Posts Tagged ‘newborn sleep’

This topic “How long to cry it out?” has come up a few times in the last few weeks in one way or another, so I thought I’d talk about it this week. I always preface any discussion about cry it out by making sure that everyone understands that I’m not a “Cry It Out Pusher” and I’m very much NOT an extremist or a hard-core “sleep trainer”. I try to be realistic and just know that all babies are different and all family structures are different and what works for one won’t work for everyone. I even debated Pantley about this very topic, because while I think she has some good ideas, they simply will NOT work for all challenging baby types…at least in time before you go crazy from sleep exhaustion. I also don’t recommend cry it out for long-term co-sleepers, either.

If you are adamantly against cry it out, please do NOT do it! It probably won’t work and you’ll just feel bad about it. At all times in my sleep consultations, I work with parents on helping their baby sleep with as few tears as possible. Why? Because who wants their baby to cry? We all do what we can to limit our baby’s tears and as your sleep consultant, I understand that. My son’s sleep struggles are still very near and dear to my heart and I pretty much relive them every day in every consultation, so I very much remember where you probably are right now.

So, how long do you cry it out if you do choose that path?

First, make sure your baby is at an appropriate age for cry it out, he is no longer swaddled, and if you are feeding baby on a schedule that you have set a realistic schedule. One thing that I can’t emphasize enough is that my philosophy is that some parents might use cry it out to fix sleep problems, but please don’t make your baby go hungry if she still needs night feedings. One thing that really does make my skin crawl is hearing about letting a two month old cry throughout the night to avoid two feedings, which is hardly a “sleep problem.”

Another reason I recommend exhausting all other methods before trying cry it out is that you must be 100% committed to cry it out for it to really work. So, typically, I recommend that you feel like you’ve “tried everything” first. If you let your baby cry for a set length of time and then you “give in”, you have basically set a precedent and he will cry that long (or longer) next time (if there is a next time). Many babies respond well to non-crying methods (highly depends on your baby’s temperament) and only a small percentage of my clients really have to go full blown cry it out, so make sure you’ve truly given it your all on the other methods.

Once you 100% commit to cry it out, there really isn’t a length of time that you really stop, when you’re working on nights (though you want to limit nap time crying). The goal is for your baby to fall asleep without said sleep association and every parent will need to decide what is “too long.” I recommend deciding that before you start, if possible. Having a plan (do you visit or not, how long between visits, do you stay in the room, etc.) is of utmost importance so everyone is on the same page and will stick to it. Once you decide to stop said crutch, it can’t really be an option to change your mind, otherwise, you go backwards and might even make things worse.

Many people against cry it out will paint a picture that cry it out is cruel because a baby can’t communicate what she needs. This is true, to an extent, in that you can’t ignore all your baby’s cries and I would never recommend that. That’s irresponsible parenting. My argument is that if you give your baby a pacifier ten times per night and that’s all she “needs” then you know why she’s crying. Does that mean you give your baby everything just because she cries? Not to me. If it had, my son would not have sat in a car seat for his first year of life. Your baby only thinks she needs a pacifier to sleep because that’s all she’s known. It doesn’t mean she can’t learn a new way to sleep. Enter…the parent.

Down the line, after initial “sleep training” is over, does this mean you never go in to your baby at night? ABSOLUTELY NOT!! We all do pretty crazy things to get our baby to sleep, but when you’re ready to make a change, it’s important to commit to your plan of action. Whether you succeed in finding a no crying sleep method or try cry-it-out, babies are destined to change. Cry it out is NOT a cure-all and it doesn’t mean your baby won’t need you during an illness, when she’s getting new teeth, growth spurt, etc., so it doesn’t mean never go to your baby or use your instincts. It also doesn’t mean that cry it out “didn’t work.” because your baby needs you at night for something.

In my opinion, there is a right and wrong way to approach “sleep training”. If you’re doing cry-it-out, it might take you a few nights or a couple of weeks, but please expect things to pop up and change on you, because they will. Just remember, that cry it out won’t change your baby’s personality, there is no proof that cry it out is harmful, not even by Harvard, it’s not always clear when you’re done sleep training, and being a mom is an every day challenge.

How many days did cry it out take for you and your family?

Infants have a strong sucking reflex and therefore many people choose to give their baby a pacifier. Some parents warn against it, encouraging you to have them “attach” to you rather than an inanimate object while other parents warn that if you don’t give him a pacifier, you will become his “pacifier”. Who’s right? No one! It will be up to you and what works for you and your baby and what works for others might not work for YOU.

When to introduce a pacifier

If you are formula feeding, you can use a pacifier from day 1.

If you are breastfeeding, it is a good idea to establish breastfeeding first before introducing another type of nipple. Some babies will have no problem going back and forth, but since you don’t know if yours will or not, it’s a good idea to wait so as not to cause nipple confusion and establish your milk supply, first. This is usually recommended no earlier than 3 weeks and anywhere from 4-8 weeks. If you just need to do it earlier (especially if you will be returning to work), that’s ok! Just do your best and if you start to have trouble, learn how to get baby back to breast.

Pacifier and Teeth

Is a pacifier bad for your baby’s teeth? In short, no. Only when your baby sucks her thumb or uses a pacifier past the age of two is there a risk of altering their bite. It is unrealistic to expect many babies not to want to suck during those first 2 years.

When a pacifier becomes a problem

There is a time when a pacifier can become a problem and that’s when it interrupts their sleep. Some parents are weary having to replace a pacifier 8-10 times per night. In this case, the pacifier has become a poor sleep association that you may want to consider breaking. Some babies will be able to find their own pacifier at night (particularly if you throw 3 or 4 or 8 into the crib), but usually that isn’t until around 6 months. Some may technically be able to, but simply won’t do it. Others will learn sooner. So, if you really want to hang on to the pacifier, you may be able to just wait it out.

When you’re a “pacifier”

Some parents feel they become their baby’s “pacifier” because they are breastfeeding and baby wants to suckle A LOT (what “a lot” means will vary from parent to parent). This can happen. My eldest son did not want a pacifier and not from a lack of trying (mostly by others because I was not 100% on board with a pacifier anyway), so yes, he did suckle a lot and yes, did develop a sleep association (I did not mind until it was ALL night long!) that we later had to break. We continued to successfully breastfeed until 13 months. He did take to sucking on a light receiving blanket as his “lovey” for several months (he stopped using it on his own), but I was fortunate because I never had to break a pacifier or thumb-sucking habit. So, when my second son came along, I actually decided not to give him a pacifier and it was rough for the first couple months, but then got a lot better and so far, no thumb-sucking, yet, either. I am hoping not to have to break either habit, again, but we’ll see.

Pacifiers day and night

If your baby has trouble sleeping with a pacifier at night, but not during the day (or vice versa), you can limit it to one or the other as a baby’s sleep is handled by different parts of the brain for each.

All in all, I’d say a pacifier can be a good solution (if you agree with the use of one), until it becomes a problem. Once it hurts more than it helps, it may just be time to get rid of it. For help breaking sleep associations or help with other child sleep problems, you may be interested in Help Your Child Sleep, a Step-By-Step Guide or my one-on-one baby sleep consultations.

Do you use a pacifier? Did you have a problem with it?

If you are unfortunate enough to consider letting baby cry it out (because let’s face it, none of us PLAN to let their baby cry it out when they are still in the womb or anything! It’s typically the last resort for most of us.), many people want to know when it is okay to do it. Some people would answer “never” and that is their right.

Here at The Baby Sleep Site™, I understand that all situations are unique and what works for you might not work for others and what works for others might not work for YOU! I am here to help you develop the plan that will be most likely to succeed based on your baby’s temperament and personality and your parenting style and philosophy. If your philosophy goes against cry it out, simple DON’T DO IT (it won’t work anyway).

First, let me define what I mean by “cry it out” because it means different things to different people.

What Cry It Out Isn’t

• Cry it out is not replacement for feeding when baby can not comfortably sleep all night without food.
• Cry is out is not meant to be used when baby is hungry, wet, very sick, in pain, etc.
• Cry it out does not mean throwing your baby into a room, closing the door and ignoring baby forever and ever.
• Cry it out is not replacement to parenting when baby needs it.

That last one some would say is always true, but I disagree, but we’ll get to that.

What Cry It Out IS

• Cry it out is a sleep training method to break poor sleep associations.
• Cry it out is setting limits on what you will and won’t allow your baby to do (at nap time, all night, etc.).

That’s it! Sometimes it’s just about setting limits that you will not nurse all night or replace a pacifier 10 times per night or rock your baby in the rocking chair for 3 hours and then every 2 hours after that (like my son wanted me to do). Those are all sleep associations that sometimes need to be broken (and not replaced with a new one).

The act of crying does nothing to teach baby to sleep and it won’t change his personality. Cry “it” out is simply letting baby find his own way to fall asleep and allowing him to cry out his frustration about not being able to get that pacifier replaced for the 10th time. None of us get better at something without practice.

OF COURSE, some parents can nurse all night and it works great for them. Others can rock their baby for 10 minutes and he sleeps all night. But, many of us are simply not that lucky. If baby cried being in the car seat, would you take him out while driving because he was crying?

It is hard for many of us to break habits, but the longer you do it, the harder the habit is to break, right?

Cry It Out – What age?

So, what’s the right age to allow baby to cry it out? Once again, this answer will vary. I try to empower parents here on this site. You know your baby best! At some point you know that your baby is very capable of putting herself to sleep, but prefers you to rock, bounce, nurse, etc. her to sleep. There is not going to be a magic age, but one day you will realize what baby once NEEDED to fall asleep, now she simply WANTS it. That is the key to finding the “right” time. You are simply at your wits end and just can’t do “it” anymore.

Having said all that, if your baby’s temperament is “easy”, sometimes all it takes is for you to just get out of the way a little bit and allow baby to fuss for 5 minutes or less and that can be done when he is just a newborn. Aside from a little fussing, I usually don’t recommend finding a cry it out method to formally use until at least 4 months old. The ideal age is usually before 8-10 months. I’ve had parents tell me they feel they waited too long by only waiting until 10 months old. Once baby can pull to standing, it gets harder (but not impossible) and personalities only get stronger, so it’s great to lay the foundation before that time.

How to Cry It Out

There are NUMEROUS variations to the cry it out method and it’s important to be responsible about it. It is unfair to just “snap” one day, let him cry and then go to him the next day, on/off, on/off. You need to make A PLAN. I also never recommend to allow baby to cry it out when she is still swaddled, because they need to find a way to self-soothe by finding their fingers/thumb. Also, you should ensure your baby does not have any health problems by visiting her pediatrician before starting any formal sleep training method such as cry-it-out. If your baby changes sleep patterns abruptly, it can be an ear infection or reflux or another issue, so those should be ruled out, first. Generally, if your baby has had “sleep problems” for several weeks / months and there have not been health issues, that is when you may want to consider the cry-it-out method.

If you are confused about how to go about letting your baby cry it out, please do some reading on this site or buy my e-Book, Help Your Child Sleep, a Detailed Guide which outlines various methods and has pros and cons of each method. It’s a step-by-step guide in helping you through the process and how to achieve maximum success. If you want help developing a plan you can 100% commit to (consistency is key!), I also offer sleep consulting services.

What does Cry It Out mean to you?

When you bring your baby home no one tells you that “sleep like a baby” only lasts a short time. This article will give you 10 tips to help your newborn sleep better.

Disclaimer: Before I get to the 10 tips to help your newborn sleep, I thought I should note that it can be dangerous for a new newborn baby (just a few weeks old) to sleep all night. They really do need to eat at least every 3 hours in those early days so they can grow well and thrive.

It is also safest to place baby on his back to sleep, to guard against SIDS. You may be interested in other ways to lower SIDS risks.

There, now that I got that out of the way.

Newborn Baby Sleep

1. Short Wake-time

The first week or so, your newborn baby will most likely hardly be awake, but after the first week or two, the #1 key with your newborn is to keep wake times very short, at first. You should soothe your baby for sleep after just 1-2 hours of wake time TOPS. You should look for signs that she is getting sleepy and start soothing her. If you wait until she is fussy, cranky or crying, you are actually too late!

An overtired baby will have more trouble settling down and going to sleep and staying asleep. My boys always fell asleep easiest when I caught them before they started to fuss and cry. Some babies are much more sensitive to being overtired than others, so while others will barely notice their child get sleepy before she drifts off to sleep, others will begin to realize just how in tune with their baby they need to be!

By wake time, I mean to include feedings and diaper changes and disregard how long her last nap was. For example, little Suzie starts to nap at 8am and sleeps for 3 hours. She eats at 11am and you change her diaper. Now, it’s 11:30 and you decide to give her a bath. At 11:45, she is fussy. She is already overtired and she needs a nap! In the beginning, they can’t go long before getting tired and overstimulated.

2. Swaddle

To help mimic the feeling of the womb, it helps to swaddle your newborn baby. This basically means to wrap him up in a blanket like a little burrito. You may have seen them do it at the hospital. This helps him feel safe and secure and also helps him stay asleep during any moro reflex or startle reflex moments. It is said that those reflexes are similar to how we have the feeling we are falling while falling asleep. It can take up to 4 or 5 months for your baby to stop the startling.

I recommend The Miracle Blanket for swaddling. It is a little pricey, but so easy to use and so hard for your baby to break out of! So worth it, to me! If you can’t or don’t want to spend that much, try this SwaddleMe Wrap

3. Days bright / Nights dark

Although you might be tempted to keep things quiet and darker for your newborn to nap well, it might prolong the day/night confusion that almost all newborns will have. Day/Night confusion can last up to 6 weeks. When she was in mom’s belly, mom’s movements lulled her to sleep and when mom was resting, she’d have a party. When she comes out, she doesn’t know she should act in the complete opposite fashion.

So, keep days bright and upbeat and nights, dark and boring, and it will help your newborn sort out her days and nights faster. This might be more than you want to know, but light is what cues our eyes to tell us to stay awake or whether it’s time to sleep.

4. Limit naps

If he is taking longer to sort out days and nights (or you are having a very rough time keeping up with him being up all night), you can further speed up the process by limiting naps to no longer than 3 hours during the day.

5. Post-feeding routine

To help your newborn baby sort out day and night sleeping even more, you may want to develop a play routine after she eats during the day. Keep her awake 30 minutes after feeding by playing, singing, bathing, etc. Again, the light stimulating her eyes will help her sort out that daylight is for being awake at least a little bit. Many people recommend the eat-play-sleep routine for newborns. This is the primary message of the popular book, On Becoming Baby Wise. You might want to review my explanation as to why I do not recommend this book, though.

6. Co-sleeping

Sometimes it helps to have your newborn in the room with you for quick access for middle-of-the-night feedings and diaper changes. This also can help give him more comfort being close by as he will be able to hear and smell you. For safety reasons, you should use a Co-Sleeper , sleep positioner, or bassinette, rather than have baby in bed with you. I used the second one with my second son and then I moved it into his crib for a seamless transition to his crib. We were able to remove it a few weeks later.

7. Angle the mattress

For babies who spit up a lot or have reflux, it helps to angle the mattress when he sleeps, so baby is not flat on his back. You’ll want to angle the mattress so his feet are lower than his head, so his stomach contents can stay put. To angle the mattress, you can simply change the support platform level on one side on most cribs. If that is not feasible, you can put blankets and pillow under the mattress. Please note that the mattress should still remain flat at all times, just at an incline. You must make sure that you do not tilt the mattress so much that your baby slides down the bed, either. I strongly recommend that you first check with a knowledgeable health care provider to make sure that what you do is best and safest for your child. I only wanted to highlight the idea.

8. White Noise

White noise is made up of the sounds like a fan whirring, vacuum cleaner, hair-dryer, etc. It helps a newborn sleep because inside mom’s womb was all white noise. The sound of her blood flow, heart beating, etc. That’s why he finds comfort when you may run the vacuum cleaner. My son used to love when I turned on the blow-dryer. Of course, you can’t run the vacuum all day, so I recommend getting a White Noise machine, sound machine or a White Noise CD. I have two of the second one in each boy’s room so they don’t wake each other and they work like a dream!

9. Wear baby

For particularly fussy babies or just for parent’s convenience and snuggling, it helps to “wear” baby using a sling. They get very folded up in a sling, but again, it mimics the womb and babies love it! I didn’t use a sling with my first, but used a BabyBjorn Baby Carrier and loved it! It really helped me walk off the baby weight, which was a bonus. But, with my second, I did use this sling (there are many others!) and my son would fall asleep in less than 5 minutes until he grew out of it. This helped tremendously when I needed to cook dinner and do stuff with my toddler, at the time. I have also heard good things about the Moby Wrap and the Maya Wrap.

Here are ten reasons to wear your baby.

10. Swing

As I said earlier, mom’s movements lulled baby to sleep while in the womb, so I also recommend trying a swing, but don’t be surprised if your newborn only likes it at high speeds. Our family teased us we were making our first son “drunk”, but he just loved it going FAST and it was the only way he’d fall asleep in it! We used something like this swingto help him sleep (I don’t see the exact one I used anymore — guess I’m officially old now). My friend has the Fisher-Price Ocean Wonders Aquarium Cradle Swing and loves it. They didn’t have that when I was shopping for one!

Important Note: Some say it might not be safe for a newborn to sleep in a car seat, so be cautious about that. Some say it’s just fine.

Unfortunately, some of these tips do create sleep associations, but during the first weeks, you really do what you can to survive. Obviously, it never hurts to try to put your baby down to sleep without any of these “tricks”, but as I’ve probably said a billion times already on this site, it just doesn’t work for all of us.

For more product and site recommendations, please view my baby sleep resources page.

For additional information on helping your child sleep, you may be interested in our free guide, 5 Ways to Help Your Baby Sleep Through the Night or our e-Book, Help Your Baby Sleep, a Detailed Guide.

Do you have any newborn baby sleep tips?