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MIND & BODY

Getting your baby to sleep

January 05, 2013|Heather John
  • “Sleep like a baby” doesn’t necessarily mean getting there is easy. Experts on babies and sleep tend to fall into one of two camps: crying it out versus no tears.
“Sleep like a baby” doesn’t necessarily mean getting… (Gro–Bag )

Few topics get as much airtime with new parents as the subject of sleep, or lack thereof, and few topics are as polemic as sleep training. Los Angeles is home to some of the country's most noted pediatricians, but they don't all agree on how, when or even if to train your child to sleep. A study out of Australia about the effects of sleep training on children has experts and parents talking on both sides of the debate.

For The Record
Los Angeles Times Thursday, January 10, 2013 Home Edition Main News Part A Page 4 Local Desk 1 inches; 41 words Type of Material: Correction
Sleeping babies: In the Jan. 5 Saturday section, an article about approaches to sleep training for babies gave the title of a book by pediatrician Marc Weissbluth as "Happy Sleep Habits, Happy Child." The title is "Healthy Sleep Habits, Happy Child."
For The Record
Los Angeles Times Saturday, January 12, 2013 Home Edition Saturday Part E Page 5 Features Desk 1 inches; 38 words Type of Material: Correction
Sleeping babies: A Jan. 5 article about approaches to sleep training for babies incorrectly gave the title of a book by pediatrician Marc Weissbluth as "Happy Sleep Habits, Happy Child." Weissbluth's book is "Healthy Sleep Habits, Happy Child."

Published in the September issue of Pediatrics, the study looks at the levels of the stress hormone cortisol in children's brains.

Opponents of sleep training such as Dr. Bill Sears, associate clinical professor of pediatrics at UC Irvine and author of 30-some parenting books, cite spikes in cortisol levels that may harm a baby's brain development if they are left to cry. The new study, however, indicates that there are no long-term emotional harms to sleep training. "Sleep training is safe around 4 months when children are able to start to self-soothe," says Dr. Scott Cohen of Beverly Hills Pediatrics, and author of "Eat, Sleep, Poop." Cohen concurs with the study, whose findings show that babies allowed to cry for short periods of time are no more stressed out than those with parents who camped out with them.

Still, many believe that frequent waking for babies and parents is par for the course. "We have such an incredible cultural bias toward sleep when, in fact, nobody sleeps through the night," says Jay Gordon, a Santa Monica-based pediatrician and advocate of attachment parenting, a philosophy in which babies remain physically close to caregivers, who respond to the baby's needs and signals.

"What I tell people is to wrap your life around a baby rather than trying to adjust a baby to your life," Gordon says. "Let everything happen as naturally as it possibly can. There are age-appropriate times for a child to learn to sleep in a way that makes more sense for preschool and a family. But mindless sleep-training, a one-size-fits-all approach can be somewhat dangerous."

Taking individual families into account is key.

"Over half of new mothers say exhaustion is their No. 1 complaint," says Los Angeles-based Harvey Karp, a pediatrician and author of the bestselling "Happiest Baby" series. "Studies have shown that cumulatively sleeping less than six hours a night results in the equivalent alertness of a legally drunk driver."

But Karp also says it's a myth that at one particular age all children should sleep through the night.

Babies and adults move through a sleep cycle every 90 minutes to two hours, waking and returning to sleep, a Temple University researcher said in a recent study published in the journal Developmental Psychology. Some babies "cry and call out when they awaken, and that is called 'not sleeping through the night,' " said Marsha Weinraub, a Temple psychology professor. Her study of more than 1,200 babies ages 6 to 36 months, she said, supports the idea that infants are best left to soothe themselves. So what is a parent to do?

Here is a quick look at five popular approaches to sleep training.

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NO TEARS

Co-Sleeping: The practice of having the baby sleep close to one or both parents. Some families create a "family bed" for parents and baby. "I'm a proponent of safe family co-sleeping, which is redundant unless the parent is inebriated. Co-sleeping is virtually almost always safe," says Dr. Jay Gordon. "Babies sleep in a natural pattern, which is to sleep, awaken, see what they can get, which might be cuddling and nursing, and then it's back to sleep. The longer you respond to the absolute maximum to your baby, the better. When you start diminishing your response level to your baby, you are decreasing the size of your relationship and bond to your baby."

Get the Book: "Good Nights: The Happy Parents' Guide to the Family Bed" by Jay Gordon and Maria Goodavage

Wake and Sleep: The concept here is to teach babies how to self-soothe and calm themselves back to sleep. Dr. Harvey Karp recommends starting a bedtime routine with white noise, feeding your baby, and then swaddling and rocking before placing the baby in the crib. "When Baby falls asleep in your arms, gently put her down and just jiggle the crib," says Karp. "Usually she will open her eyes and go right back to sleep. In that five to 10 seconds, babies begin to learn they can go back to sleep, and in a few weeks your little one will be much better at self-soothing. The beauty is if you train your child to self-soothe, you are much less likely to do crying-it-out sleep training."

Get the Book: "The Happiest Baby Guide to Great Sleep" by Harvey Karp

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