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Baby Sleep Regression Stages: What to Expect and What Helps

TL;DR: Quick summarySleep regressions are short, normal patches of broken sleep that many babies hit around 4, 6, 8 to 9, 12 and 18 months, though not every baby has every one. Most pass within a few days to a few weeks. Keep routines steady, respond calmly, and bring it up with

By 33 min read
Baby Sleep Regression Stages: What to Expect and What Helps
In this article

TL;DR: Quick summary

Sleep regressions are short, normal patches of broken sleep that many babies hit around 4, 6, 8 to 9, 12 and 18 months, though not every baby has every one. Most pass within a few days to a few weeks. Keep routines steady, respond calmly, and bring it up with your doctor if trouble lasts a month or more.

Regressions are a normal, often temporary part of infancy, and research has not tied them to one exact age for every baby.
Teething, illness, growth spurts, nap changes and new skills like walking or talking are the usual triggers.
Steady routines, calm responses and small changes help more than big overhauls.
A problem that lasts a month or more, or a baby who seems unwell, is a reason to call your doctor.

What you'll get

Spot the common regression stages, from about 4 months to 18 months, and know what is normal at each one
Tell a regression apart from teething, illness or a sleep problem that needs a doctor
Use scripts, routines and simple steps to get through the hard nights

About 26 minutes to read. Short on time? Read the bold lines and the Key Takeaways near the end.

Picture a baby who has been doing so well. A decent stretch at night, a predictable nap or two, and you have just started to feel like a person again. Then, out of nowhere, bedtime becomes a negotiation, the night wakings come back, and naps shrink to a quick catnap in the stroller.

If that is your house right now, take a breath. You are very likely in a sleep regression, and it is one of the most common (and most exhausting) parts of the first two years.

This guide is for parents and caregivers of babies and young toddlers, from the early months to about 18 months. You will learn what each stage tends to look like, why it happens, how long it usually lasts, and what to do on the hard nights. You will also know when to stop waiting it out and call your doctor.

One honest note up front. The research on regressions is thinner than the baby sleep internet suggests. I will tell you where the evidence is solid and where I am giving you plain clinical common sense instead.

What is a baby sleep regression, and is it real?

A sleep regression is a short patch when a baby who was sleeping fine starts waking more, fighting naps or protesting bedtime. It is a normal, often temporary part of infancy. Most pass in a week or two, though the exact age and length vary from baby to baby.

Here is how I explain it to parents. A regression is not a diagnosis. It is a name for a pattern: sleep that was going well suddenly gets worse, and nothing obvious explains it.

That pattern is real, and many families meet it at some point. The good news is that it rarely means anything is wrong with your baby or your parenting.

What sets a regression off?

Regressions usually line up with something changing in your baby's body or day. The common triggers are teething, illness, growth spurts, changing nap times, and new skills like talking or walking.

Around 8 months, separation anxiety, overstimulation and increased physical abilities are on the list too. In other words, a regression often arrives with progress. Your baby's brain is busy learning, and sleep takes the hit.

Do regressions arrive at fixed ages?

You will see tidy charts online with exact dates. Use them as a rough map, not a calendar. Research has not shown regressions happening at a specific age for every baby.

Some babies skip the famous 4 month one altogether. Others hit a rough patch at an age no chart predicted. If your baby does not follow the chart, nothing is wrong.

Regressions typically last a week or two before children eventually get back on track.

Cleveland Clinic

What does a regression look like at home?

Picture a baby who has been sleeping a good stretch each night. Suddenly she wakes at midnight, cries when you leave the room, and takes a short nap the next day. That is the classic picture.

Here is what parents usually notice:

More night wakings than usual
Short naps, or fighting naps altogether
Protesting at bedtime when it was easy before
More clingy and fussy during the day
Harder to settle after waking

A true regression tends to show up fairly suddenly and eases as the trigger passes. If sleep has been rough since the newborn weeks, that is a different story. We will cover how to tell the two apart later.

Common mistakes in the first week

Blaming yourself or thinking you "created a bad habit" overnight
Changing the whole routine at once
Comparing your baby to a friend's baby
Treating every fussy night as a regression

Up next: the 4 month stage, the one most parents hear about first.

What happens at the 4 month sleep regression?

Around 3 to 4 months, sleep starts to consolidate into longer nighttime stretches, and that change can make nights bumpy for a while. Not every baby has it. Waking one to three times a night for feeds or comfort is still normal at this age.

This one is a little different from the others. Strictly speaking, it is less a step backward and more a change in how your baby sleeps. Sleep starts to consolidate, which means longer stretches overnight.

As that happens, babies move through lighter and deeper phases of sleep in a more grown up way. That gives them more chances to surface in the night. Whether they drift back down depends on a skill they may not have yet.

Why does it feel so hard?

Mayo Clinic Press describes it as babies beginning to experience separation and not knowing how to put themselves back to sleep. They wake, they notice you are not there, and they have no way to settle on their own.

Picture a baby who is always fed or rocked to sleep. At 2am she stirs between sleep cycles, finds herself alone in the crib, and cries. What put her to sleep has disappeared, so she asks for it again.

If your baby only sleeps in your arms, rocking your baby to sleep can make these wakings harder. That is not a crime. It just means practice at falling asleep, even a little each day, helps.

What is still normal at this age?

From 4 to 12 months, infants are recommended to get 12 to 16 hours of sleep per day. That includes three to four daytime naps and around 10 to 12 hours at night. Treat that as a rough target, not a score you must hit every day.

If your baby is a bit under for a few days, that is not a crisis. Look at the whole week. A baby who is playful and feeding well in the daytime is usually fine.

How to ride it out

  1. Keep the same short bedtime routine every night, in the same order.
  2. Sometimes put your baby down sleepy but still awake, so they get practice settling.
  3. Keep night wakings dull: low light, quiet voice, no play and no chat.
  4. Protect naps with a calm, dim place to sleep, because an overtired baby often sleeps worse.
  5. Share the load. Take turns with a partner or helper so one person gets a longer block of sleep.

Here is a script for the 2am cry. Walk in calmly and say, softly, "Shh, it's still sleepy time. I'm right here." Use the same words each time. Your baby learns the pattern, and so do you.

A steady background sound can soften the little house noises that rouse a light sleeper. For example, the Dreamegg portable noise machine is a portable option, which makes it easy to move between nursery and travel.

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Mistakes to skip

Cutting naps to "make baby more tired" at night
Introducing a new prop every night, such as a new toy, a new song and a new swaddle
Jumping to big changes after one rough night
Rocking or feeding to sleep for the whole bedtime and then being surprised by 2am wakings, if that is not a habit you want long term

Up next: what shifts at 6 and 8 months, when new skills and separation worries join the party.

What changes at the 6 and 8 month stages?

Around 6 months a regression usually lasts a few days or weeks, and around 8 to 9 months protesting at bedtime is very common. Teething, separation anxiety, overstimulation and new physical skills like crawling can all play a part. Both are normal.

The 6 month stage

A 6 month regression usually lasts a few days or weeks. That is a short window compared with how long it feels at 3am.

Most babies start sleeping through the night by 6 months. But "sleeping through" covers a lot of ground. A paper in the NIH library on early childhood sleep reports that at six months, 37.6% of infants slept less than six consecutive hours at night, while 43% slept eight consecutive hours.

So if your six month old still wakes, you are in very good company. Many babies sleep long, and many do not yet.

New skills often show up around now. A baby who has just learned to roll or sit may practice at 3am. That is progress, even if it feels like the opposite.

The 8 to 9 month stage

It is very common for babies around 8 to 9 months old to begin protesting at bedtime. The 8 month page from the Sleep Foundation lists teething, separation anxiety, overstimulation and increased physical abilities as likely causes.

Separation anxiety is the big one. Your baby is starting to understand that you exist even when you leave, and they do not like it. Bedtime is the biggest goodbye of the day.

For a deeper look at this stage, see our guide to the 8 month sleep regression.

What to say at bedtime

Keep goodbyes short, warm and predictable. Here is a script that works for many families:

  1. Finish the routine, then lay your baby down calmly.
  2. Say, "Goodnight, I love you. I'll see you in the morning."
  3. Leave while your baby is still awake and calm, even if they fuss.
  4. If the fussing builds, go back in, rest a hand on their tummy and say, "I'm here. It's sleep time." Then leave again.

Practice the idea in the daytime, too, so bedtime is not the only goodbye. Here are some easy games:

Play peekaboo, so your baby sees that you disappear and come back
Leave the room for a few seconds, call out "Back soon!", and return
Always say goodbye before you go, even for short trips
Keep drop offs with other caregivers brief and cheerful

Naps away from home

Naps are often the first thing to wobble. If naps happen in the stroller, in the car or at a grandparent's house, a small portable sound machine can give your baby the same background sound everywhere. The jaroco portable baby sound machine can suit trips as well as nights, so it is worth considering for naps away from home.

Mistakes at this stage

Sneaking out while your baby is distracted. They often panic more when they notice you are gone.
Long, dramatic goodbyes that raise the emotion in the room
Skipping naps to force an earlier bedtime, which can leave your baby overtired
Treating every bedtime protest as a sign you must change everything

Up next: the 12 and 18 month stages, where walking, talking and big feelings take over.

What happens at 12 and 18 months?

A 12 month regression usually does not last longer than a few weeks. By then most babies can sleep long stretches, but new skills and changing naps can shake things up. At 18 months, bring ongoing problems to your pediatrician if they last a month or more.

The 12 month stage

Most babies can sleep for six or more hours at a stretch by their first birthday. One study found that 72% of 12 month olds slept for six or more hours consecutively at night. So when sleep falls apart now, it is usually something specific rather than a basic lack of ability.

The usual suspects are new skills like walking or talking, teething and changing nap times. In most cases the symptoms of a 12 month regression do not last longer than a few weeks.

Picture a baby who has just learned to pull up to stand. At 2am she is standing in the crib, wide awake and proud, and she cannot work out how to get down. She cries, not because she is hungry, but because she is stuck.

That is why daytime practice matters. Let her practice pulling up and lowering down on the sofa and on the floor, again and again. The more she masters it by day, the less she needs to rehearse at night.

Sleep needs at this age

Children who are 1 to 2 years of age should get 11 to 14 hours of total sleep each day, including naps. That is a little less than the baby range, so you may notice your toddler needs a slightly shorter day of sleep.

Many toddlers move from two naps to one at some point in the second year. When that is happening, bedtime can drift. If naps are changing, try an earlier bedtime for a week or two while things settle.

The 18 month stage

Eighteen months is the age of big opinions. Your toddler is learning the word "no" and testing what happens when they use it. Bedtime becomes a stage for independence.

If sleeping problems continue for a month or more, parents should raise them with the pediatrician. That goes for any age, but it is worth saying here because a toddler's sleep problems are easier to untangle with help.

Our guide on toddler sleep regression goes deeper on the toddler years.

What to say and do

At this age, calm and clear beats clever. Here is a script for a toddler who stands up and protests:

  1. Say, "It's time to lie down. I'm right here."
  2. Help your child lie down gently, tuck them in, and say, "Night night."
  3. Leave without a long chat. Return as needed, with the same words each time.

Offer two small choices during the routine, such as "Do you want the blue pajamas or the green ones?" or "Which book first?" Choices give a toddler a sense of control. That control often reduces the bedtime battle.

A dim, easy to find light can help for night comfort. The Momcozy sound machine and touch lamp has a touch lamp with adjustable brightness, so you can see without switching on the big light.

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Mistakes to skip

Taking your toddler into your bed "just this once" every night, unless that is your long term plan
Long negotiations at 2am, which turn waking into a fun event
Giving up the bedtime routine because it feels pointless right now
Waiting months to raise a problem with your doctor

Up next: how to tell a regression from illness or a sleep problem that needs a doctor.

Is it a regression or something else?

A regression is a sudden change that eases within a few weeks, often alongside teething, a growth spurt, a new skill or a nap change. If sleep trouble lasts a month or more, or your baby seems unwell, talk with your doctor.

Not every sleep problem is a regression. Parents sometimes wait for a "phase" to pass when something else is going on. Here is how I help families sort it out.

Quick checks

Ask yourself these questions:

Did sleep change fairly suddenly, after a stretch of better sleep?
Is there a likely trigger, such as teething, a growth spurt, a new skill or a nap change?
Is your baby feeding, growing and playing as usual in the daytime?
Has it been going on for less than about a month?

If you can say yes to most of these, a regression is the likely explanation. If you are saying no to several, it is worth a chat with your doctor.

When it might not be a regression

Medical issues can disturb sleep. Ear infections, reflux, allergies and a stuffy nose are some of the usual suspects. None of those are "phases," and many of them can be treated.

If you ever worry about your baby's breathing, color or how hard they are to wake, get medical help straight away. Do not wait for the "regression" to pass. If you are unsure what level of fever or which symptoms should make you call, ask your doctor ahead of time what to watch for in your baby's age group.

Sleep problems that have been there since the newborn weeks, and never really improved, are also different. That calls for a conversation about your baby's whole routine and feeding pattern, not just a few weeks of waiting.

Keep a simple sleep log

A sleep log turns a blur of tired nights into a pattern you can see. You do not need an app. A notes page on your phone works.

Write down:

The time of each nap, and how long it lasted
Bedtime, and the time your baby actually fell asleep
Each night waking, and what settled your baby
Anything new that day, such as a skill, a trip or a possible tooth

Picture a family who logs four nights and sees that every waking happens after a late afternoon nap. That is useful information. It points to a nap schedule fix rather than a mystery regression.

Some parents like to watch their baby on a screen before walking in, so they do not rouse a baby who might settle alone. If that appeals, video baby monitors are one option. They are not necessary, though, and a quiet look from the doorway works too.

Mistakes to skip

Assuming "it's just a phase" when your baby seems unwell
Searching online at 3am and changing three things at once
Skipping your doctor's visit because you feel you should cope alone
Ignoring your own exhaustion. Tell someone if you are struggling.

Up next: what actually helps on the hard nights.

What actually helps during a sleep regression?

Keep things steady. Stick to your bedtime routine, check your baby is not overtired, respond calmly and keep the room dark and quiet. Make small changes, not big ones. Most regressions fade on their own within a few weeks, so patience is part of the plan.

Regressions are mostly a waiting game, but waiting does not mean doing nothing. The goal is to protect your baby's sleep habits and your own energy until the phase passes.

Build a bedtime routine you can repeat

A routine is a short string of the same steps, in the same order, every night. It tells your baby's body that sleep is coming. Keep it short enough that you can do it even on a bad day.

Here is a simple version:

  1. Feed, if that is part of your evening.
  2. A warm bath or a quick wash, if your baby enjoys it.
  3. Pajamas and a sleep sack or whatever sleep clothing your doctor has advised.
  4. A short book or a quiet song in a dim room.
  5. A calm goodnight phrase.
  6. Into the crib, following the safe sleep advice your doctor gave you.

If you are not sure about safe sleep rules for your baby's age, ask your doctor to go over them with you. Regression weeks are not the time to bend them.

What to say and do at night wakings

Your night voice should be quiet and boring. Your baby should learn that nighttime is for sleep. Try this plan:

  1. Wait a moment before you go in. Babies often fuss and then settle on their own.
  2. Keep the lights low and your voice soft.
  3. Offer a feed or comfort if your baby needs it. Keep it calm and brief.
  4. Say your usual phrase: "Shh, it's night time. I'm here. Time to sleep."
  5. Put your baby back in the crib while still calm, then leave.

Using sound and light

A steady background sound can help mask the little noises in a house. If you want to read more about why, see why white noise works.

There are several machines on the market. The BrownNoise sound machine with 30 sounds and a night light plugs into the wall and gives you a choice of sounds to use every night. If you like the idea of a soft light with sound for night feeds, the Momcozy smart baby sound machine has an adjustable night light and app control, though check its connection requirements before you buy.

If you like building routines around light and sound, the Hatch Baby sound machine and night light is one option to look at, and you can check its features on the product page.

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  • 𝗘𝘀𝘁𝗮𝗯𝗹𝗶𝘀𝗵 𝗵𝗲𝗮𝗹𝘁𝗵𝘆 𝘀𝗹𝗲𝗲𝗽 𝗵𝗮𝗯𝗶𝘁𝘀 & 𝗿𝗼𝘂𝘁𝗶𝗻𝗲𝘀: 𝖢𝗋𝖾𝖺𝗍𝖾 𝗁𝖾𝖺𝗅𝗍𝗁𝗒 𝗌𝗅𝖾𝖾𝗉 𝗋𝗈𝗎𝗍𝗂𝗇𝖾𝗌 𝖿𝗈𝗋 𝗂𝗇𝖿𝖺𝗇𝗍𝗌, 𝖻𝖺𝖻𝗂𝖾𝗌 𝖺𝗇? 𝗍𝗈𝖽𝖽𝗅𝖾𝗋𝗌…
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Whatever you choose, keep the volume low, place the machine well away from the crib and out of your baby's reach, and use the same sound each night. Ask your doctor what volume is right for your baby's age.

What helps you

Your sleep matters, too. A regression is a marathon, not a sprint, and a depleted parent has less patience for a fussy baby.

Share night duty so each adult gets at least one longer block of sleep
Go to bed earlier, even if the house is a mess
Say yes when someone offers to hold the baby while you nap
Keep your expectations low for a couple of weeks

Mistakes to skip

Trying a new gadget, a new schedule and a new routine all at once
Letting your baby become overtired by pushing naps too late
Starting a feeding or rocking habit you cannot keep up for months
Feeling guilty for needing a break

Up next: whether you can sleep train during a regression, and when to ask for help.

Can I sleep train during a regression, and when should I get help?

You can begin gentle sleep training during a 4 month regression, though some experts suggest waiting until 6 months. Many experts say 4 to 6 months, depending on how you define it. If sleep problems last a month or more, bring them up with your pediatrician.

Parents often ask me if they should wait for the regression to pass before they start anything. The honest answer is: it depends on your baby, your plan and how you define sleep training.

What gentle sleep training means

"Sleep training" is not one method. The Children's Hospital of Philadelphia notes that the right age depends on your definition of sleep training.

At one end are gentle approaches, such as a consistent routine, putting your baby down drowsy and sitting nearby while they settle. At the other end are methods with longer gaps between your visits. Many families land somewhere in the middle.

On how long a young baby should be left to fuss, CHOP adds that most sleep experts would not recommend letting a baby fuss for more than 10 or 15 minutes at that age. Use that as a ceiling, not a target. Many babies need much less.

Should you start during a regression?

You can begin gentle sleep training during the 4 month regression, though some sleep experts recommend waiting until 6 months of age. Your baby's health, your own energy and your family's values all matter here.

Ask yourself:

Is my baby healthy, feeding well and growing as expected?
Do the adults in the house agree on the plan?
Do I have a few quiet weeks, without travel or big changes, to stick with it?
Am I choosing a method I feel comfortable doing?

If you say no to several, waiting for the regression to pass is a reasonable choice. If you say yes, you can begin gently.

A simple gentle plan

  1. Choose a start night when both adults are home and rested enough.
  2. Do the full routine, finishing with your goodnight phrase.
  3. Put your baby down drowsy but awake.
  4. If your baby fusses, wait a short, set time, then go in. Rest a hand on their tummy and say, "I'm here. It's sleep time."
  5. Leave again, and repeat as needed, keeping your visits brief and boring.
  6. Stick with the same plan for a while before you judge it.

Keep notes, so you can see slow progress. A baby who cries a little less each night is doing well, even if nights still feel bumpy.

When to get help

Please do not wait for months. If sleeping problems continue for a month or more, bring them up with your pediatrician. Here are other reasons to call:

Your baby seems unwell, in pain or very hard to wake
You have worries about breathing, feeding or growth
Sleep has never been settled since the newborn weeks
You are so tired that you feel unsafe, hopeless or overwhelmed

That last one counts. Your wellbeing is part of your baby's wellbeing. Tell your doctor how you are really doing, not just how your baby is.

Mistakes to skip

Switching methods every two nights, so nothing has time to work
Letting a young baby cry longer than a sleep expert would advise
Starting when one adult is not on board
Taking a hard night as proof the plan has failed
OptionBest Age RangePrimary BenefitsMain DrawbacksRecommended ProductPrice Range
Steady white noise at bedtimeFrom the early monthsCovers small household sounds; rechargeable battery and timersOnly helps if volume stays low and the sound stays consistentDreamegg Portable Noise Machine$20.99
Portable sound for naps and travelAny age, including regression weeks away from homeSmall, USB C charging, timer that switches itself offFewer features and no night lightjaroco Portable Baby Sound Machine$14.39
Sound plus soft light for night feedsFrom the newborn weeks into toddlerhoodNight light with several colors, many sounds, phone app controlMust be plugged in and needs a 2.4G WiFi network for the appMomcozy Smart Baby Sound Machine$39.97
Routine builder for sound and lightFrom the early months, once routines start to matterApp routines and chat with sleep consultantsHighest price and relies on an appHatch Baby Sound Machine$79.99
Brown and white noise with night lightAny age30 sounds including brown noise, 5 timers, memory functionPlugged in only; the many light colors may be more than you needBrownNoise Sound Machine$19.99
Touch lamp with sound for toddlersFrom about the first birthdayDimmable touch light and a 1, 3 or 6 hour timerFewer sounds than larger machinesMomcozy Touch Lamp Sound Machine$24.99

What does a pediatrician say about timing?

If you take one thing from the research on timing, make it this: your baby is not a chart. Here is how a pediatrician quoted by Cleveland Clinic puts it.

That is the heart of it. Use stages as a rough map, and let your own baby show you where they are.

Key Takeaways

  1. Sleep regressions are a normal, often temporary part of infancy, usually linked to teething, illness, growth spurts, nap changes or new skills.
  2. They do not happen at one exact age for every baby, and not every baby has a 4 month regression.
  3. Most pass in a few days to a few weeks, so steady routines and calm responses are your best tools.
  4. Protesting at bedtime is very common around 8 to 9 months, so keep goodbyes short, warm and predictable.
  5. Gentle sleep training can start from around 4 to 6 months, depending on how you define it, and young babies should not be left to fuss for long.
  6. If sleep problems last a month or more, or your baby seems unwell, bring it up with your pediatrician.
  7. A steady sound and a dim light can support your routine, but they are helpers, not fixes.

If you are reading this at 3am with a baby on your shoulder, I want you to know this is not a sign you are doing anything wrong. Regressions are part of how babies grow, and they do pass.

Here is a sentence worth holding onto: a regression is a growth spurt for the brain, and sleep pays the bill for a little while. Keep your routine steady, keep your voice calm, and ask for help when you need it.

If this guide helped, save it for the next stage, and share it with another tired parent who needs to hear they are not alone.

Sources & References

  1. Sleep Foundation. "Babies and Sleep: Schedules, Sleep Needs, and Tips."
  2. Cleveland Clinic. "Infant Sleep Regression: What Parents Need To Know."
  3. Cleveland Clinic. "Infant Sleep Regression: What Parents Need To Know."
  4. Sleep Foundation. "4-Month Sleep Regression: Causes, Signs, and Tips for Coping."
  5. Mayo Clinic Press. "The sleep episode: For both you and your infant."
  6. Sleep Foundation. "4-Month Sleep Regression: Causes, Signs, and Tips for Coping."
  7. Sleep Foundation. "6-Month Infant Sleep Regression."
  8. Sleep Foundation. "8-Month Infant Sleep Regression."
  9. Sleep Foundation. "12-Month Infant Sleep Regression."
  10. Sleep Foundation. "18-Month Infant Sleep Regression."
  11. ZERO TO THREE. "Sleep Challenges: Why It Happens, What to Do."
  12. Sleep Foundation. "4-Month Sleep Regression: Causes, Signs, and Tips for Coping."
  13. Sleep Foundation. "12-Month Infant Sleep Regression."
  14. Sleep Foundation. "4-Month Sleep Regression: Causes, Signs, and Tips for Coping."
  15. Cleveland Clinic. "Will My Baby Ever Sleep Through the Night? All About Sleep in Your Baby’s First Year."
  16. Sleep Foundation. "12-Month Infant Sleep Regression."
  17. NIH (National Library of Medicine). "The Architecture of Early Childhood Sleep Over the First Two Years (PMC)."
  18. Sleep Foundation. "4-Month Sleep Regression: Causes, Signs, and Tips for Coping."
  19. Children's Hospital of Philadelphia. "Baby Sleep Questions, Answered."
  20. Children's Hospital of Philadelphia. "Baby Sleep Questions, Answered."

Frequently Asked Questions

Do all babies go through sleep regressions?
No. Research has not shown regressions happening at a specific age for every baby, and not all babies have a 4 month regression. Some sail through, while others have rougher patches at different ages. If your baby skips a stage on the chart, that is not a warning sign. Focus on how your baby is feeding, growing and playing during the day.
How long does a sleep regression last?
Regressions typically last a week or two before children get back on track. A 6 month regression usually lasts a few days or weeks, and a 12 month regression does not last longer than a few weeks in most cases. If sleep trouble goes on for a month or more, raise it with your pediatrician.
Is it normal for my 4 month old to wake at night?
Yes. It is normal for a baby at about 4 months to wake one to three times per night for feeding or comfort. Sleep starts to consolidate around 3 to 4 months, so nights can get lighter and bumpier before they improve. If your baby is feeding and growing well, this is usually part of normal development.
How much sleep does my baby need during a regression?
The needs do not change just because sleep is rocky. From 4 to 12 months, infants are recommended to get 12 to 16 hours of sleep per day, including three to four daytime naps and around 10 to 12 hours at night. Children aged 1 to 2 years should get 11 to 14 hours of total sleep each day, including naps. Aim for a rough balance across the week.
Can I start sleep training during a regression?
You can begin gentle sleep training during a 4 month regression, but some sleep experts recommend waiting until 6 months. Many experts say 4 to 6 months, though it depends on how sleep training is defined. If you try it, keep any waiting short and gentle, and stop if your baby seems unwell or very distressed.
Is it a sleep regression or teething?
It can be both, or one may set off the other. Teething, illness, growth spurts, changing nap times and new skills are all listed as common triggers. At around 8 months, separation anxiety, overstimulation and increased physical abilities may also play a part. If your baby also seems unwell or in pain, check in with your doctor.
When should I talk to my pediatrician about my baby's sleep?
If sleeping problems continue for a month or more, bring them up with your pediatrician. Call sooner if your baby seems unwell, you worry about their breathing, feeding or growth, or you feel overwhelmed by exhaustion. You do not need to wait for a set number of nights to ask for help.

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