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Sleep and Your 4- to 7-month-old

By this age, your baby should be well on the way toward an established sleep pattern. Most likely the pattern includes at least two naps a day, plus at least 7 or 8 hours of nighttime sleep.

During these months, your baby will learn to roll over and position himself or herself for sleep. Toward the end of this period, your child may be able to stay awake or be kept awake by surroundings, so this is the time to instill good sleep habits by sticking to a bedtime routine.

How Long Will My Baby Sleep?
While the average number of hours slept per day at this age is 14, the range of normal is quite wide, with some babies sleeping only 9 hours and others sleeping as much as 18.

Where and How Should My Baby Sleep?
Always keep sleep safety in mind. Make sure the crib you are using meets current safety standards. Don't put anything in the crib that can interfere with your baby's breathing - stuffed animals, blankets, or soft pillows can fall on a baby's face and block breathing. Avoid items with ties or ribbons that can wrap around a baby's neck, and objects with any kind of sharp edge or corner.

Once your baby is pulling himself or herself up using the sides of the crib, it's time to remove the soft bumper cushions around the crib and the mobiles hanging over it. The bumpers can give your baby a dangerous "leg up" for climbing out of the crib and falling, and babies can get tangled in hanging mobiles. Don't forget to look around for the things that your baby can touch from a standing position in the crib.

Wall hangings, pictures, draperies, and window blind cords are potentially harmful if left within your baby's reach.

The American Academy of Pediatrics (AAP) recommends that healthy infants be placed on their backs to sleep, not on their stomachs. The incidence of sudden infant death syndrome (SIDS) has decreased by more than 40% since this recommendation was first made in 1992. It is now also recommended that premature infants sleep only on their backs.

Until your baby is rolling over unaided and picking a position for sleep, place your little one on his or her back to sleep. It is thought that some babies sleeping on their stomachs may have a greater tendency toward sleep obstruction and rebreathing their own carbon dioxide because they are less likely to rouse themselves to change head positions. Another possibility is that they may suffocate on softer bedding if they are lying face-down.

Many cultures endorse cosleeping. But studies indicate that there is a greater incidence of SIDS in households where the infant slept in the bed with the parents. Use of substances that decrease the parents' awareness, such as alcohol, also may allow a parent to roll over onto the baby.

How Can I Encourage My Child's Sleep?
You have probably already established a bedtime routine and are staying with it. If you haven't established one, start now. Soothing activities that lead up to "night-night" time can help relax your baby. A warm bath followed by stories or singing will signal transition to sleep, and these same activities can be used at bedtime for years.