Please note: This information was current at the time of publication but now may be out of date. This handout provides a general overview and may not apply to everyone. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education website.

brand logo

Am Fam Physician. 2022;105(2):online

Related article: Common Sleep Disorders in Children

Why is it important to treat sleep problems?

Sleep is important so your child can grow healthy and happy. Six out of 10 children in middle school and seven out of 10 in high school do not get the amount of sleep they need.

Without adequate sleep, children can have a hard time focusing and become hyper or cranky. They can have behavior problems and not do well in school. They can get serious medical problems like high blood pressure, weight problems, obesity, diabetes, headaches, and depression. Sleep-deprived teenagers may be involved in car crashes. Good sleep habits can prevent these complications.

You can help your child stay healthy and sleep well by understanding their needs and providing good sleep training. Prevention is the best treatment of sleep problems in children.

How much sleep should my child get?

Your child's sleep needs change as they grow. Every child is different, so these are general recommendations by age.

AgeTotal hours of sleep per day, including napsAverage number of naps per day
2 to 12 months12 to 162 at 12 months of age
1 to 3 years11 to 141 at 18 months of age
3 to 5 years10 to 1350% of children 3 years of age do not nap
5 to 12 years9 to 1295% of children stop napping by 5 years of age
13 to 18 years8 to 10Napping at this age could mean your child did not sleep well at night; consider bringing this up to your doctor

What are good sleep habits for children?

Here are some tips for each age group. Your newborn baby does not have a schedule. They sleep up to 18 hours a day and wake up for feedings.

Tips for your newborn up to two months of age:

  • Put your baby in the crib when sleepy, but not asleep

  • Recognize when your newborn is sleepy (fussy, crying, rubbing eyes)

  • Expose your newborn to sounds and light during the day and dim the lights and sounds during the evening and night so they learn the difference between day and night

  • Infants should be put to bed on their back

Tips for your infant from three to 12 months of age:

  • By five to six months of age, infants learn to sleep through the night. Try to have a soothing bedtime routine and follow it regularly

  • Put your baby to bed when they start getting sleepy so they can learn to soothe themselves and fall asleep

  • Do not overfeed your baby or put them to bed with a bottle in their mouth

  • If your baby wakes up during the night, keep the feeding brief; do not turn on bright lights or entertain the baby; return the baby to bed once burped and relaxed

  • Your baby should be put to bed on their back

  • Infants younger than 12 months should be put to bed alone because sleeping with them may increase the risk of SIDS (sudden infant death syndrome)

  • By about nine months of age, infants can sleep through the night without the need for feeding

Tips for your toddler from one to three years of age:

  • Try having a pleasant bedtime routine and maintain the same wake-up time; bedtime routine can include taking a bath, changing into pajamas, and reading a book

  • Limit electronic media or television exposure

  • Keep the sleeping area cool, quiet, and dark

  • Your child may have a light snack before bedtime if hungry, but avoid too much fluid

  • Avoid vigorous activity before bedtime

  • Help your child learn to fall asleep alone; if your child wakes up during the night, help them return to bed calmly and let them fall asleep; compliment your child when they stay in bed and fall asleep on their own

Tips for your school-age child:

  • Maintain a pleasant bedtime and wake up routine; try to have consistency on weekdays and weekends

  • Avoid electronic media or television before bedtime

  • Keep the sleeping area cool, quiet, and dark

  • Do not give caffeinated beverages or food several hours before bedtime

  • Avoid vigorous activity before bedtime

Tips for your teen:

  • Encourage a consistent bedtime and wake-up time on weekdays and weekends

  • Discourage bright and blue light exposure (electronic devices) before bedtime

  • Teens need more sleep than usual, not less

  • If your child is having problems falling asleep, staying asleep, has snoring, sleepwalking, or daytime problems like being cranky or hyper, talk to your child's doctor.

Where can I get more information?

Continue Reading

More in AFP

More in Pubmed

Copyright © 2022 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.  See permissions for copyright questions and/or permission requests.