I could have done without a hokey tone and relentless corny jokes, but there was some good stuff in here! One of the difficult things about baby sleep is that there are one million different opinions about how to do it best and it is hard to discern what will work for your child, especially when you are paralyzed by the fear that doing it one way and then trying it another way will ruin everything because of your lack of consistency.
There is one joke that I thought was quite funny: “We’ve all seen the quiet old lady whispering ‘Hush’ in Goodnight Moon, so it can seem both reasonable and loving to stay in that rocking chair while our children nod off to sleep. However, what that book doesn’t show is the quiet old lady getting super pissed off because the bunny wakes up five times a night and can’t go back to sleep without her trotting back in to hush some more” (223-224).
Here are the things I want to remember:
Falling Asleep
- Not falling asleep independently at naps and/or bedtime is the root cause of 99.8% of all chronic baby and toddler sleep problems (55)
- The easiest time to work on teaching babies to fall asleep on their own is when they are about 2 to 4 months old (83)
- Start with bedtime; there is a huge biological compulsion to sleep at bedtime so this will almost always be an easier journey than mastering independent sleep at naptime (85)
- A consistent, predictable bedtime is one of the most powerful sleep cues you can establish (37)
- Most kids between 3 months and 8 years should be going to bed around 7:30pm (38)
- Your bedtime routine should include activities that are enjoyed by all and that you can do without fail every night for the next 3 years or more (40)
- Inconsistent bedtimes are associated with a higher rate of behavioral problems (43)
- White noise is the most effective, easiest to implement, and least expensive sleep aid for babies; white noise reduces stress in babies; white noise helps babies fall asleep more easily and stay asleep longer; after their first birthday, it is easy to wean off white noise by gradually reducing the volume; white noise should be roughly 50 decibels (67-69)
- Full extinction works better (according to this author) than Dr. Ferber’s graduated extinction because it works more quickly and results in less crying; however, if you start with full extinction, you are committed to that path and can’t switch from full to graduated (118-119)
- If you are doing graduated extinction, each check-in is a brief visit of no more than 1-2 minutes; do not pick your child up but reiterate the soothing words you used at bedtime and then depart while they are still awake (120)
- If your child screams for 5-15 minutes before sleep, you don’t actually have a problem; some babies just need to blow off a little steam before they fall asleep (129)
Night Feeding
- For night feeds, consider the following guidelines: A) no food prior to midnight ideally and B) a baby who can go 3 hours between feeds during the day can certainly do 3 or more hours at night (136)
- For night waking, your decision tree has two options: A) go to your baby within 5-10 minutes after they wake up or B) wait until they fall back asleep without your assistance. Having your baby complain for 40 minutes and then going to feed or cuddle leads to lots of future crying (139)
- Only 50% of 6-month-olds are sleeping 8 hours without eating (144)
- Overall sleep duration matters but uninterrupted sleep matters more; look at the pattern of night feeds and focus on weaning off the feeding that will create the longest possible stretch of uninterrupted sleep for you (150)
- Start by weaning off one feeding rather than jumping in and trying to wean off all feedings at once (151)
Napping
- You’ll likely want to address naps after you’ve successfully established independent sleep at bedtime because bedtime is far easier (you can make mistakes and be inconsistent and still end up with a successful outcome) but naps are a greater challenge (177)
- You should expect it will take many days or weeks to fully establish independent nap sleep (178)
- Late afternoon or evening naps (even 5 to 10-minute car or boob naps) can throw off bedtime (40)
- At 3-6 months, naps can be highly variable but they will be more successful if they occur in the same dark, safe place every day with a consistent 10-15 minute pre-nap routine; this is a great age to focus on independent sleep; no more (or dramatically less frequent) naps on your lap, on your boob, in a baby carrier (165)
- As a parent, you have to accept that you can’t entirely control napping; kids can and will fight naps; some days will be terrible nap days, even if you do all the right things (169)
- As sleep becomes more predictable (usually between 4 and 9 months), you can segue from the Wake-Time-Method to the By-the-Clock-Method (napping at a specific time every day); this will create a predictable rhythm to your child’s wake/sleep pattern; before that, you can’t easily follow By-the-Clock because of variability in nap duration and the variability in the time your baby can be awake, which is constantly expanding such that the schedule that works today may not work next week (174-175)
- If your baby takes a brief (e.g., 20 minute) nap independently, naptime is over; sometimes parents feel the nap was too short and attempt to extend the nap; this rarely works out; a micronap is better than no nap so this mini-nap is a win (179)
- If the first two naps of the day were a bit of a slog, it’s often better to have the third nap happen on the go (stroller, car, babywearing) (180)
- Any independent sleep is a huge accomplishment–your child did something they couldn’t do before (181)
Miscellaneous
- Whereas adults have a mature sleep cycle of 90-110 minutes, a baby will cycle through sleep stages every 50 minutes (48)
- If you are crossing only one time zone for a brief time (less than week), consider keeping baby on your home time zone (207)
- For daylight savings, spread the time change across 4 days, shifting your child’s sleep earlier or later by 15 minutes a day (210)
“Yes, your child will have to figure out how to fall asleep without your ministrations. This is one of many skills they will have to figure out, and certainly not the last that will result in tears. Do you believe your child incapable of mastering a skill that literally every person on the planet before them has mastered? Of course not” (124)