Will your baby ever "sleep through the night?"

Some nights you need to get up and soothe a crying baby three, four, or what seems like ten times a night. You're not used to waking up this often and you're tired. It's one of the most challenging parts of having a new baby. It can affect almost all aspects of your life: your health, mood, relationships, career, and sometimes even your sanity.
 
For many parents and caregivers, especially those who must go to
work in the morning, one thought can drown out all others: Will this
baby ever sleep through the night?

The answer is yesin a way. The truth is, few babies truly "sleep through the night." Instead, sleep researchers have found that infants younger than 12 months old typically wake up an average of three times during the night (Anders, Goodlin-Jones, & Sadeh, 1999).

For the first few months of life, 95% of infants cry when they wake up. And most of them need someone to soothe them before they can get back to sleep. But as your baby gets older, she may simply go back to sleep on her own. Several studies have found that by eight months, over 50% of infants who wake at night go back to sleep without any soothing from parents or other caregivers. In fact, sometimes their parents didn't even realize they'd been awake (Goodlin-Jones, Burnham, Gaylor, & Anders, 2001).

Learning about sleep.

For a subject that's so important—pediatricians report that questions about sleep are among the most frequently asked by caregivers (Anders et al., 1999) —researchers know relatively little about a baby's nightlife. But by using video cameras and activity monitors to keep track of babies' sleeping and waking cycles, researchers are beginning to understand how infants form sleep patterns.

All babies are unique, and sleep patterns vary greatly from infant to infant. Even though typical sleep patterns don't apply to all babies, researchers have identified general patterns that you can look for as your child gets older.

As different as night and day.

It may seem hard to believe when you aren't getting enough sleep, but most infants younger than three months old sleep around 18 hours a day. It's also normal for some to sleep more, and for some to sleep less. Young infants tend to sleep for around two to four hours at a time, and then wake for short periods, often to be fed. These patterns of sleeping and waking can vary, and they go on around the clock (Anders et al., 1999).

In the first weeks and months, it's too early to expect a young baby to sleep through the night. As tiring as it seems, don't expect infants to pay attention to adult schedules right away. A newborn doesn't know that people sleep when it's dark, and a baby's "circadian rhythm"the 24-hour internal clock that controls our sleeping and wake patternsis still developing (McGraw, Hoffman, Harker, & Herman, 1999).

But hang in there! In a few months, babies gradually begin to organize sleeping and waking according to daily cycles of darkness and light. The 24-hour, light-and-dark cycle begins to affect most babies' sleep patterns within the first three months (Louis, Cannard, Bastuji, & Challamel, 1997).

By six months of age, many babies organize their main sleep times in concert with darkness and light. Although babies can vary a great deal, six-month-olds may sleep six hours or more at a time, and most of these longer periods take place at night. Also by six months, your baby will probably wake up fewer times at night (Anders et al., 1999).

Hush, little baby.

Not only will your six-month-old begin to sleep for longer periods of time, she'll become better able to soothe herself when she awakes. Researchers using video recording systems in babies' homes observed that babies vary a lot when it comes to waking and cryingor not cryingat night. They found the biggest changes in infants' sleeping and waking patterns between three months and six months. Six-month-olds not only sleep longer at a stretch than three-month-olds, they are more likely to go back to sleep on their own when they wake (Goodlin-Jones et al., 2001).

As they get closer to their first birthdays, infants tend to sleep longer, wake up less often, and sleep more and more at night. By the time your baby turns one, chances are she'll be sleeping 8-12 hours a night, waking up only once or twice during that time. And she may take a nap once or twice during the day, ranging from 20 minutes to around two hours at a time.

 Helpful Parenting Tips

When you hear that cry in the night, remember two things:

  • Your baby doesn't know the meaning of the phrase "sleeping through the night."
    Don't expect her to sleep through most of a night before she's three to six months old.
    Even then, remember that it's normal for babies to wake up several times during the night.
  • Every baby is different, and your normal, healthy baby may have different sleep patterns than other children.
  • Be patient and hang in there. Your baby will probably begin to sleep for longer stretches of time when she's developmentally ready.

There are so many wonderful changes in babies during the first six months. Sleep is one of them, as babies develop more adult-like sleep patterns. So hang in there. Sleep is on the way.
 

References:

Anders, T. F., Goodlin-Jones, B. L., & Sadeh, A. (1999). Sleep disorders. In C. H. Zeanah (Ed.), Handbook of infant mental health (pp. 326-338). New York: Guilford Press.

Ficca, G., Fagioli, I., & Salzarulo, P. (2000). Sleep organization in the first year of life: Developmental trends in the quiet sleep-paradoxical sleep cycle. Journal of Sleep Research, 9, 1-4.

Goodlin-Jones, B. L., Burnham, M. M., Gaylor, E. E., & Anders, T. F. (2001). Night waking, sleep-wake organization, and self-soothing in the first year of life. Developmental and Behavioral Pediatrics, 22(4), 226-233.

Louis, J., Cannard, C., Bastuji, H., & Challamel, M.-J. (1997). Sleep ontogenesis revisited: A longitudinal 24-hour home polygraphic study on 15 normal infants during the first two years of life. Sleep, 20(5), 323-333.

McGraw, K., Hoffman, R., Harker, C., & Herman, J. H. (1999). The development of circadian rhythms in a human infant. Sleep, 22(3), 303-310.

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