Adult Sleep 101: How to rest when caring for an infant

Reviewed by Dr. Laurie Jones
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There’s no way to sugarcoat it: A whopping 67 percent of American women, regardless of whether they’re a parent, have trouble sleeping1. If you’re one of the lucky women who has never experienced sleep issues before becoming a mom, when you have a baby, you might be surprised that lack of sleep can be an issue.

Not every new parent is going to experience major sleep issues, of course. But here is the cold, hard truth: Parenthood brings sleep interruptions galore, especially in the first few months. One study shows that more than half of parents report losing two or more more hours of sleep for about the first 12 weeks2 of their baby’s life. Another study indicates that “socioeconomically disadvantaged/racial/ethnic minority mothers” typically face ongoing sleep disruptions at 5 months postpartum, with fewer than half getting the recommended seven hours of sleep per night3.

Sometimes, the sleep interruptions are:

  • Practical: Your baby has middle-of-the-night needs to address.
  • Biological: Your regular circadian rhythms are disrupted due to inconsistent bedtimes and waking times4, which prevent you from getting deep sleep.
  • Physical: Pain or discomfort stemming from pregnancy, labor, or postpartum conditions such as mastitis makes it hard to rest, let alone sleep.
  • Routine-oriented: Without good sleep hygiene, you are having a hard time falling or staying asleep.
  • Psychological: Parents with perinatal mood and anxiety disorders (PMADs) are significantly more likely to suffer from sleep deprivation5.
  • Hormonal: A mother’s hormone levels significantly change during pregnancy and after delivery. Oxytocin alone can keep a mom on heightened alert.

Sometimes, of course, you’ll experience a combination of these sleep interruption factors, along with a running (and increasingly long) list of to-dos in your brain that makes it hard to snooze.

Try not to worry. Postpartum sleep struggles don’t necessarily signal a new and permanent state of affairs. This guide is designed to provide you with a better understanding of why you need sleep (and what qualifies as adequate sleep for parents of infants), what can keep you awake (beyond baby-related interruptions), how to better prepare for and optimize the sleep you do manage to get, and what to do when all your valiant efforts still result in #sleepfail.

Why is sleep so important?

Before we dig into how to repair broken-up sleep cycles, it’s worth looking into why sleep is important in the first place. We innately know that we feel better when we get enough sleep—and worse when we don’t. The most obvious red flags of insufficient sleep show up in mood changes (irritability) and cognitive function (forgetfulness, poor concentration).

Proper and adequate sleep also keeps us healthy in ways that aren’t as obvious. As behavioral sleep medicine psychologist Dr. Shelby Harris says, “Sleep at night is meant to make our days better.” If it’s not, we need to look at why we aren’t sleeping—and how to turn things around.

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Sounding off on sleep

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Why is postpartum sleep so important?

Dr. Shelby Harris explains (4:11 minutes)

We know that sleep is key in the days, weeks, and months after giving birth. But this short talk with Dr. Shelby Harris explains how sleep impacts our brains and bodies—and how we are able to care for our babies.

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What’s keeping me awake?

We talked to Dr. Shelby Harris about what happens during the pregnancy and postpartum periods, as it pertains to sleep. Sleep interruptions abound when you’re taking care of a baby with needs around the clock, but there’s more to perinatal sleep issues than infant care. Your hormones are working for you and your baby, but against you and your sleep cycles. Rest assured, there are things that you can do to get better sleep when seemingly all else has failed.

Hormones and baby needs aside, interpersonal and environmental factors can also impact your sleep. These short audio excerpts highlight one parent’s issues with being exhausted, staying asleep, and attempting to coordinate the sleep schedules of multiple children.

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A mom’s candid sleep struggles

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A physical breakdown becomes a wake-up call

Listen to this story (2:12 minutes)

It took an event that literally shook Emily to show her how utterly sleep-deprived she was. When she changed her evening routine, she was able to get a whole lot more shut-eye.

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Multiple kids, multiple sleep schedules

Listen to this story (1:20 minutes)

Emily likens her attempt to coordinate the sleep of her newborn, her 2-year-old, and her own to playing whack-a-mole. A shift in mind-set helped her cope.

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Training your brain to get back to sleep

Listen to this story (1:45 minutes)

If you have trouble falling back (and staying) asleep after a waking session with your baby, you are not alone. Here’s how Emily compensates for lost sleep.

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You’re not alone in your quest for a good night’s sleep as a new parent. You’re basically renegotiating sleep and your relationship to it. To adapt to these changes, you’ll need some tactics and strategies. But if your child is sleeping better, and you are not, then it’s time to get some help.

How do I optimize my naps?

With time being a precious resource, and sleep being a coveted activity, it’s great to approach naps with a little planning and everything you need at the ready. A healthy mind-set can translate into new habits.

Adult sleep: Napping rules of thumb

Dr. Laurie Jones

Pediatrician

Napping is so important that Dr. Laurie Jones, a pediatrician and founder of Dr. MILK (Mothers Interested in Lactation Knowledge), writes prescriptions for two daytime naps of 20 to 40 minutes each. “As long as you’re in a dark, quiet room, and you’re lying down, your cortisol levels and heart rate come down, your breathing slows, and your metabolic rate goes down—even if you don't sleep,” she says. Regardless of whether you fall asleep, physical rest during the day (especially away from the blue light of screens) can be very rejuvenating. Here’s how to optimize those quiet moments:

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How do I improve my nighttime sleep?

Improving your relationship with sleep likely means taking a multipronged approach. Here are some tools to implement simultaneously—or one at a time—depending on your situation and needs.

What does having good sleep hygiene mean?

Properly setting up your sleep space, trying to go to bed and wake up at consistent times6, and avoiding things like screens at bedtime will help get the postpartum sleep your body needs.

These short audio excerpts can help you better understand your struggles with sleep and how they can impact your relationships.

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Lessons in sleep hygiene

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Practice deep muscle relaxation

Listen to this lesson (2:16 minutes)

This short story can offer a brief respite and reset to the nervous system—or help you drift off to peaceful sleep.

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Understand sleep issues

Listen to this lesson (3:14 minutes)

Your baby is definitely sleeping, but you might be having trouble falling or staying asleep yourself—or maybe you don't feel rested upon waking. What’s going on here?

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How sleep deprivation affects relationships

Listen to this lesson (1:54 minutes)

Lack of sleep can make for some less than stellar interactions, thanks to its effect on the brain. These strategies can help you navigate the tricky moments when no one’s thinking clearly.

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Your baby will likely start to sleep for longer stretches in the first couple of months, which should theoretically make it easier for you to rest too. It’s not always the case, but parents don’t have to accept perpetually inadequate sleep.

“If your child is sleeping better, and you are not, then it’s time to get some help,” Dr. Harris says.

Where can I find more support?

If you think you need a professional to assist in managing your sleep issues, there are a few resources we can recommend that can provide you with more information and options.

Society for Behavioral Sleep Medicine offers resources that include a searchable database of therapists close to home (or available via telehealth) who specialize in behavioral sleep medicine and sleep disorders.

Canopie creates a customized guide for parents struggling with postpartum issues, including insomnia, anxiety, and depression. It uses several different approaches, including cognitive behavioral therapy (CBT). Research shows that CBT can help prevent and alleviate perinatal depression and anxiety7, which often impacts postpartum sleep8.

References

1 https://www.sleepfoundation.org/insomnia/insomnia-women

2 https://openaccess.city.ac.uk/id/eprint/5769/5/

3 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8033452/

4 https://www.sleepfoundation.org/circadian-rhythm#:~:text=Follow%20a%20consistent%20sleep%20schedule,to%20fall%20asleep%20at%20night

5 https://openaccess.city.ac.uk/id/eprint/5769/5/

6 https://my.clevelandclinic.org/health/diseases/12115-circadian-rhythm-disorders

7 https://pubmed.ncbi.nlm.nih.gov/31957479/

8 https://pubmed.ncbi.nlm.nih.gov/35123346/

Additional resources

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