Sleep methods

Here's what each of 16 settling methods asks you to do at bedtime

They run from least crying to most, then the two routines set by the clock. The ones with trials behind them get the most space. Tap a dot on the map to jump to one.

Crying 1 of 5

You answer every cry

Feeding, rocking or holding to sleep

Also called responsive settling or contact naps

CryingClock
  1. Feed, rock, hold or carry your baby until they fall asleep, and do the same when they wake.
  2. Lay them on their back in their own cot once they are asleep, in your room for the first six months.
From
Birth
In the room
Yes, every time

What the guidance saysOne NHS trust's sleep page says feeding to sleep is normal in the first six months, and babies change it once they can settle themselves.1

The 5 S's

From Harvey Karp's The Happiest Baby on the Block

CryingClock

From newborn to about 4 months · In the room yes · Who Harvey Karp, a paediatrician whose company sells the SNOO bassinet

Swaddling, holding your baby on their side or tummy in your arms, shushing, swinging in small movements and sucking. Each one copies something from the womb to calm a crying newborn.2 Lay your baby on their back to sleep.

Possums

Neuroprotective Developmental Care, from Australia

CryingClock
  1. Answer your baby with milk and comfort whenever they ask.
  2. Fill the day with activity and new things to see, often outdoors, to build sleep pressure.
  3. Get up at the same time each morning to set your baby's body clock.
From
Birth; a toddler programme covers 12 to 36 months
In the room
Yes
Who
Dr Pamela Douglas and Dr Koa Whittingham, 2014

What the studies foundMothers using Possums reported less crying, better sleep of their own and lower depression scores by 12 months. The study compared them with a group who joined later and was not randomised, so some of that change comes with the baby getting older.3

Where Possums and Snug differPossums rejects wake windows, tired signs and putting a baby down drowsy but awake.4 Snug times naps from wake windows.

Crying 2 of 5

You make small changes and stay with them

Gentle sleep

From Sarah Ockwell-Smith's The Gentle Sleep Book

CryingClock

From newborn to 5 years · In the room yes · Who Sarah Ockwell-Smith

The book sets out how babies sleep at each age, then offers gentle, no-tears changes for waking, night terrors and the sleep space. It uses no controlled crying.2728

What the studies foundNo trial has tested this book's plan. A small 2022 trial of a responsive method found sleep results close to controlled crying, with less stressed mams.5

The no-cry approach

From Elizabeth Pantley's The No-Cry Sleep Solution

CryingClock
  1. Keep a sleep log for three nights.
  2. Use it to build a ten-day plan from the book.
  3. Try the Pantley Pull-Off. When your baby's sucking slows, take the breast, bottle or dummy out just before they fall asleep, usually after 10 to 60 seconds.
  4. Repeat it every night until your baby falls asleep on their own.
In the room
Yes
Who
Elizabeth Pantley

On the listsIt appears on 9 of 17 recommended book lists, more than any other.630

Fading out your help

Part of the gentle and no-cry approaches

CryingClock

From any age · In the room yes

You keep your usual way of getting your baby to sleep and do a little less of it each night, until they go into the cot awake. The Pantley Pull-Off works this way.30

Shush-pat

From Tracy Hogg, the Baby Whisperer

CryingClock

In the room yes, at the cot · Who Tracy Hogg

Lay your baby in the cot, then shush and pat their back in a steady rhythm. Hogg kept patting for seven to ten minutes after the baby calmed, then slowed the pats and stopped the shush.29

The EASY routine

From Tracy Hogg's Secrets of the Baby Whisperer

CryingClock
  1. Feed your baby when they wake (Eat).
  2. Play or go out after the feed (Activity), so they don't feed to sleep.
  3. Put them down to sleep (Sleep), then take time for yourself (You). The cycle comes round every 2 to 3 hours.
From
A day old, mainly under 6 months
In the room
Yes, with shush-pat or pick up, put down

What parents saySome Mumsnet parents found it prescriptive, and others preferred it to Gina Ford.732

Bedtime fading

Also called faded bedtime

CryingClock

From 6 months; the trial ran from 6 to 16 months · In the room your choice

You put your baby to bed later, by 15 minutes a night, so they're sleepy enough to drop off fast.31

What the studies foundIn a 2016 trial of 43 babies, bedtime fading cut the time to fall asleep as much as controlled crying did. Only controlled crying cut night wakings.8

Crying 3 of 5

You stay while they cry a little

Stay and support

From Lucy Wolfe's The Baby Sleep Solution, Gill Books, 2017

CryingClock
  1. Put your baby in the cot awake.
  2. Stay beside them with words and touch until they are calm enough to fall asleep on their own.
  3. Do the same at every waking. Your baby is never left alone to cry.
From
Sleep shaping for newborns, then up to six years
In the room
Yes, the whole time
Who
Lucy Wolfe, a sleep consultant in Cork

Where you'll hear of itIt is the method Irish outlets cover most, and RTÉ had a presenter try it in 2020.9

Pick up, put down

From Tracy Hogg, the Baby Whisperer

CryingClock
  1. When your baby cries in the cot, pick them up without rocking.
  2. Put them back down as soon as they calm.
  3. If they cry again, pat and shush. Pick them up again if the crying goes on, as many times as it takes.
In the room
Yes
Who
Tracy Hogg

The chair method

Also called gradual retreat, camping out or the Sleep Lady Shuffle

CryingClock
  1. Put your child in the cot awake and sit on a chair beside them.
  2. Comfort them with your voice, and a hand on their back if they are used to touch. Take your hand away before they fall asleep, and stay until they do.
  3. Every few nights, move the chair further away until you are out of the room. Kim West's Shuffle moves it every three nights.
From
6 months
In the room
Yes, moving further away every few nights
Who
The HSE's gradual retreat; Kim West's Good Night, Sleep Tight

What the studies foundCamping out was one of the methods in the Melbourne trial that found no harm at age six.10 The HSE suggests it for babies of six months and older.11

Crying 4 of 5

You leave and check

Controlled crying

Also called the Ferber method, graduated extinction, controlled comforting or timed checks

CryingClock
  1. After the bedtime routine, put your baby down awake and leave the room.
  2. If they cry, wait a set time, then go back for a short check with your voice and touch.
  3. Leave again, and wait a little longer each time and each night. Ferber's chart starts at 3, 5 and 10 minutes on night one and reaches 20, 25 and 30 by night seven.
From
6 months in most guidance; some pages say 3 to 5 months
In the room
No, between checks
How long
Ferber's chart runs seven nights
Who
Richard Ferber, 1985

What the studies foundIn a 2002 trial, 53 of 76 babies' sleep problems cleared within two months, against 36 of 76 without it, and the mams' low mood lifted.12 A 2016 trial found fewer night wakings, a small fall in the babies' stress hormone, and no difference in attachment a year later.8 Children followed to age six showed no lasting effect, good or bad.10

Crying 5 of 5

You leave until morning

Cry it out

Also called extinction or the Weissbluth method

CryingClock
  1. Do the bedtime routine and put your baby down awake.
  2. Leave the room until morning.
  3. Go back only to feed, change a nappy or check for illness.
From
4 months in Weissbluth's book; most trials start at 6 months
In the room
No
How long
Weissbluth says 3 to 4 nights
Who
Marc Weissbluth, Healthy Sleep Habits, Happy Child

What the studies foundA 2012 study of 25 babies in a five-day hospital programme found their stress hormone stayed raised on day three after they stopped crying. It had no control group and no reading from before the programme.13 A 2020 study of 178 babies found no link between being left to cry a few times in the early months and attachment or behaviour at 18 months.14 Other researchers disputed that finding in the same journal.15

Clock 5 of 5

Routines run by the clock

The Contented Little Baby routine

From Gina Ford's book, first published in 1999

CryingClock

Who Gina Ford, a former maternity nurse

Feeds, naps and bedtime run at set clock times from the first weeks, with each day split into slots.16 Ford suggests different amounts of crying at different ages.33

What parents sayMother&Baby says the book has divided parents since 1999. Some credit the timetable with getting them through the early months, and others say parts of it go against current thinking.16

Babywise

From Gary Ezzo and Robert Bucknam's On Becoming Babywise

CryingClock
  1. Feed at intervals you set, in the order feed, wake time, sleep.
  2. Put your baby down at set times, accepting some crying at naps.
From
0 to 12 months
In the room
No, at naps

The concernIn 1998 the American Academy of Pediatrics' newsletter linked the book's feeding schedule to poor weight gain, low milk supply and early weaning, and the Academy restated its advice to feed on cue.17 Bucknam took his name off Babywise in 2025.18

The research

What the studies found

Most trials tested controlled crying in babies of six months and older. Gentler methods have fewer trials behind them.

Melbourne Infant Sleep Study, 2012
No difference at age 6

225 children whose parents learned controlled comforting or camping out at 8 to 10 months. At six, no difference in behaviour, sleep, stress hormone or closeness to parents.10

31% of families did not take part at age six.

Hiscock and Wake, BMJ, 2002
53 of 76 sleep problems cleared

156 mothers of babies aged 6 to 12 months. Controlled crying cleared more sleep problems at two months, 53 of 76 against 36 of 76, and mothers' depression scores fell.12

Results were measured two months on.

Gradisar and others, Pediatrics, 2016
Both methods sped up falling asleep

43 babies of 6 to 16 months had controlled crying, bedtime fading or sleep advice alone. Both methods helped babies fall asleep faster. A year later attachment and behaviour were the same in every group.8

14 or 15 babies in each group.

Blunden and others, 2022
Mams on the responsive method were less stressed

41 babies of 4 to 12 months had a responsive method or controlled crying. Sleep results were similar, and mothers in the responsive group were less stressed and less low.5

A pilot, with 8 babies in the control group.

Middlemiss and others, 2012
The stress hormone stayed up on day three

25 babies of 4 to 10 months on a five-day cry-it-out programme in hospital. By day three they stopped crying, and their stress hormone stayed raised.13

No control group, no reading from before the programme, and an unfamiliar ward.

Bilgin and Wolke, 2020
No link with attachment at 18 months

Mothers of 178 babies reported how often they left their baby to cry. At 18 months that showed no link with attachment or behaviour.14

It watched what families did and taught no method. Davis and Kramer disputed it in the same journal.15

Douglas and Hill, 2013
No benefit in the first six months

A review of sleep training in the first six months found it did not improve outcomes for mothers or babies.19

A 2022 review of reviews still lists babies under six months as a gap.20

Park, Kim and Lee, 2022
Half the odds of a sleep problem

Ten studies pooled. Sleep methods halved the odds of a child sleep problem and improved mothers' sleep. Night wakings and mothers' depression did not change.21

The ten covered different methods and ages.

Health services

What the health services say

WhoUnder 6 months6 months and upWhere your baby sleeps
HSE, IrelandTry not to leave your baby crying for longer than a few minutes.22Wait a minute before going in. Gradual retreat, sitting by the cot, helps a child learn to fall asleep alone.11A cot in your room for at least six months. No bed-sharing under three months.23
An NHS trust, WirralDoes not recommend controlled crying at any age, and says babies should not be left to cry themselves to sleep.24Follows the Lullaby Trust.
Raising Children Network, AustraliaNot recommended.Controlled comforting and camping out, with no harm found at age six.25Not covered on these pages.
The Lullaby Trust, UKSafe sleep advice only, until 12 months.On the back in a clear, flat cot, in your room for six months. Never on a sofa or armchair with an adult.26

We make Snug. It works out the next nap from your baby's wake windows, and logging is free.

Get Snug

Sources

We checked every source on 5 October 2026 through a search tool's copy of each page. Open a link to read the page itself.

  1. Bedfordshire, Luton and Milton Keynes children's health (NHS). Sleep. bedslutonchildrenshealth.nhs.uk
  2. Little Big Dreamers. The best baby and child sleep training books. littlebigdreamers.net
  3. Crawford and others. An evaluation of Neuroprotective Developmental Care (NDC/Possums Programs) in the first 12 months of life. Maternal and Child Health Journal, 2022. doi.org/10.1007/s10995-021-03230-3
  4. Possums. Baby and toddler sleep help that isn't sleep training. possums.org
  5. Blunden, Osborne and King. Responsive sleep interventions compared to extinction interventions: a pilot study. Archives of Women's Mental Health, 2022. doi.org/10.1007/s00737-022-01224-w
  6. Seventeen recommended book lists from UK, Australian and US outlets, counted in Snug's research. See the books page.
  7. Mumsnet. Baby sleep books, and Best/worst books on babies' sleep. mumsnet.com, mumsnet.com
  8. Gradisar and others. Behavioral interventions for infant sleep problems: a randomized controlled trial. Pediatrics, 2016. doi.org/10.1542/peds.2015-1486
  9. Irish Examiner, Lucy Wolfe on how to help your baby overcome sleep difficulties, irishexaminer.com; and RTÉ, Janice Butler puts the Baby Sleep Solution to the test, 2020, rte.ie
  10. Price, Wake, Ukoumunne and Hiscock. Five-year follow-up of harms and benefits of behavioral infant sleep intervention. Pediatrics, 2012. doi.org/10.1542/peds.2011-3467
  11. HSE. Helping your child get back to sleep, 6 months and older. www2.hse.ie
  12. Hiscock and Wake. Randomised controlled trial of behavioural infant sleep intervention to improve infant sleep and maternal mood. BMJ, 2002. PubMed
  13. Middlemiss and others. Asynchrony of mother-infant HPA axis activity following extinction of infant crying responses. Early Human Development, 2012. doi.org/10.1016/j.earlhumdev.2011.08.010
  14. Bilgin and Wolke. Parental use of 'cry it out' in infants: no adverse effects on attachment and behavioural development at 18 months. Journal of Child Psychology and Psychiatry, 2020. doi.org/10.1111/jcpp.13223
  15. Davis and Kramer. Does 'cry it out' really have no adverse effects on attachment? Journal of Child Psychology and Psychiatry, 2021. doi.org/10.1111/jcpp.13390
  16. Mother&Baby. The Gina Ford method: what is it and does it work? motherandbaby.com
  17. AAP News. 'Babywise' advice linked to dehydration, failure to thrive. April 1998. publications.aap.org
  18. Healthline. Cry it out method: age, how long is too long, possible harm. healthline.com
  19. Douglas and Hill. Behavioral sleep interventions in the first six months of life do not improve outcomes for mothers or infants. Journal of Developmental and Behavioral Pediatrics, 2013. PubMed
  20. Drozd and others. An overview of reviews for preventing and treating sleep problems in infants. Acta Paediatrica, 2022. doi.org/10.1111/apa.16475
  21. Park, Kim and Lee. Effectiveness of behavioral sleep interventions on children's and mothers' sleep quality and maternal depression. Scientific Reports, 2022. doi.org/10.1038/s41598-022-07762-8
  22. HSE. Helping your child get back to sleep, 0 to 6 months. www2.hse.ie
  23. HSE. Where your baby should sleep. www2.hse.ie
  24. Wirral Community Health and Care NHS Foundation Trust. Sleeping. wchc.nhs.uk
  25. Raising Children Network. Camping out; and Murdoch Children's Research Institute, Teaching babies to sleep is safe. mcri.edu.au
  26. The Lullaby Trust. Safer sleep overview, and Room sharing. lullabytrust.org.uk
  27. GoodTo. 5 best baby sleep books. goodto.com
  28. Irish Times. Expert advice on how to get your child to sleep well. irishtimes.com
  29. MomJunction, Pick up, put down method, momjunction.com; My Baby Sleep Guide, P.U./P.D., mybabysleepguide.com
  30. Snoozeshade, Elizabeth Pantley gentle removal, snoozeshade.com; My Baby Sleep Guide, Gentle removal plan, mybabysleepguide.com
  31. Consultant360. Do behavioral interventions improve infant sleeping behaviors? consultant360.com
  32. The Cradle Coach. Our favourite baby sleep books. thecradlecoach.com
  33. Waterstones. The Complete Sleep Guide for Contented Babies and Toddlers, Gina Ford. waterstones.com