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November 25th, 2019
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Sleep Progression Not Regression – Everything you need to know

Sleep! That word that is uttered under our breath in the hope that our babies will sleep, so we can sleep! Sleep deprivation is hard. Caring for a newborn is hard. Combine the two and it’s no wonder us parents can struggle and look for reasons why our babies are not sleeping.

Sleep regressions are a hot topic. They are thought to occur when a baby who is normally sleeping well begins to wake frequently at night and/or fights/refuses naps. These ‘regressions’ tend to have a pattern to them, but for some, they will still come as a shock.

Each stage will last between 2-6 weeks and the typical times for these to happen are 4 months, 9 months and 18 months of age, although there are other ages when parents notice that their baby’s sleep patterns change too.

Progression not Regression

The times when ‘regressions’ happen are usually linked to developmental leaps. Children have a number of developmental leaps within the first 2 years of their lives as their brain develops and they learn about the world around them.

If you change your outlook on these sleep changes to developmental progress, rather than a sleep regression, they make more sense and you can prepare for them and understand each stage a little better.

Children thrive on routine, so if you keep consistent in your approach to sleep, make sure all environmental and health factors are taken into consideration, and be optimistic that your child is developing correctly, hopefully these stages will pass with ease.

So what are the developmental leaps?

The 4 Month Sleep Change

This is the toughest change a new parent may not expect. The 4 month sleep change marks a permanent difference in a baby’s sleeping habits. This is where a change happens in a sleep cycle of a baby. The brain has now matured and the baby sleeps in the same way as an adult where her cycles fluctuate between light and deep sleep.

When you look at it this way, it’s clear that the 4 month sleep change is a very normal, very healthy developmental milestone, just like learning to walk and talk. So, this should be a welcome stage of development. However, most parents will not see it this way as there may be more nighttime waking as well as shorter daytime naps. Every time a sleep cycle comes to an end, this is when there is the risk of the baby waking.

You may think that this regression is due to teething, reflux, hunger or other issues. It is important that you clearly understand why this happens and not start weaning early or change the baby’s routine as this will not fix this.

Secondly, you need to realise that with this sleep change, it doesn’t just disappear like the other phases. These changes are permanent as they are part of the brain’s development. There are, however, ways to move through this and ways in which you can teach a baby to settle into this new sleeping pattern.

It is important that you also look after yourself as well at this point as sleep deprivation can become a problem. It will also take a few days to come up with a plan of action.

For the 4 month sleep change, please try:

  • To keep your baby’s sleep routine the same, including the way they fall to sleep. This might include sleep associations like rocking to sleep, or feeding to sleep, you don’t want to change too much just now.
  • Sleeping aids will come in handy, like swaddling or using a dummy or comforter. If these are already in place and they are working, continue with this. If they have not been offered before, introduce them to see if this will help baby settle.
  • The introduction of other sleeping aids, like white noise, may work well. Just be mindful to continue the white noise throughout your baby’s sleep, not just for when they are falling asleep.
  • A dream-feed may be helpful to a baby at this age. Offer a feed just as you are going to bed (around 10/11pm). This may help your baby to sleep through longer.

Remember, these should all be viewed as short-term solutions. None of these will solve your 4 month old baby’s sleep problems; what they will do is help you rest up in preparation for starting to work on teaching your 4 month old baby a new way to sleep.

9 Month Sleep Progression

Once the 4 month sleep change has eased, the next phase comes. This can start anytime between 8-10 months as it isn’t uncommon for babies to wake more now than they did on previous months.

The main reasons behind this 9 month sleep regression include:

    Teething
  • Learning new physical skills such as crawling, walking, standing and cruising
  • Separation anxiety - and parents possibly returning to work
  • Attending more baby classes and groups (which may overstimulate them)
  • Eating more solid food (increase in possible food problems and less milk intake).
  • Communication skills are developing and need to be practiced!

Separation anxiety tends to be the main reason at this age as this is the stage where babies need to know that their parents are always there for them and that they can trust them to always come back. This trust and dependency will in turn start to develop into independence. This is a normal part of development and shows that the bond between the parents and baby is strong.

If you can understand why this ‘sleep regression’ happens, this will be the best way to make a plan to try to work your way through it. The best thing to do is to respond quickly and positively, rather than ignoring your baby if they cry out, as in the long term, this will make them more independent and confident. Although you need to remember not to give them too much attention at night, as your baby may feel that they are being rewarded for their night time waking.

This isn’t the time to try strict sleep training techniques such as ‘controlled crying’ as this may have the opposite effect if the night wakings are due to separation anxiety. Instead look at everything else that is happening during your baby’s daily routine and make sure that everything is still working.

Consider your baby’s sleep environment. Think about how all their senses may be stimulated and affect their sleep in some way.

Work through a checklist to pin point of any changes can be made:

  • Bedtimes need to be consistent. Is the routine still working and do you need to change the time they go to sleep? Don’t be afraid to make bedtime a little earlier or later
  • Do they need to drop a daytime nap (the afternoon nap tends to stop around this age, so then their bedtime may need to be brought forward) - and check your nap time schedule. Are they having diffident sleep or too much during the day? Is there enough time between their last nap of the day and their bedtime?
  • With weaning, it’s great to keep a food diary to check whether they may have any allergies or intolerances to the new food in their diet. It will also allow you to see how much milk is being taken during the day and whether they are waking hungry or needing milk at night
  • Their daytime activities should be considered as babies can become overstimulated in the daytime
  • Who are they spending their waking hours with? This can be the root cause of the separation anxiety if a parent has recently returned to work
  • Do they use a comforter?
  • Make sure your baby has spent at least 30 minutes outside everyday

Work your way through the list and try to put a calm, gentle routine together to work through any sleep issues. Make sure their attachment needs are being met.

12 Months

At 12 months, we have to be aware that most children are learning to walk. And like with all other areas of development, practice makes perfect! This includes practicing at all times and in all places! It can be hard to settle a child around this age, but again this is just a phase and it will pass.

Give the child plenty of time to explore and practice during the day and be aware that they may also become overtired easier.

15 Months

It is very common to hear many parents talking about their 15 month olds waking around 5am! The early rising usually occurs around this age due to a change in a child’s daytime nap schedule (moving from 2 naps to 1 per day). An overtired child can mean that they wake early, and then this becomes the normal cycle.

If you have recently dropped down to 1 nap during the day, it is advised to bring bedtime forward by at least half an hour. This should have the opposite outcome and a child will then usually sleep longer in the morning.

18 Month Sleep Progression

As with all the other sleep changes, this one is also linked to a child’s mental and physical development. There are a lot of developmental milestones happening that can impact on their sleep in a what seems like a negative way.

  • Teething - At this time children will be getting their canine and first molar teeth
  • Separation anxiety part 2! This can mimic what happens in the previous sleep regression
  • Independance! All that development can lead to a very active brain! A child this age has either learned or is learning to walk, talk, feed themselves and gain a lot more independence.
  • Toddlers also start to show defiant behaviour around this aged linked to this increased independence. This is where they may start resisting sleep time and refusing to go to sleep (including temper tantrums and frustration)

Each ‘sleep regression’ is exhausting for parents, but this is the one where there may be a battle of wills and you may have to include discipline as part of the solution. Stress and exhaustion can play a role here for parents, so it is important that you remain focused and not fall into any bad habits.

Tips to help you through this stage:

  • Set boundaries that will lay the foundation for all future discipline
  • Be consistent no matter what
  • Keep to healthy sleep habits and try not to fall into any bad ones
  • If bad habits have become a part of sleep, be prepared to possibly sleep train (using strict or gentle techniques depending on your own beliefs and needs)
  • Do not drop daytime naps. Some parents believe that dropping a nap at this time will help them sleep better at night. It actually can have a negative affect, as the child will become overtired and it can create a more difficult bedtime. Stick with the naps as they probably won’t drop their daytime nap until they are 3.
  • Be prepared to try a different nap time during the day or an earlier bedtime to avoid an overtired child
  • Look back at what helped with previous sleep regressions and try those out again.
  • Try a rewards chart with stickers to see if this would help with cooperation to go to bed. Incentives can work well with toddlers
  • Keep an eye on the bedtime routine. Make sure there is consistency and that it is not dragged out too long (just one more story….)
  • Offer a snack before bed as growth spurts can also happen around this age
  • Offer a nightlight. Children around this age may start having overactive imaginations and fear may have become part of their nighttime routine. A night light may help with this.

With all these changes in a child’s sleep, be aware that consistency is key. Make sure the you are sticking to the same routine everyday and that everyone who helps care for your child is on the same page.

2 Years

A ‘sleep regression’ can occur at 2 years of age, partly because of a child’s nap schedule. A lot of parents believe their 2 year olds no longer need to nap, however, most still do. If naps become ‘optional’ or schedules change, children can become over tired and this then has a knock on effect on the quality of their sleep.

2 year olds are also developing their vocabulary. With that, they will again be practicing all these new words, especially in the quiet of their room at bedtime! Bring on their negotiating skills, and bedtimes can become a tricky time!

Imaginations also grow and you then also have the risk of nightmares occurring.

With all these so called ‘sleep regressions’, remember that they are all progressions and developmental leaps. They are times when children’s brains are growing and developing and new skills need to be exercised.

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