Encouraging Sleep
You have probably already established a bedtime routine and are staying with it. If you haven't established one, start now. Soothing activities that lead up to "night-night" time can help relax your baby. A warm bath followed by stories or singing will signal transition to sleep, and these same activities can be used at bedtime for years.
You'll probably want your baby to start falling asleep on his or her own. This may mean performing your nighttime routine and putting the baby into the crib while he or she is still awake. If the baby cries, stay away for a few minutes. Your baby may settle down and go to sleep.
If the crying continues, go back in and soothe the baby for a moment without picking him or her up. This may go on a few times until your baby figures out that the crying is not getting anywhere. Expect that this may be a difficult exercise for you, simply because it's upsetting to hear your baby cry. Try to remember that if you know your baby is safe, a little crying now so that you can all sleep better later is ultimately the healthier choice.
Even a baby who has already been sleeping through the night (anywhere from 7-12 hours) will occasionally awaken in the wee hours. After ruling out teething pain, illness, or an extremely soiled diaper, it's best to let your baby struggle back to sleep on his or her own. Give your baby a few fussy minutes before you respond, then after seeing that everything is OK, leave your baby alone to fall back to sleep. Don't forget that any cuddling, feeding, or talking you do may prompt your baby to wake each night for this attention.
If your baby is waking up many times each night, perhaps there is an external reason. Is your baby too big for the bassinet? Move him or her to a full-size crib. Do you still have the baby in your bedroom? Your little one may be sensitive to your presence and may need to be put in his or her own room to get a good night's sleep. Is the baby's room too warm? Too cold? Too dark? Explore these possibilities.
Another common sleep "problem" at this age is the early riser — the baby who begins to babble or cry for you before the crack of dawn. There is probably nothing you can do to prevent your baby from waking when ready, but a few safe toys in the crib may soothe your baby for a while longer and a window shade to keep out the first light of day may let you get another few minutes of sleep.
When to Call the Doctor
If you have ruled out external reasons for nighttime waking and you still think your baby's not sleeping enough (or is even sleeping too much!), don't hesitate to call your doctor.
Teething pain is a common reason for sleep problems at this age, and the doctor may be able to suggest some ways to relieve your baby's discomfort. Perhaps there is an illness involving no other symptoms besides sleeplessness, or maybe your doctor can help you find ways to enhance your nighttime routine with your baby.
Reviewed by: Steven Dowshen, MD
Date reviewed: September 2011