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Sleep in the first year - Parent Easy Guide

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Sleep in the first year - Parent Easy Guide (PDF 1.7 MB)

A baby’s sleep can be one of the most challenging things about being a parent. Working out their sleep patterns and how to settle your baby can take time and practice. Waking and sleeping patterns change monthly in the first year. Many parents find their own sleep is disrupted. All this is normal but it can take time to adjust. Being prepared can help.

In the first year of a baby’s life, the best way to support their sleep and healthy development is to focus on meeting their needs as much as you can. This will support positive sleep habits, help you get to know your baby and feel more confident as a parent.

Safe Sleep

For all babies 0-12 months, Red Nose recommends:

always place baby on their back to sleep
keep baby’s face and head uncovered
keep baby smoke free, before and after birth
a safe sleeping environment, night and day
sleep baby in a safe cot in parents’ or caregivers’ room for the first 6 months
breastfeed baby (if you can).

Image showing infant position in a cot

The safest place for a baby to sleep is in their own safe sleep space. This is why bringing them into bed with you, called co-sleeping, is not recommended. If you do co-sleep it is important to know the safest way to do it.

Image showing how minimise risk when co-sleeping with an infant

Falling asleep holding your baby on a couch or chair is always unsafe. Move both of you to a safe sleep environment if you think you might fall asleep.

Understanding your baby's sleep

It used to be thought, particularly in Western culture, that babies benefitted from certain sleep ‘rules’. Research now shows it helps their healthy growth and development when parents respond to their needs as much as possible. This builds trust and their ability to settle with less help over time. Babies’ needs include:

being fed frequently day and night
preferring to sleep knowing an adult caregiver is nearby day and night
being helped to fall asleep, through feeding, motion, warmth and comfort
being picked up by an adult caregiver if they cry
parents being there for them during both the day and night.

Babies usually have periods of frequent waking when they are going through a phase of rapid physical, mental or emotional development.

Responding to your baby’s needs is not spoiling them. Knowing you are there helps them feel safe, secure and connected to you.

Crying and unsettled babies

Crying is a baby’s main way of communicating. They cry when they are hungry, tired, uncomfortable, sick or in pain, or because they need comfort. Sometimes it feels like they cry for no reason and just need to be held and supported. The world can be a scary place to a newborn and all they know is you. You are their safe place.

It can be hard to work out what your crying baby needs. Babies feel safe and secure when you interact with them in warm, loving, responsive ways. Your baby learns to understand their new world through touch and sound. Picking them up, cuddling them and talking to them teaches them they are safe and loved.

It’s normal for babies to cry for three or more hours a day. Sometimes babies cry even when you’ve tried everything. If your baby often cries and is hard to soothe it can cause feelings of anxiety, depression, helplessness, anger or frustration. At times like this it’s important to find ways to look after yourself. When your baby is safe you could give yourself a break, go to another room and take a few deep breaths. It can also help to talk to someone. The Parent Helpline is a good source of information and support.

If you feel angry or upset, remember never shake a baby – it can cause brain damage.

Sleep cycles

There are two main kinds of sleep – light, active sleep and deep, quiet sleep. During light, active sleep your baby is going over the day’s events, they may twitch and wake more easily. Babies have a lot of light, active sleep and although it may not look restful it is important. This is when babies’ brains are strengthening skills they are learning or practising. Deep quiet sleep is when growing and healing take place. It is much harder to wake from this kind of sleep.

Babies have short sleep cycles of about 20-50 minutes. These get longer as they grow. Babies will often wake between cycles and need a feed or your help to go back to sleep. These short sleep cycles allow babies to have more light sleep, which is important for healthy growth and brain development.

Learning your baby’s cues

Playing and spending time with your baby during the day is important. They can learn and practise new skills while becoming tired enough to sleep. It also gives you time to get to know each other and enjoy each other’s company.

As you get to know your baby, you will start to recognise some of their body language or sounds as a sign they are getting tired or need a change of activity. Sometimes it can be hard to tell tiredness from other things such as boredom, discomfort, loneliness or frustration. Trying to get a baby who is not tired to go to sleep can be frustrating for both parents and babies.

Settling your baby

There are many ways to help your baby sleep. Settle them in a quiet space, turn off the TV, dim the lights, and remove any other sound and light that may keep them awake. Some parents like to rock, cuddle or feed their baby to sleep in their arms. Others put baby in their cot and hum, pat or shush. Do what feels right for your baby. If they need help calming you could start out with quick firm movements. For example, rocking, patting, then slow down these movements as they settle.

Bedtime routines

A bedtime routine to help your baby sleep can be started at any age and usually includes 3-4 calming activities. Doing these in the same order gives your baby a sense of safety and predictability. It can increase their sleep and create a solid foundation for healthy sleep.

Typical calming activities include:

feeding
bathing or dressing for bed
reading a book
singing a lullaby or song
massaging, cuddling or rocking.

It also helps to avoid screens, bright lights and excitement close to bedtime. What matters most is that bedtimes are calm and relaxed and babies feel comforted. Lots of cuddles before bed can also help.

Having a bedtime routine is an opportunity to connect with your baby and help them go off to sleep feeling loved and secure.

How much sleep does my baby need?

The amount of sleep individual babies need varies and will change over time. As they grow and develop they will need less sleep. If you’re worried whether your baby is getting enough sleep, a helpful question to ask can be ‘Is my baby generally happy, interactive and growing well?’ If they are, then don’t worry if your baby doesn’t seem to need as much sleep as other babies. Every baby has their own unique temperament and sleep needs. If they are generally happy, feeding and growing appropriately they are likely to be getting enough sleep.

Tracking apps

Some parents use apps to track their baby’s sleep. While this may be helpful, it can also be misleading as young babies may sleep while feeding. An app can also distract you from ‘tuning in’ to your baby or have you feeling stressed about updating it. Remember an app can’t see your baby - you can. There is no need to use one unless you find it helpful.

Waking through the night

Night time waking should be expected. Babies have short sleep cycles which can cause them to stir and wake more often at night than older children or adults. Because they are growing and developing so rapidly they need to feed overnight and feel close to their caregivers. Night feeding also helps protect against Sudden Infant Death Syndrome (SIDS).

Most babies aged 6-12 months will still wake twice during the night, some more, some less. Waking overnight can continue until your child is 2 years old.

Responding to your baby’s needs throughout the day and night will help them feel safe and secure. It will not cause a lasting ‘habit’. Think about how you can look after yourself to make night time parenting easier.

Sleep ‘regressions’

Sleep regressions are when your baby starts waking more at night or has shorter naps. These changes are usually associated with developmental milestones. For babies this often causes more frequent night waking and feeding in order to fuel their growing brain. These changes are usually short term and new sleep patterns will emerge after 2-6 weeks.

Your baby's sleep and development

Newborn to 3 months

Newborns are unaware of night and day so it helps to make these different. Don’t minimise household noises during the day, ensure your baby gets lots of natural (not direct) light during the day and darkness at night. Using a 5 minute calm bedtime routine will help them prepare for sleep.
Newborns have lots of light, active sleep and have very little deep, quiet sleep. They can only stay awake for short periods. Offer feeds and comfort day and night. Babies need to feed often at this age due to very small stomachs and rapid brain growth. They can wake every 2-3 hours to feed, sometimes more.
Newborns need to be close to parents. They often prefer to be held and usually stop crying when picked up. Try to settle your baby in their bassinette or cot by shushing, patting or placing a gentle warm hand on their tummy. Sometimes they will only want to be held and that’s okay.

3 months to 6 months

Babies are much more alert and responsive at this age. They love to be read to or told stories. They enjoy social interaction so plenty of cuddles and play will help them sleep well.
By the time they are 3 months old most babies are now more aware of night and day and some (but not all) can sleep for up to 5 hours at a time overnight. Sleep cycles will become longer with more deep, quiet sleep by about 4-6 months.
Think about what relaxes your baby during playtime. You could use this for wind down times before naps although the nap times may still be random.
Babies are starting to move and roll. They will practice these skills in light, active sleep and often need help to go back to sleep if they wake.
Although babies are able to last slightly longer between feeds they still need to feed frequently throughout the day and night.
Go for a walk in the daylight with your baby. Talk about where you are going and what you see. This helps with night time sleeps.
A calm bedtime routine can help your baby get ready for sleep. Choose one that works for your family.

6 months to 9 months

At 5-6 months babies often begin waking more often at night. They are learning many new skills. For example crawling, sitting, babbling and beginning to use words, starting to eat solids.
Most (but not all) babies at 6 months have 3 daytime naps. Most of their sleep is at night.
At around 7-10 months they may go through a separation anxiety stage and wake frequently to check if caregivers are nearby to calm and comfort them.
Call to your baby as you go to them. For example, “Mummy’s coming”.
About 80 per cent of 6 month-olds will wake for feeds or comfort during the night.
Continue to use a calm bedtime routine.

9 months

Babies need lots of active play during the day with opportunities to move around on the floor. Attending playgroups or your local library is great for babies to try new activities and tire themselves.
Messy play is another great way to tire them while also helping their brain development. Babies love feeding themselves. They enjoy eating meals as a family as they learn to eat new foods.
At this age babies often have two naps and become more predictable with their sleep and feed patterns.
Night feeds are still normal although these will usually be spread further apart.
Continue to use a calm bedtime routine.

12 months

This is an intense period of development for your baby. They are learning words, starting to walk, eating more family foods and teething. Babies like to be able to see and hear familiar people and love favourite songs or stories. Sleep is often disrupted at this age. It can help to:

feed your baby a varied diet
make sure they get enough outside time, exercise and play. Provide plenty of opportunities to explore
give them lots of love and support - it’s scary gaining some independence!
call to your baby as you go to them. For example, “Daddy’s coming”
cuddle your baby whenever they want to be held
have a peaceful, consistent bedtime routine.

Remember a night feed is still common at this age. Most babies have two naps a day.

Support your baby's sleep

Sleep Training

At some point during their baby’s life many parents wonder if there is something they could - or should - be doing to ‘help’ their baby sleep longer, deeper, better, or through the night. Leaving babies to cry themselves to sleep is not recommended because this does not teach them to calm down. It can help to know that often a baby’s sleep patterns are normal for their age and stage of development. Don’t be afraid to comfort your baby when they are upset. This comfort helps them move through difficult stages more quickly. By working together with your baby you can find a routine that works for everyone.

Making changes to your baby’s sleep

Before trying any changes, consider:

is my baby’s sleep a problem for me or do I feel I should change something because of what others are telling me? It’s only a problem if it’s a problem for you
is my baby due for a health check? Do they need to be seen by a doctor or CaFHS nurse?
does their sleep environment help them get to sleep?
is my baby getting plenty of natural (not direct) daylight?
do they have a consistent, calming bedtime routine?
do I know my baby’s cues?
do I have enough support?
can I improve my own sleep patterns and how I look after myself? It’s often easier to change your habits than those of your baby, especially if their sleep is developmentally normal.

If you want to try to make changes to your baby’s sleep, very small, slow changes are usually best. Being consistent with these changes will give your baby time to adjust. Changing a baby’s sleep patterns can take time, sometimes weeks. Every baby will react differently to change in their sleep.

Listen if your baby is telling you they are not yet ready to change their sleep habits. It’s okay to step back and try again at another time. A baby’s sleep, along with their growth and development, changes so much in the first year of life.

The baby who will only ever nap in your arms will one day sleep peacefully and confidently alone. Today just may not be that day.

Self-settling

All children learn to sleep longer and eventually through the night when they are developmentally ready. For some babies this happens early. Others are not ready until they are three or four years old. Even when your baby is able to self-settle there will be times when they need extra support. For example when they are unwell, teething or have nightmares.

The ability to sleep for longer periods is a developmental milestone that cannot be taught.

Looking after yourself

Sleep disruption can be one of the hardest things to manage and adapt to. Finding ways to look after yourself is important. This could include:

asking for and accepting help. Say exactly what
you need. For example, “I’d rather you cook dinner than hold the baby”
doing things you enjoy
reaching out for support from other parents. For example, a parent group or playgroup. Find people you can talk to openly and honestly. You are not alone
communicating with your partner if you have one and arrange to take shifts
going to bed early or resting during the day. Most babies and children have their deepest sleep between 7pm-12am. Using this time to get some sleep will help with the rest of the night
eating a balanced, healthy diet. See your doctor or health worker if you feel unwell
getting some fresh air every day. Going for a walk with your baby every morning is great for both of you
getting help with housework or skip it altogether. Prioritise rest
maintaining your own good sleep habits - avoid screens, caffeine, alcohol and nicotine near bedtime
keeping the cot close to your bed so you can rock, pat or shush easily without having to get up
being kind to yourself. Think about how you would treat a friend in the same situation
don’t focus on other people’s negative judgements or assumptions. Avoid comparing yourself or your baby to others - every family is unique and you know your baby better than anyone else
staying off social media if it’s not positive or helpful
knowing this will pass. Some babies sleep more than others, but they all get there eventually. Be patient, it will get better.

If your baby is crying a lot, it’s even more important to look after yourself. An important part of staying calm is the ability to take a break even though this can be difficult to organise. One solution is to set up safe places in your home. A cot is ideal for safely leaving your baby for a few minutes to look after yourself. Stepping away from a crying baby is a hard thing for most parents, but it is important.

It is common to feel dread about the coming evening and night. Try to stay in the moment and not look too far ahead.

When to seek help

Parenting challenges in the first year are common and normal. It’s important to seek help if:

you’re worried your baby isn’t getting enough sleep.You can talk to a CaFHS nurse or your doctor
your baby has uncontrolled eczema, allergies, reflux, sensory, breathing or feeding issues. These can all impact sleep and need to be assessed by a health professional
you’re feeling anxious, depressed, helpless, angry or frustrated.

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