What is the Cry It Out method?

What is the Cry It Out method?

Jane Bradford

14 sept 2024

Guide

14 sept 2024

tired baby cuddling mom

You've probably heard whispers about the "Cry It Out" method. It's a topic that can spark heated debates faster than you can say "sleep deprivation." Trust me, I've been there – bleary-eyed at 3 AM, wondering if I'll ever sleep again. That's why I've dug deep into the world of baby sleep training to bring you this comprehensive guide on the Cry It Out method.


Whether you're considering this approach or just curious about what all the fuss is about, you're in the right place. We'll explore what Cry It Out really means, dive into the science behind it, and look at both sides of this controversial coin. So, grab a cup of coffee (you'll need it!), and let's unravel the mysteries of the Cry It Out method together.


Understanding the Cry It Out Method: Definition and Origins

Alright, let's start with the basics. The Cry It Out method, often abbreviated as CIO, is a sleep training technique where parents allow their babies to cry for set periods before offering comfort. The idea is to teach babies to self-soothe and fall asleep independently.

Now, before you picture parents callously ignoring their wailing infants, let me assure you – it's more nuanced than that. The term "Cry It Out" actually encompasses several approaches, ranging from stricter to more gradual methods.

The origins of CIO can be traced back to Dr. Emmett Holt's 1894 book, "The Care and Feeding of Children." But it was Dr. Richard Ferber who popularized a specific CIO technique in his 1985 book "Solve Your Child's Sleep Problems," leading to the term "Ferberizing."


How Does the Cry It Out Method Work?

Picture this: it's bedtime, and instead of rocking your baby to sleep, you put them in their crib awake. You say goodnight and leave the room. If your baby cries, you wait for a predetermined amount of time before briefly checking on them without picking them up. You gradually increase these waiting periods over time.

The process typically looks something like this:

  1. Establish a consistent bedtime routine

  2. Put your baby to bed drowsy but awake

  3. If they cry, wait for a set time (e.g., 3 minutes)

  4. Briefly comfort them without picking them up

  5. Leave the room

  6. If crying continues, wait for a longer period (e.g., 5 minutes)

  7. Repeat, gradually increasing waiting times

The idea is that over a few nights (usually 3-7), your baby learns to fall asleep on their own. Sounds simple, right? Well, as any parent knows, when it comes to babies, nothing is ever that straightforward!


What Age is Appropriate for the Cry It Out Method?

Now, here's a crucial point: CIO isn't a one-size-fits-all solution, and it's definitely not suitable for newborns. Most sleep experts, including the American Academy of Pediatrics, recommend waiting until your baby is at least 4 to 6 months old before trying any sleep training method.

Why? Because younger babies need nighttime feedings and aren't developmentally ready to self-soothe. Plus, their sleep patterns are still all over the place (much like a new parent's sanity!).


The Science Behind Crying It Out: What Researchers Say

Let's get down to the nitty-gritty: what does science say about CIO? Well, it's a bit of a mixed bag.

A 2016 study published in Pediatrics found that babies who underwent sleep training (including CIO methods) showed no signs of stress or attachment issues compared to babies who didn't. In fact, their cortisol levels (a stress hormone) were lower a year later.

On the flip side, a 2012 study by the University of North Texas suggested that excessive crying could lead to increased stress hormones, potentially affecting brain development and emotional regulation.

It's important to note that many of these studies have limitations, and more research is needed. As parents, we often have to make decisions based on the best available information and our own instincts.


Is the Cry It Out Method Harmful to Babies?

This is the million-dollar question, isn't it? The truth is, there's no definitive answer. Some experts argue that CIO can cause stress and impact the parent-child bond. Others say that when done correctly, it's not harmful and can lead to better sleep for everyone.

Dr. Edward Tronick, a developmental psychologist, emphasizes the importance of responsive parenting. He suggests that prolonged crying without comfort could potentially affect a baby's developing nervous system. However, he also notes that brief periods of controlled crying in the context of sleep training are unlikely to cause harm.

The key seems to be in the application. Short periods of crying in a loving, responsive environment are vastly different from prolonged neglect. It's all about finding a balance that works for your family.


Pros and Cons of the Cry It Out Sleep Training Technique

Like everything in parenting, CIO has its upsides and downsides. Let's break them down:

Pros:

  • Can lead to faster sleep training results

  • May improve sleep duration for babies and parents

  • Teaches babies to self-soothe

  • Can reduce bedtime battles

Cons:

  • Emotionally difficult for parents to implement

  • May not suit all babies' temperaments

  • Potential for misuse if not done correctly

  • Concerns about stress and attachment (though research is inconclusive)

Remember, what works for one family might not work for another. It's all about finding what feels right for you and your baby.


Alternatives to Crying It Out: Gentler Sleep Training Methods

If the idea of CIO makes you uncomfortable, don't worry – there are plenty of other fish in the sleep training sea. Here are a few popular alternatives:

  1. The Ferber Method: A more gradual approach where you check on your baby at increasing intervals.

  2. The Chair Method: You sit by your baby's crib, gradually moving the chair further away each night.

  3. Pick Up, Put Down: You comfort your baby briefly when they cry, then put them back down awake.

  4. Gradual Withdrawal: Slowly reduce the amount of help you give your baby to fall asleep over time.

  5. No-Cry Solutions: These focus on creating optimal sleep conditions and gradually changing sleep associations.


How Do CIO Alternatives Compare in Effectiveness?

When it comes to effectiveness, it's not a clear-cut case of one method trumping all others. A 2018 review of sleep training methods found that most approaches, including gentler ones, can be effective.

The key difference often lies in the timeline. CIO methods tend to work faster (usually within a week), while gentler methods might take several weeks to see results. It's a classic tortoise and hare situation – slow and steady can win the race too!


Implementing the Cry It Out Method: A Step-by-Step Guide

If you've decided to give CIO a try, here's a step-by-step guide to help you through the process:

  1. Choose your method: Decide whether you're going "full extinction" (no checks) or using a graduated approach.

  2. Set the stage: Create a calm sleep environment and establish a consistent bedtime routine.

  3. Pick your start date: Choose a time when you can be consistent for at least a week.

  4. Prepare emotionally: It's going to be tough. Have a support system in place.

  5. Put your baby down awake: After your bedtime routine, put your baby in the crib drowsy but awake.

  6. Start the timer: If using graduated CIO, wait for your predetermined time before checking.

  7. Keep checks brief: If you check on your baby, keep it short and avoid picking them up.

  8. Stick to the plan: Consistency is key. It usually takes 3-7 days to see results.

  9. Take care of yourself: Sleep training is emotionally draining. Practice self-care during this time.


What Should Parents Expect When Using the Cry It Out Method?

Buckle up, parents – it's going to be an emotional rollercoaster. Here's what you might experience:

  • The first night is usually the hardest, with crying potentially lasting up to an hour or more.

  • You might see improvement by the third night, but don't be discouraged if it takes longer.

  • Some babies may cry for shorter periods but wake up more frequently at first.

  • You might feel guilty, anxious, or doubt your decision. This is normal!

  • Most parents see significant improvement within a week, but every baby is different.

Remember, consistency is crucial. If you give in after an hour of crying, you've just taught your baby that crying for an hour works. Stay strong, but also trust your instincts if something doesn't feel right.


When to Stop or Modify the Cry It Out Approach

While CIO can be effective, it's not always smooth sailing. Here are some signs that it might be time to pause or adjust your approach:

  • Your baby is getting more upset rather than less as the days go on

  • Your baby is vomiting from crying so hard

  • Your baby seems fearful or clingy during the day

  • You're feeling extremely stressed or resentful

  • There's been no improvement after two weeks of consistent implementation

In these cases, it might be worth trying a more gradual approach or consulting with your pediatrician for personalized advice.


Frequently Asked Questions About the Cry It Out Method


Can Crying It Out Cause Psychological Damage?

This is a common concern, but current research doesn't support long-term psychological damage from controlled crying in the context of sleep training. A 2012 study in Pediatrics found no differences in emotional and behavioral problems or attachment issues between children who were sleep-trained as babies and those who weren't.

However, it's crucial to implement CIO correctly and responsively. Prolonged neglect or using CIO with very young babies could potentially have negative effects.


How Long Should You Let a Baby Cry It Out?

There's no one-size-fits-all answer, but most CIO methods suggest starting with short intervals (3-5 minutes) and gradually increasing. Some parents set a maximum limit (like 1 hour) and intervene if crying continues beyond that point.

Remember, the goal isn't to let your baby cry indefinitely, but to give them a chance to learn to self-soothe. Always trust your instincts – if the crying seems unusually intense or prolonged, it's okay to check on your baby.


Does the Cry It Out Method Work for All Babies?

In short, no. Every baby is unique, and what works for one might not work for another. Factors like temperament, age, and overall health can all influence how a baby responds to CIO.

Some babies might learn to self-soothe quickly, while others might become more distressed with this method. It's essential to consider your baby's individual needs and adjust your approach accordingly.


Can You Use Cry It Out for Naps?

While it's possible to use CIO for naps, many sleep experts recommend starting with nighttime sleep first. Naps can be trickier because daytime sleep drive is usually lower than at night.

If you decide to try CIO for naps, be prepared for it to take longer than nighttime training. Also, be mindful of appropriate wake windows to ensure your baby is truly ready for sleep when you put them down.


What If My Baby Vomits During Cry It Out?

Some babies may cry so hard that they make themselves vomit. If this happens, pause the sleep training for the night. Clean your baby up, comfort them, and put them back to bed when they're calm.

If vomiting becomes a regular occurrence during CIO, it's best to stop and consider a gentler approach. Always consult with your pediatrician if you're concerned about your baby's reaction to sleep training.


In conclusion, the Cry It Out method is a controversial but potentially effective sleep training technique. Like all parenting decisions, it's about weighing the pros and cons and deciding what feels right for your family. Remember, there's no one "right" way to teach your baby to sleep. Whether you choose CIO, a gentler method, or a combination approach, the most important thing is that it works for you and your baby. Sweet dreams!

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Note: This content is for informational purposes only and should not replace medical advice from your doctor, pediatrician, or medical professional. If you have questions or concerns, you should contact a medical professional.