What It Means
The 18-month sleep regressionSleep regressionA stretch when a baby or toddler who was sleeping fairly well starts waking more at night or fighting sleep, usually for a week or two. See more is parents' shorthand for a spell of night waking, bedtime protests or skipped naps in a toddlerToddlerA child from 1 to 3 years old, the stage CDC's parenting guidance places between infancy and the preschool years. See more around a year and a half old. Pediatric bodies don't define it. At this age HealthyChildren.org, the AAP's site for parents, describes separation anxiety at its peak, and Mayo Clinic says most children have moved, or are moving, to a single nap. Either change can unsettle sleep for a stretch.
Try It: Match the Change to What Helps
Pick what's changed with your toddler's sleep and see what the sources say.
Separation anxiety peaks between 10 and 18 months. Calm reassurance, sometimes several times a night, helps until it fades. (HealthyChildren.org)
Most children shift to one midday or afternoon nap between 12 and 18 months. (Mayo Clinic)
The recommended total for ages 1 to 2 is 11 to 14 hours in 24, naps included. (AASM, endorsed by the AAP)
How Parents Say It
- "He's fighting his nap every single day now."
- "She screams the second I leave her room."
- "We're down to one nap and bedtime is a mess."
The Breakdown
What the sources say happens around this age
| Age | What's going on | Source |
|---|---|---|
| 1010,000 stepsA popular daily step goal that began as the name of a 1960s Japanese pedometer; later studies find health benefits begin well below it. See more to 18 months | Separation anxiety usually peaks | HealthyChildren.org |
| 12 to 18 months | Most children move to one midday or afternoon nap | Mayo Clinic |
| By 18 months | One afternoon nap | Nationwide Children's |
| 1 to 2 years | 11 to 14 hours of sleep in 24, naps included | AASM, endorsed by the AAP |
| Last half of the second year | Separation anxiety fades | HealthyChildren.org |
What helps
- Keep the same bedtime routineBedtime routineThe same short series of calm steps a child goes through each night before sleep, such as brushing teeth, reading a book and lights out at a set time. See more every night, in the same order.
- When separation anxiety wakes your toddler, go in calmly, reassure them and leave, even if it takes several visits a night for a while.
- If the morning nap has become a fight, keep in mind that Mayo Clinic says most children switch to one midday or afternoon nap between 12 and 18 months.
When to talk to the doctor. Call your pediatrician if poor sleep goes on well past a week or two, if your toddler seems ill, or if you're worried about their development.
Good to Know
Cleveland Clinic says sleep regressions typically last a week or two, and research hasn't shown them happening at a fixed age for every child. HealthyChildren.org notes that separation anxiety can last several months and may bring a strong preference for one parent at bedtime. For the crib itself, HealthyChildren.org says to move a child to another bed once they're 35 inches (89 cm) tall or the side rail is below three-quarters of their height.
FAQ
Is the 18-month sleep regression real?
The term isn't a diagnosis. At this age, though, the AAP describes separation anxiety at its peak and Mayo Clinic describes the move to one nap, and both can disrupt sleep for a while.
How long does the 18-month sleep regression last?
Cleveland Clinic says regressions typically last a week or two. Night waking from separation anxiety can go on longer, since HealthyChildren.org says that stage can last several months.
How much sleep does an 18-month-old need?
The American Academy of Sleep Medicine, with the AAP's endorsement, recommends 11 to 14 hours in 24 for children 1 to 2 years old, naps included.
Do It in Buhata
Notes and Reminders
Note naps and night wake-ups in Notes (Premium) in Buhata for a week, and set a Reminder so bedtime starts at the same time every night.
Open BuhataRelated Terms and Categories
- Sleep regression
A stretch when a baby or toddler who was sleeping fairly well starts waking more at night or fighting sleep, usually for a week or two.
- Nap transition
The stretch when a child drops a daytime nap, such as going from three naps to two, from two to one, or from one to none.
- Toddler
A child from 1 to 3 years old, the stage CDC's parenting guidance places between infancy and the preschool years.
- Bedtime battles
The nightly struggle when a child stalls, protests or keeps getting out of bed instead of settling down to sleep at bedtime.
Sources
HealthyChildren.org (AAP), "Separation Anxiety & Sleeping Trouble in Young Children"; Mayo Clinic, "Baby naps: Daytime sleep tips"; Nationwide Children's Hospital, "Sleep in Toddlers"; HealthyChildren.org (AAP), "Healthy Sleep Habits: How Many Hours Does Your Child Need?"; Cleveland Clinic, "Infant Sleep Regression and How To Help"; HealthyChildren.org (AAP), "Big Kid Beds: When to Switch From a Crib"
- www.healthychildren.org/English/healthy-living/sleep/Pages/separation-anxiety-and-sleeping.aspx
- www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/baby-naps/art-20047421
- www.nationwidechildrens.org/specialties/sleep-disorder-center/sleep-in-toddlers
- www.healthychildren.org/English/healthy-living/sleep/Pages/healthy-sleep-habits-how-many-hours-does-your-child-need.aspx
- health.clevelandclinic.org/the-4-month-sleep-regression-what-parents-need-to-know
- www.healthychildren.org/English/healthy-living/sleep/Pages/Big-Kid-Beds-When-To-Make-the-Switch.aspx
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