Sunday, March 27, 2011

Twelve Hours' of Sleep by Twelve Weeks Old

****Please make note--I have not included the breastfeeding instructions, but it's exactly the same, expect when I say "bottle" use "breast" and when I use "ounces" use "minutes breastfed".****

I love this book. It's as simple as that. It's by this wonderful lady, knows as a "baby coach", but IRL her name is Suzy Giordano. She is originally from Brazil and is the proud momma of five beautiful children, two of which are a set of twins. She had a friend, Sara, who had triplets in the DC area and was going crazy. Suzy helped her train her babies in three short weeks to sleep through the night for 12 hours, with one hour nap in the morning and a two hour nap in the afternoon. Sara posted to her Multiples Club and many families took advantage of Suzy's methods to sleep train their set of triplets and soon since her methods were so popular and effective, many parents of twins and then parents of singletons were knocking at her door! More than ten years later and over 100 families, no baby has failed the system!!!

The basic concept is this: As the child grows, the amount of food is increased and other foods are later introduced in order to meet the increasing nutritional demands of the child. Children thrive under this plan. In short, the plan works. Children are content, parents are happy and the household is a calmer and more naturing environment.

That was enough to get me hooked.

The book defines sleeping through the night as twelve hours by twelve weeks old, for example either 7pm to 7am or 8pm to 8am, without eating, without needing to be picked up and rocked back to sleep, without placing a lost pacifier. In short, she will be able to sleep continuously for twelve hours and will be able to put herself back to sleep without any assistance. And if your baby needs less than twelve hours of sleep, she will be able to entertain herself quietly in her crib without yelling and demanding to be removed by you.

The plan involves the "the limited crying solution" during training. It is a realistic method between the "cry it out" method and the "no cry" method. You may be skeptical; you may be thinking that this method will not work for your baby, but be sure, your baby will not fail! It involves sticking to a plan and working with what you have! The only difference between working the plan with one baby versus four babies, it the timeline. You can begin training a singleton almost immediately, where triplets can't start until they are twelve weeks old. It's never too late to begin to gain your sanity back though, the plan can work on two year olds! You can save yourself months or even years of just getting by, a detrimental mind-set for you, your spouse and your babies. And you can be a better parent when you and you babies are getting the sleep you both deserve!

There are sections in the book as to why it is important for babies to sleep through the night and the consequences of them not doing so.

Chapter One:

1. Babies who are the right weight and age sleep or rest quietly in their crib for twelve hours at night, one hour in the morning and two hours in the afternoon.

2. Babies who are the right weight and age eat four times during the day with no night feedings. Each feeding time should last about 30 minutes.

So how do you do this? It goes on the plan that babies would do this on their own if parents just left them alone and encouraged their babies own natural tendencies. Normally parents become sleep deprived, hit a wall and go for quick fixes--one of the worst things you can do! You break out the swing, the calming vibrations, allow your baby to snack on the bottle or breast every hour or two, all in desperate effort to make the baby sleep so you can sleep. The short term fix then turns into a daily habit that you do not know how to break.

Four Foundations of Baby Sleep Success:

1. A baby must adapt to the existing  family; the existing family does not adapt to the baby. Although some change in the family is necessary, a baby should not dictate the family. For example, you can vacuum, have the door bell ring, laugh out loud and let the washing machine go --all during nap time! If you didn't or you tend to tip toe around while your baby sleeps, you are letting the baby control the family. Unless you are planning to keep your baby in the house for the rest of her life with a noise-free and artificial environment, this plan will eventually fail.

2. You must feel empowered as a parent. Adapt the saying, "I am the parent, I am in charge. You are the baby, you follow my guidelines." Because without parents empowerment, an inexperienced and ill-equipped leader takes over: the baby! Boundaries and limits, even at such a young age is so important. Kids need to know that when they break rules, the rules will be enforced. Your job is to teach your child the skills to get ready for the real world and teach them to make the best decisons they can for themselves.

3. Sleeping is a learned skill that you need to teach your baby. Babies are very smart. Babies can learn very quickly. Sleeping soundly is a basic and teachable skill. Rocking a twelve-week-old baby over and over again in a glider until she falls asleep is the equivalent of carrying a two-year-old toddler everywhere in your arms over and over again. Children have the capability to sleep or walk on their own but when parents are constantly fixing it for them instead of guiding them to do it on their own, problems will occur.

4. Sleep training requires commitment and hard work on the parents part. Like most good things in life --effort, time and patience are needed to succeed!

Six Benefits to Sleep Success:

1. There is little crying involved. The method used in the this book is not as quick as some sleep methods, but it works 100% of the time. The Limited Crying Solution limits crying to five minutes at a time. Long stretches of crying gets you and your baby no where and can be emotionally draining for both the parents and the child. It's important to use small steps to get your baby to not cry at night.

2. You will have happier, more cooperative children. Babies who have a schedule, sleep through the night, and have good sleeping and eating habits are happy babies. These babies know where their place in the family is and they always know who is in charge. They know the is love there, they know the is structure and they know the security is there. Their world makes sense to them. They are more well rested, more alert and more willing to listen making them more active learners. They will also be more content by themselves and not always required to have a playmate or have direct entertainment by a parent or caregiver. The ability to self-console leads to self-control.  This foundation leads as a road-map for them as they journey through life.

3. You will be using proactive parenting. You need sleep just as much as you child to be a healthy parent.

4. You will have a predictable schedule. You have the luxury of knowing when your free-time will occur.

5. You will be able to deal with more than one child effectively, giving you the freedom to function as a family.

6. You can follow the plan on your own.

Chapter Two

Weeks 1 - 6:

Take it easy, but DO NOT create bad habits! 

Sleep training does not begin until around 4-6 weeks old, depending on the weight, prematuratity and other factors. Take this time to let your body recover, let you babies get used to life outside of the womb and let everyone get used to the changes that are here to stay. For example a bad habit is created like this: If your baby is put in a swing every time she cries for the first six weeks, she will expect you to put her in the swing every time she cries after the six weeks. The baby cries, you put her in the swing. The baby cries, you put her in the swing. Over and over again, you repeat the same pattern and soon the baby cries and she needs the swing. The swing changes from being only one way to help the baby calm down to the only way the baby calms down. It's not her fault, it's what you have taught her. Same thing goes for the vibration setting, it just does the work for your baby so she never learns how to soothe herself. These are quick fixes that disable your infant from learning to self-soothe, the crux of teaching your child to sleep through the night. Pacifiers, on the other hand, are a very effective tool in helping to teach your baby to self-sooth. However, using a pacifier effectively is the key; only while in the crib during naps and night sleep, or you risk a two-year-old running around with one in her mouth.

So, a swing, bouncy seat or vibration setting should never be used to calm a baby and worse, never be used to encourage sleep. Use the devices sparingly but do use them. They give the babies time to be upright and look around safely. It's a great way to give infants a break from being on their backs and viewing the world like that. When babies can rock themselves in the bouncy seat, this is a form of self-soothing.

Create a log:

1. What time baby ate.
2. How much baby ate.
3. What time you changed baby;s diaper and what was inside (urine or stool).

This is very important to record as your baby grows and training is completed. It will help you realize when your baby is sick, not feeling well or not feeding well. Also, in the midst of the training and sleep deprivation you can recall what happened two days prior.

Feedings during the day:

Your baby should be able to eat every 2.5-3 hours during the first six weeks of life. Steady weight gain is very important. You will need to wake your baby to eat if they do not wake on their own during these first six weeks. You do not want your baby to get in the habit of going five to six hours of not feeding during the day, you ant to encourage this at night. It is also important not to feed your baby more frequently than every 2.5 hours during the first six weeks, unless medically necessary. Your baby needs time to digest the food, and feeding more frequently will create them to snack and make it harder to get them on the four-hour schedule. It is important to let the baby eat as much as they want, until they are satisfied. This will help later on because if your baby is used to eating until full, he metabolism will naturally set how much she eats at every feeding. With multiples, it's important to feed each baby together, or as close together as you can.

Feedings at night:

Same as during the day. You need to maintain proper weight gain, so for a singelton it's needed to wake your baby every three hours for at least the first 3-4 weeks, twins for 5-6 weeks, and triplets for 7-8 weeks. Then after this time, you can encourage them to stretch the time between feedings at night.

Sleeping during the night:

The first six weeks your baby will wake, normally every 2.5-3 hours. Encourage just sleep and eating at night. Keep the lights low and feed the baby and put them right back in their crib. If fussy, check for these things: too hot, too cold, spitting up (tilt the crib or buy a wedge), uncomfortable (maybe a new position), or a dirty diaper? Babies should be placed in their nursery, not the parent's room. (However, I do not follow this rule, and will not for a few more weeks.) I see the point she makes, but with triplets she agrees that for the first 8-9 weeks it can be beneficial to all be in one room but after training begins she believes that each baby be in their own crib, in their room. Each baby can have different issues, different patterns and may affect each other if they are put together after a certain time.

Sleeping during the day:

Before six weeks of age, do not worry about how much your baby sleeps during the day, or how much they don't sleep between feedings. The duration of these naps will not affect when sleep training begins.

Chapter Three:

Weeks 6-8

The two-week storm:

Beginning around three to four weeks of age for singletons, six to eight weeks for twins and ten to twelve weeks for triplets, most babies go through a stage of extreme fussiness. The cry uncontrollably, have bad gas, struggle with intestinal cramps, restlessness and cannot seem to be calmed. The notice in the cry is different and their faces can become very red and also spit-up more frequently.

Feeding During the Day:

By six weeks of age, the baby should eat every three hours and not every 2.5 hours and if this transition hasn't taken place it should. Since the baby is consuming more food, the baby needs more time to digest.

Feeding During the Night:

Ease up on the every three hour feedings at night if you haven't already done so. Let your baby wake up on her own for feedings during the night.

Sleeping During the Night and Day:

Continue what you are doing. Do not change the routine because this can be a very difficult time for the baby and the parents.

Chapter Four

Weeks 8 - 12

Let the Training Begin!

Welcome to the Baby Boot Camp! It is imperative to train the baby in the proper order but sometimes the order will overlap and that is perfectly fine.

Step One: Feeding during the day: Every four hours four times a day for twelve hours.
Step Two: Feeding during the night: Gradually eliminate all night time feedings for twelve hours.
Step Three: Sleeping during the night: Sleeping or resting quietly in a crib for twelve hours.
Step Four: Sleeping or resting quietly in a crib for about one hour in the morning and about two hours in the afternoon.

The Three Requirements:

1. Weight: Baby must be at least nine pounds
2. Food: Baby must eat at least 24 ounces in 24 hours
3. Age: Baby must be at least four weeks old if a singleton, eight weeks old if a twin and twelve weeks old if a triplet.

Your Toolboxes: It's important to learn how you can help your baby achieve the goals you set for them. Babies need some soothing from their parents in order to learn how to sooth themselves.

Daytime Toolbox:

DISTRACT, DISTRACT, DISTRACT!

1. Offer Pacifiers - first choice, usually buys you at least an extra 15 minutes.
2. Place baby in a bouncy seat with music and toys.
3. Place baby on an activity mat or gym.
4. Bouncy baby on your knee and sing.
5. Do baby's favorite games or activities.

With you baby failing asleep before nap time, you can do the same. This will push them over the edge into dreamland in no time.

Nighttime Toolbox:

Reassure the baby that even though you are not going to pick them up, that you are right there. Stand next to the crib or sit in a glider close to the baby.

1. Offer a pacifier.
2. Pat baby's tummy or give them their emotional blanket or toy.
3. Place your hand firmly on baby's tummy.
4. Shush baby.
5. Whisper things like, :everything is fine," it's alright," "mommy is here," "daddy loves you," "it's hard to be a baby I know," ect.
6. Help baby to find the right position.
7. Turn on crib music.

These soothing techniques work in two ways: they help the baby calm down and they help you stay focused and relaxed so you can continue to train. You are really talking to yourself, saying, "my baby is fine," however, there are certain circumstances when your toolboxes have failed and you need to take you baby out of the crib, but these should be very few. Things such as placing your baby in a swing, but remember if they become the rule and not the exceptional exception, training will take longer or fail altogether.

The Three-Day Rule: Good Habits Take Three Days to Make and Three Days to Break

Day 1: Dark (always the worst)
Day 2: Gray (not as bad as Day 1)
Day 3: White (baby has normally figured things out by then)

The Seven-Day Rule: Bad Habits Take Seven Days to Make and SEVEN Days to Break:

When breaking bad habits, such as running into the nursery first thing in the morning when your baby makes a noise is a bad habit you are trying to break.

STEP ONE: Feeding During the Day:

Before you can start with the sleep schedule, you have to start with the daytime feeding schedule first. What you do during the day is important to success at night.

Feed your baby every four hours four times a day. Encourage your baby to stretch feedings as long as they can until the four hour mark. If your baby has been "snacking" every 2-3 hours, it will be much more difficult to start here, so try to get the baby to eat every 3 hours first, and then move to every 4 hours.  Here is how you can do it:

Divide your day into two-twelve hour parts: based on your family needs, so if you need 7:00 am to 7:00 pm, then do that. I have personally done, 8:30 am to 8:30 pm, it just works for us and for me, especially in the morning, plus when I want the girls napping during the day. I personally don't want to wake up before 8:30 am also most days. But most babies seem to favor times between 7:00 pm and 9:00 pm. Remember the baby should fit into the existing family, not the other way around.

So I will use my schedule as examples: Our first part of the day is 8:30 am to 8:30 pm and the second part is 8:30 pm to 8:30 am.

Create four feeding times that are four hours apart during the day:

First feeding: 8:30 am
Second feeding: 12:30 pm
Third Feeding: 4:30 pm
Fourth feeding: 8:30 pm

Feed the baby at the beginning of each four hour block:

With the first feeding, this means waking the baby and taking her out of the crib about 15 minutes before the first feeding time, change her diaper, dress her and begin feeding her. I, however, dress the girls after the feeding -- one less chance for a spit-up on the new clothes for the day. For the first few days you might have to help your baby make it to the time you have set for the first feeding.

If baby wakes up one hour before the first feeding: Instead of feeding her right when she wakes up (you want to get to 8:30 am -- your desired start time) try using the tools you have to in your nighttime toolbox, at least giving her and you another 15 minutes. Each day, if you can get 15 more minutes until you reach 8:30 am, you have succeeded. Note that the number of days it takes your baby to get to the first feeding time is not critical. What is critical though is that you are consistent and stick with it. You must fight the urge to take the quick fix, or else you will not get the results you want: 12 hours of sleep!

If baby wakes up more than an hour before first schedule feeding time: It is OK to give your baby 1-2 ounces but ONLY 1-2 ounces and you should still feed the baby as much as she will take at the target feeding time. Your goal over the next few days is to get the baby to stretch the time between the snack feeding and the targeted first scheduled feeding. These steps are ok to take, as long as it takes, eventually your baby will get it.

The Second, Third, and Fourth Feedings During the Day: Always feed the baby at the start of each 4 hour block you have set, not 4 hours after she finishes. What time the baby finishes is irrelevant. Like the first feeding, it may take a few days for the baby to get the hang of waiting 4 hours, if your baby is not used to it. If this is the case, then use the tools in your daytime tool box to distract your baby to get those extra 15 minutes each time and by the time you know it you'll be right on the 4 hour track. You will find that the feedings will building on each other and your baby will easily be able to make it 4 hours with barely noticing. This hunger gained in the full 4 hours, will lead to the baby consuming more ounces, which will take longer to digest and in turn make it easier for your baby to stretch the time between the following feedings. Remember, every minute towards the goal schedule time is a step forward, but it is ok to take steps back. Steps back are not failures, just stepping stones.

Once baby makes it to 4 hours, stop stretching the feedings. You may see that the baby is not eating as much when going from 3 hours to 4 hours. Remember you are not reducing the amount of food your baby eats in 24 hours, you are merely concentrating the same amount of food into a lower number of feedings per day. Instead of 8 feedings of 3-4 ounces you will have 4 feedings of 6-8 ounces.  Either way the baby is getting 24 ounces in 24 hours.

But always put 1-2 extra ounces in the bottle just in case your baby wants to drink more, naturally over time your baby will want to take more.

Don't worry if your baby spits-up.

Ideally, each feeding should last no more than 30 minutes, however certain circumstances may take longer...multiples, or breastfeeding and then bottle-feeding.

Daytime Activity:

To help training, you need to make it inviting for your baby to stay awake. Take the baby out of the nursery to other places in the house. But always return the baby to the nursery for naps and sleep, that way they learn to understand play time versus sleep time. Between the third and fourth feedings should be your baby's most active time. Do things such as, a walk, floor/tummy time, bouncy seat, swing, singing time, ect. If the baby sleeps much between these feedings, you will have a hard time getting the baby to sleep after the forth feeding. Your baby should nap a one hour nap sometime between the first two feedings and a a 2-2.5 hour nap between the second and third feedings.

STEP TWO: Feedings During the Night: Gradually Eliminate All Night Feedings: STEP ONE helps you set up the night feedings, or lack of and STEP TWO depends a lot on how well your days are going.

Lengthen the time between night feedings: Unlike STEP ONE, where you want the baby to eat every four hours like clock work, at night you want to encourage length between feedings. Do not wake your baby for a feeding, let her wake on her own. Whether your baby eats two or three times at night, it is just important to follow their pattern. SO if your baby only wakes once during the night, then that's the only one you have to eliminate. You should never try to feed your baby more than three times per night unless medically necessary, again that "snacking" idea that you never want to encourage.

When the baby wakes, try to eliminate all stimulation. Your goal is to feed, burp, and place the baby back into the crib without fully waking her. You want her to basically sleepwalk through the feeding. She awakens but ideally, eyes are closed and movements are minimal.

Here are some tips:

1. Do not change the diaper unless it is necessary; poop.
2. Keep the room as dark as possible.
3. Do not make eye contact.
4. BE PREPARED: Have the bottle ready to go. --One of the biggest mistakes parents make is not having things ready to go. Your baby might go from stirring to full blown out screaming with eyes wide open and this will make it much harder for the baby to calm back down.

You always want the baby to spring forward with the feedings, so if she goes from two feedings down to one, you are making progress. If she goes an extra hour one night and makes it until 2:00 am instead of 1:00 am, then 2:00 am becomes the new feeding time you want to make it to. Never go backwards; so the next night, if the baby wakes up at 1:00 am again, try everything in your nighttime toolbox to get the baby to the new feeding time of 2:00 am.  You never want to wake the baby, always let the baby wake on her own, so you can reinforce the solid chunk of sleep. With multiples, you never want to wake the other baby/ies just because one wakes up. You always, again, want to encourage each baby's own sleep patterns. Each baby is different and each baby is going to be different, even if a multiple.

Think of this as investing for the future--a couple of weeks of hard work and sacrificing sleep will yield tremendous dividends in terms of future sleep for many years to come!

Gradually reduce food each night feeding, one at a time. Once the baby has a routine, you want to start to gradually reduce the amount of food the baby eats at each night feeding. But you do not want to reduce the amount of food at all night feedings at the same time. Once the baby eats less on her own, then encourage that, don't go backwards and feed the baby more or push the baby to eat more. I think an example is clearly needed in this category:

So, on Sunday night if the baby eats 3 ounces at the first feeding, 2 ounces at the second and 3 ounces at the third feedings, but then on Monday night eats 2 ounces at all the feedings on her own, then on Tuesday night only give the baby two ounces at all three feedings.

Eliminate Night Feedings in this order: SECOND, FIRST, THIRD

You are starting to reduce the amount your baby eats at the second night feeding on Monday night. On Sunday night, the baby drank 4 ounces at the second night feeding (consult your log). On Monday night the baby only gets 3.5 ounces as your starting point. Give the baby that amount of food three days in a row and then eliminate another .5 ounce and continue pattern.

Sun - 4 oz.
Mon-Wed - 3.5 oz.
Thurs-Sat - 3 oz.
Sun-Tues - 2.5 oz.
Wed-Fri - 2 oz.
Sat-Mon - 1.5 oz.
Tues-Thurs - 1 oz.
Fri-Sun - .5 oz.
Mon- 0 oz.

However, if the baby eats only 1 oz on the Sat-Mon night feeds instead of 1.5 oz, then start there the next night. Babies normally will reduce the amount they take on their own and therefore make the time go faster. So for each new ounces taken, do for three days before reducing unless she reduces on her own. Continue to reduce the feeding until it's completely eliminated. When it is completely eliminated, start the same pattern with the first feeding and then the third feeding.

It is very important to remember two things when eliminating the nighttime feedings:

1. Make sure the baby is getting in those lost night ounces during the day. The baby will own her own start to eat more during the day when the night feedings are eliminated but always encourage it.

2. Do not go backwards! Progress, not regress is your goal. Some parents want to add rice cereal in the last feeding of the day to encourage more sleep. It is not necessary but has proven beneficial with reflux and spitting up, along with assisting the baby to sleep longer. Use NO MORE than one to two tablespoons of cereal per 6-8 ounces of milk.

Breastfeeding and the Elimination of Night Feedings: See page 93. I'm skipping, as this is already super long and my husband is getting impatient.

STEP THREE: Sleeping During the Night: Baby Sleeps or Has Quiet Time in Crib for Twelve Hours at Night:

Establish a bedtime routine: 30 minutes before your fourth and final feeding (or longer if multiples - bath time takes me at least 45 minutes to 1 hr.) take your baby up to the nursery. You will need to do five to six things consistently each night to signal to you baby that is time to wind down and go to sleep. Consistency is the key once again.

This is what is recommend:

-Lower the ceiling light with a dimmer switch or turn on one or two lamps or night lights with low-wattage light bulbs.

-Close the blinds or lower the shades on any windows in the nursery, darkening shades are a plus, especially during times when the sun is out longer.

-Turn on soothing music, lullabies or classical music.

-Give baby a bath and/or massage.

-Nighttime clothes

-Read to baby

-Shut the nursery door and keep out other noises and light.

Feed baby: Use STEP TWO instructions to ensure your baby is getting enough food before bedtime:

Place baby in crib AWAKE: You want the baby to fall asleep on her own, however, she can fall asleep in your arms sometimes but just be sure she can still fall asleep by herself in her crib, or you may have problems.

Turn on a soothing musical crib toy: This can be a mobile, a soft toy or something that plays soft music for three to ten minutes.

Give the baby a safe, age-appropriate blankie or emotional toy that has the mother's scent: You should sleep with it for the first few nights to get your smell on it, the bay will love the small of you on it without you actually being there.

Kiss baby and tell her good-night.

Darken the room, leave the room, and close the door behind you.

How to Tackle Crying: The Limited Crying Solution:

Your job is to assist, not fix everything for baby. Of course, things the baby cannot fix, such as a poopy diaper or giving the baby a warm bottle is something they cannot fix themselves. Their emotional needs are needing to be soothed by a parent, not completely fixed. The goal is to teach the baby to fix the problems themselves by learning how to soothe themselves.

Let the baby cry five minutes before going into the nursery.

This is essential to helping your baby learn to sleep through the night. The baby is trying to figure out what is wrong and when she does, she will be able to put herself back to sleep without parental intervention. Between 8-12 weeks, it is so critical to let the baby find her way on her own.

If baby calms down at any point during the waiting period start the clock (5 mins) again.

If the baby starts crying at 9:15 pm and stops at 9:17 pm, but starts again at 9:20 pm, then the clock starts again at 9:20 pm. However, if you notice the baby's cry escalate to where something maybe really wrong, --little can be learned if the baby is completely out of control-- then go in.

If baby is still crying after five minutes, go into the nursery, and reassure the baby from the side of the crib without picking her up.

-Use your nighttime toolbox.
-Do not talk to or make eye contact with the baby.
-Shush the baby, but do not make conversation.

Once baby settles down, step away from the crib, leave the room, and close the door behind you.

Wait another 3-5 minutes before going in again.

Remember, your role is to step in and take it down a level for the baby, but do not fix the problem for her by soothing her back to sleep.

You might have to repeat these steps many times during the night, but it will diminish over time. The baby is ready to self-sooth, normally the problems arise in the parents not following the steps and letting the baby go backwards.

STEP FOUR: Sleeping During the Day: One Hour Nap in the Morning and Two-Hour Nap in the Afternoon

Babies need a morning nap and an afternoon nap. If they do not nap, they need quiet time, in their crib. Daytime sleep training should begin about two weeks after your baby is consistently sleeping through the night. You should use a "mini" version of your nighttime routine, so that it signals sleep to your baby. These naps should take place after your baby has eaten and had some awake/play time.

The first nap should take place between the first and second feedings. And the afternoon nap should be between the second and third feedings. There should be NO nap time between the third and final feedings.

If the baby cries or wakes during the daytime sleep times, you should use the same tools you use in your nighttime toolbox. It is also important that multiples all go down for their nap together, at the same time.

Chapter Five

Exceptions to the Rule - Skipping this section...read if interested. It goes over such things as when the mom goes back to work, missed nap times due to events, vacations, sickness, ect. The main point is that it should never take more than three to seven days to get your baby back on schedule, and of course, be as consistent as you can.

Chapter Six

Extreme Circumstances - This chapter goes over the very challenging circumstances where the plan has still worked! Situations such as, extreme colic, extreme acid reflux, cleft palates, mental retardation, constantly held baby, human pacifier, five-year-old sleeping with mom ect.


The End

Feel free to print this out and post it around your house so that you don't forget they key points too! All I ask is that if you use this plan, that you leave me a comment or email me, so that we can check back in with one another and give comforting words of advice when we might want to give up or pull our hair out!

12 comments:

  1. Wow so much information! My baby is due in September and I really hope I can stick to this plan, it would be great for all of us!

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  2. My baby girl - born full term will be 9 weeks tomorrow and was 8 pounds 15 ounces on Friday. I go back to work in three weeks and my goal is to follow this and get on track! She isn't a snacker and I really can't complain about her schedule.. but 12 hours.. ahhmazzing! Thank you so much for sharing!

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  3. Wow thanks for posting this! I will definitely be printing it out!

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  4. Thanks for posting this! I can't wait to start implementing this method!

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  5. This is so helpful, thank you!!

    What happens when the first middle of the night feeding gets pushed later b/c baby is still sleeping (yay) but then the second nighttime feeding ends up being closer to the morning feeding, say 2-3 hours instead of 4? If I'm helping push him fwd, I don't want to get caught up with feedings close to each other.

    Also, what happens when the baby starts to go to bed earlier, like 6 or 7?

    Thanks again,
    New Mom Jenny
    15-week Charlie

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  6. I'm about to try this with my 8 month old son. It's funny because my twin boys were actually born March 2011 when this post was written. Fortunately HSHHC worked wonderfully for them and they were decent sleepers until about 18 months :(. My youngest hasn't responded well to HSHHC. He will have a decent week or two and then completely regress. And with the twins also waking up multiple times a night, Hubby and I are just not sleeping! This technique looks promising and I'm excited to give it a shot! Do you have any tips for toddlers? ! Thanks, Karen (mom to Noah and Joel 2.5y, and Aaron 8 mos)

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  7. Thanks for posting! I have 11 week old twin bundles and I'm going to start using this today!!

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  10. Thanks for the summary post! Very helpful reminder after reading the book.

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  11. Thanks for this. Before reaching step four, what do you recommend doing with regards to daytime napping? Is consistency in time and length of naps important at that point? And once you do reach step 4, should napping happen before or after a feed? Thanks!

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  12. Hi, thanks this post is very helpful & couldn't come at a better time for me. My LO is 8wks old, weighed 9lb 12oz at weigh last week. She has Otten pretty good at sleeping at night and has had quite a few nights 4-6hrs sleep and a couple of almost 8hrs. She currently goes to bed sometime between 7-8pm depending how long it takes me to feed & settle her. Then sleeps anywhere from 3-8hrs. Over the past week this has probably been between 6-0 he. Hubby now wants to start waking her between 10-11pm for a feed in the hope she then has an 8hr sleep after. I think it's a nice theory but somewhat ambitious.
    I'm breastfeeding but hubby gives a bottle.of expressed milk if LO wakes before midnight. My sister gave me a book, Contented little baby, which suggests waking for feeds so he thinks it's a good idea whereas currently we follow her lead at night & feed roughly 3hrly during the day, though I think LO can go longer between mostly (HV said to do 3hrly) have been doing that unless LO is sleeping.
    Could you recommend somewhere to buy the book I'm keen to read the section (ASAP) on breastfeeding eliminating nighttime feedings that you were unable to include.
    Thanks (sorry for the long post!)

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