Night Wakings in Toddlers: Causes & Solutions

If your toddler wakes up multiple times a night, you are not alone — and you are not doing anything wrong. While many parents expect sleep to improve dramatically after infancy, night wakings can still be common during the toddler years.

Understanding the why behind these interruptions is the first step to solving them. Here is what you need to know about what causes toddler night wakings — and how to help your little one sleep soundly.

Is It Normal for Toddlers to Wake Up at Night?

Yes. Most toddlers wake up briefly during the night — just like adults. The difference is that some toddlers struggle to self-soothe and fall asleep on their own. This leads to full awakenings and, often, a call from a parent.

Night waking becomes a concern when it is frequent, prolonged, or affecting your child’s mood or development — or your own well-being.

 

Common Causes of Night Wakings in Toddlers

· Sleep Associations

If your toddler only falls asleep while rocking, nursing, or a parent nearby, they may wake and cry when that condition is no longer present in the middle of the night.

· Over tiredness or Irregular Bedtime

Skipping naps, late bedtimes, or inconsistent routines can lead to a second wind effect, making it harder for toddlers to stay asleep.

· Separation Anxiety

Peaking between 18–24 months, toddlers may wake up looking for comfort or reassurance.

· Teething or Illness

Pain from teething, ear infections, or congestion can disrupt sleep, even in otherwise good sleepers.

· Developmental Milestones

Language bursts, motor skill development, and potty training can all interfere with sleep temporarily.

· Nightmares or Night Terrors

While less common in toddlers under 3, nightmares and nighttime fears can begin to appear.

 

Solutions: How to Help Your Toddler Sleep Through the Night

1. Create a Consistent Bedtime Routine

A calming routine (bath, books, cuddles, sleep) at the same time each night helps your toddler’s body and mind wind down and signals that sleep is coming.

2. Stick to a Sleep Schedule

Aim for an early bedtime (usually between 7–8 p.m.) and a regular nap schedule. Overtired toddlers often wake up more, not less.

3. Encourage Self-Soothing

Help your toddler fall asleep on their own at bedtime, so they can apply the same skills during night wakings. Try the “check-in” Method — brief, timed visits without picking them up. Offer a comfort object like a small stuffed animal or blanket (age-appropriate).

4. Provide Comfort but Limit Engagement

· If your toddler wakes up:

· Keep lights dim and voices low.

· Offer gentle reassurance (“It’s time to sleep now”) without long cuddles or play.

· Avoid offering snacks, screen time, or rewards.

5. Address Fears Gently

If your child is fearful, acknowledge their feelings, offer nightlight or a “bravery sticker chart,” and avoid scary stories or shows before bed.

6. Rule Out Medical Causes

Persistent night wakings may be related to:

· Sleep apnea (especially if snoring is present)

· GERD or reflux

· Allergies or eczema flare-ups

Speak with your pediatrician if symptoms persist or interfere with daily functioning.

 

How Much Sleep Does a Toddler Need?

12–14 hours per day, including 1–2 naps (for toddlers 1–3 years)

Lack of sleep can lead to crankiness, poor appetite, or trouble focusing

Night wakings can be tough — for toddlers and parents alike. The good news? With patience, consistency, and a little detective work, most sleep disruptions can be improved without sleep training extremes.

 

If you have questions when your child’s pediatrician’s office is closed, please ask one of our pediatricians. Book a telemedicine appointment here.