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Evidence Library · Sleep

A baby who wakes at night is not a baby with a problem

At six months about a third of infants wake their mother every single night. In one cohort of 388 infants, night waking had no measurable link to development or to the mother's mood. A larger cohort found one association, and this topic gives both.

Ask when babies sleep through the night and you will get a confident answer. The confidence comes from the fact that nobody agrees on what the question means.

A New Zealand study followed 75 typically developing infants, with parents keeping sleep diaries for six days every month for a year, checked against overnight video. The researchers used three different definitions of sleeping through.

Definition usedAge at which half of infants met itNot meeting it at 12 months
Asleep from midnight to 5am3 months11 of 75 infants
Eight hours in a row3 months11 of 75 infants
Asleep from 10pm to 6am, the hours a family actually keeps5 months21 of 75 infants

Those counts work out at 14.7% and 28.0% (both percentages calculated by this guide from the counts the paper publishes). Same 75 babies, same night, and the failure rate doubles depending on which line you draw. The authors' own summary of the shape: The most rapid consolidation in infant sleep regulation occurs in the first 4 months.

A Canadian cohort of 388 infants asked mothers at 6 and 12 months, using either six or eight hours of uninterrupted sleep as the definition. Their result, stated as a range because the definitions and ages pull it around: Using a definition of either 6 or 8 hours of uninterrupted sleep, we found that 27.9% to 57.0% of 6- and 12-month-old infants did not sleep through the night.

And here is the finding that matters most in this whole stage. In that same cohort, sleeping through the night had no significant association with the infant's mental development, the infant's motor development, or the mother's mood, at the time or later. What it was associated with was breastfeeding: babies who slept through were much less likely to be breastfed.

The authors wrote: Considering that high proportions of infants did not sleep through the night and that no associations were found between uninterrupted sleep, mental or psychomotor development, and maternal mood, expectations for early sleep consolidation could be moderated.

A large American cohort of more than 1,200 infants, followed from 6 to 36 months, found two clear patterns. About 66% woke their mother roughly one night a week and stayed that way. About 34% were waking her seven nights a week at six months, dropping to two nights a week at fifteen months and one night by two years. Measures of the bond between infant and mother were not related to the waking.

One association, read carefully in both directionsIn that American cohort, mothers of the frequently waking infants had more depressive symptoms at six months. That is a snapshot taken at one moment, and its direction is not established. It does not show that a waking baby causes depression, and it does not show that a depressed mother causes a waking baby. Popular writing asserts both. Neither is supported here. What it does mean is that if you are the parent of a baby who wakes every night, your own mood is worth someone asking about.
Sleep trainingThis guide makes no recommendation about any specific sleep training method, its timing, or its safety, because no evidence meeting this guide's standard was found on that question. Anyone telling you there is a settled answer is going beyond what has been published.
If you are being asked whether the baby sleeps through"Which definition are you using? Eight hours in a row, or through the hours we are in bed?"
"He wakes every night. Is there anything in that I should act on, or is that inside the normal range?"
"I am not sleeping. That is a separate question from whether the baby is."
Where this comes from:
773. Henderson JM, France KG, Owens JL, Blampied NM. Sleeping through the night: the consolidation of self-regulated sleep across the first year of life. Pediatrics. 2010;126(5):e1081-7.
774. Pennestri MH, Laganiere C, Bouvette-Turcot AA, Pokhvisneva I, Steiner M, Meaney MJ, et al. Uninterrupted infant sleep, development, and maternal mood. Pediatrics. 2018;142(6):e20174330.
775. Weinraub M, Bender RH, Friedman SL, Susman EJ, Knoke B, Bradley R, et al. Patterns of developmental change in infants' nighttime sleep awakenings from 6 through 36 months of age. Dev Psychol. 2012;48(6):1511-28.

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This page is educational. It supports the conversation with your own clinicians. It is not consent to any treatment, and it cannot assess you. If you are worried about a symptom now, see urgent warning signs.