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Sleep Training // Is It Harmful?

August 2, 2013 by lauren.anvari@gmail.com 1 Comment

photo (22)

Sleep training is definitely a hot button topic.  Whether you’re all for sleep training or adamantly against it, you’ve probably felt judged at some point, which leaves you feeling like you have to defend your decision to some parent who is in the other camp.

If you’ve been reading my blog a while, you know that I’m pro sleep training but I don’t believe that it is right for every family.  I’ve always said that if what you’re doing is working for you, then by all means continue.  If you’re happy and the baby is happy and you aren’t walking around like a zombie from lack of sleep then go about your business.  But if you’re miserable, cranky and at your wits end, then perhaps sleep training is something you may want to look into.

There are a lot of misconceptions out there about sleep training.  Allow me to go over some of the ones I’ve encountered:

MYTH: All methods of sleep training involve letting your child cry.  FACT: This simply isn’t true.  There are a variety of methods and some of them don’t involve crying.

MYTH: The methods that do involve crying, require you to leave your child in their room until they either cry themselves to sleep or throw up from screaming so much.  FACT: I have literally never encountered a sleep training method that involved putting your baby to bed and leaving and not going back in no matter how long they cry.  This, to me is neglect.  The methods that involve crying, have the parents going back in frequently to check on and reassure the baby.

MYTH: Letting your baby cry causes brain damage.  FACT:  This isn’t true.  Severe neglect in infants leads to their brains not developing the way they should, but allowing them to cry while they learn to self sooth, is in no way going to lead to brain damage. (1)

MYTH: Sleep training will alter your baby’s personality or lead to personality disorders later in life. FACT: There hasn’t been any research to back this up.  In fact, if your child is sleeping better and more rested they are likely to be much more pleasant and cheerful, then they would otherwise be, which in turn leads to an increase in family well-being. (1)

MYTH: Sleep training increases the risk of Sudden Infant Death Syndrome (SIDS).  FACT: Sleep training has not been linked to SIDS, however bed sharing/co-sleeping has and I did a whole post about that, which can be found here.

So now that we have debunked some myths, I will say that not all sleep training methods are suitable for all children.  You have to find the one that works best for your family.  The Journal of Sleep did a review of the 52 best sleep studies and found that there were no differences in the effectiveness in the leading sleep training methods and furthermore none of the studies identified adverse secondary effects of participating in a sleep training program. (1)  With that said however, there will always be instances where sleep training could be harmful.  The following except from a developmental psychologist and one of the authors of the book Bedtiming, addresses this issue:

“It depends because some kids are particularly sensitive to separations; it depends because parents can get so resentful of failed attempts at sleep training that they treat the child poorly and that, in turn, has detrimental effects (and we can’t tease apart these effects from the amount of crying the child is doing); it depends because some children’s crying, even the most minimal amounts, sends some vulnerable women into a tailspin of postpartum depression and we know that’s not good for kids in the long run; it depends because some children become physiologically so aroused when they cry that they vomit or hyperventilate and, well, that’s not good for some kids either; it depends because some children cry MORE when they’re being rocked to sleep by well-intentioned parents than they would if they were left alone and ignoring that need that some kids have to be left alone (which they can’t articulate) may actually be equally detrimental to some kids; it depends because many couples go through significant marital conflict when it comes to deciding how long to let their baby cry and marital conflict has repeatedly and consistently been found to have long-term negative consequences for children. So… how would you tease out whether it was the length of crying during sleep training or the marital conflict about the crying that made the biggest dent in a child’s developmental outcomes? (You COULD do it, but the study would be very complex and it hasn’t been conducted yet). So, yeah, it depends (and I could go on for much longer about all the factors that make this seemingly simple question so very, very complex).” (2)

Baring abnormal circumstances, sleep training of any form is actually beneficial. (1)  This, article by Rachel from My Baby Sleep Guide, does a really good job at summarizing the previous research around what is arguably the most controversial form of sleep training; The Cry It Out Method.

So as you can see, the research shows that sleep training isn’t detrimental however, that doesn’t mean that every single parent should sleep train.  Every parent needs to make this decision for themselves.  If one method isn’t working for them, or they think it’s having a negative effect on their child, then they should stop, take a break and try something else.  No matter what you or anyone decides, there shouldn’t be any judgement involved.  Parenting is hard enough, without also being judged by some other parent that thinks they know what’s best for your family and your child.  My advice is this; even if you adamantly disagree with someone else’s parenting choice, you should just agree to disagree and support each other in your decisions.

1. Mindell, J. A., Kuhn, B., Lewin, D. S., Meltzer, L. J., & Sadeh, A. (2006). Behavioral Treatment of Bedtime Problems and Night Wakings in Infants and Young Children. Sleep , 1263-1276.

2. Granic, Isabela. (2009, June 19). What are the long-term outcomes of letting your baby cry while sleep-training? Retrieved 8 2, 2013, from Child of Mind: Developmental Science and Everyday Parenting: http://bedtiming.typepad.com/bed-timing/2009/06/what-are-the-longterm-outcomes-of-letting-your-baby-cry-while-sleeptraining.html (SCROLL DOWN FOR ARTICLE)

Filed Under: Sleep training Tagged With: baby, cry it out, education, infant, myths, parenting, sleep, sleep habits, sleep training

Sleep Training // Part 2

July 5, 2013 by lauren.anvari@gmail.com 1 Comment

It’s happened.  It has finally happened.  I night weaned Asher and he now sleeps through the night (for the most part).

I was waiting until Asher turned six months old and started solid foods to see if he would sleep through the night on his own, and well, that kind of happened but he still needed a bit of a nudge.  At his 6 month check up, his pediatrician reiterated what I already knew and told me that he didn’t need to eat during the night.  However right around this time we had a lot going on, with a bunch of house guests, a wedding, a massive growth spurt and general chaos, so I decided to wait until all the craziness died down to night wean, which was really  good, because the aforementioned growth spurt hit which had him waking up every 2 hours during the night demanding to be fed. right. NOW.

So on Monday, June 24th, I told Raf that tonight was the night.  I was going cold turkey.  I wasn’t going to nurse Asher and he was probably going to be quite upset about it so we should brace ourselves for the sleep loss ahead.

We went about his bedtime routine as normal: bath, bottle, prayers, stories, song and bed by 7pm, but this time I told him that I wasn’t going to nurse him during the night and that it was ‘sleep sleep’ time and that he could nurse again in the morning.   He didn’t wake up (well, he did, but it wasn’t a real wake up and he put himself back to sleep before I had even fully awoken).  The next morning I was amazed when he woke up at 7am, but I told Raf that this was probably just a fluke and that it was likely just the tale end of his growth spurt so we shouldn’t get too comfortable because surely tonight we would witness his dissatisfaction.  Well, Tuesday night the same thing happened.  He slept through the night, with only the briefest of wake ups.  12 hours.  I couldn’t believe it and was now cautiously optimistic.  Maybe, just maybe, he had figured this whole thing out.  My little boy, so easy, so happy, so agreeable.  Of course he would sleep through the night with little else from me than just explaining to him how things would go down.  My sweet angel.

Wednesday night  he SCREAMED for over an hour between 3am and 5am.  He wasn’t crying, he was screaming.  He was MAD.  I went in when he first woke up and patted him and told him it was ‘sleep sleep’ time and that I loved him and that everything was okay, then I left.  I went back in every 20 minutes after that until he fell asleep.  I think it was 3 more times.  I felt terrible.  It was awful to listen to him screaming like that and thrashing his tiny body about in his crib, but the previous 2 nights had proven to me that he in fact did not need to nurse.  So I kept my head down and pushed on through.  The next morning he awoke at around 7am and was all smiles and babbles, which definitely helped eased the heart ache I was feeling.

Thursday night I was prepared for a repeat of the night before but instead he legitimately slept through the night without even a peep.

Friday night he woke up screaming around 2am. So I went in and did the whole thing: pat, kiss, sooth but as soon as I left he stuck his thumb in his mouth, rolled over and went to sleep.

And that was that.   He now sleeps through the night.  Of course, in the past week he has been trying really hard to learn to crawl so there have been several nights when I wake up in the wee hours of the morning to the sounds of him cooing and grunting in his crib as he attempts forward motion.  I just go in, put him on his back and tell him it’s time to sleep and he goes right back to sleep.  It is amazing.

I’m not sure if it’s because of the night weaning, or because he’s started solids, or simply because of the summer heat, but he seems to want to nurse 1 or 2 more times during the day.  I’m not complaining, I get to gaze down into these hazel gray eyes. There isn’t a sweeter view in the whole world.

photo (20)If you’re interested in reading about how we trained Asher to fall asleep on his own, check out: Sleep Training // Part 1.

Filed Under: My life, Sleep training Tagged With: 12 hours of sleep, 6 months old, baby, growth spurt, infant, night weaning, sleep through the night, sleep training

Sleep Training // Part 1

May 2, 2013 by lauren.anvari@gmail.com 2 Comments

Sleep, blessed sleep.  The thing everyone tells you you’ll never get enough of once you’re a parent and you believe it but can’t quite comprehend it until you are in fact, a parent.

Asher was a fairly good sleeper right from the start due in large part to the fact that I had been given strict instructions from his pediatrician to wake him up and feed him every 2 hours.  Luckily we only had to do that for four days, but it really helped get his sleep pattern in check.  You see, the poor thing was so tired and I was constantly having to wake him up to feed him that it did two things: first, it meant that he became used to waiting for me to wake him up and feed him, which in turn helped get his days and nights set, and really that’s half the battle.

By the time he was 1 week old he was doing a solid 4 hour stretch of sleep at night, and when we started a night-time routine at 6 weeks old he began sleeping 6 hours straight.  The problem was, however, that GETTING him to fall asleep was not so easy.

God forbid if I tried to rock him while standing in place, that child required forward motion and nothing else would do.

It required that I either a: nurse him to sleep, or b: hold him on his side with a pacifier in him mouth and his face pressed to my chest while I paced back and forth patting his bottom and singing him a song.  God forbid if I tried to rock him while standing in place, that child required forward motion and nothing else would do.  This wouldn’t have been terrible if it weren’t for the fact that Raf wasn’t able to do it 8 times out of 10, which meant that the bulk of getting him to sleep fell on my shoulders.  Additionally, the only way Asher would nap during the day for longer that 20 minutes was if he was physically on my person.

Something had to give.

Right before Asher turned 3 months old we had just returned from our trip to Israel and thought that this would be the perfect time to sleep train him.  We decided to rip the band-aid off in one fell swoop.  We moved him into his own room, stopped swaddling him and began sleep training all at the same time.  Sleeping well is a learned skill for babies and the biggest obstacle to overcome is self soothing.

Sleeping well is a learned skill for babies and the biggest obstacle to over come is self soothing.

We used the ‘progressive waiting’ method, which is a more accurate name for the well known ‘cry it out’ method.  This does involve some crying so it is not for the faint of heart or the weak willed.  The keys to success with this method are: 1.  Make sure you put the baby down when they are fully awake. 2. Do not pick them up when you go in to comfort them.  3. Be consistent.  4. Establish a bedtime and nap routine if you haven’t already.

It works like this.  You go about your bed time routine as normal.  For us, this involves taking a bath, playing lullaby music, reading a story, saying prayers, have a night cap, singing a song and finally turning on a sound machine that plays ocean waves.  I know that seems like a lot, but some of these things are happening at the same time, the whole process takes about 30 minutes from when bath time starts to when I put him down in his crib (before sleep training I would nurse him to sleep at the end of his bedtime routine). Ok, once you finish your routine, put the baby down in the crib when they are still awake and leave the room.  I tell Asher “it’s sleep sleep time” and that I love him, give him a goodnight kiss and then leave.  When you first do this the baby will most likely be crying, because they are used to YOU putting them to sleep rather than needing to put THEMSELVES to sleep.  Once you have left the room you wait 3 minutes and go back in and pat and sooth the baby, replace a pacifier, what have you, but DO NOT pick them up or you will have to start all over.  Only stay in the room for 1 minute and then leave again even if they are still crying.  Now you wait 5 minutes and repeat.  Finally you wait 7 minutes and repeat.  If the baby is still not asleep after the longest wait time for that day, keep repeating the longest wait time until they have fallen asleep with you out of the room.

The wait times get longer with each successive day.  I have listed the times we used below but feel free to set whatever times you feel comfortable with, just make sure you’re consistent.

Day 1.  3 min, 5 min, 7 min

Day 2: 5 min, 7 min, 10 min

Day 3: 7 min, 10 min, 12 min

Day 4: 10 min, 12 min, 15 min

Day 5: 12 min, 15 min, 17min

Day 6: 15 min, 17 min, 20 min

Day 7: 17 min, 20 min, 22 min

Do the same thing for all naps.  It took Asher 3 days to fall asleep on his own at night without crying and 7 days to fall asleep on his own for naps without crying.  If your baby is still not falling asleep their own by day 8, then you can lengthen the time as needed, but if they still haven’t gotten the hang of it by day 14 I suggest tabling it for a while and revisiting sleep training when your baby is a bit older or you could always try another method.

I didn’t continue the progressive waiting throughout the night.  Many people do apply the sleep training throughout the night, which normally results in a baby that sleeps through the night.  Since Asher wasn’t even 3 months old, I felt it was still important to feed him in the middle of the night if he was hungry.  In any case he normally only wakes up once at night to feed and then goes straight back to sleep.  Of course there are exceptions, occasionally he will wake up twice and if he’s sick or going through a growth spurt he may wake up every few hours, but for the most part he sleeps 12-13 hours and only gets up once.  The exact time he wakes up for his nightly feeding varies.  Sometimes he will sleep 10 hours straight and then get up, while other times he’ll get up to feed after 6 hours.  Asher will sometimes fuss a bit periodically throughout the night, but I learnt that he isn’t fully awake at these times and is just settling himself back to sleep, while his hunger cry is quite distinct.

It was no easy feat to not go in and scoop him up when he was crying.  The only way I got through it was by putting my head phones in and watching the baby monitor light up when he was crying rather than hearing the cries directly.  All the pain I felt during that time was well worth it because it resulted in a happier, better rested baby and who can complain about that?

All the pain I felt during that time was well worth it because it resulted in a happier, better rested baby and who can complain about that?

After learning to roll.  This can not be comfortable.

Our next step is determining if, when and how we are going to night wean.  Stay tuned.

*UPDATE*

We did it!  Check out Sleep Training // Part 2.

Filed Under: My life, Sleep training Tagged With: babies, baby, cry it out, Ferber, growth spurt, progressive waiting, sleep, sleep training

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