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简介几种Sleep Training的办法
作者:home99
发表时间:2011-05-26
更新时间:2011-05-26
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以前写过一个关于宝宝睡觉的贴子(如何让宝宝安然睡大觉 http://www.mitbbs.com/pc/pccon_3509_67173.html),JMs也时常问及如何让宝宝自己睡整觉及Sleep Training的办法,真是不好一概而论啊,如果能够让宝宝养成好习惯,自己入睡并睡整觉,自然对宝宝、对新妈妈及新爸爸都是好事,但如果宝宝不肯自己入睡,是让宝宝co-sleep,还是要对宝宝进行Sleep Training,以及哪种Sleep Training的办法合适,可能会因宝宝而异啊。

下面还是将我看到的一些有关资料贴这里供新妈妈们参考,但愿有些帮助啊,呵呵。

●睡前程序:最有效的几种办法
●让宝宝一夜安睡的九大妙招
●Baby sleep training: The basics
●Baby sleep training: Cry it out methods
●Baby sleep training: No tears methods
●Big Story: New sleep-training guidance for tired parents
●两本如何让“宝宝安睡”的好书

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睡前程序:最有效的几种办法
http://cn.babycenter.com/baby/sleep/bedtime_routine/

越早帮助宝宝建立良好的睡眠习惯,越有利于宝宝的成长。当你的宝宝6~8周大时,就可以开始每天晚上都遵照一套固定的睡前程序了;这样宝宝很快就会习惯持续的、有规律的睡前常规了。宝宝中心的睡眠专家、《一夜安睡》(Sleeping Through the Night)的作者、美国费城儿童医院睡眠障碍中心副主任朱迪•明德尔说:“如果你的宝宝知道接下来该干什么,他会更放松。宝宝越放松,就越容易上床快速入睡。”你要尽可能地坚持这些睡前程序,即使你们不在家时亦应该如此,这样能让你的宝宝即使到了不熟悉的环境中也能很快平静下来。

你们的睡前程序包括的内容是由你自己来决定的。通常包括给宝宝洗个澡、穿上睡衣、讲个故事、拥抱,或者还可以跟宝宝玩个安静的游戏。只要确保这些活动可以帮助宝宝平静下来,而不会让他变得更烦躁就行。另外,你完全可以从浴室或客厅开始引导宝宝准备睡觉,但最终一定要在宝宝的卧室里结束。很重要的一点是——要让宝宝知道他的房间是个很舒适的小窝,而不是到了睡觉时间你们“遗弃”他的地方。如果你给宝宝掖好被子离开时,宝宝不高兴了,你可以告诉他,你一会儿就会回来看他的。十有八九,你回来的时候,他已经睡着了。

下面的睡前程序的内容,对宝宝中心的一些会员确实有效。也许你会从中发现一些适合你的内容。要记得,睡前程序通常对父母也有好处——这是一段特别留出来让你们和宝宝共同度过的时间,同时,也是你们可以预先安排的。

让宝宝宣泄过剩精力
有时候,在晚上引导宝宝睡觉之前,让宝宝把积蓄的能量释放出来也是有好处的。所以,如果宝宝情绪好,可以让他“骑大马”,或者在弹乐椅上蹦一会儿。只要在这种剧烈活动之后,给宝宝安排些平静安详的活动,比如洗澡和睡前故事可以作为宝宝睡觉前的第一个步骤。

给宝宝泡个澡
众多睡前程序中最受欢迎的一个内容就是洗澡了。坐在温暖的水里,能让宝宝感到平静,让宝宝暖身、洗净、擦干,是让他放松上床的好办法。洗澡也能让你的先生和宝宝在一起度过一段特别时光,尤其是母乳喂养的宝宝——妈妈给宝宝喂奶时,爸爸们也插不上手。宝宝中心的一位妈妈说,“每天晚上我丈夫给我们的宝宝洗澡,他从宝宝能在浴盆里洗澡的第一天开始起就这样做,宝宝和他爸爸都很享受这段亲密时光。”如果你的宝宝洗澡时过于兴奋,或者不喜欢洗澡,那么最好别把洗澡作为睡前程序的一部分;你可以安静地抱着宝宝一小会儿,或者给他讲个故事。点击这里,了解保证洗澡安全的小窍门。

安排好每件事
你家宝宝的睡前程序可以包括给他洗脸洗手、给他擦拭牙床或刷牙、换尿布、换上睡衣。宝宝睡眠专家朱迪•明德尔认为,在宝宝很小时,就开始培养刷牙尤其重要,这样宝宝就能养成习惯了。

玩个游戏
宝宝睡觉之前,在客厅或宝宝卧室的地板上跟他玩个安静的游戏,是你和宝宝共同度过一段睡前快乐时光的好方式。这个游戏可以是小范围的“躲猫猫”;也可以是任何你宝宝喜欢的、不会让他过于兴奋的游戏。还有个好玩的游戏就是在宝宝上床前,在小家伙的床上藏点东西——一个玩具、一张明信片、一个有趣的玩意儿,然后跟宝宝说说这个东西,让他去找。一定要记得,你离开之前,要把这个东西拿走。

聊会儿天

临睡前是爸爸、妈妈跟宝宝交谈的好机会。不必非等宝宝长大到能跟你叙述一天活动的时候,你只要简单帮宝宝回顾一下他一天的生活。宝宝中心的一位妈妈说:“每天我儿子躺到床上以后,我或我的丈夫就会坐在宝宝床边的摇椅上,把灯关了,然后跟他说说他今天都做了什么。 这能让宝宝放松下来。”

道晚安-
很多宝宝喜欢被抱着在房间里转转,跟他最喜欢的玩具、家人或其他东西道晚安。宝宝中心的一位妈妈说:“我家宝宝最喜欢的睡前程序就是对太阳说再见和道晚安。”

读睡前故事
和洗澡一样受欢迎的另一个睡前程序是读睡前故事。宝宝中心的一位妈妈说:每天晚上我们都轻轻摇着儿子,给他读2~4个故事。我们从他8周大时,就开始给他读书了。”你的宝宝不仅能从中学习到新的词汇——研究显示语言技巧甚至智商的发展,都取决于宝宝每天接触到的词汇量。另外,有时间跟你在一起,对宝宝也有很多好处。

唱首歌
一直以来,唱摇篮曲都是让困倦的宝宝进入梦乡的好方法。宝宝乐意听他最喜欢的声音——你的声音,而且轻柔、平静的旋律能让他安静下来。宝宝中心的一位两个孩子的妈妈说:“我每天晚上选两首不同的歌,然后以我们的‘晚安’歌结束。孩子已经把这当成了睡前的最后道别。”

放点音乐
引导宝宝睡觉时,放一些摇篮曲、古典音乐或其他宝宝喜欢的音乐的磁带或CD——在你离开后,也别马上关掉,这能帮助宝宝从清醒状态放松过渡到睡眠状态。音乐声能安抚宝宝,还能掩盖掉外边的噪音。但别让宝宝对音乐产生依赖,他还是得学着自己入睡。你要帮助宝宝建立良好的睡眠习惯,而不是依靠一些特殊的声音或其他花招。

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让宝宝一夜安睡的九大妙招

好的睡眠对于宝宝来说,是天然优质的营养。宝宝睡眠好,白天精力才能旺盛,与此同时,夜晚又是宝宝发育的黄金时刻,妈妈应该把握这个时机,为宝宝创造最优质的睡眠。

招数一:适宜的睡眠环境

3个月的宝宝,已经可以开始适当地训练他早睡,一般晚上八点以后不要再逗宝贝玩耍,让宝贝提前进入睡眠的环境,电视关小声或者关掉,保持安静,可以适当地放点轻音乐,或者唱点催眠曲给他听。

招数二:区别黑夜和白天

用光与声音来促进宝宝生物钟的形成,通过光亮、黑暗的对比让宝宝学会分别白天与黑夜,醒着与睡着的区别。在早上宝宝该起床的时候,把宝宝放在光线很亮的地方,最好有充足的阳光,给宝宝一个拥抱,用轻柔的音乐将他唤醒。

而在晚上宝宝入睡前一两小时,把室内的光线调暗,在宝宝该睡觉的时候,关掉所有的灯,就剩下一盏小夜灯。把门关好,不要让门外透光或传进嘈杂声。窗帘要厚实,避免窗外透进灯光。

Tips:宝宝夜光灯,最好选择蓝色的。

招数三:应对夜间小哭小闹

宝宝半夜醒来,一般开始的时候都是哼唧哼唧的,妈妈可以先不要理他,如果他是睡自己的小床的,可以先摇他的摇篮,尽量哄他入睡,让宝贝逐渐学会抵抗饥饿,学会忍耐。可一旦到他大哭生气了,那很有可能宝贝是真的饿了,可以给宝宝喂点奶后再让他睡。千万不要宝宝一有动静就去哄,这会造成宝宝的依赖。适当“狠狠心”对宝宝养成良好的睡眠习惯还是有好处的。

招数四:督促宝宝规律睡眠

大多数宝宝睡不好都是因为习惯不好,没有形成生物钟,自然不会有规律的睡眠。父母在宝宝较小的时候,要让宝宝形成生物钟,让晚上定时睡整觉形成一种习惯。每个宝宝的睡眠习惯除了要后天养成,他们本身也有自己的生理规律,爸爸妈妈要寻找孩子本身的睡眠规律,然后量身订制宝宝的睡眠时间表,可以观察宝宝不同时间睡觉后,醒时的精神状态,然后按照宝宝的最佳状态做调整。

招数五:顺从宝贝的习惯小动作

哄宝贝睡觉,关键还要注意宝宝的一些习惯的小动作。有些宝宝喜欢抓着妈妈的头发才能睡着;有些宝宝要摸着妈妈的眼睛才能睡着,有些宝宝要含着自己的手指才能睡着……摸清宝贝睡觉的小习惯后,顺着他的习惯,很容易就会哄他睡着。有些宝贝需要寻找安全感才能睡着,那么可以把他抱在自己的胸口,让他趴着,然后慢慢地拍他的后背,等他睡着了后再把他放到床上。
招数六:限制玩乐时间

想要宝宝睡得好,白天不能让他玩得太疯,白天玩疯了,他在晚上也会想着要玩,临近晚上睡觉的时候也不要抱着到处逛。可以和宝宝玩玩比较安静的游戏,适当地给他一些诸如纸盒、摇铃、橡胶玩具等小玩具,或是听听舒缓的音乐,念念儿歌,感觉宝宝有些累的时候,就让他上床躺好,调暗灯光,促使他入睡。

招数七:洗澡助睡

有些宝贝喜欢洗完澡以后睡觉。通常,每天晚上在差不多的时间,观察宝宝的精神状态,如果感觉他有点困了,可以给他洗个热水澡,洗完后直接抱上床,给他喝点奶,然后关掉房间的灯,并且和他一起躺在床上,轻拍他的背,宝宝很快就能入睡。

招数八:午睡别太久

宝宝的午睡与晚上的睡眠质量有很大关系。夜间睡眠影响着午睡,同样,午睡时间过长或者睡得过晚也都不利于晚上顺利入睡。所以,宝宝的午睡要定时定点地控制,一般睡觉时间在正午或下午的早些时候。比如中午一点开始睡半个小时到一个小时。当然,控制不是教条的,宝宝没按时睡觉的偏差不大,也是可以的。养成良好的睡眠习惯,同样要观察宝宝的状态,如果他按时睡眠,没有疲劳或过于兴奋,那么这种午睡习惯就是适合宝宝的。

招数九:每天遵循就寝程序

安排一个整体的就寝过程,对宝宝的规律睡眠习惯养成也很有帮助。通过一个程式化的就寝方式让宝宝渐渐明白做完这一切就该睡觉了,这对于他来说是一个睡觉前的仪式。

这个过程包括刷牙、洗脸、洗澡、抚触、穿睡衣等,在宝宝睡前一小时就可以进行了。在这一小时中,让宝宝结束过于兴奋的活动,别再见外人,保持室内安静、昏暗。给宝宝换洗完后,对着他轻轻读书、讲故事,也可以让他听磁带,这不仅能促进睡眠,对宝宝的智力发育也有好处。睡前过程不仅仅让宝宝睡得好,同时也是爸爸妈妈与宝宝之间爱的纽带。

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Baby sleep training: The basics
Reviewed by the BabyCenter Medical Advisory Board
Last updated: January 2007
http://www.babycenter.com/0_baby-sleep-training-the-basics_1505715.bc?showAll=true

Highlights

* What is sleep training?
* When can I start and what are the stages of sleep training?
* What are my sleep training options?
* What the experts say
* Do I have to use a sleep training method for my child?
* Parents' voices

1. What is sleep training?

Sleep training is the process of helping a baby learn to get to sleep and stay asleep through the night.

Some babies seem to develop a regular sleep routine quickly and easily. But many others have trouble settling down to sleep — or getting back to sleep when they've been wakened — and they need help and guidance along the way.

2. When can I start and what are the stages of sleep training?

The first three months
Don't try to impose a sleep schedule or training program on a newborn. Your new baby will need to feed every few hours, around the clock, so it's normal and healthy for him to sleep for just a few hours at a time. Respond promptly to his cries, feed and comfort him, and try to sleep when he does to minimize your own sleep deprivation.

Beginning at about 6 weeks, you can reinforce your child's biological rhythms by establishing a regular bedtime routine. At about the same time every night, for instance, give him a warm bath, read him a book, and then feed him before putting him to bed. (For more ideas, see our article on bedtime routines.) Try to get your baby up at around the same time every morning and put him down for naps at the same point in the day.

At this stage, consider your routine and your baby's sleep schedule as a work in progress: During the first three months of life, your baby will gradually sleep more at night and less during the day. You'll need to keep adjusting the schedule as your baby matures and develops.

3 to 6 months and beyond
Typically, by age 3 months or so, babies have started to develop more of a regular sleep/wake pattern and have dropped most of their night feedings. And somewhere between 3 and 6 months, experts say, most babies are ready for sleep training and are capable of sleeping through the night. They're not talking about eight hours, though — they generally mean a stretch of five or six hours.

Of course, every baby is different: Some may be ready earlier, others later. And some will sleep seven hours or longer at an early age while others won't do so until they're much older.

Before starting sleep training, make sure your baby doesn't have any medical conditions that affect his sleep. Then be flexible about how you apply your chosen program and carefully observe how your baby reacts. If he's very resistant or you see a change for the worse in his overall mood and behavior, stop and wait a few weeks before trying again.

If you're not sure whether your baby's ready for sleep training, ask your doctor.

3. What are my sleep training options?

There are many different ways to teach healthy sleep habits to your child. Which technique should you try? That depends on what you feel comfortable with — and which sleep strategy you think your child will respond well to.

Consistency is more important than method. A review of 52 sleep studies using various methods, published in 2006 in the journal Sleep, found almost all the techniques effective if applied consistently. Choose a sleep training method you can live with and follow through on it — and chances are, it'll work for you.

Most sleep training methods follow one of two basic approaches:

4. "Cry it out"
Baby sleep: The Ferber method
One family's account of using the Ferber method to get their baby to sleep.

These sleep training methods say it's okay to leave your child to cry, if necessary, although they don't advocate letting a baby cry endlessly. Typically these approaches suggest putting your baby to bed when he's still awake and allowing short periods of crying punctuated by comforting (but not picking up) your child.

The most well known "cry it out" technique is the one developed by pediatrician Richard Ferber, director of the Center for Pediatric Sleep Disorders at Children's Hospital Boston. Ferber says that in order to fall asleep on their own and sleep through the night, babies have to learn to soothe themselves. Ferber believes that teaching a baby to soothe himself may involve leaving him alone to cry for prescribed periods of time.

Find out more:

Article: Baby Sleep Training: Cry It Out Methods
http://www.babycenter.com/0_baby-sleep-training-cry-it-out-methods_1497112.bc
Video: Baby Sleep: The Ferber Method and follow-up article, How I Got My Baby to Sleep Through the Night: Two Families Tell All
http://www.babycenter.com/2_baby-sleep-the-ferber-method_1487482.bc
http://www.babycenter.com/0_how-i-got-my-baby-to-sleep-through-the-night-two-families-te_1495436.bc
Follow first-time parents Mike and Margie Gunn's efforts to teach their 5-month-old to sleep through the night using the Ferber method.
Sleep resources: Experts, books, websites, and more
http://www.babycenter.com/0_baby-sleep-resources_1509204.bc

5. No tears
Baby sleep: The Sears method
One family's account of using the Sears method to get their baby to sleep.

Sleep training methods in this category encourage a more gradual approach, with the parent offering comfort right away when their child cries. Pediatrician William Sears, author of The Baby Sleep Book, is probably the most well known proponent. Parent educator Elizabeth Pantley outlines a step-by-step no-tears approach in her book The No-Cry Sleep Solution.

Find out more:

* Article: Baby Sleep Training: No Tears Methods
http://www.babycenter.com/0_baby-sleep-training-no-tears-methods_1497581.bc
* Video: Baby Sleep: The Sears Method and follow-up article, How I Got My Baby to Sleep Through the Night: Two Families Tell All
http://www.babycenter.com/2_baby-sleep-the-sears-method_1487508.bc
http://www.babycenter.com/0_how-i-got-my-baby-to-sleep-through-the-night-two-families-te_1495436.bc
* Watch as first-time parents Tamara and Cameron O'Neil try to teach their 5-month-old to sleep through the night using the Sears method.
* Sleep resources: Experts, books, websites, and more
http://www.babycenter.com/0_baby-sleep-resources_1509204.bc

6. What the experts say

Richard Ferber, author of Solve Your Child's Sleep Problems
"By the time your baby is 3 months old and has developed a fairly predictable 24-hour pattern, it becomes more important for you to provide increasingly consistent structure. If you do your best to establish a reasonable and consistent daily routine and keep to it as much as possible, then it is likely that your child will continue to develop good patterns. If instead you allow the times of your child's feedings, playtimes, baths, and other activities to change constantly, chances are his sleep will become irregular as well."

Marc Weissbluth, author of Healthy Sleep Habits, Happy Child
"For infants under 3 or 4 months of age, you should try to flow with the child's need for sleep. Don't expect predictable sleep schedules, and don't try to enforce them rigidly...After about 4 months, I think parents can influence sleep durations."

William Sears, author of The Baby Sleep Book
"Be prepared for one style of nighttime parenting to work at one stage of an infant's life yet need a change as he enters another stage. Be open to trying different approaches. Follow your heart rather than some stranger's sleep training advice, and you and your baby will eventually work out the right nighttime parenting style for your family."

Cathryn Tobin, author of The Lull-A-Baby Sleep Plan
"After completing my residency at the Hospital for Sick Children in Toronto, Canada, one of the world's busiest pediatric medical centers, it struck me that our culture goes about infant sleep training completely backward. First we allow bad sleep habits to form, then we go to extremes trying to break them. Once I recognized this crucial mistake, the solution to the dreadful problem of sleep deprivation became crystal clear: Encourage young babies to develop good habits right from the start, and you won't need to break bad ones down the road."

Jodi Mindell, author of Sleeping Through the Night
"The more practice your baby gets putting himself to sleep, the quicker the process works. He will fall asleep on his own, and you will get the sleep you need...Don't wait too long, though. The earlier, the better. Remember, once your baby gets older — that is, at least 5 or 6 months — the process of getting your child on a sleep schedule and to sleep through the night gets more difficult."

Tracy Hogg, author of Secrets of the Baby Whisperer
"What a good many people don't realize is that babies need parents' direction to establish proper sleep habits. In fact, the reason so-called sleep problems are common is because so many parents don't realize that they, not their babies, must control bedtime."

7. Do I have to use a sleep training method for my child?

No. Parents often decide to try a particular method because they're exhausted or frustrated by their child's sleep habits and nothing they've tried on their own seems to work. If you're happy with the way things are going, count your blessings and continue what you're doing.

Families have different expectations and tolerances. A 9-month-old who wakes up twice a night might have one set of parents tearing their hair out while another family wouldn't have it any other way. If sleep isn't going well for your family, you'll know it — and you might want to read up on methods devised by experts and other parents for help.

Here are a few things to consider:

• Some children are naturally good sleepers and before too long they fall into a pattern of sleep that everyone's happy with. Others are naturally fussy or wakeful and may need more structure — or more nurturing — to help them sleep well.

• Every child, even within the same family, is different. So if the sleep strategies you used with your first child aren't working with the next one, you may need some new ideas.

• You don't have to follow an entire method. You might find just one aspect of a particular method that's effective for your child. Feel free to take what you can use.

• Sometimes common sense is the best "method." Families often develop their own ways of getting their kids into good sleep habits. If it works, keep going.

8. Parents' voices

"My first daughter was sleeping through the night (10 p.m. to 9 a.m.) by 6 months. We had a complete bedtime routine — a bath, a book, a bottle, then to bed, a little music in the crib, and asleep in ten minutes. It was wonderful, but that scenario didn't work for my second daughter and hasn't worked for my son, so I've tried different things for each of them. Sometimes a plan doesn't work. Listen to your baby — he or she will tell you what you need to know."
— LaKisha

"My 3-month-old doesn't sleep through the night, and it's fine with me. I keep her in her crib or a bassinet until her 3 a.m. feeding, and then she joins my husband and me until we get up for work. She won't go in her crib unless she's already asleep, usually from nursing and rocking, but she'll fall asleep in her bassinet beside our bed. She's happy and we're happy, and even if it goes against the wisdom of the experts, it's working for us."
— Anonymous

"My first cried it out and all was well. My second cried it out but it took much longer until all was well. My third, if allowed to cry too long, literally freaked out. He threw himself around his crib and would rarely calm down and fall asleep. On the rare occasion that he fell asleep, he'd wake up within minutes screaming bloody murder. Letting him cry it out was clearly not working so I looked for other options. Find your child's groove. You'll be glad you did."
— L.B.'s Mama

"My 4-and-a-half-month-old will only sleep through the night if we do everything the experts say not to do. She must be nursed or slept with unless we want to see her turn purple and cry for 45 minutes or more. She's like a wind-up doll when she starts and never settles until she's comforted, and she's been that way from the beginning. It really became a matter of, do we want to sleep or do we want to do what the books say? If she's comforted and put down sleeping, she sleeps eight to ten hours. To all you parents out there who have a baby like mine, do not despair — just do what works for you."
— Amanda

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Baby sleep training: Cry it out methods
Reviewed by the BabyCenter Medical Advisory Board
Last updated: January 2007
http://www.babycenter.com/0_baby-sleep-training-cry-it-out-methods_1497112.bc?showAll=true

Highlights

* What is the "cry it out" method?
* What's the theory behind CIO?
* I'd like to give the Ferber method a try. How do I do it?
* Practical tips for trying a CIO method from parents and experts
* Do these methods work?
* Parents' voices
* Why are some people against CIO methods?
* CIO isn't right for my family. Do I have other options?

1. What is the "cry it out" method?

People often think this method of sleep training involves leaving babies alone to cry for as long it takes before they fall asleep. But "cry it out" (CIO) simply refers to any sleep training approach — and there are many — that says it's okay to let a baby cry for a specified period of time (often a very short period of time) before offering comfort.

In his 1985 book Solve Your Child's Sleep Problems (revised and expanded in 2006), pediatrician Richard Ferber presented one method of getting children to sleep that has become virtually synonymous with CIO — so much so that you'll hear parents refer to any CIO method as "Ferberizing."

Ferber himself never uses the term "cry it out." And he's only one of a number of sleep experts who say that crying — while not the goal — is for some children an unavoidable part of sleep training.

2. What's the theory behind CIO?

The "cry it out" approach assumes that falling asleep on your own is a skill like any other and that your baby can master this skill if you give him the opportunity.

Baby sleep: The Ferber method
One family's account of using the Ferber method to get their baby to sleep.

The idea is that if your child gets used to having you rock him to sleep, or he always falls asleep while nursing, he won't learn to fall asleep on his own. When he wakes up during the night — as all children and adults do as part of the natural sleep cycle — he'll become alarmed and cry for you instead of being able to go back to sleep.

By contrast, if your baby learns to soothe himself to sleep at bedtime, he can use the same skill when he wakes up at night or during a nap.

Crying isn't the goal of this sleep training method, but advocates say it's often an inevitable side effect as your baby adjusts to sleeping on his own. They say the short-term pain of a few tears is far outweighed by the long-term advantages: a child who goes to sleep easily and happily on his own, and parents who can count on a good night's rest.

Ferber is perhaps the most well known expert who advocates a CIO-style sleep training method, but he's not alone.

Pediatrician Marc Weissbluth, author of the popular book Healthy Sleep Habits, Happy Child, doesn't endorse CIO per se, but says that crying may be a necessary part of helping some children develop healthy sleep habits.

BabyCenter sleep expert Jodi Mindell, author of Sleeping Through the Night: How Infants, Toddlers, and Their Parents Can Get a Good Night's Sleep, is often called a kinder, gentler Ferber. Her "basic bedtime method" is a variation on Ferber's classic progressive-waiting technique.

3. I'd like to give the Ferber method a try. How do I do it?

First, wait until your baby is physically and emotionally ready to sleep through the night, usually between 4 and 6 months of age. Ferber doesn't designate a precise age at which to begin his technique, since it can vary so much depending on the child.

If you're not sure whether your baby's ready, you can always give it a try. If you encounter too much resistance, wait a few weeks and try again.

Step 1
Put your baby in his crib when he's sleepy but still awake.

Step 2
Say goodnight to your child and leave the room. If he cries when you leave, let him cry for a predetermined amount of time. (See "How long should I leave my child alone?" below.)

Step 3
Go back into the room for no more than a minute or two to pat and reassure your baby. Leave the light off and keep your voice quiet and soothing. Don't pick him up. Leave again while he's still awake, even if he's crying.

Step 4
Stay out of the room for a little bit longer than the first time and follow the same routine, staying out of the room for gradually longer intervals, each time returning for only a minute or two to pat and reassure him, and leaving while he's still awake.

Step 5
Follow this routine until your child falls asleep when you're out of the room.

Step 6
If your child wakes up again later, follow the same routine, beginning with the minimum waiting time for that night and gradually increasing the intervals between visits until you reach the maximum for that night.

Step 7
Increase the amount of time between visits to the nursery each night. In most cases, according to Ferber, your baby will be going to sleep on his own by the third or fourth night — a week at the most. If your child is very resistant after several nights of trying, wait a few weeks and then try again.

How long should I leave my child alone?
In his book, Ferber suggests these intervals:

* First night: Leave for three minutes the first time, five minutes the second time, and ten minutes for the third and all subsequent waiting periods.
* Second night: Leave for five minutes, then ten minutes, then 12 minutes.
* Make the intervals longer on each subsequent night.


Keep in mind that there's nothing magical about these waiting periods. You can choose any length of time you feel comfortable with.

4. Practical tips for trying a CIO method from parents and experts

* Set the stage for success before you try a CIO method by developing a bedtime routine and sticking to it. For example, a bath, a book, a lullaby, then to bed, at the same time every night. This way your child knows exactly what to expect.
* Develop a solid plan and make sure you and your partner are prepared before you begin sleep training — both practically and emotionally.

On the practical side, it's probably not a good idea to launch your sleep plan if your partner is about to take off on a business trip, for example, or if your in-laws are coming for a visit.

On the emotional side, talk the plan over with your partner and make sure you both understand and agree on how to proceed. That way you'll be able to support each other if you run into rough patches.

* Once you launch your plan, stick to it. Parents who've been through sleep training agree that consistency is the key. Unless you realize that your child simply isn't physically or emotionally ready and you decide to put the program on hold for a while, follow through with it for a couple of weeks. When your baby wakes you up at 2 a.m., you may be tempted to give in and hold or rock him, but if you do, your hard work will be wasted and you'll have to start over from square one.
* Plan to lose a little sleep. Begin the CIO method on a night when it won't matter if you miss a little sleep. For example, if you work all week, you might want to start on a Friday night, so you'll be able to catch up on lost sleep by the time Monday comes around.
* Prepare yourself for a few difficult nights. Hearing your baby cry can be excruciating, as every parent knows. During the waiting periods, set a timer and go to a different part of the house, or turn on some music, so you don't have to hear every whimper. As one BabyCenter parents says, "The first couple of nights could be rough for you. Try to relax and know that when it's all over, everyone in your household is going to sleep more easily and happily."
* Make it a team effort. During waiting periods, do something enjoyable with your partner, like play cards or listen to music. If you find the crying intolerable after a while, let your partner take over so you can take a walk or a warm bath. When you're refreshed, you can give your partner a break.
* Adapt the method to fit your family. If you want to try a method like this but find it too harsh, you can use a more gradual approach. For instance, you can stretch out Ferber's seven-day program over 14 days, increasing the wait every other night rather than every night. Remember your primary objective: To give yourself and your child a good night's rest.

5. Do these methods work?

For some moms and dads, CIO methods work just the way they're supposed to. After a few nights and a few tears, their child sleeps contentedly through the night. For other parents, when the tears continue and the promised sleep doesn't come, it's time to try something else.

In the end, no approach to baby sleep works for everyone. A technique that's perfect for one child may be completely ineffective with another, even another child in the same family. So just because your best friend or your sister had good luck with a CIO method doesn't mean it's right for you. And even if it works with your first child, it may not do the trick with your second.

6. Parents' voices
"It worked for me."

I have two kids. The first one was never left to cry it out — we rocked, sung, walked, drove her to sleep until she was old enough to be read a story. Then, with baby number two, I decided to try CIO...and after one night, it worked. At 12 months, she goes to sleep at night by herself and never cries. It was the best thing I did — my husband was against it, but he wasn't the one up four or five times every night for nine months straight! Now our household is very happy and everybody sleeps well.
— Lisa P.

My daughter woke every hour on the hour in her crib. I tried every other method available. Finally, at 7 months, we let her cry it out. It took three to four weeks to complete the sleep training and even though it was the hardest thing I've had to do thus far, it was so worth it. She now sleeps about ten hours a night and loves her crib. We're both happier and have more energy to play.
— Samantha

My 5-month-old was waking every two hours at night. I was so tired I wanted to die. I finally caved in, put in earplugs, and let him cry it out — which he did, all night! But then, something amazing happened the next night: He slept a full 12 hours and awoke rosy and cheerful. It's been that way ever since, and he's even a better napper now. I know that it is hard to listen to your precious little one cry, but a sleep-deprived, miserable mom and baby is a terrible thing too.
— Anonymous

My son "cried it out" for 40 minutes one night and now sleeps through every single night so peacefully. I don't think those lone 40 minutes were torture when you consider the payoff: He's better rested, and I'm energized and in a positive frame of mind each day with my kids.
— Hilary

"It didn't work for me."

My well-meaning friends are all Ferber addicts. I went against my own instincts with our son and tried with no success. They promised it would get better each night, but on the third night he cried for three hours, much longer than the first two. I felt like a failure and, of course, stressed from all of his crying. Babies have their own personalities, and you shouldn't feel pressured into doing something that "works for everyone else."
— Kelly

We tried the Ferber method with our daughter at 6 months. The first night was awful. The second night was easier. The third night was worse — she got so upset that she threw up. So now she's in bed with us, we love having her with us, and I still feel awful for those three terrible nights when we were all miserable.
— A loving mom

As a last resort, I broke down and gave Ferber a try. It's been two and a half weeks and I see no real improvement. My daughter goes down faster at night, but the crying breaks my heart. I miss snuggling with her. She still wakes up every 30 to 90 minutes after her first two-hour stretch. She shrieks when it's time for a nap. I broke down and nursed her to sleep for her afternoon nap because I couldn't stand to see her so exhausted.
— Guilt-ridden and anxious mom

I've been struggling and struggling with the "cry it out" method. We let our baby cry for several nights and it never led to falling asleep. She only got more agitated and upset. She can usually fall asleep if I get her drowsy by rocking, singing, etc., and we have a bedtime routine. If she cries, it signals to me that she needs more help falling asleep.
— Amy M.

Why are some people against CIO methods?

Some parents and parenting experts are opposed to letting a baby cry without responding immediately. They argue that it could threaten the child's trust in his parents and thus his sense of safety and security in the world.

In response to concerns like these, Ferber says that a baby who's given lots of attention and love during the day can be left alone at night without suffering lasting harm.

"A young child cannot yet understand what is best for him, and he may cry if he does not get what he wants," Ferber writes. "If he wanted to play with a sharp knife, you would not give it to him no matter how hard he cried, and you would not feel guilty or worry about psychological consequences. Poor sleep patterns are also harmful for your child and it is your job to correct them."
CIO isn't right for my family. Do I have other options?

Maybe you don't want to let your baby cry. Or you tried a CIO method and it didn't work for you. Every child is different and no single method is right for everyone. Read about other ways to help your baby learn to sleep through the night.

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Baby sleep training: No tears methods
Reviewed by the BabyCenter Medical Advisory Board
Last updated: January 2007
http://www.babycenter.com/0_baby-sleep-training-no-tears-methods_1497581.bc

Highlights

* Can I train my baby to fall asleep without leaving him to cry?
* What's the theory and the controversy behind no-tears methods?
* What do the no-tears experts say?
* Practical tips for finding a no-tears solution
* Does "no cry" work?
* Parents' voices

1. Can I train my baby to fall asleep without leaving him to cry?

Teaching your baby to soothe himself to sleep and sleep through the night doesn't have to mean letting him cry it out (CIO). If you don't like the idea of leaving your baby to cry alone — or you've tried CIO methods and they didn't work for you — you may want to consider a more gradual approach that involves fewer tears.

As with any method, what works for one child might not work for your baby. So figuring out an approach that's right for your family could take some trial and error. If you're not sure what to do, you can turn to the experts who have written books on the subject and draw on the wisdom of other parents. And before you start, you may want to read up on sleep training basics.

2. What's the theory and the controversy behind no-tears methods?

Generally speaking, those who favor a no-tears approach over CIO methods consider leaving a child alone and crying to be unnatural, unkind, and a betrayal of the trust your baby is developing in adults and the world around him. The idea is that bedtime offers an opportunity to connect with your child by developing quiet, cozy nighttime rituals and by quickly responding to your baby's requests for food and comfort.

Baby sleep: The Sears method
One family's account of using the Sears method to get their baby to sleep.

Pediatrician and "attachment parenting" advocate William Sears devotes an entire chapter of The Baby Sleep Book to a critique of CIO approaches. Sears, along with no-tears advocates such as Elizabeth Pantley (author of The No-Cry Sleep Solution), believes that CIO techniques can give your child negative associations with bedtime and sleep that could last a lifetime.

Sleep experts who support the CIO approach disagree. They say it isn't traumatic for babies to cry alone for short periods of time with frequent check-ins by Mom or Dad — and the end result is a well-rested, happier child. They say no-tears sleep strategies may cause babies to be overly dependent on comfort from a parent at bedtime, making it harder for them to learn to soothe themselves to sleep.

3. What do the no-tears experts say?

A number of people who deal with sleep issues professionally have written books in favor of no-tears methods. Pediatrician William Sears, parent educator Elizabeth Pantley, and registered nurse Tracy Hogg are three of the most well known experts.

Here's a quick guide to those three. To learn more, look for their books or find out more about their methods online by following the links below.

Pediatrician William Sears and family: The Baby Sleep Book (Sears website)
The method
Sears emphasizes a nurturing, child-centered approach to sleep and warns parents to be wary of one-size-fits-all sleep training. He recommends patiently helping your baby learn to sleep in his own time. He encourages co-sleeping, rocking and nursing your baby to sleep, and other forms of physical closeness to create positive sleep associations now and healthy sleep habits down the road.

Parent educator Elizabeth Pantley: The No-Cry Sleep Solution (Pantley website)
The method
Pantley offers a gentle and gradual approach to all aspects of sleep, customized to your baby's needs. She recommends rocking and feeding your baby to the point of drowsiness before putting him down — and responding immediately if he cries. Parents are urged to keep sleep logs, nap logs, and night-waking logs. Pantley also describes a six-phase process for teaching a child to sleep in a crib.

Registered nurse Tracy Hogg: Secrets of the Baby Whisperer (Hogg website)
The method
Hogg agrees with Sears that sleep associations should be positive but disagrees with his techniques. She cautions against letting your baby depend on "props" such as nursing, patting, and rocking to get to sleep. Instead, Hogg recommends that you go to your baby when he cries, picking him up and putting him back down as many times as necessary. She considers her techniques a middle ground between attachment parenting (such as Sears) and CIO techniques (such as the progressive waiting approach popularized by sleep specialist Richard Ferber).

4. Practical tips for finding a no-tears solution

* Encourage your baby to get plenty to eat during the day. He'll learn that daytime is for eating and nights are for sleeping. And he'll be less likely to wake up hungry in the wee hours.
* Establish a regular nap schedule. A consistent sleep routine during the daytime helps regulate nighttime sleep.
* Put your baby to bed on the early side, such as 6:30 or 7. Don't fall into the trap of keeping your baby awake so he'll be more tired. An overtired baby may actually have a harder time getting to sleep. Some experts say babies who go to bed earlier sleep longer, too.
* Make changes slowly. If your baby's on a later schedule, don't suddenly move bedtime from, say, 9:30 to 7 o'clock. Make bedtime a little earlier each night until you reach the time that seems best for your baby.
* Find a soothing bedtime routine and stick to it. For example, a bath, then a book, then a lullaby, then bed, at the same time every night.
* Develop some "key sounds," as Pantley calls them, to signal to your child that it's time for sleep. A sound could be a simple "ssshhhh" or a softly spoken phrase like "It's sleepy time." Repeat the sound or phrase when you're soothing your child to sleep or back to sleep so he'll associate it with bedtime.
* Create a comfortable sleep environment that's tailored to your child. Some babies need more quiet and darkness than others. Recordings of soft music or nature sounds or the sound of a gurgling aquarium can be soothing. Make sure the sheets are cozy (warm them with a hot water bottle or a microwavable heating pad, for example, before laying your baby down) and that sleepwear doesn't chafe or bind. Younger babies may sleep better when swaddled. Don't overdress your child or overheat the room.
* Don't respond to every noise your child makes. Learn to distinguish a real cry from a sleepy whimper. If you're not sure, it's okay to wait for a minute outside the door so you won't disturb him if he's actually asleep.

5. Does "no cry" work?

We can't say it often enough: No single sleep strategy is effective with every baby — or even for one baby all the time. You'll have to get to know your child, be flexible, and figure out what works for you.

No-tears advocates admit that the approach can take a while — longer, in all likelihood, than CIO techniques — but they say that in the long run it's less traumatic for baby and parents alike.

Elizabeth Pantley writes that when it comes to sleep training, parents have a choice between time and tears: "The irrefutable truth is that we cannot change a comfortable, loving-to-sleep (but waking-up-all-night) history to a go-to-sleep-and-stay-asleep-on-your-own routine without one of two things: crying or time. Personally, I choose time."

No-cry strategies may work well for you. If they don't, you may want to try a cry-it-out method.

6. Parents' voices
"It works for me."

I've never let my daughter cry it out, and although it took us longer to get her to go down at night and we still follow a bedtime routine, she has been going down really easily for months and sleeps through the night.
— Anonymous BC visitor

I tried Tracy Hogg's approach: Don't leave the baby to cry! Instead, when he starts up, go in there, pick him up, and love him until he stops. Once he's calm, lay him back down. If he starts crying again, repeat. Eventually he'll know it's time to sleep. Hogg said she had to do it 126 times with one child, but it dropped to 30 the next night, four the next, and soon she didn't have to do it at all. I tried this with my 3-month-old and it worked like a charm!
— Andrea

My son is 15 months old and he falls asleep either by a car ride, a stroller ride, rocking him, or sitting in his bouncy chair. Once he's sleeping, we put him in his crib and he sleeps 10 to 12 hours a night and takes a three-hour nap every day. What's so horrible about rocking or strolling a baby till he falls asleep? Nothing! Don't let people tell you to go against your instinct.
— Karen

I have a 3-month-old who I rock at night. He falls asleep very quickly (much quicker than if I leave him in his crib). If he wakes in the middle of the night, we go to him and comfort him. We don't take him out, we just help soothe him. Why make him feel lonely and abandoned? I have no problem losing a little sleep if it means that he feels like we will be there for him.
— Barb

You don't have to let your baby cry! Read The No-Cry Sleep Solution, by Elizabeth Pantley. It tells you how to teach your baby the same good habits the Ferber approach is supposed to, but in a much nicer way — no crying! And it worked for me. I can hardly believe it, but after just one week of following the book's advice, my baby is going to sleep an hour earlier, sleeping two hours longer, and waking up less (once or not at all) in the night. And last night I heard her wake up during the night, but instead of crying for me, she just played by herself for a few minutes and then went back to sleep! It was like a miracle.
— Anon

I lay my daughter in her bed when she's drowsy but not asleep. If she cries, I pick her up and comfort her, then lay her back down when she's calm but not yet asleep. Repeat as often as necessary. It was really frustrating at first when I was tired and she wasn't taking the hint, but it has really paid off.
— Amy G

When my son was younger, we often "walked him to sleep" by putting him in a sling. Now that he's older, reading him a book, nursing, and cuddling does it. Also, we stopped fighting the earlier bedtime. Since he sleeps with us, he snuggles down with us, and it's become a habit that when the lights go out and Mommy and Daddy snuggle with him, it's bedtime. We rarely struggle with sleeping unless he's having bad teething pain.
— Niklaus

I have a way to get your baby to sleep if you're uncomfortable leaving him alone to cry it out. It worked for my son. Here's what you do: On the first night, do your calming nighttime routine and put your baby in the crib. Stay next to the crib, rubbing or patting your baby and talking to him until he falls asleep. Do not pick him up! This can take a while, but at least he knows you're there and will fall asleep. Do this for three nights. On the fourth night, do the nighttime routine, put your baby in bed and then stand halfway between the bed and door. Softly sing or talk to your baby until he falls asleep. Do not pick him up! Do this for three nights. On the seventh night do your bedtime routine and put your baby in bed. Then stand in the doorway and talk or sing to your baby until he falls asleep. Do this for three nights. This method lets your baby learn how to fall asleep on his own, yet he knows you're there.
— Katie

"It doesn't work for me"

My son is 6 months old and finally goes to sleep without a struggle! We thought the Ferber method was mean and that alternatives would be better. So we tried it all — Baby Whisperer, No-Cry Sleep Solution, Babywise, etc. None of it worked. Our son is an otherwise happy little guy, but every night and every nap was a battle. We'd spend hours trying to get him to sleep. We delayed trying Ferber until we'd tried everything else unsuccessfully. It worked after the first night! He wakes up better rested and happier (as do we).
— Saskia

My daughter woke every hour on the hour in her crib. I tried every other method available. Finally, at 7 months, we let her cry it out. It took three to four weeks to complete the sleep training and even though it was the hardest thing I've had to do thus far, it was so worth it. She now sleeps about ten hours a night and loves her crib. We're both happier and have more energy to play.
— Samantha

I have a 6-month-old who has refused to sleep longer than 30 to 90 minutes day or night since he was born! I've tried everything out there except CIO. He's strictly breastfed and relies on that or rocking to get to sleep. He doesn't know how to soothe himself to sleep, and he naps for only 15 minutes. I'm severely sleep deprived. I don't have the heart for CIO, but I think I'll try the revised method where you pat him down and reassure him lovingly while allowing him the opportunity to comfort himself. He's been co-sleeping since day one, and it's going to be tough, but I'm at my wits' end and cannot function.
— Baby M-S

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Big Story: New sleep-training guidance for tired parents
by Julia Bourland
Last updated: March 2007
http://www.babycenter.com/0_big-story-new-sleep-training-guidance-for-tired-parents_1524201.bc?showAll=true

Highlights

* Five sleep solutions that work
* What science says about cry it out
* Finding the best method for your family
* More help on sleep training
* The BabyCenter Seven: Parent tips for sleep-training success

After my daughter was born and sleep deprivation began to sink in, I desperately read every sleep-training book I could find, from Weissbluth's Healthy Sleep Habits, Happy Child, which offers age-specific advice, to the Sears family's The Baby Sleep Book, which promotes snoozing with your babe, to Ferber's revised Solve Your Child's Sleep Problems, which suggests that temperament should guide the sleep-training process. And then I shoved all three books back on the shelf. How's an exhausted new mom supposed to tell which approach is best?

Thankfully, researchers from the American Academy of Sleep Medicine have just concluded a groundbreaking review of five different sleep-training strategies. Their surprising conclusion: There's no single "best" approach for teaching your baby to sleep well. All the methods work, provided parents follow one simple rule — consistency.

"This is certainly reassuring news for parents," says the study's lead analyst Jodi Mindell, associate director of the Sleep Center at the Children's Hospital of Philadelphia and BabyCenter's resident sleep expert. "Since no one technique appears to be better than another, families just need to decide what works best for them and be consistent," she says.

1. Five sleep solutions that work

The review put these five sleep-training techniques to the test:

The full "cry it out" method. You let your baby cry herself to sleep without comforting her (also known as the extinction method).

The modified "cry it out" method. You let your baby cry but reassure her at regular intervals (also known as graduated extinction).

Soothing bedtime routines. You establish routines that help your baby wind down, then turn out the lights and don't respond to any crying.

Parent education. Before your baby arrives or right after, you learn about infant sleep and how to help your baby establish healthy sleep habits, such as putting her to bed sleepy but awake.

Scheduled awakenings. This rarely used tactic involves waking your baby before she would normally get up on her own. The awakenings get fewer and further between as you progress, until finally they're phased out altogether.

Unfortunately, the one popular technique the review didn't examine was co-sleeping (sharing a bed with your baby), since, as Mindell points out, no large studies have looked at how it fares in teaching babies to fall asleep or self-soothe at night.

The good news is, all five methods the researchers did look at cut down on bedtime tears and middle-of-the-night wakings. And while a few of the studies pitted one sleep-training method against another, no one method had an edge.

Poll: What has your experience with sleep training been like? What method has gotten you and your baby through the night — if any? Take our sleep poll!

2. What science says about cry it out

As much as we all want our babies to sleep, most of us can't bear to hear them cry for long before they nod off.

But many experts say that a few tear-filled nights during sleep training won't do your baby any harm. The handful of studies that looked at the emotional impact of crying it out clearly showed better parent-child attachment after sleep training, says Mindell.

What's more, she adds, the studies revealed that infants who went through sleep training were more secure and predictable, and cried and fussed less, than those who weren't trained. Not only do babies seem to thrive on the routine, but — like the rest of us — they're often in a better mood after a good night's sleep or nap.

Baby sleep: The Sears method
One family's account of using the Sears method to get their baby to sleep.

"We're fairly certain that sleep training doesn't have any long-term negative effects," Mindell says. "If you love your child and are a responsive parent and then let your child cry three nights in a row to teach her how to sleep, that's fine."

However, not everyone believes that cry it out is harmless. Robert Sears, a pediatrician and co-author of The Baby Sleep Book, which encourages sharing a bed with your baby, points to studies that suggest prolonged crying spells for weeks at a time can cause emotional trauma as well as physiological changes to the brain. But Mindell argues that these studies had nothing to do with sleep training — they were done on children who suffered from long crying jags in general. Therefore, she says, the findings don't apply to a few teary nights with the cry it out method.

It's a frustrating impasse for parents. But no matter which side of the debate science weighs in on, no study or expert opinion can tell you how you should feel about the sound of your baby's wailing. That's why most sleep gurus agree that the decision to go with a cry it out or tear-free method is clearly a personal one.

3. Finding the best method for your family

So which sleep-training technique (or combination of techniques) will do the trick for your night owl? The experts say let the following be your guidelines:

Consider your child's temperament
"If you can match a sleep-training approach with your child's temperament, you'll have more success and see quicker results," says Chicago pediatrician Marc Weissbluth, author of Healthy Sleep Habits, Happy Child. "It's just like disciplining your child — easygoing, adaptable children are easy to correct. A strong-willed, highly determined child, on the other hand, may need a tougher approach."

Baby sleep: The Ferber method
One family's account of using the Ferber method to get their baby to sleep.

How does that translate into sleep training? In Weissbluth's experience, mild-mannered children can learn to sleep well with gentle, consistent parental consoling — a no-cry or modified cry it out method. More determined babies, on the other hand, do better with full cry it out because parental consoling tends to prolong or even intensify the fight.

Bear in mind that your baby's sensitivity to stress should also be considered when picking a technique. "Children who have more resilient temperaments typically respond well to crying it out," Mindell says. "A sensitive child needs a slower approach." Robert Sears advises co-sleeping for the very sensitive baby, but adds that it won't work for all children. A baby who is easily stimulated, for instance, might find sharing a bed with her favorite playmates — her parents — too exciting to settle down and would probably do better in her own bassinet.

To determine your child's temperament, look at how your baby responds to new or stressful situations. Does she shrink back in fear and require lots of comfort? You're raising a sensitive plant. Does she take them in stride or recover quickly? You've got a resilient baby.

Consider your temperament
Your ability to follow through with a sleep program is key to success, so keep your own preferences in mind. "Parents have to assess their strengths and limitations," Weissbluth says. "Often sleep-training programs fail because parents are too sleep-deprived themselves and can't go through with them — they lose track of when to check in on a crying baby, or they can't take the crying anymore," he says. "Or they switch between checking in on and consoling their baby and letting their baby cry it out alone."

If the sound of your baby's sobs makes you want to break down in tears yourself, you need to come up with a slower approach — a method that involves minimal crying or crying with parental presence, Mindell suggests. Likewise, if you're so worried about rolling onto the baby that you can't fall asleep, Sears points out, a family bed isn't a good choice.

Consider your household
Can both parents share the load of carrying out the program? If not, consider a method that will put the least amount of stress on the one doing the dirty work — and only that parent will know if enduring a lot of crying at the start is more stressful than months of broken sleep down the line.

Are there other children in the family who might be woken up by the crying and develop sleep problems of their own? If so, you may need a gradual strategy that involves little or no crying — or separate bedrooms for everyone.

Give it time to work
Once you've picked your program, stick with it and have faith, advises Mindell. "Give it seven to ten days before making changes or giving up. Things often get worse before they get better," she says.

If your baby is still fighting the sandman, don't be afraid to tweak the sleep program to fit your own needs. Ultimately, the quest for zzz's is filled with trial and error. "There's no one solution that fits all kids," says Weissbluth. "If you analyze your child and reflect upon what may be causing the sleep problems in the first place, it's easier to come up with a method that'll work."

Weissbluth goes on to say that dads can make excellent sleuths in figuring out what's keeping your baby up, and in leading the sleep-training program in general. "They're less likely to be as exhausted as the mom if the mom is also breastfeeding and fighting postpartum fatigue," he says.

4. More help on sleep training

Ready to dive in and start teaching (or reteaching) your child to sleep? Here's a sampling of BabyCenter's best resources for helping your little one get more rest:

* Bone up on the sleep-training basics.
* See a video of the Ferber method or the Sears method in action.
* Get real mom-and-dad advice with our parents' favorite sleep strategies.
* Find out more about the cry it out and no-tears methods of sleep training.
* Learn how to teach your child to soothe herself back to sleep at night.
* What to do when one parent wants to go with cry it out and the other doesn't? See what other parents advise.
* Swap support and advice with other BabyCenter moms and dads on our BabyCenter Community forums.

5. The BabyCenter Seven: Parent tips for sleep-training success

"Pay attention to your child's cues. Don't wait until your child is screaming before putting her down for a nap. Wait until you see a little yawn, then soothe her and put her down." — MacKenzie Wilber, mother of 15-month-old Reese

"Rule out any medical conditions that could be contributing to the sleep problem. You know your baby better than anyone, so if the experts tell you that it's a behavior issue but you think it's something else, don't give up. When you go in with a sleeping complaint, some doctors believe they're dealing with a permissive parent and tell you that you just need to let your child cry it out. I recommend that parents be persistent, trust their instincts, and change doctors if necessary." — Janet Meegan, mother of 18-month-old Liam

"Make sure both parents are on board for whatever method you choose. I thought my husband knew my plan, but he thought we were doing something different. If it's 3 a.m. and your baby's screaming, that's no time to discuss your strategy!" — Lara Hull, mother of 7-month-old Larkin

"If you can get someone to cover for you for a while during sleep training, do it. You will be more patient and understanding with your child if you feel rested." — Janet Meegan

"Keep in mind that things are always going to change. Even if nothing works, eventually your baby will start to sleep more. And even if something works great, it may stop working because of teething or who knows what else. It helps to be flexible and try new things." — Lara Hull

"Be consistent with whatever sleep-training method you choose. Babies and toddlers thrive on routines. Training will be so much shorter and your little one will feel secure knowing what to expect." — MacKenzie Wilber

It's important to consider what the sleep situation is doing to your entire family. Many new parents are unwilling to let their baby cry. But I've seen a lot of unhappy couples struggle with their marriage because of sleep deprivation (my own included!). Parents need to weigh that against how much they don't want a baby to cry." — Julie Ryu, mother of 4-month-old Nadia

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How to Get Your Baby to Sleep through the Night
Unless you’re one of a lucky few, you can forget about getting anything close to six to eight hours of uninterrupted snoozing for at least the first three months of your baby’s life. Infants have disorganized or fragmented sleep. That means that newborns don’t sleep for long periods the way we do (or did), nor do they necessarily do most of their sleeping at night. They also require two or three nighttime feedings, since their tiny stomachs can’t hold enough to keep them full for long periods. Though some babies are capable of sleeping through the night as early as 6 weeks old, for many it won’t happen until age 4 to 6 months. By then most babies should be learning to fall asleep on their own in their own crib, without being rocked, nursed, or otherwise coddled into slumber. By 9 months, most can sleep a full 12 hours.

Even if your baby is younger than 5 months, you can start helping her develop healthy sleep habits. A good idea is to minimize stimulation prior to bedtime. A warm bath, a book, or a song can help a child wind down. Other simple approaches are to cut down on your baby’s napping and to move her bedtime to a later hour.

All of us go back and forth between deep sleep and light sleep throughout the night. During light sleep we partially wake up, but usually turn over and put ourselves back to sleep. Some infants have a difficult time learning how to do this. If most of your nights are still being interrupted once your baby reaches 5 or 6 months — if she still isn’t sleeping for six- to eight-hour stretches or can’t get herself back to sleep when she awakens — consider trying one of these techniques.

Each method has its proponents and detractors, but there’s a good chance that one could work well for you and your baby.

FERBERIZING Probably the most popular getting-baby-to-sleep technique is the Ferber method, named for its creator, Richard Ferber, M.D., director of the Center for Pediatric Sleep Disorders at Children’s Hospital, in Boston. It’s based on the notion that babies make associations with falling asleep, whether at bedtime or after waking in the middle of the night. So if you routinely rock your child until he falls asleep or allow him to fall asleep while breastfeeding or having a bottle, he’ll come to rely on these things in order to go to sleep and will want them repeated when he wakes in the middle of the night. The trick is to teach him to learn to fall asleep by himself in his crib when you first put him down for the night. Once he learns this, the middle of the night awakenings generally take care of themselves. Here’s how it works:

1. Put your baby in his crib when he is drowsy but still awake. Say good night, and leave the room. If he starts to cry let him - for about 5 minutes. Then go into the room, comfort him briefly without picking him up, and leave. If he cries again, wait 10 minutes before going in, then 15 minutes, until he falls asleep.

The point of going in is to reassure your baby that you still exist and to reassure you that he’s okay.

2. Repeat the ritual - with the same timed intervals used at his bedtime - every time he wakes in the night.

3. Each subsequent night add an additional 5 minutes to the first interval. For example, the second night, start by waiting 10 minutes before going in, then 15 on the third night.

PROS: Over the course of three to seven days - it seldom takes longer than this - the baby learns to associate being in his crib with falling asleep. He also learns that crying won’t get his parents to pick him up. And a few nights of tears in an otherwise loving environment won’t have any lasting effect on your baby.

CONS: This method isn’t for the fainthearted, since you have to be able to handle hearing your infant cry, sometimes for long periods. But unlike simply letting the baby cry until he falls asleep, you go in to his room to calm him at prescribed intervals. You may have to repeat the entire process when the baby is older, since some will experience relapses.

SCHEDULED AWAKENINGS This technique is based on altering a baby’s sleep habits by waking her at prescribed times.

Here’s the idea:

1. For one week, keep track of the times the baby wakes each night. Then, try to beat her to the punch. If she wakes at 12 and 4 AM, for instance, go in and wake her at 11:45 and 3:45 and rock her or do whatever you normally do.

2. Day by day, extend the waking times in 15-minute increments — back to 12 and 4 AM, then to 12:15 and 4:15, and so on. She should stop waking on her own and instead wait for her parent, who has become her alarm clock.

3. As you add 15-minute increments between wakings, she learns to sleep for longer periods of time. Eventually you phase out the wakings altogether and find that your baby is sleeping through the night.

PROS: For infants who routinely awaken at predictable times during the night, the scheduled awakenings method can be a gentler alternative to Ferberizing — there’s often less crying and parents feel a sense of control, since they’re in charge of when the baby wakes up.

CONS: Parents have a hard time bringing themselves to actually wake the baby. Some sleep experts are adamantly opposed to this method and point out that there’s little proof that it’s effective. They argue that an infant’s waking schedule is too varied for this technique to be effective. Another glitch is that this approach takes a while — as long as three or four weeks.

REINFORCING SLEEP RHYTHMS The gist of this preventive method is that you never let your baby (of 4 months or older) become overtired, because being too fatigued may be the root of the sleep problems. Instead, you anticipate your infant’s natural sleepiness and put him down — at naptime and at bedtime — accordingly. The approach works as follows:

1. Keep intervals of wakefulness brief when a baby’s about 4 months old: every one to two hours put him down for a nap. Infants who are older than that can handle longer wakeful periods — put them down for naps two or three times a day. Any soothing bedtime ritual can be used, but avoid letting your baby nap on the run, such as in the car or stroller.

2. Anticipate when your baby will be sleepy. This may take a while.

3. Never wake a sleeping baby. Most babies (between 5 and 12 months) will take two or three naps of one to two hours a day, but longer naps will have no negative effect on nighttime sleep.

The better a child sleeps during the day, the easier it is for him to fall asleep at night.

4. Set an early bedtime. Babies need to go to bed between 6 and 8 PM, depending on their nap schedule.

PROS: It's argued that with his approach, sleep problems won’t develop and you’ll never need to resort to Ferberizing or other techniques; all you’ll need to do is predict when your baby will get tired and then let him sleep.

CONS: Never letting a baby become overtired and never waking him up can be harder than it sounds. While this approach may be less wrenching than some of the others, it’s not a short-term quick fix: In order to work, you have to stick with it. If your infant is waking in the middle of the night, this method will only bring about slow, gradual change.

THE FAMILY BED This method — in which children share a bed with their parents — is common in many cultures and is part of a child-rearing philosophy known in the U.S. as "attachment parenting." It’s a sleeping style more than a technique for getting a baby to sleep well. This approach — not to be confused with allowing your child to come into bed with you once in a while — calls for sharing the bed most nights.

PROS: Proponents of cosleeping believe that the feeling of security the baby gets when she wakes up next to her mom and dad helps her go back to sleep right away. If the mom is breastfeeding, she barely has to open her eyes to feed her baby.

CONS: Many sleep experts offer warnings about this approach. You’ll have to forget about having any privacy. And there is the possibility that a parent will roll over on top of the baby. A family bed needs to be large enough to accommodate everybody comfortably and shouldn’t have a soft mattress, fluffy pillows, or a comforter, which could suffocate the baby. Also, you should never consume alcohol or take any medications that may make you drowsy. And there’s the issue of when to stop inviting your child into bed with you, because at some point she’s going to have to learn to sleep alone — which means that one of the above techniques may eventually be necessary.

With any sleep strategy, it’s in everybody’s best interest to start sooner rather than later — certainly by 18 months. If your baby continues to have problems falling asleep and staying asleep, talk it over with your pediatrician. While getting your baby to sleep through the night can take some effort and willpower, if you keep up with it, everyone will rest easy.

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两本如何让“宝宝安睡”的好书

★[宝宝安睡魔法书].威廉•西尔斯.pdf
http://ishare.iask.sina.com.cn/f/12871571.html

★一夜安睡夜哭郎

不必任由他哭,不必哄个不停,让宝宝轻松一觉睡到大天亮

作者伊丽莎白•潘特丽是一名优秀的育儿专家,她是许多杂志、网站和广播节目的育儿顾问,经常去学校、医院或者父母组织为父母们作演讲,她的发言总能被热情的观众所接受,并受到人们的赞扬。她出版了一本时事通讯——《父母的小点子》,是美国各地学校图书馆的必备书。在此之前她还曾经写过另外3本有关育儿的著作。

关于怎样解决婴儿在夜间频繁醒来的问题,目前家长们只有两个办法可以选择。第一个办法是任由婴儿哭,一直哭到他睡着为止;第二个办法使你成为缺乏睡眠的牺牲品,只要宝宝一醒来就马上哄他,从半夜一直不停地艰难地哄到清晨。

其实怎样睡觉是一门大学问。伊丽莎白.潘特丽为那些疲惫不堪、痛苦不已的父母提供了第三种方法——潘特丽“没有哭声的睡眠”法。这位4个孩子的母亲教你纠正错误的睡眠观念,指导你用书中简单易行、立竿见影的方法帮助你的宝宝养成良好的睡眠习惯。她的10步计划引导你通过以下方法渡过这个难关:
●让你以崭新的眼光看待婴儿的睡眠模式,帮助你树立切合实际的目标。
●告诉你应如何使用睡眠日志来分析、评价并改善婴儿的睡眠状况。
●提供了多种睡眠解决办法,其中不同的办法可以适应不同的育儿风格。
●为不同的孩子、不同的家庭量身订做了不同的睡眠计划,这些计划不会让你的宝宝哭,并且效果很好。
●不必任由他哭,不必哄个不停,运用潘特丽“没有哭声的睡眠”方法,你和你的宝宝可以轻轻松松一觉睡到大天亮。

目录

第一篇 让婴儿安睡整晚的10步计划
1、消除安全隐患
  安全第一
  最危险的安全隐患:婴儿猝死综合症
  对所有家庭都适用的一般的睡眠安全预防措施
  让婴儿在摇篮或婴儿床里入睡的一般安全预防措施
  和婴儿一起睡的一般安全预防措施
2、掌握一些基本的睡眠知识
  我们怎样睡觉?
  婴儿怎样睡觉?
  睡眠问题是什么?
  婴儿需要多少睡眠?
  晚上该怎样喂奶?
  你期望婴儿睡多久?
  教婴儿睡觉的正确方法是什么?
3、做一个睡眠日志
  我门开始吧!
4、看一看,然后选择合适的睡眠方案
  第一部分:0—4个月的宝宝睡眠问题的解决办法
  第二部分:4个月—2岁的宝宝睡眠问题的解决办法
5、制定一个你自己的睡眠计划
6、按你的计划做10天
  如果你不能全部做到该怎么办呢?
  成功之路是曲折反复的
7、每10天写一份日志
8、分析一下你为什么成功了
  评估一下你的计划
  如果现在你的宝宝能睡一个晚上了(连续睡5个小时或者更长时间)
  如果你已经取得了某种成功
  如果你还没有取得任何进步
  继续推进你的睡眠计划
9、再按你的计划执行10天以上
  每一个宝宝都是不同的,每一个家庭也是不同的
  这要花多长时间呢?
  “我每个方法都试过了!但没什么作用!帮帮我吧!”
10、完成一份日志,分析你为什么成功了,如果
  有必要,每10天修改一次你的计划
  让这本书垂手可得

第二篇  让我们谈谈你自己
11、宝宝终于睡着了,但妈妈却没有睡着
  怎么回事呀?
  怎样才能睡一个好觉
12、最后的关怀:从妈妈到妈妈
  我们都一样
  如果你刚刚开始
  为这一刻而活吗?
  棒球场上的婴儿
  耐心,耐心,再耐心一点

《一夜安睡夜哭郎》英文版
The No-Cry Sleep Solution by Elizabeth Pantley(.PDF)
The No-Cry Sleep Solution: Gentle Ways to Help Your Baby Sleep Through the Night
Overview: A breakthrough approach for a good night's sleep--with no tears.
There are two schools of thought for encouraging babies to sleep through the night: the hotly debated Ferber technique of letting the baby "cry it out," or the grin-and-bear-it solution of getting up from dusk to dawn as often as necessary. If you don't believe in letting your baby cry it out, but desperately want to sleep, there is now a third option, presented in Elizabeth Pantley's sanity-saving book The No-Cry Sleep Solution.
Pantley's successful solution has been tested and proven effective by scores of mothers and their babies from across the United States, Canada, and Europe. Based on her research, Pantley's guide provides you with effective strategies to overcoming naptime and nighttime problems. The No-Cry Sleep Solution offers clearly explained, step-by-step ideas that steer your little ones toward a good night's sleep--all with no crying.
http://www.4shared.com/document/Md7xOqlk/The_No-Cry_Sleep_Solution.html
http://www.4shared.com/file/16788727/bf5c05e3/The_No-Cry_Sleep_Solution_-_Gentle_Ways_to_Help_Your_Baby_Sleep_Through_the_Night.html

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