Key Takeaways
1. Light exposure profoundly impacts baby's sleep patterns
Not all light is the same. Three aspects of the light you are exposed to are crucial for photoentrainment, or for setting the phase of your rhythm: Time of day of light exposure, Light intensity, Light wavelength or color.
Light regulates circadian rhythm. Our bodies have an internal clock that is primarily influenced by light exposure. This clock, located in the suprachiasmatic nucleus (SCN) of the brain, controls the release of sleep-related hormones like melatonin.
Blue light suppresses sleep. Morning sunlight, rich in blue wavelengths, signals the body to wake up and be alert. Conversely, evening light with less blue content promotes sleepiness. Artificial lights, especially screens, often contain high levels of blue light, which can disrupt natural sleep patterns.
Timing matters. Light exposure at different times of day can either advance or delay the sleep cycle:
- Morning light: Advances sleep cycle (helps with earlier bedtimes)
- Evening light: Delays sleep cycle (makes it harder to fall asleep early)
2. Establish consistent Day and Night Modes for optimal sleep
To get the clock well entrained, we have to present it with zeitgebers. The main zeitgeber is light, but does any light reset the clock? The answer is no.
Create distinct environments. Establishing clear differences between daytime and nighttime environments helps reinforce a baby's natural sleep-wake cycle.
Day Mode:
- Expose baby to natural daylight
- Maintain normal household noise levels
- Engage in stimulating activities
Night Mode:
- Use only red light
- Minimize noise and stimulation
- Maintain a consistent bedtime routine
Consistency is key. Repeating these patterns daily strengthens the baby's circadian rhythm, making it easier for them to fall asleep and stay asleep through the night.
3. Red light promotes melatonin production and better sleep
When you put the baby down to sleep, turn only the red light on. This way, in Night Mode, the baby's clock won't be reset to morning time and melatonin production will not be suppressed—in other words, your baby will sleep.
Red light doesn't disrupt melatonin. Unlike blue and white light, red light has minimal impact on melatonin production, the hormone crucial for sleep.
Applications of red light:
- Use during nighttime feedings and diaper changes
- Install in nursery for bedtime routines
- Employ as a nightlight for older children
Transition to red light. Begin using red light 30-60 minutes before bedtime to signal the body that it's time to sleep. This can help babies fall asleep faster and stay asleep longer.
4. Create an ideal sleep environment with blackout shades and white noise
Get blackout shades (see "Helpful Baby Items" on page 193) that will completely block out the light. Get them for baby's sleep area, whether it is a nursery or your bedroom, as well as for the diaper changing area, if that is in a different room.
Dark room promotes longer sleep. Blackout shades prevent early morning light from disrupting sleep, especially important in summer months when sunrise can be very early.
White noise masks disturbances. A consistent background sound can help drown out household noises or outside disturbances that might wake the baby.
Key elements of an ideal sleep environment:
- Complete darkness (use blackout shades)
- Comfortable temperature (68-72°F / 20-22°C)
- White noise machine or app
- Comfortable sleep surface (firm mattress for safety)
5. Implement a structured sleep and feeding schedule
By establishing feeding and sleeping routines, you and your baby will both learn to understand what the baby needs at certain times. You and the baby will learn that he is upset just before nap time because he is tired, and that going to sleep will make him feel better.
Predictability reduces stress. A consistent schedule helps both baby and parents anticipate needs, reducing fussiness and confusion.
Gradual implementation. Start by setting consistent wake-up and bedtimes, then gradually add in scheduled feeding times and naps.
Sample schedule for a 6-month-old:
- 7:00 AM: Wake up and feed
- 9:30 AM - 11:00 AM: Morning nap
- 11:00 AM: Feed
- 2:00 PM - 3:30 PM: Afternoon nap
- 3:30 PM: Feed
- 6:30 PM: Dinner/last feed
- 7:00 PM: Bedtime routine
- 7:30 PM: Bedtime
6. Limit daytime naps to encourage longer nighttime sleep
Babies who sleep more during the day go to bed later at night and sleep less during the night. It's really logical, and what it means for your baby is that you might have to restrict daytime napping.
Balance daytime and nighttime sleep. Babies have a total daily sleep need that decreases as they age. Excessive daytime sleep can lead to shorter nighttime sleep.
Gradually reduce naps. As babies grow, they require fewer and shorter naps. Follow age-appropriate guidelines:
- Newborns: 4-5 naps per day
- 3-6 months: 3 naps per day
- 6-12 months: 2 naps per day
- 12-18 months: 1-2 naps per day
- 18 months-3 years: 1 nap per day
Wake a sleeping baby. It's okay to gently wake a baby from a nap if they've slept longer than recommended for their age. This helps maintain the overall sleep schedule and ensures they're tired enough for nighttime sleep.
7. Use Gentle Sleep Training to teach self-soothing
Here is my simple four-step program: Step 1. Adjust naps as necessary. Step 2. Follow your bedtime routine and timing. Step 3. Make a pact with yourself and make a plan. Step 4. Let your baby cry for at least ninety seconds.
Self-soothing is crucial. Teaching babies to fall asleep independently is key to longer sleep stretches and fewer night wakings.
Gentle Sleep Training steps:
- Ensure baby is ready (typically around 3-4 months old)
- Create a consistent bedtime routine
- Put baby down drowsy but awake
- If baby cries, wait 90 seconds before responding
- Comfort briefly without picking up baby
- Repeat as necessary, gradually increasing wait times
Consistency is key. Stick to the plan for at least a week to see improvements. Be prepared for some challenging nights as baby learns new sleep habits.
8. Understand and manage sleep regressions
We learned in step 2 that babies' total sleep continuously decreases from birth, when they sleep, well, most of the time, to adulthood, when it's just around eight hours a night.
Sleep needs change. As babies grow, their sleep patterns evolve, sometimes leading to temporary disruptions known as sleep regressions.
Common sleep regression periods:
- 4 months: Major sleep cycle changes
- 8-10 months: Increased mobility and separation anxiety
- 12 months: Nap transitions and increased independence
- 18 months: Language explosion and testing boundaries
- 2 years: Imagination development and nighttime fears
Maintain routines. During regressions, stick to established sleep routines as much as possible. Adjust nap times and durations if necessary, but avoid creating new sleep associations that may be hard to break later.
9. Adapt sleep routines for travel and time zone changes
Based on what we know today about the circadian clock and jet lag, I developed a method to avoid or at least minimize the discomfort associated with crossing time zones.
Gradual adjustment. When traveling across time zones, gradually shift your baby's schedule before and after the trip to minimize disruption.
Tips for managing jet lag:
- Shift bedtime by 1 hour every 1-2 days before travel
- Use blackout shades and red light to maintain sleep environment
- Expose baby to sunlight during wake hours in the new time zone
- Be patient – it may take up to a week for full adjustment
Maintain sleep cues. Bring familiar sleep items (like a favorite blanket or white noise machine) to help recreate the home sleep environment while traveling.
10. Recognize signs of sleep readiness in babies
When baby is about three to four months old or weighs eleven pounds and sometimes sleeps longer stretches (six hours or more) at night, you can start sleep training.
Physical readiness. Babies typically become physically capable of sleeping longer stretches when they reach about 11 pounds (5 kg).
Signs of sleep readiness:
- Weighs more than 11 pounds
- Can sleep 5-6 hour stretches occasionally
- Doesn't seem very hungry during night feedings
- Shows increased daytime alertness
Behavioral cues. Look for signs of tiredness such as rubbing eyes, yawning, or becoming fussy. Putting a baby to sleep when they first show these signs can prevent overtiredness and make falling asleep easier.
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FAQ
What's "How Babies Sleep" about?
- Overview: "How Babies Sleep" by Sofia Axelrod is a guide for parents to help their babies sleep through the night using a gentle, science-based method.
- Scientific Foundation: The book is rooted in scientific research on circadian rhythms and sleep, particularly focusing on the role of light in regulating sleep patterns.
- Practical Advice: It offers practical steps and routines for parents to establish healthy sleep habits for their babies without resorting to harsh sleep training methods.
- Personal Experience: The author combines her expertise as a sleep scientist with her personal experience as a mother to provide a comprehensive approach to baby sleep.
Why should I read "How Babies Sleep"?
- Science-Based Approach: The book provides a scientifically backed method to improve baby sleep, which can be more reliable than anecdotal advice.
- Gentle Method: It offers a gentle approach to sleep training, which can be less stressful for both parents and babies compared to traditional methods.
- Comprehensive Guidance: The book covers various aspects of baby sleep, including routines, light exposure, and feeding schedules, making it a one-stop resource.
- Personal Insights: The author's personal experiences and success stories add a relatable and practical dimension to the scientific advice.
What are the key takeaways of "How Babies Sleep"?
- Light's Role in Sleep: Controlling light exposure, especially using red light at night, is crucial for regulating a baby's sleep-wake cycle.
- Importance of Routine: Establishing consistent sleep and feeding schedules helps align the baby's internal clock with natural rhythms.
- Gentle Sleep Training: The book advocates for a gentle approach to sleep training, focusing on self-soothing and gradual adjustments.
- Parental Intuition: Trusting parental intuition and understanding the biological changes in parents can aid in effectively implementing the sleep method.
How does the "How Babies Sleep" method work?
- Light Management: The method emphasizes using red light at night to avoid disrupting the baby's melatonin production and sleep cycle.
- Structured Schedules: It involves creating consistent sleep and feeding schedules to help the baby develop a regular sleep pattern.
- Gentle Interventions: The approach includes gentle sleep training techniques that encourage self-soothing without letting the baby cry for extended periods.
- Parental Support: The method also considers the emotional and physiological changes in parents, providing strategies to manage stress and improve overall family sleep.
What is the role of light in the "How Babies Sleep" method?
- Circadian Rhythm: Light exposure is a primary factor in regulating the circadian rhythm, which influences sleep-wake cycles.
- Red Light Use: The method recommends using red light at night to prevent the suppression of melatonin, a hormone that promotes sleep.
- Avoiding Blue Light: It advises against exposure to blue and white light during nighttime as they can disrupt sleep by signaling wakefulness.
- Daytime Light Exposure: During the day, ample natural light exposure is encouraged to reinforce the distinction between day and night for the baby.
How does "How Babies Sleep" address common sleep problems?
- Early Waking: The book suggests keeping the room dark and using red light to help babies sleep longer in the morning.
- Difficulty Falling Asleep: It recommends adjusting nap durations and ensuring the baby is tired enough at bedtime to fall asleep easily.
- Night Wakings: Gentle sleep training techniques are used to teach babies to self-soothe and return to sleep without parental intervention.
- Sleep Regressions: The book advises reducing daytime naps and maintaining consistent routines to manage sleep regressions effectively.
What is the Gentle Sleep Training method in "How Babies Sleep"?
- Gradual Approach: The method involves gradually extending the time before responding to a baby's cries, allowing them to learn self-soothing.
- Parental Involvement: It encourages parents to comfort the baby without picking them up or feeding them immediately, using gentle reassurance instead.
- Timing Adjustments: Parents are advised to set a no-feed period based on the baby's longest sleep stretch and gradually increase it.
- Consistency: The method emphasizes consistency in routines and responses to help the baby develop a stable sleep pattern.
How does "How Babies Sleep" suggest handling sleep regressions?
- Identify the Cause: Sleep regressions are often linked to excessive daytime napping or changes in the baby's sleep needs.
- Adjust Nap Durations: The book recommends reducing nap times to ensure the baby is tired enough for a full night's sleep.
- Maintain Routines: Consistent sleep and feeding schedules should be maintained to reinforce the baby's internal clock.
- Gentle Re-training: If regressions occur, gentle sleep training techniques can be reintroduced to help the baby return to a stable sleep pattern.
What are the misconceptions about baby sleep addressed in "How Babies Sleep"?
- "All Babies Are Different": While individual differences exist, the book emphasizes that light and routine affect all babies similarly.
- "Sleep Begets Sleep": Contrary to popular belief, excessive daytime sleep can reduce nighttime sleep quality.
- "Imposing a Rhythm Is Unhealthy": The book argues that structured routines help babies anticipate and respond to their needs more effectively.
- "Light Doesn't Matter": The method highlights the significant impact of light exposure on sleep patterns and the importance of managing it.
How does "How Babies Sleep" incorporate parental intuition?
- Trust Your Instincts: The book encourages parents to trust their intuition when it comes to understanding their baby's needs and adjusting routines.
- Biological Changes: It acknowledges the hormonal and neurological changes in parents that enhance their sensitivity to their baby's cues.
- Flexible Guidelines: While providing structured advice, the book allows for modifications based on the parent's understanding of their baby.
- Empowerment: By combining scientific knowledge with parental intuition, the book aims to empower parents to make informed decisions about their baby's sleep.
How does "How Babies Sleep" address travel and time zone changes?
- Gradual Adjustments: The book suggests gradually adjusting the baby's schedule before and after travel to minimize jet lag.
- Light Management: Using blackout shades and red light can help maintain the baby's sleep schedule in different time zones.
- Consistent Routines: Maintaining familiar routines and schedules during travel can help the baby adapt more easily to new environments.
- Phase Shifts: The book provides strategies for managing phase shifts when traveling east or west to align the baby's internal clock with local time.
What are the best quotes from "How Babies Sleep" and what do they mean?
- "Knowledge is power!": This quote emphasizes the importance of understanding the science behind sleep to make informed decisions for better baby sleep.
- "Trust your intuition.": It highlights the value of parental instincts in adapting the sleep method to suit individual baby needs.
- "Light is the most powerful zeitgeber.": This underscores the critical role of light in regulating the baby's circadian rhythm and sleep patterns.
- "Repetition increases clock amplitude.": The quote stresses the importance of consistent routines in strengthening the baby's internal clock for better sleep.
Review Summary
How Babies Sleep receives mixed reviews. Some praise its scientific approach and practical advice on establishing sleep routines, while others criticize it as repetitive and overly rigid. Positive reviews highlight the helpful information on sleep cycles and environmental factors. Negative reviews object to the sleep training methods as too harsh. Many readers found the book informative but too long, suggesting it could have been condensed. Overall, parents seem divided on whether to recommend the book, with some finding it very useful and others disagreeing with its core principles.
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