| 
- Suitable for 6-18Months
Changing your baby’s sleep pattern
What’s the secret to a good night’s sleep for the whole family? Your baby learning how to go to sleep without your help. This approach is for dealing with persistent sleep problems in children six months or older.
- A new sleep pattern: in a nutshell
- Four steps to better sleep
- Older siblings
- Sharing your room or bed with your baby
- Looking after yourself
- Relapses and other difficulties
- Recapping on baby sleep
A new sleep pattern: in a nutshell
The first step to an uninterrupted night’s sleep is to help your baby learn to fall asleep independently at bedtime. This means creating a new sleep pattern.
- Put your baby into the cot awake. This way, he can begin to learn self-soothing skills and how to fall asleep independently. Babies won’t learn to fall asleep by themselves if you do it for them.
- Usually, when your baby has learned to fall asleep independently at the start of the night, he can get back to sleep without your help during the night.
- It takes 3-14 days to change a baby’s sleep patterns, just as it takes a few days for grown-ups to get over changes to their sleep patterns (for example, when suffering from jet lag).
- You can change your baby’s sleep pattern, but expect your baby to protest for the first few nights, until he gets used to the change. Sleep will then improve for everyone.
Four steps to better sleep
The key is to change habits associated with going to sleep, and to allow your baby to develop the ability to settle independently. Here are the steps:
- Identify the habit associated with the sleep problem.
- Gradually phase out this habit.
- Establish a positive bedtime routine.
- Teach your baby to settle to sleep independently.
Usually, the way your baby falls asleep at the start of the night is the way she’ll expect to go back to sleep after waking during the night – so if she’s rocked or fed to sleep at the start of the night, she’ll expect to be rocked or fed back to sleep later. This can become a problem when you have to interrupt your own sleep to help your baby resettle.
The first thing to do is work out what habits your baby is associating with going to sleep. The following table has some tips to help think through your baby’s sleep habits over the last 24 hours.
| Sleep habits | Your child |
|---|---|
| Where is your baby normally put down to sleep? | Is this the same place where baby wakes during the night? If your baby is in the habit of falling asleep in the family room, or in your arms, he might need this to get back to sleep after waking during the night. Possible habit: falling asleep in a different place |
| If your baby cries when put in the cot, what do you do? | If you’re in the habit of picking up, cuddling or rocking your baby to sleep, he might have developed the habit of needing your presence to get to sleep. He’s likely to need this during the night as well as at bedtime. Possible habit: being held or rocked to sleep |
| Is your baby put into the cot asleep or awake? | If your baby is awake, how do you settle him? The things you do when you settle him for the night are the things he’ll want after waking later. Possible habit: being rocked, fed, patted or cuddled to sleep |
| Is a dummy used? | Can your baby replace the dummy without your help during the night? If not, he might call out to you for help. Possible habit: falling asleep with a dummy that gets lost when it falls out |
| Is a mobile or music used? | Do you have to turn music on again when your baby wakes in the night? If so, it’s likely he’s developed the habit of needing it to settle. Possible habit: needing music to fall asleep |
Some other things to consider
- Does your baby have a predictable bedtime routine? Do you do similar things together every night before bedtime? If not, introducing a routine will help your baby get ready for sleep.
- Is your baby getting enough sleep during the day? If she’s not having regular daytime sleeps, she could be overtired – and overtired babies are more difficult to settle at night. That might sound strange, but settling is a learned behaviour. Like anything learned, settling is harder for your baby to do when exhausted. You might like to consider re-introducing daytime sleeps.
| Sleep habit | How to phase it out |
|---|---|
| Night feeding | If your baby routinely falls asleep at the breast or with the bottle, she might now depend on feeding to help her get to sleep. Try to change this habit by:
Babies six months and older who are developing well and putting on weight as expected can be taught to re-settle overnight without a feed. |
| Dummies | If a dummy is causing problems (for example, your baby needs you to find and replace it overnight), you can try to help your younger baby give up the dummy. You can teach older babies to manage their own dummies during the night. |
| Music and mobiles | In general, if your baby is having problems resettling overnight, it’s probably best to stop playing music at bedtime. This is especially the case if resettling means you have to get out of bed to turn the music back on during the night. |
| Baby monitor | In general, you won’t need to use a baby monitor when carrying out settling techniques. If your baby is a long way from your room, a monitor can be used. But avoid responding when your baby is only grizzling. |
Step 3: Establishing a positive bedtime routine
A positive bedtime routine helps prepare a baby for sleep. This means organising bedtime around a series of consistent activities and tasks, done roughly in the same order and at the same time each night. A positive routine is predictable and includes calming and soothing activities.
In addition, you need to make sure that your baby is getting enough sleep during the day. Babies who get overtired during the day can find it harder to settle to sleep at night.
A daytime bed routine and the two strategies described below can help you improve daytime sleeps for your baby.
Step 4: Teaching your baby to settle back to sleep
A good bedtime routine sets your baby up for success. But you’ll need a strategy for managing crying out at bedtime or during the night when your baby wakes.
If you’re confident you’re giving your baby enough attention throughout the day, but you feel he’s become dependent on you to fall asleep, you can use a behaviour management technique, such as controlled comforting or camping out.
Research has shown that behaviour management techniques are the most effective in solving sleep problems. These techniques are based on the observation that babies who cry when waking overnight haven’t learned to self-soothe and fall asleep by themselves. These techniques aim to teach babies to fall asleep without the help of an adult.
Choose the approach you’re most comfortable with and try to use it consistently for a period of time:
- Controlled comforting: Sometimes called ‘controlled crying’, controlled comforting has been practised since the 1970s. It’s a systematic way of gradually reducing your attention to crying and calling out.
- Camping out: this is based on the idea that parental presence is reassuring to a baby. It involves the parent staying in the room, gradually reducing the amount of help the baby needs to settle. It’s a good option for a parent who wants to stay near, but might not be the best idea for a parent who is easily upset or frustrated when their baby cries. Research suggests that the process involves less crying than the controlled comforting strategy.
Things to consider
- Consider your timing before you begin. Both approaches can be demanding and tiring. If your child is ill or you’re going through a major upheaval, such as moving house, wait until later.
- Stop using a behaviour management strategy if you or your child becomes ill during the program.
- If you can’t take any time during the day to have a rest and catch up on some sleep, you might be better off waiting until you can.
- Choose the approach you’re most comfortable with, and that fits best with your family and situation. We know this is an important part of success. Although we know that these approaches are successful 80% of the time, we don’t know why they don’t work with every baby.
Studies have shown that babies who have undergone controlled comforting are more likely to sleep better in the short term – and are as well adjusted as their peers when it comes to behaviour and sleep in the long term. Despite some people’s concerns, no studies have shown any psychological or physical harm from using the techniquesdescribed here.
Older siblings
Parents are often concerned that a baby’s crying might wake a sibling during the night. There are a couple of possible approaches to this problem:
For settling
- Tell your older child that you’re going to settle the baby five minutes before you do it. Make it clear to the sibling that they either need to stay out of the baby’s room or remain quiet if they’re going to go in.
- Find something to keep the older child interested in while settling the baby. For example, give her a different toy or book, a snack or drink, or ask her to ‘settle’ a toy baby (these are all best done outside the baby’s room).
- Reward the older child for staying out of the room or for remaining quiet in the baby’s room.
For waking overnight
- Keep in mind that crying babies rarely wake older children overnight. If you’re concerned, you can pre-warn the older child that the baby might wake and cry. Tell your older child not to worry because mummy and/or daddy are taking care of it.
- If crying does cause problems, it might be helpful for the older child to sleep in a room further from the baby (if possible), or to spend the night at a family or friend’s house.
Sharing your room or bed with your baby
If you share a bed with your baby, you can pat him briefly to encourage settling. Turn away when your baby is quiet to allow him to settle to sleep. See Sharing your bed with baby for more information on safe co-sleeping.
Looking after yourself
Changing a baby’s sleep patterns is a challenging and tiring task. You need to look after yourself as you see it through:
- Rest at least once a day. Even if you don’t go to sleep, resting can help restore your energy and ward off fatigue.
- Go to bed at night soon after your baby has gone to sleep. This is to ensure at least 2-3 hours of unbroken sleep for yourself.
- Accept offers of help.
Relapses and other difficulties
About 20% of babies who learn to resettle during the night will begin to wake again for no apparent reason. If your baby is otherwise well, persist with your settling program. Usually babies will go back to their good habits after a couple of nights. A burst of night waking usually occurs two weeks after babies have learned to resettle during the night.
If you’re still having problems after seven days of controlled comforting or two weeks of camping out, talk to your doctor or child health nurse. These health professionals might be able to help you tailor a program that will work better for your baby. You might also like to contact an early parenting centre in your state or territory where you can receive more support and help.
Recapping on baby sleep
Here’s what you need to know about your baby’s sleep before starting out on a change program (for babies six months and over):
- Your baby usually needs the same amount of sleep from one day to the next.
- Babies differ in their sleep needs.
- Both adults and babies cycle through ‘quiet’ and ‘active’ sleep during the night.
- The first few hours of your baby’s sleep is usually quiet (deep) sleep. The rest of the night has more active (lighter) sleep – this is when babies usually wake up.
- Waking during the night is normal, but it can cause problems if your baby can’t get back to sleep without your help.
Video: Baby sleep stories
 | 28mb |
In this short video, parents talk about encouraging baby sleep. They share tips on:
- identifying sleep cues
- finding out what helps babies to sleep
- being consistent with sleep and settling techniques.
As these mums and dads say, every baby is different. What works for one baby might not work for another. You might need to experiment to find out what’s right for you and your baby.
- Rated
127 ratingsRate this item - FeedbackTell us what you think of this item
- Your story Share your parenting tips
- Content supplied by
- Last updated30-08-2011
- Last reviewed26-08-2011
- Acknowledgements
Adapted from: Centre for Community Child Health (2004). The Infant Sleep Study: Managing Sleep Problems in Babies: A Training Manual. Melbourne: Royal Children’s Hospital.
Davis, K.F., Parker, K.P., & Montgomery, G.L. (2004). Sleep in infants and young children: Part two: Common sleep problems. Journal of Pediatric Health Care, 18, 130-137.
France, K.G., & Blampied, N.M. (2005). Modifications of systematic ignoring in the management of infant sleep disturbance: Efficacy and infant distress. Child & Family Behavior Therapy, 27, 1-16.
France, K.G., & Hudson, S.M. (1993). Management of infant sleep disturbance: A review. Clinical Psychology Review, 13, 635-647.
France, K.G., Blampied, N.M., & Henderson, J.M.T. (2003). Infant sleep disturbance. Current Paediatrics, 13, 241-246.
Kuhn, B.R., & Elliott, A.J. (2003). Treatment efficacy in behavioral pediatric sleep medicine. Journal of Psychosomatic Research, 54, 587-597.
Mindell, J.A. (1999). Empirically supported treatments in pediatric psychology: Bedtime refusal and night wakings in young children. Journal of Pediatric Psychology, 24, 465-481.
Owens, J.L., France, K.G., & Wiggs, L. (1999). Behavioural and cognitive-behavioural interventions for sleep disorders in infants and children: A review. Sleep Medicine Reviews, 3, 281-302.
Ramchandani, P., & Wiggs, L. (2000). A systematic review of treatment of settling problems and night waking in young children. British Medical Journal, 320, 209-213.
Sadeh, A. (2005). Cognitive-behavioral treatment for childhood sleep disorders. Clinical Psychology Review, 25, 612-628.
