October 2011 Moms

My Pedi recommended CIO

I took B to her 4 month appt yesterday and my Pedi is a woman, about the same age as me, with a LO the same age as B, and she was giving me all kinds of 4 month advice.

She told me that now is the age to let a baby start to self-soothe (I'm with her here). But she proceeds to tell me that I should let her CIO and use the Ferber method. 

I know that everyone is entitled to their opinion on this, and I'm not writing this post to debate the pros and cons of any sleep training, or lack thereof...  I was just REALLY surprised that she offered this information. And unsoclicited no less.

Has anyone else's Pedi recommended this?   

Re: My Pedi recommended CIO

  • Have you read what the Ferber method is?  Its not straight extinction crying, which is what a lot of people seem to assume.  Still...I think its too early for your LO to do it, but there are a lot of misunderstandings with Ferber.
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  • Our 4 month appt is Monday so not yet, but my friend's pediatrician told her to start CIO around 4 months.  She didn't. 
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  • Nope, in fact, at DD's 4 month appt yesterday, our pedi said she's still too young to self-soothe and that there's no point to sleep training before 6 months.  I hadn't planned to ask about it, to be honest, because DD sleeps pretty well, and I don't feel like we have a sleep problem (*knocks wood*). 

    I think it's kind of weird that your pedi volunteered that you should let her CIO.  Do you feel comfortable with the idea of doing that?

    Side note: I think some people will refer to this as "parenting advice" rather than "medical advice," but, when it comes to what to discuss with your pedi, I have a hard time distinguishing between the two.  I look forward to other responses.

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  • imagedanes22:

    Not yet, but I have a feeling it will happen at our 4 month appointment as well. My pedi was surprised that T was waking 2-3 times a night at his 2 month appointment, so I'm sure he'll have something to say since things haven't changed (and have actually gotten worse).

    I love our pedi, so I'm just going to smile and nod. If T's sleep patterns are still horrible at 6 months then I'll talk CIO.

    Really?  The nurse practitioner we saw at Lily's two month appt was shocked that she WASN'T doing that!

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  • I'm surprised but I guess it probably depends on the baby and how they're sleeping.  How does your LO sleep?

    We just had ours and she didn't recommend it to us but I told her that my DS is sleeping on average from 11:30pm-5am gets up to eat and then goes back down for another 2-3 hours and she said that's great and that as he gets older he will likely sleep more.  I told her that many people that I talk to have babies that are sleeping 8s traight hours etc and she said well some babies do that but not all.  So I'm going to keep doing what I'm doing but I don't want to judge anyone who does that whole CIO method I'm sure it's a very hard situation to be in if you need to do that I'm just glad that I don't have to because I would really struggle with that.  Good luck!

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  • I think B sleeps great! 

    One the positive side she goes to bed around 9-10, wakes up around 5 to eat and goes back to sleep.  Then sleeps about another 1-2 hours.

    On the negative side, she's nursed to sleep, sleeps in a Rock and Play in her room while under video surveillance :) and then bedshares for her last 2 hours. (None of which was discussed during the appointment.)

    Since B gives us about 7-8 hours normally,and we didn't really talk about sleep other than the number of hours, I didn't think there was any reason to even offer sleep advice.

    I like my Dr's office for all other things medical.  Just thought the sleep advice was strange since it was unsolicited and more parenting advice than medical as a PP mentioned.

  • Our son's pedi recommended CIO at his 2 month appt (not our pedi anymore)!  Obviously that was way too early for us, so we did the Ferber method at around 4-5 months.  That even felt a little early but he was waking literally every single hour (8x/night) and eating so much that he was in 18mo clothing at 5 months old.  I was a complete zombie and desperate, but it  worked and only took DS crying for no more than 10 min total for each of the 3 nights. 

    This time around, I don't think we will be doing any CIO.  DD is waking up 1-2x/night which is manageable for me compared to what her brother was.  If for some reason at 6 months, she's not STTN then I might entertain the idea, but for now I'm ok with what we're doing. 

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  • My pedi was quite clear that it should not even be considered until 6 months.
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  • C (3 months) is waking up 1-2 times a night. Sometimes I let him fuss if it is not really crying jags.  Sometimes he self soothes, sometimes he doesn't. 

    When W (5 years old) was 6 months old, I was going back to work after summer break.  He would get up to play at about 1:00 every night, so we did a modified CIO.  I just let him play in the dark. Took his fishes away and he got mad...but he learned that he needed to go back to sleep. Worked for us at that point.

     

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  • It all depends on how YOU feel about it.  According to Ferber, most babies are developmentally "ready" for his method between 4-6 mo. If your baby is waking for reasons other than feeding, it's a good time to start trying it.  I agree with PP...Ferber is very misunderstood.  We have the book and did it with DS after his 4 month shot "pain" wore off.  He was waking every hour and couldn't get himself back to sleep.  It worked like a charm.  DD, on the other hand, only wakes 2 times and I don't feel she has a night waking issue at this point, so we don't need to use it (yet).  I am open to it after 4 months though.

    I think Pedis offer this advice for people who have night waking issues b/c some people just need someone to say it's "ok" to do.  Follow the advice or don't, just like anything else the pedi recommends :)

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  • It seems like you shouldn't discount a pedi just because they give you CIO advice.  Sleep is a big issue with babies and parents at this age, so it would be natural that she would mention something to you about sleep training.  I would imagine that her advice stems more from personal experience and feedback from patients than from medical training (I'm sure baby sleep problems are not extensively covered in medical curriculum).  There are many different approaches to parenting and I think these days we're overthinking it.  Be open to people's advice, but always stay within your comfort zone.
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  • We have our 4mth appt tomorrow and I wouldn't be surprised if it was discussed. He encouraged us to let him try and soothe himself a bit as early as 6wks - not CIO and not when he was full on crying, but if he was a bit fussy before a nap or bed, to see if he could work it out himself before we went in and helped him soothe to sleep. He told us that like learning any skill, there would be a lot of failure before it stuck, but that it was good to start early to see if he could work out the fussiness himself. 

    We don't really have a great sleeper on our hands, but he is so much better than he was even a few weeks ago. I'm still up 2-4 times a night with him, but that is when he is actually crying for food. I hear him "talk" now and again during the night, but he is often times able to get himself back to sleep, for which I am so grateful. I think that sleep training is still probably in our future, but for right now, I feel like things are where they should be.  

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  • Our pedi said we could start at her 2 month appt. We obviously didn't do it and still don't know if I will until E is 6 months. But I probably won't do it then either.
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  • Yeah, at our two month appointment, she said it was okay to "cry it out a little" if we wanted.  This was completely unprompted.  It rubbed me the wrong way not only because I think she's way too young for that, but because she said it before even asking about her sleeping habits.

    I plan on finding a new pedi anyway after my sister told me that her older daughter saw her for the first couple of months, then they switched to someone else.  My sister was concerned that her daughter's face was crooked and that her ear seemed to be malformed.  The doctor totally blew her off and somehow didn't seem concerned that she couldn't even get the ear light thing into my niece's ear. Indifferent

    My sister sought a second opinion, and the new doctor was like "yeah, she has no ear canal.  How could Dr. X miss it?"  My niece was diagnosed with a craniofacial disorder.  I think we'll be taking our business elsewhere.

    Anyway, I take parenting advice from a pediatrician with a grain of salt, the way I take all parenting advice.

  • The generic paperwork we were given t our 2 month appt said

    "when your baby is tired, lay them in their bed. Some children cry before falling asleep. Up to 20 minutes of crying is okay."

     I was a little taken aback by that. I was horrified the first time around when our pedi mentioned it at 4 months, but we ended up doing it at 10 months. This time, I am open to it but we will see how it goes, and it will probably will be around 6 months if at all.

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  • Ours did this past week. 

    She said as long as she's getting 30-32 ounce a day that she could get through the night and we could just let her cry.

    Tried it once for about 15 minutes.  Not going to happen right now,

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