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The Ferber method at 4 months: is it too early?
Four months is the earliest the Ferber method can be considered, and only after your pediatrician agrees. Many families wait until 6 months.
The Ferber team 6 min read
Four months in, a lot of parents hit a wall. The newborn fog was supposed to lift, and instead your baby is waking more, or needs to be rocked for half an hour, and you have started reading about sleep training at 3 a.m.
Is the Ferber method at 4 months too early? For many babies, yes. Four months is the earliest age at which the Ferber method can be considered, and only after you have talked to your pediatrician and they agree your baby is ready. Six months is the most common age to start, and waiting until then is a perfectly good choice. In the meantime, there are gentle things you can do now that make nights easier and set up any sleep training you choose later.
Is 4 months too early for the Ferber method?
It depends on your baby, which is why your pediatrician has to be part of the decision. The Cleveland Clinic notes that babies vary: some are ready around 4 months, while others do better a little later, around the 6-month mark. It advises checking with your pediatrician first.
What changes around this age is the shape of sleep itself. The Cleveland Clinic explains that around 4 months, sleep cycles begin to mature and the circadian rhythm starts to take effect. Before that, newborns have short sleep cycles, usually cannot make it through the night without eating, and do not yet know how to self-soothe.
That shift is also why sleep can feel worse around now. A baby whose sleep is changing may wake more between cycles for a while. Some people call this a sleep regression, and the sleep regressions guide covers how it fits with the Ferber method. A hard few weeks at 4 months is common, and it is not, on its own, a reason to start sleep training.
Why many families wait until 6 months
The Sleep Foundation notes that by around 6 months many babies can self-soothe and fall back asleep on their own, which makes it an appropriate time to begin a method like Ferber. The Ferber method asks a baby to practice that skill. A few extra weeks can make the difference between a baby who is ready to learn it and one who is not there yet.
Waiting also gives you time to sort out the questions that matter most at this age, especially night feeds. At 4 months, many babies still need to eat at night, and whether yours does is a medical question. Our article on what age you can start the Ferber method lays out every age band, and the Ferber method at 6 months covers the most common starting point.
What to ask your pediatrician
Bring these to a checkup, or send them to the office ahead of time:
- Is my baby gaining weight well?
- Does my baby still need night feeds, and if so, how many?
- Is there any reflux, breathing, feeding or other health concern that means we should wait?
- My baby was born early. Which age should I go by?
That last one matters. For premature babies, doctors usually use corrected age. The American Academy of Pediatrics (AAP) explains it as your baby’s age in weeks since birth minus the number of weeks they were born early. A baby born 8 weeks early who is 4 months old has a corrected age of about 2 months, so by that measure they are well under the age where any sleep training is considered.
If your pediatrician says to wait, that is the answer, and it is a good one. If they say your baby is ready, ask them how they would like you to handle night feeds during the week.
What you can do at 4 months instead
You do not need a formal method to make progress. These steps are gentle, and they are useful whatever you decide later.
Put your baby down drowsy. The AAP suggests that for babies 4 months and older, you put them to bed when they are drowsy rather than waiting until they are asleep. It explains that babies who are held or rocked to sleep may struggle to go back to sleep when they wake in the night. If your baby cries, pick them up and try again another night. The glossary entry on drowsy but awake has more.
Keep nights calm and dull. The AAP suggests staying calm and quiet at night, speaking softly, and trying not to stimulate your baby when you feed or change them.
Build a short bedtime routine. The same few steps in the same order each night, such as a feed, pajamas, a song and into the crib, give your baby a signal that sleep is coming. See the glossary entry on a bedtime routine.
Move the feed earlier in the routine, if your pediatrician is happy with that, so your baby is not always falling asleep while feeding.
Safe sleep at 4 months
Around this age, many babies start trying to roll, and that changes a few things.
- Stop swaddling once your baby looks like they are trying to roll over. The AAP says to stop at that point. A wearable blanket or layers of clothing can keep your baby warm instead.
- Always place your baby on their back to sleep. The AAP says that if your baby can roll both ways, back to tummy and tummy to back, you do not need to keep turning them back over.
- Keep the crib empty and flat. A firm, flat, non-inclined surface in your baby’s own crib or bassinet, with no pillows, blankets, bumpers or soft toys.
- Share a room without sharing a bed, for at least the first 6 months, as the AAP recommends.
The AAP’s 2022 safe sleep policy also lists avoiding overheating and offering a pacifier at sleep time among its recommendations. The AAP parent’s guide to safe sleep has the full list.
If your pediatrician says yes
If your pediatrician has looked at your baby and agreed they are ready, the Ferber method works the same way at this age as later: timed waits, brief check-ins, and waits that grow a little each night. The Ferber method chart has the numbers, and the getting started guide walks through preparing for Night 1.
Keep the night feeds your pediatrician wants kept, on a clear rule. Watch closely for anything that seems off, and stop if you are not sure. If the first nights feel like too much for your baby or for you, stopping and trying again at 6 months is a reasonable plan. You can also look at gentler approaches on the compare page.
A next step for tonight
Tonight, try one drowsy put-down at bedtime and see how it goes, with no timer and no pressure. Then add the questions above to your notes for your baby’s next checkup.
The Ferber app is designed for babies 6 months and older. It will not start a plan for a baby under 4 months, and for babies between 4 and 6 months it asks you to confirm you have spoken with your pediatrician before Night 1.
Common questions
Can you do the Ferber method at 4 months?
Four months is the earliest age at which the Ferber method can be considered, and only after you have talked to your pediatrician. Many babies are not ready yet, and many families wait until around 6 months, which is the most common age to start.
What should I ask my pediatrician before sleep training a 4-month-old?
Ask whether your baby is gaining weight well, whether they still need night feeds and how many, whether there are any reflux, breathing or other health concerns, and, if your baby was born early, which age to go by. Your pediatrician can then tell you whether to start now or wait.
What can I do at 4 months instead of sleep training?
The American Academy of Pediatrics suggests that from 4 months you put your baby to bed drowsy rather than already asleep. A short, predictable bedtime routine and calm, quiet night feeds also help, and they make sleep training easier later if you choose it.
Is it safe to let a 4-month-old cry?
Talk to your pediatrician before any sleep training under 6 months. A young baby's crying often signals a need such as hunger or discomfort. Never leave a baby who seems sick, hurt, feverish or hungry to cry, and pause any plan if you are worried.
Sources
- Cleveland Clinic: When and How To Sleep Train Your Baby
- American Academy of Pediatrics (HealthyChildren.org): Getting Your Baby to Sleep
- American Academy of Pediatrics (HealthyChildren.org): A Parent's Guide to Safe Sleep
- Moon RY et al. Sleep-related infant deaths: updated 2022 recommendations for reducing infant deaths in the sleep environment. Pediatrics, 2022
- American Academy of Pediatrics (HealthyChildren.org): Corrected Age for Preemies
- Sleep Foundation: The Ferber Method
Written by The Ferber team. Educational information, not medical advice. If you are worried about your child’s health, feeding or growth, talk to your pediatrician.