Pick Up Put Down Method: How It Works and Who It Suits

Posted

A parent gently lays a sleepy baby in a sleeping bag on their back on the bare mattress of a cot.

The pick up put down method is a responsive settling approach. You put your baby in the cot calm and awake or drowsy. If they get upset, you pick them up, calm them in your arms, then put them back down before they fall fully asleep.

Parents choose it because they want to stay close and keep offering comfort while their baby gets chances to settle in the cot. It is often called a gentle sleep training method. It can still involve crying, a lot of repetition and a lot of lifting.

Key Takeaways

  • With the pick up put down method you pick your baby up to calm them, then put them back down before they are fully asleep.
  • It is usually attributed to the nurse Tracy Hogg and her Baby Whisperer books, though most families use a looser version.
  • UK and Canadian guidance says to wait until your baby is at least 6 months old before formal sleep training. Some US sources say gentle methods like this one can start from about 4 months.
  • There is no trial evidence for this specific method. The evidence sits with behavioural sleep approaches in general and with consistent bedtime routines.
  • It can suit parents who want to stay closely involved at bedtime and move away from feeding, rocking or holding to sleep gradually.
  • It works best alongside a consistent bedtime routine and realistic wake windows.
  • It is slower than more structured approaches and physically tiring when you repeat it many times. If your baby gets more wound up with each lift, another approach may suit them better.
SituationPick up put down may suit you when...It may be a poor fit when...
Baby needs lots of support to fall asleepyou want to make a gradual changelifting makes them more upset
Parent wants a gentle sleep training methodyou want to respond quickly and stay closeyou need faster results
Baby relies on rocking or being heldyou can stay consistent for a week or tworepeated lifting causes physical pain

What Is the Pick Up Put Down Method?

With the pick up put down method, you place your baby in the cot awake or drowsy, then respond in stages if they get upset. You try reassurance in the cot first. If that is not enough, you pick them up until they are calm, put them down before they are fully asleep, and repeat as needed.

The aim is to reduce how much your baby relies on being rocked, fed or held all the way to sleep, while you carry on offering comfort.

It is usually attributed to the nurse Tracy Hogg, who set it out in her Baby Whisperer books (Cleveland Clinic). It is a parenting approach rather than a clinical protocol, and most families use a flexible version rather than following a script.

Compared with other approaches:

Does the Research Support Pick Up Put Down?

There is no trial evidence for pick up put down as a named method. The research supports the wider family of approaches it belongs to, which is a weaker claim than "this method works".

The American Academy of Sleep Medicine reviewed the evidence on behavioural treatments for bedtime problems and night waking in infants and young children. Across the studies it looked at, behavioural approaches produced reliable improvements, and in over 80% of the children treated the improvement held for 3 to 6 months. The review found strong support for unmodified extinction (leaving a baby to settle without going back in, although parents still check for illness or injury) and for teaching parents about sleep before problems start, plus support for graduated extinction, bedtime fading with positive routines, and scheduled awakenings (Mindell and colleagues, 2006). Pick up put down is not one of the approaches that review graded.

A consistent bedtime routine has evidence of its own. Research in young children links a regular routine with earlier bedtimes, less time spent falling asleep, fewer night wakings and longer sleep, and the more nights a week a family keeps to the same routine, the larger the difference (Mindell and Williamson).

So the routine around the method rests on firmer ground than the method itself. Some babies settle well with the up-down pattern. Others find it frustrating.

How to Do the Pick Up Put Down Method Step by Step

1. Get the timing right

Start when your baby is tired, but before they get overtired. A baby who is already very upset has little patience for slow, repetitive settling.

Before you start, check that:

  • The final wake window (the time your baby is awake between the last nap and bedtime) is realistic.
  • Your baby has had a calm wind-down.
  • Feeding needs are covered.
  • The sleep space follows current safer sleep guidance.

If evenings feel chaotic, start with how to establish a bedtime routine. If your baby depends on motion, read how to get baby to sleep without rocking.

2. Put your baby down calm and awake or drowsy

After the bedtime routine, place your baby in the cot while they are calm. For many babies, calm and sleepy is a more realistic starting point than fully alert.

Keep familiar cues consistent: dim lights, white noise if you already use it, and a short phrase such as "sleep time now".

3. Pause, then try reassurance in the cot

Brief fussing, wriggling or grizzling can be part of settling, so give your baby a short pause while you stay nearby.

If they get more upset instead of winding down, try the least stimulating help that still feels supportive:

  • A calm voice.
  • Shushing.
  • A hand on the chest.
  • Gentle patting, if that helps your baby.

If your baby settles in the cot, leave them there. You do not need to pick them up every time.

4. Pick up when your baby becomes upset

If reassurance in the cot is not enough and your baby is crying hard, pick them up and calm them in your arms.

Use the cuddle to calm them rather than rock them all the way to sleep. Wait for their body to soften, their breathing to slow and their crying to ease, then put them back down.

5. Put down before your baby is fully asleep

Once your baby is calm, put them back down while they are still awake enough to register where they are. If they always fall asleep in your arms first, they get less chance to practise settling in the cot.

Then repeat the cycle if needed.

6. Repeat consistently, but set a limit

Some babies need only a few rounds. Others need many on the first night. Keep your response the same each time: help your baby calm down, then return them to their sleep space.

Decide in advance how long you will keep going and what you will do instead. If bedtime is turning into a frantic two-hour battle every night, it is reasonable to pause and rethink.

7. Give the method a week or two

One night will not tell you whether the method suits your baby. Many babies protest more when a familiar pattern changes. If the approach stays manageable for you and your baby, give it a week or two before you decide whether it is helping.

Who Is the Pick Up Put Down Method Best For?

Pick up put down tends to suit parents who want a hands-on, responsive method and babies who calm quickly when held. It often appeals when cry-based methods do not feel right for your family but you still want a clear, repeatable plan.

It may suit you if:

  • You want to respond quickly rather than wait out crying.
  • Your baby is soothed by cuddles and settles reasonably fast in your arms.
  • You are moving away from feeding, rocking or holding all the way to sleep.
  • You are comfortable with gradual progress.

It may be a poor fit if:

  • Your baby is older and heavier, and repeated lifting is physically too much.
  • Your baby gets more upset with each pick up and put down.
  • Your physical capacity is limited after birth, injury or long-term exhaustion.
  • You need a quicker or simpler method for your own mental health.

The method has to be workable for the parent as well as the baby.

Common Pitfalls With Pick Up Put Down Sleep Training

  • Lifting too soon. If you pick your baby up at the first small complaint, they get little chance to settle with lighter reassurance. A short pause helps you tell brief fussing from escalating distress.
  • Holding until fully asleep every time. If every cycle ends with your baby asleep in your arms, they get no practice finishing settling in the cot.
  • Starting when your baby is overtired. Check bedtime timing before you decide the method itself is the problem.
  • Changing the rules halfway through. Switching to long rocking or feeding to sleep after ten minutes makes it impossible to tell whether the method is helping.
  • Expecting it to feel calm straight away. Staying responsive does not guarantee a peaceful bedtime. Your baby may still cry and get frustrated, and you may repeat the cycle many times.
  • Ignoring your own physical limits. Repeated lifting strains your back, shoulders and post-birth recovery. Stop and rethink if it is causing pain.

A few things make it more practical: start with bedtime rather than changing naps and nights at once, agree with your partner on what counts as "needs picking up", and track bedtime for a few days to see whether timing is part of the problem. If each repetition winds your baby up further, try a different gentle sleep training approach. If the lifting becomes physically unsustainable, a more structured option such as the Ferber method may suit your family better.

Frequently Asked Questions

Does the pick up put down method work?

It works for some babies, particularly those who calm easily in their parents' arms. No trial has tested this specific method, so nobody can tell you how likely it is to work for your baby. It is slower than more structured methods, and the repeated lifting makes it a poor fit for some families.

What age is best for pick up put down?

UK and Canadian guidance (NCT, the Canadian Paediatric Society) says to wait until your baby is at least 6 months old before formal sleep training. Some US sources, such as Cleveland Clinic, say gentle methods like this one can start from about 4 months. Younger babies still need plenty of feeding and contact, so keep expectations gentle and age-appropriate. Talk to your health visitor or GP before you start.

Is pick up put down the same as the baby whisperer method?

The phrase "baby whisperer pick up put down" refers to Tracy Hogg's version of the method. Many parents use a simplified version adapted to their own baby.

How long does pick up put down take to work?

There is no fixed timetable. Some families see improvement within a few nights, while others need a week or two of steady practice.

Can I use pick up put down for naps?

Yes, though bedtime is usually the easier place to start, because your baby's drive to sleep is stronger by the end of the day. Once bedtime feels more predictable, many parents move on to the first nap of the day.

What if my baby gets more upset when I put them back down?

Pause the method if each repetition clearly makes your baby more upset rather than calmer. Another settling approach may be a better fit right now.

Related Reading

Sources

Disclaimer

This article is general information only and not medical advice. Sleep patterns vary between babies, and no single sleep training method suits every family. If your baby has feeding difficulties, poor weight gain, breathing concerns, reflux symptoms, persistent distress, or sleep changes linked to illness, speak to your GP, health visitor, or paediatrician. Always follow current safer sleep guidance from the Lullaby Trust.