There are really only a handful of things that cause a good sleeper to suddenly stop sleeping well. And most of them are completely normal parts of baby development. Here's what's most likely going on.
Sleep regression (the most likely culprit)
Sleep regressions happen when your baby's brain is going through a major developmental leap — learning to roll, crawl, stand, talk, or process a cognitive milestone like object permanence. The brain keeps practicing at night, pulling your baby out of deep sleep. Regressions are the single most common reason a good sleeper suddenly stops sleeping well. They hit at predictable ages — around 4, 6, 8–10, 12, 15, and 18 months — and they resolve on their own, usually within 2 to 6 weeks. For the full breakdown, see our sleep regression timeline.
Growth spurt
Growth spurts cause a temporary spike in hunger that can wake your baby at night — even if they had been getting enough calories during the day. These often overlap with regressions, making it hard to tell which one is driving the wake-ups. Growth spurts are usually shorter, lasting a few days to a week. If your baby suddenly seems ravenous and the night waking started at the same time, hunger is worth considering.
Illness or teething
A cold, ear infection, or teething pain can wreck sleep overnight — literally. If your baby has a runny nose, fever, is pulling at their ears, or has swollen gums, that's likely your answer. Teething pain tends to be worst in the days right around a tooth breaking through, not for weeks on end. Illness-related sleep disruption should improve once your baby feels better.
Schedule needs adjusting
Babies' sleep needs change faster than most parents realize. The wake windows that worked perfectly at 5 months are wrong at 7 months. If your baby is being put down too early (undertired) or too late (overtired), both can cause night waking. This is one of the most overlooked causes — and one of the easiest to fix.
Sleep associations surfacing
If your baby has always fallen asleep while being fed, rocked, or held, they may have been sleeping through the night despite that association — until now. As sleep cycles mature and lighten, your baby surfaces more fully between cycles and realizes the conditions they fell asleep under have changed. They need you to recreate them. This isn't a new problem — it's an existing one that just became visible.
Change in environment or routine
Travel, a new caregiver, moving to a new room, starting daycare, a disrupted bedtime routine, or even a seasonal time change — any shift in what your baby expects can temporarily throw off sleep. Babies are creatures of habit, and they notice changes you might not think twice about.
For a complete map of when regressions happen and what drives each one, our sleep regression timeline covers every major window from 4 months to 3 years. And if you're wondering whether this could be a growth spurt, our baby growth spurts guide breaks down the timing and signs.