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All About Sleep (continued)

Source: The Nemours Foundation
Topics: Early Years (Birth-5), Importance of Sleep, more...

But it's important to recognize that babies aren't always awake when they sound like they are; they can cry and make all sorts of other noises during light sleep. Even if they do wake up in the night, they may only be awake for a few minutes before falling asleep again on their own. It's best if babies learn early to get themselves to sleep, so let your baby try.

If a baby under 6 months old continues to cry for several minutes, it's time to respond. Your baby may be genuinely uncomfortable: hungry, wet, cold, or even sick. But routine nighttime awakenings for changing and feeding should be as quick and quiet as possible. Don't provide any unnecessary stimulation, such as talking, playing, or turning on the lights. Encourage the idea that nighttime is for sleeping. You have to teach this because your baby doesn't care what time it is as long as his or her needs are met.

Ideally, your baby should be placed in the crib before falling asleep. And it's not too early to establish a simple bedtime routine. Any soothing activities, performed consistently and in the same order each night, can make up the routine. Your baby will associate these with sleeping, and they'll help him or her wind down. You want your child to fall asleep independently, and a routine encourages babies to go back to sleep if they should wake up in the middle of the night.

6 to 12 Months

At 6 months, an infant may nap about 3 hours during the day and sleep about 11 hours at night. At this age, you can begin to change your response to an infant who awakens and cries during the night.

You can give babies at this age 5 minutes to settle down on their own and go back to sleep. If they don't, you can comfort them without picking them up (talk softly, rub their backs), then leave — unless they appear to be sick. Sick babies need to be picked up and comforted. If your baby doesn't seem sick and continues to cry, you can wait a little longer than 5 minutes, then repeat the short crib-side visit.

After several days, your baby should find it easier to get back to sleep on his or her own. But if your 6-month-old continues to wake up five or six times each night, talk to your doctor.

Between 6 and 12 months, separation anxiety becomes a major issue for some babies and may cause them to start waking up again. But the rules for nighttime awakenings are the same through a baby's first birthday: Don't pick up your baby, turn on the lights, sing, talk, play, or feed your child. All of these activities encourage repeat behavior.

If your baby wakes up crying at night, you can check in to make sure he or she isn't sick or in need of a diaper change. You can pat your child lovingly on the back or belly. Using a pacifier or thumb sucking can also help children of this age learn to calm and reassure themselves. If your baby continues to cry, you can institute the 5-minute visit pattern.

Toddlers

From ages 1 to 3, most toddlers sleep about 10 to 13 hours. Separation anxiety, or just the desire to be up with mom and dad (and not miss anything), can motivate a child to stay awake. So can simple toddler-style contrariness.

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