The New Contented Little Baby Book

1. Establish a consistent feeding and sleeping routine from day one

The whole aim of the CLB routines is to ensure that the timings of feedings fit in with your baby's daily sleep requirements.

Consistent routines benefit both baby and parents. By structuring your baby's day around regular feeding and sleeping times, you create a predictable pattern that helps your baby feel secure and allows parents to plan their day. This approach contrasts with demand feeding, which can lead to erratic sleep patterns and exhausted parents.

Start early and adjust as needed. Implementing routines from the first weeks of life sets the foundation for healthy sleep and eating habits. However, it's crucial to remain flexible and adapt the routines to your baby's individual needs. The Contented Little Baby (CLB) routines provide a framework that evolves as your baby grows, with different schedules for various age ranges from birth to 12 months.

Balancing structure and responsiveness. While following a routine, it's essential to remain attuned to your baby's cues. If your baby shows signs of hunger before a scheduled feeding, it's important to feed them. The goal is to create a structure that meets your baby's needs consistently, not to force them into a rigid schedule that doesn't suit their individual requirements.

2. Structure milk feedings to promote better sleep patterns

By structuring his daytime feedings to correspond with his daytime sleep, the four-hour stretch between feedings should always happen between 10 a.m. and 2 p.m. and 7 p.m. and 7 a.m.

Coordinated feeding and sleep schedule. Structuring milk feedings to align with your baby's natural sleep rhythms can promote longer stretches of sleep, particularly at night. This approach ensures that your baby receives adequate nutrition during the day, reducing the need for frequent night feedings.

Gradual stretching of feeding intervals. As your baby grows, you can gradually increase the time between feedings. This process should be done carefully, ensuring that your baby is still receiving enough milk for healthy growth and development. The CLB method suggests starting with three-hour intervals in the early weeks and gradually moving to four-hour intervals as your baby becomes capable of taking larger feedings.

Importance of the late evening feeding. A well-timed and substantial late evening feeding (around 10-11 pm) can help your baby sleep for a longer stretch during the night. This feeding should be given in a calm, quiet environment to promote settling afterward. For breastfeeding mothers who may have lower milk supply in the evening, offering a top-up of expressed milk or formula can ensure the baby receives enough to sustain them through the night.

3. Understand and respond to your baby's sleep needs

It is essential for your baby's mental and physical development that he gets enough sleep; without the right amount, he will become irritable, fretful and inconsolable.

Recognize sleep cues. Understanding your baby's signs of tiredness is crucial for timely settling. These may include rubbing eyes, yawning, or becoming fussy. Responding promptly to these cues can prevent overtiredness, which often leads to difficulty settling and poor sleep.

Age-appropriate wake times. The CLB method emphasizes the importance of not keeping babies awake for too long between naps:

• Newborns to 3 months: 1-2 hours of wake time
• 3-6 months: 2-2.5 hours of wake time
• 6-12 months: 2.5-3.5 hours of wake time

Structured nap schedule. Implementing a consistent nap schedule helps regulate your baby's sleep patterns:

• Morning nap: 30-45 minutes, starting around 9-9:30 am
• Lunchtime nap: 2-2.5 hours, starting around 12-12:30 pm
• Optional late afternoon catnap: 30 minutes or less, not extending past 5 pm

4. Introduce solid foods at the right time and in the right way

The latest recommendations from the American Academy of Pediatrics advise that breast milk or formula be your child's sole source of nutrition for the first 4–6 months and the major source of nutrition throughout the first twelve.

Timing of solid food introduction. The optimal time to introduce solid foods is between 4-6 months, depending on your baby's readiness signs. These include:

• Ability to sit upright with support
• Good head and neck control
• Loss of tongue-thrust reflex
• Showing interest in food

Gradual introduction of new foods. Start with single-ingredient purees, introducing new foods every 3-4 days to monitor for allergies. Begin with iron-fortified cereals, then progress to vegetables, fruits, and finally, proteins.

Maintain milk as the primary nutrition source. Even as you introduce solids, breast milk or formula should remain the main source of nutrition until 12 months. Solids should complement, not replace, milk feedings. As your baby grows, gradually increase the amount and variety of solid foods while decreasing milk intake according to your pediatrician's guidance.

5. Recognize and address common feeding and sleeping problems

Not one of the babies I have cared for has ever suffered from colic, and I am convinced that it is because I structure their feeding and sleeping from day one.

Identifying issues early. Common problems include colic, reflux, difficulty settling, and early waking. By following a structured routine, many of these issues can be prevented or quickly addressed.

Problem-solving strategies:

• For colic: Ensure proper feeding technique, avoid overfeeding, and consider using the "sugar water" method for temporary relief
• For reflux: Keep baby upright after feedings, avoid overfeeding, and consult your pediatrician about medication if necessary
• For settling difficulties: Establish a consistent bedtime routine, ensure appropriate wake times, and teach self-settling skills
• For early waking: Create a dark sleep environment, avoid early morning stimulation, and adjust bedtimes if necessary

Seek professional help when needed. While many issues can be resolved through routine adjustments, persistent problems should be discussed with your pediatrician to rule out underlying health concerns.

6. Create a conducive sleep environment for your baby

Once the door is shut and the curtains drawn, it should be so dark that not even the faintest trace of toys or books can be seen.

Darkness promotes better sleep. A dark room helps stimulate melatonin production, the hormone responsible for regulating sleep. Use blackout curtains or shades to create a pitch-black environment, especially important for daytime naps and early morning sleep.

Optimal sleep temperature. Maintain a room temperature between 68-72°F (20-22°C) for comfortable sleep. Dress your baby appropriately for the room temperature, using sleep sacks or swaddles as needed.

White noise and consistency. Consider using a white noise machine to create a consistent sleep environment and mask household noises. Keep the nursery setup consistent, avoiding frequent changes that might disrupt your baby's sense of familiarity and security.

7. Adapt routines as your baby grows and develops

The times for feeding and sleeping change 10 times during the first year of the CLB routines to ensure that the individual needs of every baby can be properly met.

Gradual transitions. As your baby grows, their sleep and feeding needs will change. The CLB method provides routines for different age ranges, allowing for smooth transitions as your baby develops.

Key milestones affecting routines:

• 6-8 weeks: Longer stretches of nighttime sleep become possible
• 4-6 months: Introduction of solid foods may begin
• 6-9 months: Transition to three solid meals a day
• 9-12 months: Reduction in milk feedings as solid food intake increases

Flexibility within structure. While maintaining a consistent routine, be prepared to make adjustments based on your baby's individual development and needs. Some babies may be ready for changes earlier or later than the suggested timelines.

8. Balance structure with flexibility in your parenting approach

The CLB routines are not about denying babies food when they are hungry.

Responsive parenting within routines. While the CLB method emphasizes structure, it's crucial to remain responsive to your baby's needs. If your baby shows signs of hunger before a scheduled feeding, it's important to feed them.

Adapting to individual differences. Every baby is unique, and while routines can benefit most infants, some may require more flexibility. Be prepared to adjust the routines to suit your baby's temperament and needs.

Long-term benefits of structure. Establishing routines in infancy can lay the foundation for better sleep habits, easier transitions (such as starting daycare or preschool), and a sense of security for your child as they grow. However, it's essential to maintain a balance between structure and spontaneity in your parenting approach.

Last updated: February 4, 2025