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    Night wakings and normal sleep development

    It is normal for infants to wake at night. But how often is normal, and when does it become a problem? Research helps us understand what to expect.

    Normal sleep development

    Newborns sleep in short periods around the clock. Gradually, sleep consolidates into longer nighttime stretches, but this process varies widely between children.¹ By 6 months of age most infants sleep for longer periods at night, but night wakings are still very common.²

    How common are night wakings?

    Research shows that a majority of infants wake at least once per night at 6–12 months of age. Many wake 2–4 times.² "Sleeping through the night" is often defined in research as 5 hours of continuous sleep, not the 8–12 hours many parents expect.³

    Biological factors

    Infant sleep architecture differs from that of adults. Infants have shorter sleep cycles (about 45–50 minutes compared with 90 minutes in adults) and spend a larger proportion of sleep in active sleep (equivalent to REM sleep). During active sleep the child is more easily woken. Brief awakenings between sleep cycles are entirely normal. Even adults wake briefly between cycles but usually fall back asleep without remembering. Infants sometimes need help falling back asleep at these transitions.¹

    When it becomes a problem

    Initially, infants wake mainly because they are hungry, which is completely normal and necessary. As the child grows older, frequent night wakings are more often about waking between sleep cycles and not managing to fall back asleep independently. If the child needs help to fall back asleep – for instance through feeding, being rocked or other support – that is perfectly fine as long as the family does not experience it as a problem.² But if frequent wakings negatively affect the child's daytime wellbeing or the family's health, it may be worth reviewing the sleep situation.

    Key points

    • Night wakings are biologically normal in infants
    • A majority of infants wake at least once per night at 6–12 months
    • Infant sleep cycles are shorter than adults' (about 45–50 min vs 90 min)
    • The definition of "sleeping through the night" in research is often 5 hours

    Related

    References

    1. Galland, B. C. et al. (2012). Normal sleep patterns in infants and children: a systematic review of observational studies. Sleep Medicine Reviews, 16(3), 213–222.
    2. Hiscock, H. & Wake, M. (2001). Infant sleep problems and postnatal depression: a community-based study. Pediatrics, 107(6), 1317–1322.
    3. Henderson, J. M. T. et al. (2010). Sleeping through the night: the consolidation of self-regulated sleep across the first year of life. Pediatrics, 126(5), e1081–e1087.
    4. Grigg-Damberger, M. M. (2016). The visual scoring of sleep in infants 0 to 2 months of age. Journal of Clinical Sleep Medicine, 12(3), 429–445.
    5. Sadeh, A. et al. (2009). Sleep and sleep ecology in the first 3 years: a web-based study. Journal of Sleep Research, 18(1), 60–73.