If you\u2019re a parent, you know sleep-training is a hot topic. Fueled with passion from both sides, some swear by it and claim that it\u2019s the only thing that can be done to teach a child to sleep, while others say it\u2019s not necessary and that baby will learn over time, without it. There\u2019s so much talk about whether it\u2019s right or wrong that folks don\u2019t sit back, take a deep breath, and consider the implications of sleep-training and how it feels for them personally, away from all the chatter.<\/p>\n
The two most-recommended sleep training methods are: 1) extinction, often referred to as cry-it-out (CIO), where a parent puts a child down awake and does not return until morning, and 2) the Ferber-method, where a parent puts down a drowsy child and increases the duration of time baby is left alone while periodically checking-in when baby is distressed; offering some reassurances (verbally, picking-up and putting back down, pats on the head or back, etc) until eventually the parent stops re-entering the room at all. Being that these two are the most popular and the methods that come with such heated debate, these are the two being considered for the purpose of this post. Now that we\u2019re on the same page, let\u2019s unpack what this looks like.<\/p>\n
Night-feedings<\/strong> Nighttime Parenting<\/strong> Physiology of Distress and Self-Soothing<\/strong> No parent wishes this type of physical distress on their baby. However parents will willingly allow this to occur when convinced that baby is manipulating them or that baby is \u201conly\u201d frustrated and needs no intervention. Parents, with broken hearts and large glasses of wine, sit outside the door of their hysterical baby because they\u2019ve been told that without this, baby will simply never learn to sleep-through-the-night.<\/p>\n The phrase \u201cself-soothe\u201d<\/a> is mentioned again and again; along with the idea that babies can only learn this skill by working it out alone through tears, screams, and sobs. However, when taking a step back, one can see, as is pointed out in the chart here<\/a>, that a baby\u2019s capacity for soothing is virtually totally limited to reliance on the parent. And of course, the younger the baby, the higher that reliance.<\/p>\n Reflect on how it Feels<\/strong> We need to find our way back to our natural leanings as parents rather than listening to so-called \u201csleep experts\u201d and well-meaning friends and family members. We are physiologically hard-wired to be hear and respond to our children. To attempt to desensitize one\u2019s self to the calls of our offspring can prove detrimental to both parent and child. This period of such high physical need, while admittedly challenging, is short-lived but vital to a child\u2019s attachment to parents and overall trust and security.<\/p>\n How did we get here?<\/strong> This desperation is at least, in part, rooted in the fact that our society does not value parents in actionable ways. There is a major lack of support for parents in our country. Mothers are expected go back to work at 6 weeks postpartum; the \u201clucky\u201d ones who can manage financially without pay, go back around 3-4 months postpartum. Neither is enough time to establish one\u2019s position as a parent, let alone get the hang of breastfeeding, become accustomed to frequent night-waking, fully embrace the notion of being totally responsible for sustaining another human life. These are all huge emotional and physical undertakings and there is little to no cultural understanding of that. Then when returning to work, it\u2019s often a struggle for breastfeeding mothers to fit in time for pumping and can require a lot of legwork upfront to get approval and space for pumping breaks.<\/p>\n The challenge for mothers to be able to perform at work without falling asleep at their desks in-between their rushed pumping sessions is very real. This weighs heavily on these women who are trying so hard to manage a very new and very stressful lifestyle. Going home at night only to lose precious sleep once again is enough to wear anyone down. Something has to give and oftentimes the promise of more sleep makes sleep-training seem like the only option.<\/p>\n
\nIt\u2019s no secret that babies need to eat frequently. Some people try to convince parents that once babies have achieved a given weight or once babies hit a certain age, night-feedings are no longer necessary. The issue with this, particularly for nursing babies up to a year old, is that the intervals at which they feed and the number of feedings needed in a 24-hour period depends largely on Mom\u2019s biology, namely her breast storage capacity and breast fullness<\/a>. By prematurely cutting out night-feedings in the hopes of more sleep, baby\u2019s total daily caloric intake is reduced. This has the potential to negatively affect baby\u2019s growth, mood, and overall well-being. Additionally, it introduces the possibility of creating clogged ducts, mastitis, or supply issues for Mom.<\/p>\n
\nAs parents, clocking-in and clocking-out just isn\u2019t an option. We need to have a realistic expectation that we\u2019ll be up through the night with our babies for at least the first year, perhaps even longer. Reframing the idea of the often frustrating parental night-waking into \u201cnighttime parenting\u201d<\/a> is helpful. While the sun is no longer shining and the goings-on of the day have wound down, the parent is still on-call, the baby is still fully dependent on the caregiver for all of the same things the caregiver provides during daylight hours. With that in mind, it\u2019s important to reflect on how you respond to baby during the day. Do you let baby fuss for several minutes before responding? Do you wait to respond until baby is crying heartily, obviously needing attention? Do you tune out the cries and wait for baby to sort it out on her own? As parents, while we may deeply desire uninterrupted sleep, we don\u2019t clock out at the end of the day. We\u2019re always on and babies are relying on us. When considering how differently nighttime presents itself; the dark, the quiet, baby is often totally alone; one can clearly see how baby\u2019s needs are likely to increase, rather than decrease. Instead of nighttime lending itself to a hands-off approach to parenting, nighttime is a time of high need for baby. High need for baby means the need for high responsiveness from parents.<\/p>\n
\nBabies are tiny humans so their bodily systems operate similarly to an adult\u2019s. Being so much smaller however, babies\u2019 bodies are more easily overcome by physiological changes than are our adults\u2019 bodies. As babies cry and then cry harder, their physiology responds the way ours would as we get increasingly upset. Blood pressure increases, body temperature increases, heart rate increases, cortisol levels rise, respiration increases, skin may flush, sweating ensues. Baby may begin to get a headache, nose will run, voice will become hoarse.<\/p>\n
\nYou\u2019ve waited 40 long weeks (give or take) to hold this sweet baby in your arms. Now that your baby has arrived it seems like everyone is encouraging you to treat her like a hot potato. Don\u2019t hold the baby while he sleeps, you must get baby sleeping in her own room, you must teach the baby to self-soothe, you\u2019re going to spoil him, the baby will never learn to sleep along if you\u2019re always holding her. How does that advice feel for you? When you hear your baby crying, does it feel in your heart like you want to tune the cries out or do you feel drawn to your baby? Do you feel a strong urge to snuggle your baby up and soothe the baby through nursing or rocking or patting? If there weren\u2019t all the outside noise blaring well-intended advice at you, what would you do instinctually?<\/p>\n
\nIf the claim is that we\u2019re being coerced to deviate from natural responses to our children, it begs the question why. What has happened in our culture that some parents have made a choice to tune out a crying infant in order to catch some Z\u2019s of their own? Are these heartless parents? No. These are desperate parents! Parents desperate for sleep, desperate for routine, desperate for the ability to function on the job.<\/p>\n