Friday, November 1, 2013

Sleep Training Baby Claire using CIO by Gina Ford

This blog post may help new parents who wish to try out Cry It Out (CIO) method for baby sleep training.

Disclaimer:  I am not an expert in sleep training and everything written here is based on my own experience. Every baby is different and thus some may take longer or shorter time to succeed in this training.

Before I go into the details (This is going to be a long post). Ask yourself why are you using this method? Is your baby waking up several times at night, wanting you to soothe her to sleep? Is your baby waking up several times at night wanting you to help her to put back on her pacifier? Do you need to hold and rock your baby for some time before she sleep? If above sound familiar, the CIO method may be a way to address them. However different parents have their own way of getting their baby to sleep. Some believe that it is natural for babies to be rocked to sleep. :)

Sadly, both of us lacked of the energy to do the above after a tired day at work. Neither would my in-law too. I was also afraid that they will be worn out after a long period of time. Thus, after deep considerations, we decided to try out this method.

Before you try this out, you have to ensure that your baby is not crying due to hunger, need diaper change, or is sick. Most importantly, you cannot be faint-hearted.

Being new parents, we were excited to see our very first baby. At the hospital, she was so so tiny and we held her for a pretty long time, sometimes more than an hr before she dozed off. She slept very soundly and peacefully.


When we returned home, Baby Claire had problem getting to sleep at night, and so I had breastfed and held her to sleep. This was really dangerous because there was an incident when I nearly dozed off and dropped her from my arm..oh gosh! When she was a month plus old, due to her insistent crying and refusal to sleep alone, we even let her slept side by side with us even though we had a cot. We placed her on our bed, and I sang and patted her till she slept. Her sleep time was around 11.30p.m or 12.30a.m...Justin Papa and I were really truly exhausted. Imagine what if we were to turn and flatten her.

To be honest, I didn't knew that sleep training and building routines were so important. I never had these ideas in my head that I could have read up on these and be more prepared before Baby Claire was born. I was much more into pre-natal stuff instead.

Thus, when Baby Claire was about 3 months plus, I began to google online about challenges of why babies cannot sleep earlier or on their own at night. There were tons of information but the most important finding was about building a good routine for the baby. Many experts and mummies online mentioned that babies love routines and they are good at following them. Please view my earlier blog post on setting routines for your baby.

Please note that your baby should be already in a comfortable routine before you start sleep training. This is to ensure that he or she is not crying because of hunger. Also, your baby should be well and healthy when you try out this method. I tried out sleep training when Baby Claire was 5 to 6 months old and coincided with my 2 weeks leave. The good thing was that she was already in a routine which I started when she was 3 to 4 months old. Thus, I knew that she was definitely not hungry if she was crying.

Step 1: Assist your baby to sleep if she is sleeping at the wrong timing (If you have yet to set her into a routine.

You must first determine a set timing for your baby to fall asleep and stick to it. Next you must use all means to assist the baby. 

How to assist her? For me, it will be the current way that you are helping her to sleep. If you have been rocking her, cuddling her, giving her a pacifier, just continue the same way to assist her to sleep.

Step 2: Using the "Crying It Out" (CIO) method
 
This sounds scary right? Initially when I read about this "Crying It Out" (CIO) or also known as the Crying Down method, I was like "Oh mine...you mean let her cry and cry and cry till she sleep or vomit?"

After reading Gina Ford, "The Complete Sleep Guide", I realized that is not totally the case.  

You can go reassure your baby after she cries for 5 mins, then extend to 10 mins, and so on. However, reassurance has to be kept to the minimum (less than 5 mins) by patting on her chest, and say "shhh..". And one thing to note, do not talk to your baby too much or even hold her up. Keep things as quiet and simple as possible.

Detail step to the CIO method:

Day 1

  1. After you have completed your bedtime routine (bath, milk feed, settling e.g singing lullaby, bedtime stories, etc), settle your baby in her cot when she shows signs of sleepiness and before she fall asleep. Kiss her goodnight and leave the room.
  2. If she is still crying after 5 to 10 minutes, you can go into her room and reassure her by stroking her or say "ssh ssh" but she MUST NOT BE PICKED UP. Keep this reassurance to around 2 minutes and exit the room. Repeat this step till it is half an hour later, and the time between visit should then be increased by another 5-10 minutes, i.e. around 15 to 20 minutes before the reassurance.
  3. Continue till your baby falls asleep. Baby Claire took around 45 minutes before she fell asleep. I guess she took longer than usual because previously we picked her up after letting her cry for 10 minutes. 
  4. For Baby Claire, she did woke up in the middle of the night and we follow step 2 and 3 again. She took around 30 to 40 minutes before she did soothe herself to sleep.

Day 2

  1. It is necessary for you to continue this training for her day-time naps as well. Wait at least 20 minutes before you check on your baby. Continue to keep the reassurance to a maximum of 2 minutes.
  2. When your baby does not sleep and it is near her time to get up from bed, you can perhaps extend another 15 to 30 minutes of sleep time to her routine. Baby Claire started to get into the pattern and took a shorter 30 minutes of crying before she soothed herself to sleep.
  3. When it comes to evening time, continue what you have done at Day1 where you complete your bedtime routine and settling. However, this time round, you can reassurance her by saying "ssh ssh" but do not stroke or touch her. 
  4. If she is still crying after the first hour, the time between visit should be increased to 35-40 minutes. 
  5. If she wakes up in the night, you should wait 45 minutes before checking on her. Do not speak or stroke her. Reduce the reassurance time to one minute. Baby Claire showed great improvements and only cried for 5-10 minutes before she soothe herself to sleep. YEAH!!! By the way, we were also trying to get her off her pacifier.
Day 3

  1. According to the expert, Gina Ford, she mentioned that most babies will be able to soothe themselves to sleep after 20 minutes. Pretty true for us. Baby Claire took around 10-20 minutes of crying before going to sleep. I didn't even once went into the room to reassurance her. Woo Hoo! 
  2. If your baby did not manage to soothe herself to sleep, or her training timing worsen. Start by timing your visits to 15 to 20 minutes of crying, and increase the interval till it is every 45 minutes. 
 This is a video of her when she was at her 3rd day of sleep training. :)


Personally, I feel that she is happier now because she is able to soothe herself to sleep. Ever since the training, she weaned off her pacifier too. :) However, there are certain days or nights where Baby Claire took longer time to sleep due to a few reasons like teething, separation anxiety, or maybe we let her sleep too much during her last evening nap, etc. So far, things still fall back into place.



It is also important that your caregivers practice the same routines and adopt the same methods to settle and allow your baby to learn how to soothe herself to sleep.

Hope the above sharing is helpful. A disclaimer again, I am not an expert in sleep training but wrote this article due to many similar concerns expressed by my friends and colleagues. However, if you have any questions, you can feel free to put in your comments or post a question at http://www.facebook.com/deariebearmommie 

You can also buy the book from Amazon.  Click here: The Complete Sleep Guide For Contented Babies & Toddlers


Cheers,
Deariebear Mommie

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