“Sleep Readiness” is the title of Chapter 11 of the United States of America Department of the Army field manual (FM 7-22) that prepares young men and women to become soldiers. It is the official document that describes how all young recruits will acquire necessary skills during the process that is sometimes referred to as basic training or “boot camp.” Updated in 2020, it is based on empirical data using traditional scientific methods. Sleep is serious business.
If you have not already done so, please read Blog Posts 1 through 5 that describe how sleep is important and beneficial, from the point of view of the United States of America Department of the Army. I have lightly edited, added emphasis, and condensed Chapter 11 in order to show you how “Sleep Readiness” can also help parents help their child sleep better.
Initially, I posted Chapter 11 (Blog Posts 1 through 5) to emphasize the value of healthy sleep. Based on the material presented in Chapter 11 of the Army field manual, Blog Posts 6 through 15 show how basic principles of sleep apply, not only to military basic training, but also to parenting.
Going forward, I will post specific information for parents and children based on my book, “Healthy Sleep Habits, Happy Child.” Please do not be put off by my book’s length. For now, only read the single, age-appropriate Chapter for your child. Later, if you wish, read Chapters on What is Healthy Sleep, Why Healthy Sleep is Important, and Preventing Sleep problems. Finally, if needed, read the Chapter on Sleep Solutions.
Some babies fall asleep easy; sleep for long periods, both during the day and at night. Except for feeding or diaper changing, they seldom awake at night; and if they do have an unexplained night awakening, it is brief and they are easily soothed back to sleep. Some babies are the opposite. What might cause these differences among babies?
During the first 2 to 4 months, there appears to be an association between how well a baby sleeps and how much they fuss and cry. The more a child fusses or cries during the first 2 to 4 months, the more likely sleep is disturbed. The same three bullet points above influence fuss or cry behavior.
Babies fuss and cry even when they are not hungry, wet, or soiled and do not appear to be ill with fever, vomiting, or diarrhea. The definitions of unexplained “fuss” and “cry” behavior vary among researchers. But measurements (whether objective, using audiotape, videotapes, sleep sensors or subjective, using parent reports) can be made of how many episodes (or ‘bouts’ of fuss or cry behavior) occur and the total duration (minutes) of fuss or cry behavior. Because of the variability in definitions and measurements, hard conclusions are elusive. Nevertheless, all babies exhibit these behaviors; some a little, some a lot. Those babies with a lot of fuss and cry behavior are more likely to have disturbed sleep during the first 2 to 4 months which directly stresses parents, who now have less sleep for themselves, and indirectly stresses parents who naturally worry about when it will end, what is wrong with my baby, or what am I doing wrong?
Extreme fussiness/crying, in English speaking countries, is called “infant colic” or “three months colic”. In China, it is called “one hundred days crying”; in Vietnam, “three months plus ten days crying”, and in Japan, “evening crying”. The Western view is that this is a medical problem needing treatment, but the Asian view is that this is a normal, but difficult, stage of life. This behavior occurs in about 20% of babies. It disappears in about 50% of babies by 2 months, an additional 30% by 3 months, and an additional 10-20% by 4 months.
What is “colic” called in your country? How do you deal with it?
Those babies with the most amount of fussiness and crying during months 2 through 4 might:
If you are facing these difficulties, you might find yourself in survival mode. Your strategy is coping and caring for your baby during this difficult period. There is no “cure” for the fussiness and crying. Seek help (Blog Post 17), take breaks, without guilt, and recognize that your child is, and needs to be, parent-soothed because your child is not able to learn how to self-soothe during this temporary difficult period.
Here is what you can do to help: