Getting Baby To Sleep

Richard Ferber is director of the Center for Pediatric Sleep Disorders at Children’s Hospital in Boston who believes in a “progressive” approach to helping your child fall – and stay – asleep.
Ferber has developed a forward-thinking plan of action to instill consistent and regular sleep patterns in your child. Briefly, he suggests that after a warm, loving pre-bedtime routine such as singing, rocking, or reading a book, you put your child to bed while she’s still awake. According to Ferber, putting your child to bed while still awake is crucial to successfully teaching her to go to sleep on her own.

Once you put her in bed, leave the room. If she cries, don’t check on her until after a specified amount of time has passed. Once you do return to her room, soothe her with your voice but don’t pick her up, rock her, or feed her. Gradually increase the length of time that passes between checks. After about one week, your infant will learn that crying earns nothing more than a brief check from you, and isn’t worth the effort. She’ll learn to fall asleep on her own, without your help.

Ferber says that there are a number of things that may interfere with your child’s sleep. Before you “Ferberize,” you should make sure that feeding habits, pain, stress, or medications are not causing or contributing to your baby’s sleep problems.

Ferber recommends using his method if your baby is 6 months or older. Like most sleep experts, he says that by the time most normal, full-term infants are 3 months old, they no longer need a nighttime feeding. And at 6 months, none do.

Ferber’s method can be modified if you feel it’s too rigid. Stretch out Ferber’s seven-day program over 14 days so that you increase the wait between checks every other night rather than every night.

There are many different methods from the “experts” on dealing with sleep problems in your developing baby and child. Again, do what works best for you and what you feel comfortable with.

The Ferber method involves letting the baby cry herself to sleep, on the theory that if you’re firm about bed time, she’ll learn to comfort herself to sleep. This doesn’t mean just plunking the baby down in her crib and walking away. It differs from what you may already be doing in that it encourages you to put the baby in her crib while she’s still awake, so she gets used to falling asleep without you. But this might also mean letting her cry it out for a few weeks. This can be stressful for everyone in the household.

Another method is the controlled crying method. Again, this involves your usual bedtime rituals of a bath, perhaps a snack and a story, rocking and cuddling. Put your baby in her crib and kiss her goodnight. If she starts to cry, wait 10 to 15 minutes before going in to comfort her. Try to resist picking her up, just shush her quietly and pat her on the back. Some experts suggest not talking, as this can reinforce the waking and crying behavior. You want to reassure your baby that you’re there, but you still want to encourage sleeping.

After the first half hour of crying, increase the intervals before you check on the baby by a few minutes each time, up to about 15 to 20 minutes between checking. This can take some time, and can be trying on your nerves, but in time, your baby will learn that you’re not going away and that you’re nearby. This teaches your baby self-comforting, but also gives her the confidence and security that you’re there for her.