Don't Worry if Your Infant Doesn’t Sleep Through the Night by 6-12 Months of Age
McGill University research team finds that many healthy babies don't reach this milestone right away
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New parents often expect their babies to start sleeping through the night by around 6 months of age. Indeed, they often receive messages from pediatricians and others about the importance of early sleep consolidation. But authors of a study conducted by McGill University researchers in Montreal, and reported in the December 2018 issue of Pediatrics, found that a large percentage of healthy babies don’t reach that milestone by 6 months of age — or even by the time they are 1 year old.
The McGill University-led research team also examined whether infants who didn’t sleep for six or eight consecutive hours were more likely to have problems with psychomotor and mental development, and found no association. The researchers also found no correlation between infants waking up at night and their mothers’ postnatal mood.
The researchers analyzed information from the Maternal Adversity, Vulnerability, and Neurodevelopment Project longitudinal birth cohort study, which recruited participants from obstetric clinics in Montreal, Québec, and Hamilton, Ontario. Sleeping through the night was defined as either six or eight hours of sleep without waking up.
Sleep measures were available for 388 infants at 6 months old and 369 infants at 1 year old. At 6 months of age, according to mothers’ reports, 38 percent of typically developing infants were not yet sleeping at least six consecutive hours at night, and more than half (57 percent) weren’t sleeping eight hours. At 12 months old, 28 percent of infants weren’t yet sleeping six hours straight at night, and 43 percent weren’t sleeping for eight hours straight at night.
Researchers saw a difference between sleep patterns of boys and girls. At 6 months old, a slightly higher percentage of girls than boys slept for eight hours straight (48 percent vs. 39 percent). Researchers also found no correlation between infants waking up at night and their mothers’ postnatal mood. But they did discover that babies who didn’t sleep for six or eight consecutive hours had a significantly higher rate of breastfeeding, which offers many benefits for babies and mothers.
Sleeping through the night somewhere between 6 to 12 months of age is generally considered the “gold standard” in Western nations. Indeed, behavioral sleep training is popular among parents and professionals to encourage the children to sleep. But lead researcher Marie-Hélène Pennestri from McGill University’s department of educational and counseling psychology and the Sleep Clinic at Hôpital en santé mentale Rivière-des-Prairies hopes that the results of the study will allay some parental worries.
“Our findings suggest parents might benefit from more education about the normal development of — and wide variability in — infants’ sleep-wake cycles, instead of only focusing on methods and interventions — especially for those who feel stressed about methods such as delayed response to crying,” she says. “Maternal sleep deprivation is often invoked to support the introduction of early behavioral interventions, but it may be that mothers’ expectations about being awakened at night along with the total number of hours they sleep over the course of a day are better predictors of maternal well-being. It is something that will need to be considered in future studies.”