Welcome to Parenting! For many of us, parenting is like being put into the air in a foreign land, where the rule of the protogamans and the communication are realized through mysterious screams and colorful liquids. And all above, in this new world, sleep is like gold: precious and rare. (Oh, so dear.) Throughout the human history, children were usually grown in large, expanded families full of aunts, uncles, grandparents, and brothers and sisters. Adding another baby to the mix did not really make a big breakthrough. Today, however, many mothers and dads do it alone. As a result, care for a newborn may be inexorable. There are too few swinging weapons, too few sleeping crates and too few hours during the day to flow The Great British Bake Off . At one point, many parents need the baby to sleep ̵
So, from self-preservation, many of us are turning to the general, albeit controversial, practice of sleep training, hoping to make the baby sleep alone. Some parents swear by this. They say this is the only way they and their babies can sleep. Other parents say that giving baby crying is harmful.
So what does science say? Here we are trying to divide the fiction from the facts – and offer some soothing tips for cautious parents. Let's start with the basics. Myth: Sleep training is synonymous with the "call it" method.
Fact: Today, researchers are exploring a wide range of more gentle approaches that can help.
Mum's blog, children's books often mix up sleeping with "shout," said Jody Mindell, a psychologist at Philadelphia Children's Hospital, who helped thousands of babies and parents sleep more than the past 20 years. In fact, most of the time is not that .
"I think that, unfortunately, the workout for sleep has become very bad, because it is likened to this nickname called" I call, "says Mindel
Indeed, the" call it "approach sounds cruel to many parents "You put the baby in the crib or in their room, close the door and do not come back the next day," says Mindell, "but this is not the reality of what we recommend or what parents usually do."
what scientists have studied in the past twenty years. "Cry-it-out is an old way of thinking, says Mindel, who is (19459013).
In today's scientific literature, the term "sleep training" is a term that refers to all a range of approaches to help babies learn to fall asleep.This includes much more gentle methods than the method of crying or the so-called Ferber method.For example, some sleep training starts with the parent sleeping next to the baby's crib (a method called camping) or simply involves parenting for a baby .
"All of these methods are combined in the scientific literature as" sleep training, "says Mindel.
In several studies, parents are taught a very gentle approach to sleep training. They are told to put the baby in the crib, then calm down – by tapping or rubbing the back – until it stops crying. Then the parent leaves the room. If the baby begins to cry, the parent must register after having waited for some time. In one study, these types of gentle interventions reduce the percentage of parents reporting sleep problems by about 30%, five months later. Myth: There is a "right" amount of time to allow babies to cry when trying to sleep by teaching them.
Fact: There is no strict formula to work for any parent (or baby).
There is no magical amount of minutes to work best for checking the baby once you have placed it, says Mindel. It really depends on what parents feel good about. "It does not matter if you come back and check your baby every 30 seconds, or you go back every five minutes," she says. "If you are your first child, you go every 20 seconds. But from the third, joking, 10 minutes of crying may not seem very much.
There is no scientific data to show that checking every three minutes or every 10 minutes will work faster or better than checking more often. There are about a dozen high quality sleep study studies. Each study explores a slightly different approach. And none of them compares different methods. Many methods have been combined in many studies. For example, parents learn how to sleep a train and how to create a good bedtime routine. So it's impossible to say that one approach works better than the other, especially for every baby, says Mindel.
So instead of looking for a strict formula – like checking every five minutes – parents should focus on finding what Mindel called the "magic moment" – that is, when the moment when the child can fall asleep independently, without you room. For some children, more calming or more placements can help in the appearance of magic, and for other babies less calming, fewer checks can work better. I remember with my daughter that I finally realized that a kind of crying means she needs some TLC auction, but another means she wanted to be left alone. Even if you have a good bedtime practice, it may matter. "I think education is key," says Mindel. "A study I just reviewed found that when new parents learn how babies sleep, their newborns are more likely to be better in 3 and 6 months."
"So you just need to find out what works best for you, the family and the temperament of the baby, she says."
Myth: This is not a real workout if you do not hear the tone of crying.
Fact: It improves and Gentler, and sometimes nothing works
There is no need to hear a ton of crying if you do not want, gentle approaches – such as parenting and parenting – can help most babies and parents to sleep more, at least for a few months. 006 Mindell reviewed 52 studies of different methods of sleep training, and in 49 of the studies, sleep training reduced sleep resilience in sleep and night awakenings, as reported by parents, and there is a widespread belief that "cry" is the fastest way to teach the baby to sleep independently, but there is no evidence that this is true, says Mindell. "Parents are looking for the most effective method," says Mindell. "But what it is is up to the parents and the baby, and that's a custom formula, no doubt."
And if nothing seems to work, do not press too hard. For about 20% of babies, sleep training simply does not work, says Mindel. "Your child may not be ready for sleep training for any reason," she says. – Maybe they are too young, or they go through anxiety from separation, or there may be some medical problem, such as reflux. Myth: After I sleep training my baby, I can expect her to sleep at night, every night. Fact: Most sleep training techniques help some parents for some time, but they do not always adhere.
Do not expect a miracle from any method of sleep training, especially when it comes to long-term results. None of the sleep study studies is large enough – or enough quantified – to tell parents how much better the baby will fall asleep or how much less will they wake up after trying out a method or how long the changes will continue.
"I think the idea is a fancy fantasy," says Mindel. "It would be great if we can say exactly how much improvement you will see in your child, but every improvement is good." Even the old crying studies warned readers that the break cry sometimes happened at night, and that in a few months it might have been necessary to retrain. The vast majority of sleep training studies do not actually measure how much the baby sleeps or wakes up. But instead, they rely on parental reports to measure sleep improvements that can be biased. For example, one of the high-quality studies found that a light sleeping method reduces the likelihood of parents reporting sleep problems by about 30% at their 1-year-olds. But when these children were 2 years old, the effect vanished.
Another recent study found that two types of sleep trainings help babies sleep better for a few months. It attempts to compare two approaches to sleep training: one in which the parent gradually allows a baby to cry for a longer period of time and one in which the parent transfers the time to the baby at a later point in time which naturally falls asleep) and then slowly the father. Moves the time to the desired bed time. Data show that both methods reduce the baby's time to sleep at night and how many times the baby wakes up at night.
But the study was very small, only 43 babies. And the size of the effects varies considerably among babies. So it's hard to tell how many improvements are expected. After both methods, babies still woke up on average once or twice a night, three months later.
In the end, do not expect a miracle, especially when it comes to long-term results. Even if the workout has worked for your baby, the effect will probably disappear, you may return first and some parents choose to repeat the training.
Myth: Sleep training (or no sleep) my children can harm them in the long run.
Fact: There is no evidence to suggest that the choice harms your child in the long run.
Some parents worry that sleep training can be harmful in the long run. Or that it can not create their children for problems later on.
Science does not support any of these fears, says Dr. Harriet Hiskok, a pediatrician at the Royal Children's Hospital in Melbourne, Australia. some of the best research on the subject.
In particular, Hiscock leads one of the few long-term studies on the subject. This is a randomized, controlled study – the gold standard in medical science – with more than 200 families. Blogs and parent books often cite the study as "proof" that the "cry out" method does not harm the children. But if you look closely, you quickly see that the study actually does not check "call it". Instead, she tested two more gentle methods, including the camping method.
"She does not close the child's door and leaves," says Hiskok. Then, Hiscock and colleagues checked their families five years later to see if sleep training had any detrimental effect on children's emotional health or their relationship with their parents. Researchers also measure children's stress levels and gain access to their sleeping habits. After all, Hiskok and her colleagues have been unable to find any long-term difference between babies who have been trained as babies and those who are not. "We have come to the conclusion that there is no detrimental impact on child behavior, sleep or the relationship between the parent and the child," says Hiskok. the time when children reach age 6. For this reason, Hiscock says that parents should not feel pressured to sleep a train, or not sleeping to teach a baby. to make parents feel guilty about their choice [on sleep training]"says Hiscock. "We need to show them scientific evidence, and then let them make their own opinion."