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Six-Month-Old Not Sleeping Through the Night

Pediatrics Expert Advice from Henry Bernstein, M.D.

Q: My baby is six months old and not sleeping through the night. Do you have the Ferber method or any suggestions?

A: You share a common concern of parents, since "not sleeping through the night" is terribly exhausting for everyone in the family. By this age, most babies, who are full term, healthy, and otherwise growing and developing normally, are capable of sleeping for eight to ten hours without the need to be fed or consoled during the night.

It is important to establish regular routines with the babies that are meant to promote longer periods of sleeping. If this is not happening, perhaps you are expecting too much or possibly your baby does not need as much sleep as other babies.

Some specific suggestions I can make include insuring a calm, relaxing bedtime schedule that is routine and happens regularly at about the same time each night. Reading a book, low-key play, and even one last feeding are all suitable during this ritual. Be sure to put the baby to bed in the same crib that will be used for the whole night. It does not help to have the baby fall asleep in one place (e.g. your bed) and then be moved to his crib. Placing him in his crib awake and then allowing him to fall asleep can also make a difference. Since significant variations can be problematic, consistency by all caretakers is most definitely a plus. I do recommend the Ferber method (best discussed in his book Solve Your Child's Sleep Problems ) for encouraging your baby to learn to fall asleep and stay asleep.

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Henry Bernstein, M.D., is currently the associate chief of the Division of General Pediatrics and director of Primary Care at Children's Hospital, Boston. He also has an academic appointment at Harvard Medical School.

Please note: This "Expert Advice" area of should be used for general information purposes only. Advice given here is not intended to provide a basis for action in particular circumstances without consideration by a competent professional. Before using this Expert Advice area, please review our General and Medical Disclaimers.

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