4 month sleep regression
Why I don't recommend the DockATot
Oh the 4 month sleep regression! I know from personal experience how ROUGH this regression can be. If it weren’t for this awful regression, I might never have found the world of baby sleep so I guess in a way, I should be thankful for it!
Let’s talk about all your burning questions about the 4 month sleep regression and how to prepare for it!

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Does every baby go through the 4 month sleep regression?

Every baby is going to go through the changes that cause the 4 month sleep regression. However, there are some magical babies who just don’t seem phased by this regression. There are just SO many changes that happen right around this 4 month mark that your baby’s sleep is bound to take a hit. Let me break down these 6 major changes for you:

 

Changing Sleep Patterns: This is the point where your baby’s sleep changes from newborn sleep to adult-like sleep. Their sleep is now comprised of 5 different stages and they spend more of their sleep in a lighter stage than before. This increases their chances of waking more frequently, maybe even every 45 minutes overnight and during naps!
Not only that, they also start off in a very light sleep so if you are assisting them to sleep currently, you will need to continue holding them until they are in a deep enough sleep to be laid down without being jolted awake.

 

Reverse Cycling: Increased night wakings can cause parents to feed their baby more often than they previously were. This can lead to reverse cycling:
  1. Feed your baby often overnight
  2. Baby is not hungry or is distractedly eating during the day
  3. Baby is more hungry at night from not eating well during the day
  4. And the vicious cycle continues…
I see this one occur a lot. A newborn may have been down to eating only once a night and then they hit the 4 month regression and start waking more often. Parents overcompensate with multiple night feeds but hunger isn’t necessarily the reason the baby is waking and out of this we see an eat-to-sleep association being perpetuated. 
reverse cycling
Naps: Naps on the go or baby-wearing naps become much less effective and less restorative at this point. You might have had a great napper who would sleep in the living room with everything going on around them or nap easily in the car seat as you ran in and out of places doing errands. Not anymore!
Your little one is just too awake and alert now and they become too distracted to nap well on the go. This is also the age that motion naps (like baby-wearing, car naps, and swings) start to become more of a hindrance than a help. 

 

Room sharing: Currently, the AAP recommends room sharing for the first 6 to 12 months of life. Since your baby is more aware and alert, room sharing may make it hard for them to sleep. Mom just smells too good when they have these more frequent wakings overnight. And of course your baby would prefer some cuddles and attention from their best friend if they know you are right there!
It's also a lot harder for parents to give their baby time to fall back asleep if they are right there and know a quick nursing will do the trick instead.

 

 

Rolling: Rolling can start occurring during this time too! Once your baby starts rolling, they can sleep on their tummies. You should still place your baby on their back to sleep. But if they roll to their tummy, you don’t have to flip them over and over.
This can be a hard one for parents because we have had back sleeping so drilled into our heads that it becomes hard to flip that mindset once your baby can roll. This can be a really anxious time as you watch your baby sleeping flat on their stomach, but take heart that if they can roll there themselves, this is considered safe.

 

Swaddle Transition: Hand in hand with rolling comes the need to unswaddle. Once your baby starts to roll, you need to stop swaddling. This can be a rough transition but it needs to happen. As your baby starts to wiggle around more, they will find their ideal sleeping position.

How do we prepare for the 4 month sleep regression?

Ok great, so now I know all of the awful changes headed my way but HOW do I prepare for them? Don't worry, I’ll tell you!

 

Changing Sleep Patterns: Knowledge is power. If you know your newborn is about to have their sleep habits change, you can be ready to respond accordingly. Do what you can to prepare by setting healthy sleep habits from the start. Does your newborn get any practice falling asleep without help?
If they do, this will give you and them confidence in this skill before the 4 month regression even hits. And you will both be able to lean on that skill as their night wakings become more and more frequent overnight. Eventually, they will settle back into their routine of sleeping for longer stretches but not if they are now reliant on a feeding or a rocking to fall back asleep. 
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Reverse Cycling: Try not to rush into each new waking by offering a feeding. Make sure you’re doing everything possible to help them eat well during the day. If they are becoming distracted eating during the day, you may need to start feeding them in a quiet, dim room to help them focus.
If you're not quite ready for formal sleep coaching, then see if you can help them resettle with something less intrusive. A hand on the chest, replace the pacifier, waiting 5 minutes before intervening, a brief pick up to calm, etc. 

 

Naps: You'll need to start making naps a higher priority for your baby. These naps should take place a majority of the time in their pitch dark sleep environment with white noise. Not out in the living room or on the go.
At 4 months, your baby’s wake windows are right about 2 hours so you need to make sure that they are having the chance to sleep every 2 hours during the day.
On the same thread, a lot of babies are ready to drop from 4 naps a day down to 3 naps a day at this age. This means bedtime will shift earlier but this is a good thing and will protect them from over-tiredness.

 

Room Sharing: If you have cleared it with your pediatrician, you can move your baby to their own room. If not, try to provide some separation: move them further from your bed, put up a screen, use a master closet or a SlumberPod (5% off with ALLTHESLEEPS). Each of these steps will provide more separation and help them fall back asleep more easily if they have frequent night wakings.

 

Rolling: Try not to over help with this one. If your baby is rolling onto their tummy for sleep time and they are content to stay that way, leave them be! If they are accidentally rolling onto their tummy and then getting angry, don’t swoop in to save them right away. Give them some space to either try to roll back, become more comfortable on their tummy, or, if those both fail, to act as a deterrent for them.
If you rush in to flip them over each time they roll to their tummy, you will cause this stage to last A LOT longer than necessary. Have a clear plan for how you will respond if your baby rolls over and gets mad about it.

 

Swaddle Transition: Like I mentioned above, by this age, the swaddle has to go. I’ve got a great blog I wrote about tips for Transitioning Out Of The Swaddle. Bottom line, make a plan. I’ve got a couple great products that I recommend for easing this transition like the Merlin Sleep Suit and the Zipadee Zip - take 15% off order with code: ALLTHESLEEPS15.

 

mom and baby together

Can the 4 month sleep regression start at 3 months?

It can! I’ve seen the 4 month sleep regression start anywhere between 3 and 5 months. It’s not always exactly at the 4 month mark so that’s why it’s a good idea to be prepared and have a plan for when it happens. Most importantly, remember that an overtired baby is going to be affected much more by all these changes than a well-rested baby.

 

Should you start sleep coaching during the sleep regression?

I hear this question a lot! Parents are worried that because their child is going through a sleep regression, that they should wait to sleep coach. I disagree with this.
If your child’s sleep dependencies are making the sleep regression harder, then you won’t see sleep improve much until those sleep dependencies are removed and your child is able to fall asleep on their own. This is what sleep coaching accomplishes and I’ve coached many families to independent sleep during the 4 month sleep regression.
Trust me, this is the one regression that is ‘here to stay’ because of the way your child’s sleep patterns are changing for good. 

 

Are you hitting the 4 month sleep regression and ready to make some positive sleep changes?

Check out my Baby Sleep Resource page for my various free and paid offerings. I'd love to help!

carianna pediatric sleep consultant

Posted in Baby Sleep, Naps, Newborn Sleep, Night wakings, Regressions, Sleep Tips.