The Ultimate Guide To Baby Sleep Regressions

November 20, 2024

What is a Baby Sleep Regression?

Simply put, a baby sleep regression is the experience of your once great or even "ok" sleeper suddenly regressing into even worse sleep. Parents will often report that their baby that was once a great sleeper, sleeping 8+ hours is now waking frequently or even every hour of throughout the night. A baby sleep regression can look like anything from fighting sleep and fussing around bedtime to waking up every hour or staying up for long periods in the middle of the night. A regression isn't a couple of nights of poor sleep but a longer period of repeated wakings, fussing or anything that disrupts your baby's typical sleeping patterns over a 2-6 week period. Sleep regressions might not impact every baby and may not even be noticeable to parent's that have sleep trained independent sleepers, but if you are wondering if your baby is in a regression, there are signs to look out for.


Signs Your Baby is Experiencing a Sleep Regression


As previously mentioned, a sleep regression isn't just a couple of nights of poor sleep but is a longer period of time where your baby is experiencing poorer sleep habits than usual. Here are some signs that your baby may be going through a sleep regression:


  • Your baby is fussier than usual, especially around bedtime
  • Your baby takes longer to fall asleep than usual
  • Your baby is experiencing more frequent night wakings
  • Your baby is experience longer night wakings
  • Shorter naps
  • Fewer naps


If you think that your baby is going through a regression and are experiencing some of the sleep habits above, then your baby is likely going through a sleep regression. But don't worry, there are things that you can do to help your baby through a sleep regression and remember - it isn't going to last forever!


What Causes a Baby to Have a Sleep Regression?


Because sleep regressions are generally just a disruption in your baby's normal sleep patterns, there are multiple things that can be impacting your child's sleep.


Developmental Milestones


One of the most common reasons or causes for a baby sleep regression is developmental milestones that your baby is going through. These milestones can be physical (like sitting up or crawling) or cognitive (like learning to babble or talk). When your baby is going through developmental milestone it tends to occupy their mind and keep them distracted from other things (like sleep). You may notice before your baby is crawling that they might get on all fours and rock back and forth in their crib. Or sit up practicing clapping their hands when they should be happily snoozing away. This can be really scary when you realize that there are more than 20 developmental milestones a baby goes through within their first year of life! Luckily for parents, as we will get into later, there are ways that we can help our babies through regressions due to developmental milestones.


Growth Spurts


Another reason your baby might be experiencing a sleep regression has to do with how quickly they are growing. During growth spurts, your baby may tend to sleep longer periods or shorter periods due to pain or hunger. During these times it can confuse the routine and sleep schedule depending on if your baby is sleeping shorter or longer than usual. They may also be hungrier during this time which could contribute to more wakings overnight or fussiness.


Traveling


Most parents have experienced this where a baby is sleeping great until you go on vacation. Then you are sharing a room or a space, the schedule gets all out of whack or they get sick and then all hell breaks loose once you return back home. If you are about to travel and want to avoid a sleep regression, do the best you can to give your baby a separate space to sleep (like the closet or the bathroom) and stick as closely to your schedule as possible to avoid regression.


Teething


This is another one that almost all parents will experiencing with their teething. It can be really painful for some babies! Teething causes inflammation, ear pain, jaw pain, fevers, diarrhea, runny nose and other extremely uncomfortable symptoms for your babies, so it is not surprising that it can cause sleep disruptions! If your baby is teething and sleep is suffering, do your best to ease their pain and be patient with sleep. Teething should be over soon and you can resume back to your regular sleep schedule with your baby.


Sickness


Much like teething, this one is inevitable and uncomfortable. During this time babies will need a lot of extra attention, love and patience when it comes to sleep. For babies that are experiencing fever, coughing and congestion, laying on their back can be extremely difficult for sleep as it makes those symptoms worse. Helping hold babies through their nap times to avoid over-tiredness can be crucial to helping them through this time. Again, this time is usually a short period where you can provide your baby extra comfort before returning back to your regular baby sleep schedule.


Separation Anxiety


This is a more common cause of a sleep regression for toddlers than babies. When toddlers get a little older (about 18 months to 4 years) they begin to anticipate bedtime and experience separation anxiety from their parents which can cause a drawn out bedtime, fussiness and longer night wakings.


Common Sleep Regression Ages


As sleep regressions do tend to follow along with certain developmental milestones we can point to common ages when your baby might be experiencing a sleep regression. Here are the common sleep regression ages you can look out for:


  • 4 Months: Around this age babies are developing their circadian rhythm and sleep cycles are maturing, allowing them to experience more non-REM sleep. This can cause the baby to wake every hour or so but usually resolves itself within 4-6 weeks.
  • 8-10 Months: This sleep regression is usually associated with physical milestones like sitting up and crawling along with a likely age for teething.
  • 12 Months: This is another sleep regression that is linked to physical milestones (like walking) and an increased restlessness as they enter into the toddler phase. 
  • 18 Months: This sleep regression is linked to separation anxiety, independence and cognitive speech developments.
  • 2 Years Old: This sleep regression is linked to independence, testing boundaries, separation anxiety, transition to toddler bed and speech developments.


How to Help Get Through a Sleep Regression


Sleep regressions can be a difficult time, especially if you had a previously glorious sleeper. Parents are often left confused and wondering where their great sleeper went. The great news if you can diagnose the issue causing your baby's sleep regression - then there are ways you can help them through it. Here are some ways that you can help through sleep regressions:


  • Developmental Milestones: Help your baby practice their milestone as much as possible during their wake windows and especially before bed. If they get plenty of practice during the day, it will limit their need/want to practice it during the nighttime or naps when they should be sleeping!
  • Growth Spurts: Make sure that your baby is getting an increase in ounces and solids (if they are 6 months+) so that they aren't waking out of comfort. For any pain from growth spurts you can try tylonel (after consulting with your pediatrician).
  • Traveling: Stay as close to on schedule as you can and make sure your baby has their own place to sleep (like a pack and play and slumber pod).
  • Teething: Try offering teethers, teething crackers, etc during the day and with a pediatrician's approval you can also offer Tylonel throughout the day and before bedtime to help ease any pain.
  • Sickness: Set up a humidifier, give any tylonel for fevers (with pediatrician's approval), suck out any snot with a nose sucker, and offer any extra comfort needed to make sure they get the sleep they need. It is also okay during this time to offer more daytime sleep if needed to help them pass this sickness and recover.
  • Separation Anxiety: This is a tougher one. But what I have found works best is creating a solid dinner, bath and bedtime routine so your baby/toddler can understand that bedtime is coming. You can also practice words of affirmation like "I love you, i'll see you in the morning" over and over throughout your routine. Draw out bedtime and offer extra stories, comfort and cuddles before saying goodnight.


Sleep Training Your Baby


In my experience, babies that have been sleep trained and are independent sleepers tend to do better throughout the ages when we typically see sleep regressions. When a baby doesn't know how to self soothe and put themselves back to sleep without a dependent sleep prop (like rocking, nursing or a pacifier) they are going to continue to need those things throughout frequent wakings and other issues that may cause a sleep regression. When babies that are independent sleepers experience more wakings, discomfort etc, they are likely to put themselves back to sleep without parents even knowing they woke up in the first place. If you are worried about these sleep regressions, it might be a good time to consider sleep training to help your baby learn the skills to combat any impending sleep regressions.

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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.