Navigating Sick Season: How To Help Your Sick Baby Sleep

October 25, 2024

As we quickly approach Winter and the cold/flu season we will all inevitably end up sick with sick children. It isn't until we are in that situation that we think about our child's sleep while sick and how to navigate those times. If we are lucky, we stay healthy but still have to take care of a little one that isn't feeling (or sleeping) their best. You may be wondering a lot of things during this time like


  • Should I let my sick baby sleep all day?
  • How do I get my overtired and sick baby to sleep?
  • Should I change my babies sleep environment to improve sleep while sick?
  • Should I sleep close to my baby while they are sick to keep an eye on them?


It is totally normal to have these thoughts and questions racing through your brain as you try to navigate the world of a sick baby's sleep. Chances are that during this time you are also sick and everyone needs their rest! It could even be the first time your baby is sick and that can cause extra stress on any new parent. Luckily, there are things you can do and ways that you can adjust their sleep to help them stay on track and get the rest they need.


Let Your Baby Sleep as Long as they Need


During the course of your baby's illness you will likely find that the schedule and routine goes right out the window, and hear me when I say that THAT IS OKAY! When your baby is sick, they may need extra support to sleep. Your once independent sleeper isn't feeling their best and may need some extra snuggles to get to sleep and stay asleep and it is okay to veer from your normal routine to help them get the rest they need. A couple of days or even a week of extra sleep support is not going to ruin your good sleeper, and it is important to let any control around your sleep schedule to go to support your baby through their sickness! When a baby is sick and congested with a cough it is always worse for them when they are laying down trying to sleep on their back, which as we know is the safest position for newborns and infants until they are able to roll onto their stomachs or sides on their own. This makes it extra difficult for them to settle into sleep without being disturbed by a scratchy throat, constant nasal drips and coughing. Please avoid propping up your baby, placing them on their stomach or any other measures that could cause asphyxiation. There are other measures that you can take to make sure that your baby is set up for success when it comes to sleep while sick.


Help Your Baby's Cold/Flu Symptoms as Much as Possible


When your baby is sick, they often are struggling to clear their nasal passage and breathe properly. Helping them get rid of as much snot and congestion as possible will help keep their passages clear and get comfortable for sleep. I recommend using a Frida Baby Nose Aspirator to suck the snot out of their nose as often as possible leading up to naps and bedtime to keep their nose clear. Something else you can do is provide Tylonel (with your pediatricians permission) to lower any fever and help with any pain and discomfort that they may be feeling. You can also help clear the congestion with steamed showers and a cold air humidifier in their room that with help with breathing. Doing these things throughout the day will likely make your baby more comfortable and better able to sleep for naps and throughout the night.


Set Appropriate Expectations When it Comes to Your Baby's Sleep While Sick


Again, your baby isn't feeling well and it is going to be harder for them to settle in some cases and managing expectations can help your mental health as you move through the week and tackle sleep. Lean into this time where you can offer extra snuggles and support to your baby. If you find that your baby cannot settle into naps because they aren't feeling well or their cough is just too strong, try a contact nap. Often keeping them upright on your chest can help drain any congestion that is ailing them and can give them that much needed rest that they need to start healing and getting better. Once your child is feeling better, you can resume your typical sleep methods that rely less on your support for their sleep. But just remember, it is okay to accommodate their extra sleep needs during this time to get them the rest they need.


Yes, Let Your Sick Baby Sleep Longer During the Day


While I do typically advise that daytime sleep is capped at 2 hours during the day to preserve nighttime sleep, when a baby is sick they need more sleep than usual to heal and start to feel better. Letting your baby nap longer during the day Is fine as long as they are getting the proper feedings that they need throughout the day. If your baby Is not yet on solids and relying on bottle feedings or nursing, try and keep your feeding schedule the best you can. You want to make sure during this time that your baby isn't missing any feedings, but you can feed them and put them right back down if they are seeming lethargic. For older infants that are eating solids and have feedings that are more spread out, you can let them sleep for longer stretches if it is needed during this time they are sick. Just make sure they are well hydrated and you're getting whatever food into them that you can!


Should I Sleep Train When My Baby is Sick?


In short, no. You should not sleep train your baby while they are sick as they need extra sleep support during this time. Sleep training should only be conducted when a baby is healthy, not in a regression and within their normal sleep environment. If you are in the middle of sleep training when your baby is sick, you will want to press the pause button and continue once they are feeling better. Moving forward with sleep training when your little one doesn't feel good will not work and it will leave you and your baby stressed and in distress. Give your baby the sleep support they need during this time and restart on sleep training once they are feeling better.


Remember That it isn't Forever


It can be so frustrating when we are on track with sleep and then something like sickness, teething or another transition gets in the way. Just try and remind yourself that it won't be forever and that once you get through this, you have the tools you need to get your baby back on track! If you are struggling to return to better sleep once your child is feeling better, don't hesitate to reach out for help! I am happy to help your family on your way back to better rest.

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Understanding Baby Sleep: Wake Windows and Sleep Needs by Age As a new parent, it can be overwhelming trying to figure out how much sleep your baby needs and when they should be awake. Babies' sleep patterns change rapidly during the first year, and understanding their sleep needs can help improve their quality of rest—and yours too! One key concept to grasp is "wake windows"—the optimal amount of time babies should stay awake between naps. Too much or too little wake time can affect their ability to fall asleep easily, leading to more frequent wake-ups or an overtired baby. In this post, we'll explore how wake windows and sleep needs change as your baby grows, from 0-12 months. Newborn to 3 Months (0-12 Weeks) Wake Window: 30 minutes to 1 hour Total Sleep: 14-18 hours per day Newborns need a lot of sleep, and their wake windows are short, typically lasting between 30 minutes to an hour. At this age, babies are still getting used to the world outside the womb, so their sleep is divided between naps and longer stretches of sleep at night (although nighttime sleep can still be fragmented and unpredictable). In these early weeks, your baby will typically sleep in short bursts throughout the day and night. Their total sleep time will be around 14-18 hours per day, but keep in mind that most of this sleep will be light, with frequent awakenings for feedings. Key Points For Newborn Sleep: At this stage, sleep cycles are short (about 45 minutes), so babies may wake up frequently. Most babies will still need nighttime feedings. Try to watch for sleepy cues, as it’s easy to miss your baby’s sleep window when they are this young. Practice putting your newborn down awake to help lay a foundation for better sleep and sleep training in the future (you'll thank yourself for this!) 4-6 Months Old Sleep Wake Window: 1.5 to 2 hours Total Sleep: 12-15 hours per day By the time your baby is 4 months old, you’ll notice they can stay awake for longer periods between naps. Their wake windows will gradually extend to about 1.5 to 2 hours. During this period, babies start to consolidate their sleep a bit more and may even begin to sleep longer stretches at night, though it’s still normal for some babies to need one or two nighttime feedings. Total daily sleep is around 12-15 hours, with the majority of that sleep divided into 3-4 naps. Naps can range from 30 minutes to 2 hours depending on the baby. Key Points About 4-6 Month Old Sleep: The transition from newborn sleep patterns (frequent naps) to more structured sleep begins. Establishing a consistent nap routine and bedtime can help set the stage for better sleep habits in the future. Start implementing a bedtime routine to encourage good sleep hygiene, such as a bath or a gentle lullaby. The 4 month regression can be a tough one, stay consistent in your routine and consider sleep training at 4.5-5 months to help them move through their sleep cycles without a sleep prop. 6-9 Month Old Sleep Wake Window: 2.5 to 3 hours Total Sleep: 12-14 hours per day By 6 months, babies generally have a more predictable sleep schedule. At this point, many babies drop from 3 naps to 2 naps per day. Their wake windows stretch to 2.5 to 3 hours, and they typically sleep a solid 10-12 hours at night, with fewer nighttime feedings. However, some babies may still experience sleep disruptions due to teething or developmental milestones. Babies around 6 months may also begin to develop a more defined circadian rhythm, meaning their sleep patterns become more aligned with day and night, and they begin to sleep more consistently at night. Key Points About 6-9 Month Old Sleep: Most babies drop from 3 naps to 2 naps a day. Focus on developing a consistent sleep routine, including a calm and relaxing pre-sleep ritual. At this age, babies may experience separation anxiety or other sleep regressions as they become more aware of their surroundings. 9-12 Month Old Sleep Wake Window: 3 to 4 hours Total Sleep: 12-14 hours per day As your baby approaches their first birthday, their wake windows extend even further. By now, most babies can stay awake for 3 to 4 hours between naps. Sleep tends to consolidate even more, with most babies sleeping 11-12 hours at night and taking 2 naps during the day (one in the morning and one in the afternoon). This age is a big developmental leap—babies may be crawling, pulling up to stand, or even walking, which can affect their sleep patterns. Additionally, around 9 months, babies may experience another sleep regression due to these changes. Key Points About 9-12 Month Old Sleep: Most babies take 2 naps a day at this age (morning and afternoon). Your baby’s nighttime sleep should be more consistent by now, though they may still wake up occasionally. Be prepared for possible sleep disruptions due to developmental milestones. 12 Month Old Sleep Wake Window: 4 hours Total Sleep: 12-14 hours per day By their first birthday, most babies have developed a solid sleep routine. They can typically stay awake for about 4 hours between naps and will usually take two naps a day—one in the morning and another in the afternoon. Most babies this age sleep around 12-14 hours in total, including both nap time and nighttime sleep. Night wakings may still happen occasionally, but they become less frequent as your baby transitions into toddlerhood. They may also begin to drop the morning nap in favor of a longer afternoon nap. Key Points About 1 Year Olds Sleep: Babies usually transition to a 2-nap schedule by the time they are one year old. It’s a good time to reinforce a consistent bedtime routine to help them wind down at night. Begin to pay attention to their growing independence and new milestones, which may affect their sleep. Tips for Managing Sleep During the First Year Create a Consistent Sleep Routine: Babies thrive on predictability. Establish a calming bedtime routine (such as a warm bath, story, or gentle lullaby) to signal to your baby that it’s time to sleep. Watch for Sleepy Cues: Every baby is different. While some may yawn, others might become fussy or rub their eyes. Pay attention to these cues to prevent your baby from becoming overtired, which can make it harder for them to fall asleep. Be Flexible: As babies grow, their sleep needs change quickly. Be prepared for occasional regressions or changes in their sleep patterns as they reach new developmental milestones. Keep Naps in a Quiet Environment: The best nap environment is a dark room, with a white noise machine and a cool environment (with your baby properly dressed). Don’t Be Too Hard on Yourself: Every baby is different. Some babies sleep longer or more consistently, while others may need extra comfort or have sleep disruptions. Trust your instincts, follow their wake windows and help them learn independent sleep and you'll find yourself in a great place with sleep before you know it. The first year of your baby’s life is a time of incredible growth and change, and their sleep needs reflect that. By understanding and adjusting to their natural sleep rhythms, you can help them (and yourself!) get the rest you both need. Remember, the key is to be flexible and patient as you navigate this journey. With time, your baby will develop their own sleep pattern, and soon enough, you'll both enjoy longer stretches of peaceful rest. If you are finding yourself struggling with sleep, please know you are not alone and you don't have to do it alone. Please check out my sleep services and find one that will help your family best.