Mommy and Daddy love him and will be nearby. A lot of children
find it easier to fall asleep if you stay in a nearby room, not another floor of the
house.
Even though they can’t see you, they
know you’re there.
As for loveys, they are very important for those children who are gaining inde-
pendence but still need that extra helping of security.
Loveys help deal with separation and with breaking lingering emotional attach-
ment to bottles, cups, or pacifiers. With their expanding imagination, babies also
like including loveys in bedtime games.
However, if your child’s lovey is a pacifier, a bottle a cup, or even your breast, he
may not accept a new lovey as easily. As you wean him from the bottle, or start to
break the association between nursing and sleep, he will be more receptive to a
new security object. It just needs some time.
Parents may worry if their child wants to carry the lovey everywhere. If the lovey is
a pacifier, restrict it first to the house, then to nap and sleep time.
At this age, new mobility kicks in. If your child starts climbing out, dissuade him
by making the climb harder by lowering the mattress. Place soft pillows on the
ground for safety, just in case. Also, remove large toys from the crib that might
serve as launch pads.
If he does get out, put him right back in the crib, saying only this: no climbing. Be
firm, but don’t yell at him.
If your child still seems determined to get out, try a crib tent, a zipped mesh cover
that lets him see out but not get out.
Remind him that privilege is accompanied by rules, like staying in bed all night.
As for food, when our babies are little, we strive to get them to bed on a full tum-
my, hoping it will help them learn to sleep longer at night. That’s no longer neces-
sary.
Generally speaking, children this age should be able to go twelve or thirteen hours
from dinner until breakfast, without a bedtime snack except, perhaps, a glass of
water.
Kids who drink milk (or juice) all day tend not to be hungry at mealtimes and don’t
get enough solid foods, or enough of a variety of solid foods, to meet their ex-
panded nutritional needs.
Children eighteen to thirty months old should have three recognizable mealtimes,
breakfast, lunch, and dinner, plus snacks in the midmorning and after the after-
noon nap.
Remember: Healthy childhood eating patterns help shape healthy eating patterns
later in life.
If you haven’t already introduced a cup, do so now even if you are still nursing.
Offer the sippy cup, of water, milk, formula, whatever your pediatrician recom-
mends, at each meal. If he takes a bottle at night, switch to a cup, and if he takes
milk at bedtime, switch to water.
Children at this age may get frightened, thinking about all sorts of monsters at
bedtime. Remember that the fear is real, even if the monsters aren’t.
Do what you need to console him and to convince him that monsters do not exist.
Children need regular nap times, regular bedtimes, and reasonably regular meal-
times.
Routine is needed to regulate day and night hormone cycles, and to guarantee a
sense of certainty and predictability.
Sleep times are averages but the variations are a lot less than many parents think,
and your child may well need a lot more sleep than he’s getting.
Even when you develop a nice workable schedule, you will experience some natu-
ral fluctuations.
As toddlers turn into preschoolers, they may be able to skip an occasional nap
without falling apart.
Don’t be fooled into thinking that your youngster has outgrown naps completely.
Many experts who subscribe to the crying-it-out approach to sleep training con-
tend that once children learn how to fall asleep by themselves at bedtime, they
somehow magically start sleeping all night.
The truth is, we have to help them by addressing their night awakenings with effi-
ciency and consistency.
When a child does wake up and cry at night, either because you haven’t totally
eliminated all night awakenings or because your child is backsliding a bit, I believe
parents should respond quickly. That helps reassure him, and makes him feel safe,
secure, and listened to. By going to him, you can reassure yourself that he hasn’t
gotten sick, his foot isn’t stuck in a crib slat, his blanket isn’t around his neck, his
diaper isn’t soaked, and so on.
The goal is to get him back to sleep, not to have him scream himself awake.
Hysterics make everyone feel bad, and it’s harder for both the child and the parent
to get back to sleep. But still, you have a few choices as to how to respond.
You just need to strike a balance between what feels right to you as a loving
parent and what helps your child learn to sleep.
You can sit by his side or in a chair in his room, comforting him. Try to soothe him
with loving sounds and phrases more than with patting and touching.
However, if you sense that he is continuing to wake up one or more times every
night in order to get you there, you’ll have to back off a bit. Maybe sit in the hall-
way instead.
You can also go to his room quickly to calm and reassure him, then sit in the door-
way or hallway until he falls asleep again or gets drowsy enough for you to leave
without setting off more tears. Other options would be to let him cry if you think
he’ll get himself back to sleep quickly, or go to quickly reassure him but then re-
turn to your own room. Whichever method you choose, remember to interact as
little as possible, and keep it soft and gentle.
Don’t scold. If your little bundle of joy is getting out of bed, walk him back to bed,
tuck him in, and then choose one of the above methods.
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1. Eliminating Night-Time Feeding
A bedtime snack or milk will not prolong or improve your child’s sleep at this age.
On the contrary, it may actually disrupt sleep by making them seek a cup or bottle
every time they stir at night.
Many kids do still have the nighttime milk habit, mainly because we as parents
were so concerned about getting that last meal in them as infants that we hav-
en’t let go of it now that they are toddlers. In those specific situations, feeding and
sleeping patterns may still be closely entwined.
What you need to know is that there is a subtle but important difference between
nursing at bedtime and nursing to sleep. Some moms breastfeed until age two or
older, and bedtime may be the nursing time they hold on to the longest.
Avoid letting your child fall asleep at the breast. Either nurse until he’s drowsy but
still awake and then put him down or, better yet at this age, nurse him as part of
the bedtime ritual but not as the last activity.
In other words, nurse, and then brush teeth, play a game, and read a book. Do
something to create a little space between nursing and sleeping.
With cups and bottles, you want to move from a bottle to a cup, from milk to wa-
ter, from in bed to shortly before bed. How fast you make those changes depends
on your temperament and your child’s, but your aim must be a cup of water before
lights out.
Stroke him a bit, even pick him up for a big comforting hug. Keep encouraging
that bond with the lovey, to replace the bottle.
Then put him back down and stay quietly in his room until he falls asleep again.
Many of us walk and rock our newborns to a soothing sleep, but after eighteen
months, or thirty, it gets a little old—and babies get very heavy.
If your baby gets rocked in the middle of the night, but not at bedtime, explain to
your child that you will sit in his room and help him get himself back to sleep but
you won’t rock him anymore.
Then gradually phase yourself out of the room. You aren’t eliminating cuddles, you
are just eliminating cuddling as a sleep crutch.
You can have your child nestle into your lap while you read stories or sing songs
with the lights on.
But don’t let him fall asleep in your arms or your lap—he must do that in his own
bed, by himself.
If your child’s pacifier habits disrupt his sleep, especially if he wakes up calling you
to fetch it, the time has come to break the habit. Most pediatricians agree this is a
good age to deal with it.
Tell him it’s time to give up paci. Give him a little while to get used to the idea, and
then choose a day to act. When he fusses or cries, calm him, pat him, and stroke
him. Expect a few rough nights and naps. Make sure you work on strengthening
his bond with his lovey. It’s teddy time, not paci time.
That distracts him from the pacifier and provides a security substitute. Better yet,
try getting him a new lovey as you take away the pacifier—this might him distract
him even more efficiently.
Whatever you do, once you throw it away, don’t go out and buy another one after
an hour of whining.
A lot of parents do not feel comfortable taking away the pacifier, waiting to see
if the baby gives it up on his own. There’s a good chance you will have to take it
away eventually but if you aren’t ready now, I would restrict the pacifier to bed-
time and nap time. Don’t let him keep carrying it around all day. He’s old enough to
find it by himself by now if you put several pacifiers in his crib or bed with him. He
should be able to grab one, and get back to sleep without calling for you.
The first few nights, you might have to remind him from the doorway to reach for
it himself.
Early rising, at 5:00 or 5:30 AM remains very common at this age, and children who
get up very early are usually exhausted and fussy by midmorning.
It may sound counterintuitive, but early rising is often caused by a late bedtime.
Rather than being up bright and early because they are so ready to start their day,
they are in fact sleep deprived.
Remember: The very first thing you should do is get your baby to bed earlier. Shift
bedtime a few minutes earlier each day, so that the child is going to bed between
7:00 and 8:00 PM, which remains a good target bedtime up until around age five.
Moreover, you need to make sure he is napping enough. If early awakenings have
been going on for months or even years, as is sometimes the case with children
this age, it may take three to four weeks to change it. As always, consistency is
crucial. In this context, it means utter consistency and a little more rigidity. Inter-
mittent reinforcement at 5:00 AM is not a good idea.
Some parents give up trying to teach the child to sleep later, and instead are satis-
fied if they get him to stay in his room and play quietly until 6:00.
While this may work in some cases, children do better and get less tired during the
day if you can get them to sleep that hour or so.
Respond quickly when he wakes and calls for you. Letting him scream will only
make him more awake.
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Go to him, saying “It is not time to wake up” or “Mommy and Daddy are sleeping.”
Don’t turn on the light or raise the blinds. Give him his lovey and reassure him.
With younger babies, there’s the option of staying in the room. At this age, howev-
er, it is better if you leave because your presence will probably stimulate him into
trying to stay awake.
Check on him every fifteen or twenty minutes, until he falls asleep again. If he
comes out of the room for you, take him back to his bed. Promise you will check
on him soon.
At 6:00 AM, go back into the room and have a dramatic wake-up to start the day.
You want to send a clear message: you need to wake up because it’s morning, not
because you are crying.
At some point at this age, usually as they approach two and a half years, try using
the alarm clock. Instead of having your child mad at you, blame the clock.
The clock says “it’s not time to wake up yet, sweetie, you need to stay in bed until
the clock says get up.” You might be able to teach him to recognize 6:00 on a digi-
tal clock and not get out of bed or call for you until he sees that number.
Another option would be to set a musical alarm at for 6:00, and tell the child that
if he wakes up before the music starts, he has to stay in bed.
These clock-related approaches, however, may work or not. Some kids get it and
others don’t until they are three or four.
In many families, toddlers wake up at 6:00 AM joyful and happy—but the parents
accustomed to sleeping until 7:00 or 8:00 are grumpy. You can try training him to
sleep later if you want, but you might have to deal with this habit for another year
or two, and try to get to bed earlier yourself.
You can also try to teach him to stay in his room and play quietly or look at a book
until you come to get him. Reward him if he does, but don’t be mad if he doesn’t—
it’s a hard skill to learn at this particular age.
He wants to see Mommy and Daddy after being away from you all night, and he
may also be hungry or wet.
If he wakes up at 6:00 AM but is cranky by 6:30, then he is getting up too early.
Consider it a signal of sleep deprivation and start training him to sleep for another
hour or so. Make sure he gets to sleep between 7:00 and 8:00 at night, and that
he naps enough during the day.
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5. Napping
At this age, most children have consolidated to one nap a day, or will do so shortly.
Usually, they nap from roughly one to three in the afternoon.
As you know, napping can be difficult for children for the same reason it is for
many adults—they need a lot of time to get ready for rest, given the daylight.
Children this age still need naps, even if they think they don’t, and you may have
to train them.
Get the child ready for his nap, and then put him in his room and have him stay
there for an hour, whether he falls asleep or not.
Stay with him, sit right outside his door, or check on him every ten or fifteen min-
utes.
But don’t engage or talk, try not to pick him up, and do make him try to stay in bed
or at least in his room, for the full hour.
If your child still hasn’t fallen asleep after an hour, do a dramatic wake-up and get
him out. But then use an emergency backup method, such as a drive in the car, to
get him to sleep. Motion sleep is not the most restful sleep, but I’s better than no
sleep while you are nap training.
Try again to get him to nap the next day. Use logic, bribes, or whatever it takes,
but keep him in that room and convince him to sleep.
Nap training is often very hard on the parent, usually the mom, who is at home
without the moral support of her husband at that time of day.
And even for those parents who cope with tears in daylight better than they do at
night, nap training can seem incredibly hard and time consuming.
If nap training is absolutely too much for you then give yourself permission to give
up for now. Keep using your backup solutions so you don’t have such an overtired
child that bedtime falls apart again.
Sleep shaping for this age group requires a mix of the techniques you are already
familiar with from earlier chapters and new ones designed for older and more ver-
bal children.
As parents, we need to add some discipline into the bedtime routine, but still keep
it warm and cozy.
As they begin to cut back and eventually outgrow their naps, we have to keep
watching their sleep and wake schedules and introduce some afternoon quiet
time unless we enjoy meltdowns before dinner.
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Children this age often still experience separation anxiety at bedtime, which is
why so many of them demand that you lie down with them at bedtime or they’ll
wander out of bed looking for you.
If they have sound sleep habits they can learn to settle down more easily with a
lovey, a dim night-light, and some reassurance. A good, comforting bedtime rou-
tine is essential.
Don’t rush through it, but don’t let him keep stalling and bending the rules either.
A promise to check on him again before you go to bed is very reassuring. And if
you say you’ll do it, do it.
Some kids are and always will be indifferent to loveys, but a lot of kids will get at-
tached now, even if they spurned one toy after another when they were younger.
Some children switch allegiances, first bonding to a bedtime toy, then latching
onto another one. That’s fine. It’s their way of satisfying their own evolving tastes.
If your child sleeps with the same lovey every night, make sure you tuck it in with
her and say good night to them both. If she likes different loveys, let her make that
night’s selection pretty early in the routine.
As expected, at this age mobility increases greatly. Most children move out of the
crib by age three, although I don’t personally think there’s anything wrong with
keeping a child in a crib until age four.
They want to sleep or nap on a little couch, or a pad on the floor, or on any oth-
er soft surface. This may happen right after the transition from the crib, or it may
happen later. Don’t worry. If he’s sleeping reasonably well in his room, he’ll proba-
bly move into bed himself pretty quickly. Children this age are excellent procras-
tinators, and any separation anxiety or nighttime fear only hones their skills. The
best defense is a sensible bedtime, a good routine, and the ability to gently disen-
gage when they start to pepper you with all sorts of questions.
If your child wants you to tuck him in three hundred times, try to do it just once or
twice. Tell him what you expect, when the last time will be. Then stick to it and be
consistent.
You can come back to his doorway in a few minutes to quickly praise him for un-
derstanding and following the bedtime rules. Once you’ve reassured him, leave
before he starts trying to engage you all over again.
Almost all children at some point in this age group experience nighttime fears:
monsters, shadows, ghosts, and so forth.
You need to acknowledge those fears, without allowing your child to turn them
into an excuse to prolong bedtime, or to get out of bed during the night.
Try not to ridicule the fears; they are not ridiculous to the child. Tell him that there
are no monsters, and then show him there are no monsters. Look under the bed or
in the closet, if that’s what he needs you to do. Make lovey a part of the search.
If your child is truly terrified, give him the extra comfort he needs. It’s usually bet-
ter to sit by him and stroke him and hug him rather than lie down and go to sleep
with him.
If your child has a nightmare, return to his bed and offer extra reassurance. Help
him turn his thoughts away from the nightmare and to more pleasant images.
Parents have a wide array of techniques and methods available to them to help
shape their toddler’s sleep habits and routines.
Remember: At this age, children can feel pride and self-worth when they succeed
in improving their sleep habits. That’s why positive reinforcement goes a long way
for this age group.
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Custom Schedule For
Constant Sleep
For this age group, the bedtime routine is typically the most challenging part of
the day. Now that your child is not an infant anymore, you may want to modify his
routine a little but make sure it remains soothing and predictable.
Bedtime preparations should happen in his room, not all over the house. Include
stories, songs, or games that soothe, not stimulate. Avoid fast-moving games and
scary stories.
Leave plenty of time, at least a half hour, for him to unwind, and to get the atten-
tion from you he needs. If you rush it, he’ll be more likely to run out of bed or make
you stay longer.
Tell him the clock says you have to stop reading at 8:00.
Sometimes they like to turn out the light themselves—it’s just another power
display.
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• Tackling Problems And Eliminating Negative Associations
Many sleep experts believe that once children learn to fall asleep by themselves,
they will sleep all night. The truth is, that happens quite often but not always. Fur-
thermore, dealing with the normal nighttime fears and worries of the preschool
years, a child may just wake up to say, “Hi Mom, just testing to make sure you’re
where you’re supposed to be!” I believe in responding when our children need us.
Leaving them to cry out and scream in the dark does not contribute to good sleep
for them or for us. Checking on them makes them feel better, and in turn, it makes
us feel better.
But we don’t want to overdo it. We want to give our children enough comfort so
that they feel safe and go back to sleep, but not so much that they stay awake.
Remember: Make sure your child is going to bed early enough, and getting the
naps he needs at his age. Overtired children are more likely to wake up at night.
If your child still takes a bottle, it’s definitely time to get rid of it. Explain that he is
a big boy now and doesn’t need a bottle. He may well realize this himself by now.
Offer him a cup of water during story time and if he cries for his bottle, comfort
and distract him but don’t give him the bottle.
In fact, you should get the bottle out of the house or at least out of sight.
Focus on strengthening his attachment to a lovey as you remove the bottle, or let
him choose another lovey as a reward.
If he is emotionally attached to the water cup and it has become a sleep crutch,
help him learn to go back to sleep without it.
Go to him when he calls for it in the middle of the night, but either just quietly
point to the cup you left by him and encourage him to take a sip or two and go
back to sleep, or try to comfort him into going back to sleep without it.
It will probably take a few nights and you’ll probably have to face some tears but
you can sit with him, and stroke him softly as you would a younger child.
By this age, children aren’t usually rocked like they were as infants, but some still
enjoy to be lulled to sleep on their parents’ laps during or after story time.
To break this habit, rock or hold him during the bedtime routine, but don’t rock
him to sleep after the lights are out.
If he tries to climb out of bed and get in your lap, just put him back to bed and
soothe him.
Usually, a child who still wants to be rocked in the middle of the night after learn-
ing to do without it at bedtime is a very rare occurrence.
If yours wakes up, soothe him but don’t let him get onto your lap again.
If your child is still sucking his thumb, I don’t think he’ll outgrow this habit on his
own. You need to act.
Age four or five is a good time to address the problem because your child now has
the language skills to communicate with you about what can be a several-month
process. He also may be getting a little self-conscious about the habit.
Praise and encouragement will open the road, but bribery will get you the rest of
the way. You need to give something in return. A new toy maybe, or a new lovey.
Early rising is a little more difficult to handle once your child switches from crib to
bed because they can get up and try to begin their day whether you like it or not.
It is a pattern that is difficult to change, and it usually takes three or four weeks of
very consistent coaching. Children sometimes wake up too early because they are
overtired. He may find it easier to sleep later if you make bedtime earlier by a half
hour or so.
Remind him at bedtime every night that he has to sleep until at least 6:00 AM.
You may be able to teach him to recognize 6:00 on a digital clock,
or you may train him to stay in bed until his radio starts
to play music.
Decide whether you will stay in his room until 6:00, or whether you will leave and
check on him every ten minutes.
Base your decision partly on which approach is more likely to get him back to
sleep.
You don’t want him chasing you every thirty seconds if you leave.
Nor do you want him to keep talking and chatting and trying to engage you if you
stay in his room.
You can try both approaches for a day or two to get an idea of which works best,
but don’t keep switching back and forth. Choose a method and stick to it for a
while.
Your message must be clear and firm: he is starting his day because it’s 6:00 in the
morning, not because he cried or screamed.
For children who wake up at 6:00 and are perfectly content, you’ll probably have
to live with it.
It’s a common and appropriate wakeup time for young children, even if you’d rath-
er have him sleep until 7:00.
Some children naturally start sleeping later as they get a little older and outgrow
napping.
If that happens, it will happen on its own. You can’t force it.
5. Napping
Sleep needs shift year to year for this age group. As their naps shrink and disap-
pear, they need to sleep a little longer at night. You’ll have to adjust bedtime, un-
less they naturally begin to sleep in a little later in the morning.
Even when they stop napping, quiet time in the late afternoon or before dinner is
a must for four-year-olds, and an excellent idea for five-year-olds. With the two-
and-a-half or three-year-old, you still need to be vigilant about daily naps. If he
skips an occasional one, put him to bed earlier that night.
Naps are essential for older children who aren’t sleeping through the night or who
are tired during the day. You may find that your child no longer needs a daily nap
but still needs a nap day every three or four days.
If your child is getting about eleven hours of uninterrupted sleep at night and
seems well rested during the day, it may be time to go from naps to quiet time.
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You may want to cut out naps every other day, rather than eliminate them com-
pletely, or you may find that he naps great on the days he’s with his sitter or at
preschool but won’t nap on days he’s with you (or vice versa).
Children who were good nappers but who now take a very long time to fall asleep
in the afternoon may also be ready to phase out the nap and begin quiet time.
Quiet time is exactly what it sounds like, about forty-five minutes of solitary play,
preferably at the same time every afternoon.
Babies and young children are usually so full of energy that it’s hard to put them
to sleep and sometimes parents have to find creative ways to tire them out before
bedtime.
This can be helpful, but one of the problems with most sleep advice out there is
that it doesn’t focus on one major cause of sleep issues: the emotional struggles
that our children go through.
Negative emotions and upset feelings are often what makes it hard for babies,
children, (and adults too) to fall asleep, wake in the night or wake too early in the
morning.
Yes, you read that right – according to research, lots of giggles can help your baby
release any stress or remaining tension from the day.
Studies have shown that laughter lowers blood pressure and triggers the release
of endorphins, a hormone our bodies secrete when we feel happy.
Moreover, it helps lower stress levels and makes your baby feel good.
But in no time at all, your baby will be sleeping, and so will you.
The No-Cry Sleep Solution: Gentle Ways To Help Your Baby Sleep Through The
Night – Elizabeth Pantley, McGraw Hill Education Publishing, 2002
The Baby Sleep Book: The Complete Guide To A Good Night’s Rest – William Sears,
Little, Brown and Company, 2005
The Happiest Baby Guide To Great Sleep – Harvey Karp, William Morrow Paper-
backs, 2013
The Sleepeasy Solution: The Exhausted Parent’s Guide To Getting Your Child To
Sleep From Birth To Age 5 – Jennifer Waldburger, HCI Publishing, 2007
The Harvard Medical School Guide To A Good Night’s Sleep – Lawrence Epstein;
Steven Mardon; McGraw Hill Education Publishing; 2006
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2656292/ - Sleep Deprivation:
Impact On Cognitive Performance; Paula Alhola, Paivi Polo-Kantola; Department
of Psychology; Sleep Research Unit, University of Turku, Finland; 2007
http://www.stanfordchildrens.org/en/topic/default%3Fid%3Dnewborn-sleep-pat-
terns-90-P02632&sa=U&ei=58e3VM6CIIr5yATNnIGwAg&ved=0CG8QFjAT&us-
g=AFQjCNFvyKhlh5_8yFZvCBirEv-fTY56pQ – Stanford Children’s Health, Newborn
Sleep Patterns