Rock-a-Bye Baby: Does Sleep Training Work?

New parenthood is great, isn’t it? Your family has expanded, you’re thrilled that your baby has finally arrived, and she’s doing new things every day, so you want to watch her every move … that is, if you can actually see her through your bleary, sleep-deprived eyes. More often than not, you feel like you’re barely making it through the day as you juggle soothing and stimulating the baby, keeping up with diaper changes and feedings, and guzzling caffeine in attempts to jolt yourself awake after endless nights of tossing and turning, punctuated by the baby’s cries every two hours. 

Most parents expect to live in a daze when their baby is a newborn. But if the tumultuous routine of waking up every few hours persists after the first few months, it can start to feel unbearable. Enter Richard Ferber, the director of the Center for Pediatric Sleep Disorders at Children’s Hospital in Boston. In 1985, Ferber published a book called Solve Your Child’s Sleep Problems that introduced parents to a revolutionary concept called sleep training. By conditioning your baby to adhere to a fixed schedule of naps and bedtime, Ferber proposed, you can sleep soundly every night and actually be able to see your little gymnast when he rolls over onto his stomach for the first time. 

Rock-a-Bye Baby, in the Treetop (by 7 p.m.)
The crux of Ferber’s sleep-training concept is that babies can and should learn to soothe themselves to sleep. Exactly when they become physically and emotionally ready to do so varies from infant to infant, but on average, Ferber believes it happens sometime between ages four and six months. Once a baby is amenable to being sleep-trained, it’s up to the parents to cultivate that capacity through establishing a calming, loving bedtime routine and putting the baby down for naps and for bed at the same times every day. In addition, parents should always put the infant to bed when she’s still awake—otherwise, she won’t learn to fall asleep on her own. 

The key assumption behind Ferber’s approach—also known as the “cry it out” method—is that falling asleep on one’s own is a skill any infant can master, given the opportunity to do so. However, babies whose parents rock them to sleep every night and pick them up the moment they begin to cry will quickly come to expect these actions, so when their parents suddenly begin leaving them alone and awake in their crib, they will invariably become upset. As heartbreaking as it may seem to some new parents to let their baby “tough it out” in her crib while she wails, Ferber insists that’s precisely what they need to do in order to break the cycle of giving and dependence that they’ve initiated with their child. 

However, recognizing how traumatic this new routine can be for babies and parents alike, Ferber recommends easing into it by using a technique called progressive waiting, in which parents predetermine exactly how long they will allow their infant to cry before they intervene, and then gradually increase those intervals over the next week. For progressive waiting to be effective, parents should never pick up or feed their crying baby when they enter his room—rather, they should pat him or speak to him in a quiet, soothing voice and be sure to leave the lights off. In addition, parents should remain in the room for no more than a minute or two, never long enough for the baby to go back to sleep. Within three or four days on average, Ferber claims, the baby will be able to fall asleep on his own—and even wake up in the middle of the night—without crying. 

Trail of Tears: Coping Mechanisms for Parents
No matter how agonizing it is for you to ignore your baby’s cries during the first few days, once you’ve committed to sleep training, it’s essential that you stick with it. As tempting as it may be to pick up your infant from his crib “just this once” when he wakes you up screaming at 2 a.m., you’ll only prolong the whole process by giving in. And don’t torture yourself by standing right outside the nursery door, waiting for the designated amount of time to pass before you can enter the room; instead, set a timer if you need to, then distract yourself. Remove yourself to another part of your home, turn on happy music, or watch part of a movie with your partner. If you and your partner opt to take turns soothing your child, you might also consider taking a shower or leaving the house for a walk while the other parent monitors the situation.  

4 readers liked this story.
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01.04.2010
Alexa Dove
If you use this method you will TRAUMATIZE your child. The "crying it out" method causes BRAIN DAMAGE! This is not the natural tribal way that humans are to be brought up! First of all, babies should not be in cribs at all because they are not psychologically ready to handle being alone! If you do not respond to your baby's cries they will have unresolved emotional issues. The reason why mothers automatically respond to their baby's cries is because it's INGRAINED by human nature! The reason why babies cry at night in the first place is because they were subjected to a horrifically traumatizing hospital birth where they were not respected . Please, mothers! Take care of and LOVE your children! Respond to its needs! The future of humanity rests on how loving and caring we can be towards our next generation. Please see: http://drmomma.blogspot.com/2009/12/dangers‐of‐leaving‐baby‐to‐cry‐it‐out.html http://drmomma.blogspot.com/2009/12/crying‐it‐out‐causes‐brain‐damage.html
11.10.2009
lark mackenzie
"...Ferber insists that’s precisely what they need to do in order to break the cycle of giving and dependence that they’ve initiated with their child. " This statement is insane. They initiated a cycle of giving and dependence the moment they became pregnant. Babies cry for a reason. When a baby is crying because they want to be held it is not a "want", it is a "need". How much sleep a parent gets is irrelevant, if you need more help, have family or friends help out so you can nap. But it is barbaric to expect a 4, 5, or 6 month old baby to rationalize why they are left alone to cry. They have the rest of their lives to be independent and self-soothing, and building a relationship of trust with your baby where they always know that you will come when they cry will only make them more relaxed and secure. When they are toddlers they are more willing to try new things when they have parents that they can trust will always be there to support them.
11.10.2009
Bijani Mizell
What a fantastic idea! Although I don't have kids, I've been worried about the lack of sleep infants inevitably cause their parents ... but the reasoning behind this theory makes total sense. All kids need weaning from their parents, so best to start it early!
11.10.2009
Paul Fraser
When we had our first child, the doctor said that if you want to avoid problems ignore your child when it cries the first night and you will avoid trouble in the future. He said feed the baby at about 11 or 11:30 and then again in the morning when he wakes up about 7 or 8. We followed these instructions and it worked. The first night the baby cried quite a bit and I had to literally hold my wife down so tha she would not respond. I kept reminding her what the doctor said. Eventually the baby fell asleep and woke up about 7. The second night the baby cried much less, maybe about 10 minutes and then fell asleep. After that the baby would wimper a few minutes and then fall asleep. After a few days the baby would sleep all night without any problem. It really was a miracle and I recommend it to everyone. By the way we did the same thing with our second child with the same outcome. They are both grown up with their own families and doing very well
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