Healthy Sleep Habits, Happy Child
6
Living with and Soothing a Crying / Colicky Baby
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Healthy Sleep Habits, Happy Child

5th Edition: 
A Step-by-Step Program for a Good Night's Sleep

Buy now

Healthy Sleep Habits, Happy Child

5th Edition: 
A Step-by-Step Program for a Good Night's Sleep

Buy now

Report 6Living with and Soothing a Crying / Colicky Baby

My son, now 4 months old, had colic. He lacked the ability to fall and stay asleep. He would startle at the slightest noise and required darkness in which to sleep. Sleep, by the way, was only obtained by a very specific rocking/holding motion day and night for three months straight. When you mention “colic” to people, they immediately give you advice on symptomatic GI treatment. When I tried to explain how he was, nobody understood. Nobody. When I told our son’s pediatricians that he would stay awake for eighteen hours a day, they would just stare at me and make me take the Edinburgh Postnatal Depression Scale test once again. It was so very isolating. People would say, “You are spoiling him by holding him so much,” “All babies are difficult; get used to it,” “Just put him down and let him cry.” The degree of isolation and amount of criticism while caring for such a difficult baby cannot be understated. There is no way to describe how it feels to watch your new baby be so miserable. There are no words to fully explain this experience. I have a small but firm support system, and this experience pushed us to our limits. I had to leave my hard-earned career because I could not imagine how daycare could put forth the effort of care our son required.

I think ultimately parents have to experiment to find out what kind of soothing works best for their child at that particular time. I tried everything with my colicky child, who quickly became chronically overtired. We found that her preferred method of soothing changed as she learned to become a better sleeper over the course of one year. In the beginning, she seemed to like the “jiggle-sway.” We would hold her and swing her side to side while simultaneously jiggling her. (I also think that I had an easier time using that method because I was frantic and nervous.) As time went on, she preferred to be held in a rocking chair with quick, jiggle-like rocking. Now she likes to sit in your lap with slow, long rocks while reading a story. Once she’s ready for bed, she throws the book and starts to wiggle. You put her in her crib and she spends some time playing with her hair or pacifier and falls asleep. I also found that in the later stages of sleep training, Dad and Grandma had more success than me. Can’t really explain it because we all use the same sleep routines. If I had to do it over again, I would have read Healthy Sleep Habits, Happy Child before my daughter was born and not four months later. Then I would have understood that her extreme fussing was colic. I could have at least been armed with some tips and techniques to prevent or at least minimize the chronically overtired mess she became. I would also have made sure that I protected her naps and bedtime from day one. I also would have made sure that Dad was more involved and on the same page from day one.

My first child was colicky, too, and we had to do an extreme amount of bouncing also. The rocking chair was absolutely useless! We had to swaddle him and walk around bouncing him. He also preferred the sideways, facing-out position. I definitely wonder if colicky babies need more motion—almost like they need some sort of distraction. I tried rocking with my second baby, non-colicky. But I quickly switched to walking and bouncing because that was what I was used to. I think she probably would have been fine with less motion, but I reverted to what I “knew” worked. With my third, we were able to rock in the rocking chair. She would just sit there in my arms and fall asleep. It was such a weird experience for me!

Here is a story of a child who probably had extreme fussiness/colic, even though the parents wanted to call him sleep-deprived. Remember, these labels might be interchangeable and are far less important than your child’s behavior. There was no quick sleep solution, but improvement did come slowly. Patience is always rewarded if you are reasonably consistent.

When Jackson was 4 months old, he had never been on any kind of sleep schedule. He seemed to cry all the time and would only sleep about four hours at a time (if we were lucky!). My husband and I would spend hours on end, holding, rocking, bouncing, singing, playing, and doing anything we could think to do to get him to stop crying. Our pediatrician said that he had colic and there was nothing we could do about it but to wait it out. Looking back on it all now, I am convinced that he didn’t have colic at all, but was just plain sleep-deprived. At first we were hesitant to allow Jackson to cry without holding him. Given that we are both psychologists, we were scared that leaving him alone to cry would be emotionally scarring and would affect his attachment and self-esteem. But we were both sleep-deprived ourselves, stressed out, and desperate to try anything. Dr. Weissbluth’s belief that to not allow him to learn to soothe himself to sleep was damaging in and of itself was what allowed us to finally take the plunge. The first time I put him to sleep in his crib for a nap, I left the room and he screamed bloody murder. I sat at the top of the stairs and just cried and cried. I was convinced I was the worst mother in the world. After twenty minutes (which felt like an eternity), he finally fell asleep and slept for two hours. Unfortunately, later naps did not prove to be so easy. There were times in which he screamed for the whole hour (and I cried for the whole hour) and we would get him and try again later. Jackson was a bit resistant to the whole idea, and even though we were very consistent, he always put up a good fight. Even now, at 9 months old, Jackson will still cry before most naps and bedtime. Sometimes it’s thirty seconds, sometimes it’s thirty minutes. He sleeps so much better and longer than he ever did. We calculated that before he was averaging ten hours of sleep per day, and after just a few weeks he was sleeping around seventeen hours a day. The best part of all was that he learned how to sleep through the night. Now he goes to bed most nights between 6:00 and 7:00 p.m., and he wakes up usually between 6:00 and 7:00 a.m. He takes two naps per day, one around 9:00 a.m. and the other in the early afternoon. My husband and I finally got the sleep we needed, and the stress level went down dramatically. We have our evenings together back, which we desperately needed. And Jackson’s temperament is dramatically improved. I would still say he is a highly active baby, but would no longer say he is fussy. Before, I was certain we would never have another child because it was just too much on us emotionally. But now we are planning to conceive again within the next year.

Comments

  1. Hi Dr. Weissbluth,

    I have a 3 month old/13 week infant daughter. My child had extreme colic/fussiness from birth – 8 weeks of life. She would have inconsolable screaming episodes, some days starting first thing in the morning, and last all day into the night (typically needed by midnight). At night, she would sleep well between feeds for the most part.

    During the days, she would fight naps, and it would take anywhere from 45 mins to an hour of walking/shushing/bouncing to her to take any nap- which would range in duration from 5 mins to maybe an hour. All of these naps had to be contact naps. She would not tolerate being let down ever, or she would immediately wake up. Then, during week 7 of life, she fought sleep all hours of the day & night. We would walk her around the house until she would finally fall asleep at 3/4am. Then wake up an hour later. And the cycle repeated itself, followed by day time screaming. It was exhausting to say the least.

    At week 8, she seemed to ‘snap out’ of the colic. (At least the inconsolable crying episodes.) She still seems amped up and in ‘fight or flight’ throughout the day. She gets extremely fussy when over hungry or overtired. (Not quite the inconsolable way she was before, but definitely more verbal than a ‘normal’ baby).

    From the beginning, we have been relatively as strict as possible with establishing a schedule. She would eat every 2.5-3 hours, we would do a very brief wake window before getting her down for a nap (again, getting her to nap was a process). She would sleep over night and I would wake her up to feed her. This was pretty consistent until that above mentioned week 7 where she seemed wired even overnight.

    I think starting with that foundation is why we are able to have her on a decently followed schedule right now. She functions and thrives so much better when she naps and sleeps well.
    She is a baby, however, who requires a dark room with sound machines for naps. She will ‘cat nap’ in a moving car, but immediately awakens when the car stops. If we have an apt and her day gets thrown off, she gets overtired and has a hard time getting back on schedule with naps the rest of the day.

    Due to her extreme colic (she also has oral dysfunction so we have been dealing with retraining her oral
    motor skills), we returned to our home state for assistance from our family. Right now, her wake up time is 8:30am (which is 7:30am in our home time zone). She tolerates 90 minute wake windows and then goes down for a nap. Depending on the day, sometimes she protests for 1-2 minutes, others she cries for 15-20 minutes. For her morning nap, she usually sleeps between 1.5-2 hours consistently. She has another feed and 90 minute wake window. Her afternoon nap is usually around 1.5 (sometimes 2 hours) yet again. She has another 90 minute wake window and will go down for her 3rd nap. This nap varies in length (depending on how fussy she is). Sometimes it’s only 45 minutes. We get her up, start bedtime routine including bath and reading, then bonding with mom & dad. She gets her bottle and we put her down “for bed.” To this day, we have been waking her for a ‘dream feed’ between 8:30-10pm (depending on when she goes down for her bedtime). She then usually gives a 6 (most of the time) to 9 hour stretch before waking in the night for a feed, then will sleep until morning wake up 8:30am.

    Two questions:
    1. Is it reasonable to just drop that dream feed and establish an early bedtime of, say, 7:30pm and just letting her go? Will this help her to not wake up 6 hours later?

    2. Any other recommendations on why she wakes up after 6 hours? I’ve tried letting her cry it out for upwards of 45 minutes. Sometimes, she falls back asleep, other times she gets herself super worked up (this has been an ongoing issue since colic). I would love for her to average 10-12 hours of sleep uninterrupted overnight. I don’t know if dropping my late night dream feed will affect this?

    I have read your book (so thankful for it- really the only book out there that addresses colic and the differences of babies who have it). I am trying to not get frustrated in our progress with the understanding that colic babies may take longer to establish these healthy sleep habits. But it does bother me that so many of my family and friends did even less than I am doing and their babies slept through the night much earlier than we are.

    Looking for any supper/ guidance/ recommendations. Thanks in advance!

    Bonus question:
    Is it common for post-colic babies to be sensitive with napping/sleeping conditions? It feels like such a burden to want to take her out to do anything with the fear of her not falling asleep/or staying asleep long enough to get adequate sleep. It is hard to not feel stressed out when she gets fussy/crying.

    1. Thank you for your detailed narrative account. Dream feeds and wake windows are not useful and sometimes cause problems. Currently what is a common time that you begin a bedtime routine and the common falling asleep time?

  2. We are beginning the bedtime routine anywhere from 5:30-6:30pm, depending how the previous nap went. We always start with a bath following her waking up from her nap.

    Sometime during her “dream feed” it wakes her up a significant amount which causes her to have difficulty falling asleep.

    1. How would you describe her self-soothing skills?
      Place her alone (no screens nor parental or sibling interaction) for 10-15 minutes for 2-3 nights during the 60 minutes before you begin the bedtime routine. Describe her mood and behavior.

  3. We completed this task the past few nights. For 2 of the nights, she was content and babbling to herself the entire time. No issues at all. 1 of the nights she got fussy and cried about 8 minutes into being alone.
    Regarding self soothing in general, it really depends on her mood and how tired she is. Some days she easily self soothes, whereas others she goes 0 to 100 very quickly.

    1. The big picture describes a post-colic infant with an sleep debt.
      A trial of a temporary super-early bedtime might help: for 3-5 consecutive nights only, use a strict 5:30pm expected falling asleep time (she is bathed, dressed for sleep, fed, soothed, and you are leaving the room at 5:30pm). Keep a written record of latency to sleep onset, night wakings, wake-up times, fussing and crying. Look at my chapter on Sleep Solutions and if you feel comfortable, choose one and go for it; if not, that’s OK for now. During the day, keep the intervals of wakefulness brief, watch for drowsy signs (not wake windows) and do whatever you can to maximize sleep and minimize fussing/crying. For now don’t worry about habit formation regarding naps. Will your husband cooperate?
      Do not do this if you cannot commit to 3-5 consecutive nights or your husband is in opposition.
      How does this sound?

  4. Yes, both my husband and I are on board to commit to this. We will watch for drowsy signs as well. I will report back after the 5 days.

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