Up All Night

Updated on January 08, 2008
K.G. asks from Candia, NH
9 answers

I am wondering any Ideas about getting my son to sleep all night. He is turning a year old next month and still doesn't sleep all night. He thinks it's play time at 1 in the morning. Also it's hard because we share a room.

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So What Happened?

Thank you all for your great advice that last couple of days i have put him in his bed for both bed time and naps and walked out. he cries for a little bit but falls asleep not to long after that. The hardest one is in the middle of the night. I do it and he does fall asleep so im hoping he will soon sleep through the night again. he is teething so i have purchased some orajel to try that also. Thank you all and it's great to get some well needed advice.

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P.W.

answers from New York on

Both of my kids did that when they are teething. A little orajel at night before they go to bed and if they wake up seemed to help my kids.

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M.A.

answers from Boston on

Here is an article on Sleeping Through the Night/Middle of the Night Feeding:

Getting Baby to Sleep Through the Night: All babies will fall asleep eventually. Some just need a little more help than others.
By Barbara Solomon

Pulling Baby out of the Crib
Up to the time he was 10 months old, my son David had always been a good sleeper. Then my family moved into a new house, and all of a sudden, all bets were off. He began waking two, sometimes three times a night. I was sure he was just unsettled by the change and would return to his old ways soon. But after we tried every trick in the book only to suffer more sleepless nights, we caved in. One night when he called out, I scooped him up and brought him into our bed. We all slept soundly, and I was feeling pretty good -- until I spoke with a friend later that morning.

"Don't you know that you've opened a can of worms?" she scolded. "Now you'll never get him back into his crib!"

Picturing endless sleepless nights ahead, I panicked, and it's no wonder. Getting a baby to sleep consistently through the night can seem like the ultimate unattainable goal. But after I spent just a few nights leaving my son in his crib when he cried for me and gently encouraging him -- "You're okay, David, just go back to sleep!" -- from the hallway, he quickly resumed his old sleep habits. And experts say that with some patience and effort, most parents will be able to solve their child's sleeping problems, too.

The Impossible Dream
During the first weeks of life, you can't expect a baby to sleep through the night. In fact, there is no typical sleeping pattern for newborns; the only thing you can count on is that they sleep around the clock for varying periods, ranging from a few minutes to a few hours. So why can't they sleep consistently for long periods? Blame it all on biology. An immature brain is the primary reason.

"People have a genetic timing mechanism in their brain that controls sleep, and it takes time for that mechanism to develop," explains Marc Weissbluth, MD, professor of clinical pediatrics at Northwestern University's Feinberg School of Medicine, in Chicago, and author of Healthy Sleep Habits, Happy Child (Ballantine, 1999). "Think of it like eye color: Babies are born with a genetic predisposition to a certain eye color, but it takes time for that color to be expressed."

A need to feed is another factor. Many experts believe that newborn babies have to eat frequently, particularly breastfed babies: There's no way to tell how much a breastfed baby is eating at each feeding, so breastfeeding mothers may be more likely to fully awaken a stirring baby to feed.

Bottlefed babies, on the other hand, may sleep for longer periods because formula takes longer to digest and leaves baby feeling fuller longer. "But babies who have birth defects and are fed continuously by tube for the first several weeks of life show the same process of sleep maturation as other babies," notes Dr. Weissbluth. He believes that ultimately, "Sleep comes from the brain, not the stomach."

Regardless of studies and experts, until she is at least 6 weeks old, a newborn baby will undoubtedly wake several times during the night. Around the 6-week mark, many babies show subtle signs of organizing their sleep. They may get drowsy at 6 or 7 p.m. and may sleep at night for consecutive blocks of four hours or more.

At about 3 months, most can adhere to a sleep schedule that includes a morning nap, an afternoon nap, and two or more longer blocks of sleep at night. According to a poll of primary caregivers by the National Sleep Foundation (NSF), a nonprofit organization, by 9 months some 70 to 80 percent of babies are sleeping a straight 9 to 12 hours every night.

That's great news -- unless yours is one of the 20 to 30 percent of babies who don't sleep so well. "My son was a horrible sleeper!" recalls Lisa Henahan of Peachtree City, Georgia. "Until he was 15 months, he would sleep for an hour and a half and then wake for an hour -- all night long!"

If your nights sound similar, rest assured, these tips can help parents solve a range of stubborn sleep problems.

Sleep Tight, Baby
To exhausted parents it seems that there are as many sleep issues as there are children. But most babies fall into the following categories:

"My 2-month-old son sleeps all day and is up all night."
A common phenomenon during the early weeks of life, day-night reversals often clear up with a little time and a lot of daylight. Try exposing your baby to bright light or sunshine in the morning hours and keep the lights dim in the evening. It also helps to move your baby to a busy part of the house throughout the day, play with him during the daytime, and wake him for daytime feedings.

Then, keep your interactions with him quiet and subdued at night. As babies approach the age of 6 weeks, they begin to respond more to environmental cues, so it helps to have a bedtime routine such as a bath and a song. It may take several weeks, and a baby this young still probably won't sleep through the night, but he may consolidate his sleep into two large blocks at night.

"My 7-month-old daughter won't sleep through the night. Why?"
From around 6 months on, a baby should be able to make it through the night without a middle-of-the-night feeding and without waking his parents. But that doesn't mean he's sleeping all those hours. The term "sleeping through the night" is misleading, points out Lawrence Balter, PhD, professor of applied psychology at New York University, in New York, and editor of Parenthood in America: An Encyclopedia (ABC-CLIO, 2000). "All people -- including babies -- wake and put themselves back to sleep several times a night without realizing it," he says. "That's something babies need to learn to do."

Some kids learn on their own; others need a little help. There are several ways to teach your baby to soothe himself to sleep. Most of them involve listening to some crying. So how do you stay focused amid the tears? Remember that crying isn't going to harm your baby. And the reward -- a good night's sleep for all -- is worth a few teary nights.

The Ferber Method
"My neighbor has recommended the Ferber method to help my 6-month-old sleep through the night. What is it?"
This method was developed by pediatric sleep expert Richard Ferber, MD, author of Solve Your Child's Sleep Problems (Simon & Schuster, 1986). He advises parents to check periodically on their baby when she awakens at night. Here's a sketch of how it works: On the first night, when you hear your baby cry, you go in, give her a reassuring pat, and then leave. If she's crying 5 minutes later, you repeat the process, but this time you wait 10 minutes before going in, increasing the time in five-minute increments. The second night, you start at 10 minutes. Dr. Ferber's system has worked for many families.

"We're trying the Ferber method for my 7-month-old, but I can't stand the crying. Is there another, less drastic way to sleep-train my baby?"
There are also ways of making gradual changes within the routine you already have, notes Jodi Mindell, PhD, associate director of the Sleep Disorders Center at The Children's Hospital of Philadelphia and author of Sleeping Through the Night (HarperCollins, 1997). If you've been putting your baby to sleep by rocking her in a chair, for example, start by just sitting in the chair together. "Then choose the next step -- putting your baby in his crib and holding his hand.

"A few days later, you can sit three feet away from your child's bed," Mindell says. Within a few weeks, you should be able to work yourself out of the bedroom.

"We've tried the Ferber method. My 6-month-old becomes enraged every time we go in to soothe him. Any suggestions?"
Some children respond better to a cold-turkey approach. If your baby cries, you don't go in her room (some parents call reassuringly from the hall). This is not for the faint of heart, and, as Balter points out, is better for younger babies. An 8-month-old may be able to sit or stand in her crib, which makes it hard for her to settle down if her calls aren't answered.

More Sleep Issues
"My 9-month-old insists on a 3 a.m. feeding. How can I get her to give it up?"
For many parents, a final obstacle to an uninterrupted night is that middle-of-the-night feeding. If your baby no longer needs to be fed at night (check with your pediatrician to be sure), simply stop giving him the bottle or breast when he calls for it. Alternatively, you can use a sequence of progressive steps, which might include offering him diluted formula or breast milk for a few nights and then gradually replacing it with water. He may not find it as appealing as milk, and, subsequently, won't cry for it.

"My 10-month-old son used to sleep through the night, but lately he's been waking up all the time."
Chances are, there's been some change, however subtle, in your child's routine. Everything from a vacation to an illness to an overnight guest can disrupt a young child's sleep schedule and cause her to awaken and need comforting. Some parents report that developmental milestones, such as learning to walk or use the potty, can also upset sleep patterns.

"When a child takes a developmental leap forward, neurons are firing and there are probably connections being made in the brain," says Mindell. "It's no wonder their sleep is disrupted." Most babies are also keen on practicing their new skills; when they wake in the night, sleep takes second place to getting up on all fours or babbling.

At times like this, you may need to repeat old steps, such as sitting in your baby's room for a few nights and gradually working your way back out. But don't despair; experts say children with established good sleep patterns will return to them pretty quickly.

"How can I get my 8-month-old to go to sleep at the same time every night?"
If your baby isn't sleepy at the same time every night, her daytime sleep routine may need tweaking. "Make sure to wake her at the same time each morning, keep naptimes consistent, and avoid letting baby nap after 4 p.m. A reasonable bedtime for a baby this age is around 7 or 7:30 p.m. If she wakes from a nap at 5:30, she's not going to be sleepy enough to go to bed then," says Mindell.

One strategy to avoid, however, is shortening her naps in the hope that this will make her sleepier at night. The fact is, overtired children have a hard time falling asleep. And evidence shows that babies aren't getting enough sleep as it is. Many experts recommend that infants ages 3 to 11 months get 14 to 15 hours of sleep daily, but according to the NSF poll, most babies get fewer than 13 hours.

Even if you've succeeded in creating a great sleeper, remember that every child occasionally has wakeful periods. When this happens, reassure yourself that you're not going to be sleepless forever. Says Peggy Nona, a Rochester, Minnesota, mother with two school-age girls, "I used to worry about getting them to bed at night; now I worry about getting them out in the morning!"

Barbara Solomon is a mother of three and a writer in Scarsdale, New York.

Originally published in American Baby magazine, July 2004.

In addition to that....

A local parenting coach wrote this:

I know that Dr. Ferber is less strict than he used to be about getting kids to sleep. However, his techniques are still very useful for kids that have actually taught themselves to stay up and/or to demand/expect a parent to be with them until they actually fall asleep. Also watch one of the Nanny TV shows for examples of being firm yet loving with setting limits.

Briefly, the basic idea is that you (1) stop paying any attention to your child after their bedtime--no hugs, kisses, stories and no yelling either. Just make believe they are little critters that you are putting back where they belong. and then, if necessary (2) let them cry themselves to sleep. Also, and actually first, develop a bedtime routine and STICK TO IT! Letting them cry is very hard, and against some people's principles. What we did when my daughter was little (she is now 21) was put her to bed with the musical mobile playing. If she was still crying when the music stopped (less than 5 minutes) we would go in to her. This happened very rarely. I felt that a short period of crying was not a trauma and having her go to sleep on her own was a learned response. It worked and we had very few bedtime hassles.

Good luck,

Marion
Coach and parent
Marion C. Bloch, Psy. D.
____@____.com
www.mayaresources.com

2 moms found this helpful
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N.W.

answers from Boston on

My 10 month old granddaughter was doing the same thing. We cut out her afternoon nap and after dinner we started her quiet time. Let him play alone or read him a book. No excitment at all. Just before bed, a warm bath with vapor soothing bath soap. If you need to go back into room, be sure you dont speak or show response. Just gave back his bottle and leave the room.

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K.H.

answers from Hartford on

I know this is a little late but here is my story. When my son was 2 yo (he is now 17) he started getting up and wanting to play. After talking to our pediatrician he told us to give him a little benadryl and then let him cry it out. It took about a week but it worked great. AND to this day he sleeps like the dead.

When our daughter came along 4 years later we weren't quite so strict about it and she was alnost 4 before she slept through the night consistently and is still a light sleeper today. So even though it is tough - stand your ground on this one.

Good Luck.

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C.P.

answers from Rochester on

Hi K.,
I'm not sure if he has done that the whole entire time or has he just started doing the getting up thing at night. When my daughter was about that age she use to do it but i'm not sure if it's gonna make a difference since she has her own room. But when she use to get up I usually just go to her room lay her back down, give her the binky (if he uses it) then just leave the room. I don't even say anything to her so she doesn't think i'm there to have a mommy and baby time, just make sure the lights are dim or if you could do it with the lights off or with a nightlight then try it. If she still gets up then just keep the doing the same thing over and over eventually she/he will get that it's not play time. Good luck and I hope it works for you. Mine took about a week or 2 and whenever she wakes up she just goes right back to sleep coz she knows i'm not playing around.

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K.F.

answers from Portland on

Hi,
Is he teething? Our son was up and is up most nights when he cuts teeth. My only other suggestions are get into a routine (dinner, bath, playtime, bed). Our pediatrician told us to put him down awake and let him cry it out, after we started doing that he slept from 7:30/8:00 to about 4:30/5:30. Good luck!

K.

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J.G.

answers from Rochester on

hmmm, thats hard. Sharing a room is difficult. One method is to just keep lying him back down whenever he gets up. Dont talk to him, dont turn on a light, just keep laying him back down. He will eventually get the idea. But all children are different and I hope it doesnt take too long to tame your little party animal! : )
-J.

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M.B.

answers from New York on

My daughter was the same way, we also share a room. The only thing that did work was leaving her in her crib and letting her cry it out. It is really difficult to do, listening to your child cry, but after about a week, we were able to put her in her crib and have her fall asleep by herself, and stay asleep. If she does wake in the middle of the night, we do not pick her up, but we give her a kiss and a hug and leave her in her crib. It seems really cruel, but it worked for us.

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E.R.

answers from Rochester on

i agree with joann g. every time he stands up crying, lay him back down without saying anything to him. you will probably spend a few nights in a row doing this repetitively, but eventually he will understand. you may even want to just sit in the room with him...in the dark, not talking....to reassure him that he is safe and you aren't "leaving." it may take a few nights, but it will be worth the effort in the long run.

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