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The Happiest Baby on the Block

3.93 of 5 stars 3.93 · rating details · 7,803 ratings · 1,529 reviews

Perfect for expecting parents who want to provide a soothing home for the newest member of their family, The Happiest Baby on the Block, the national bestseller by respected pediatrician and child development expert Dr. Harvey Karp, is a revolutionary method for calming a crying infant and promoting healthy sleep from day one.

In perhaps the most important parenting book of...more

Paperback, 288 pages

Published May 27th 2003 by Bantam (first published 2000)

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May 09, 2008 Ryan rated it 1 of 5 stars · review of another edition Recommends it for: frightened new parents

Recommended to Ryan by: Someone who thought they were being helpful

This review has been hidden because it contains spoilers. To view it, click here.

10 likes · like · see review

May 19, 2013 Jennifer rated it 4 of 5 stars · review of another edition

All right, there really are nuggets of good advice hidden in mounds of dirt in this book. For example, I skimmed the entire first half of the book. And there are just so many darned testimonials from his patients - perhaps a fifth of the book is testimonials. Why? To make this actually book-length, I suppose. Oh, and for your mental well-being you should probably skip the section listing all the rare medical conditions that can lead to colic. So, anyway, there are just nuggets...

But what nuggets...more

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May 06, 2012 Steven Salaita rated it 2 of 5 stars · review of another edition

Did this topic really necessitate a book? Based on Karp's offering, the answer is a clear no.

There are some interesting nuggets (as opposed to the troughs of shit) here and there, but most of the book is too-cute filler.

Karp also has the annoying habit of presenting evolutionary theories with the qualifiers "I think" and "I believe." Look, man, either you conducted the research yourself and came to certain empirical conclusions, or other people did. Please stop presenting scientific informatio...more

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Sep 01, 2007 Lara rated it 4 of 5 stars · review of another edition Recommends it for: soon-to-be parents, parents of young babies

I have to read this book to be certified in the curriculum for my job with Prevent Child Abuse Illinois, and normally I wouldn't put this type of thing on a personal book list, but it's so great! Obviously I don't have children, but some day in the future when I do, I definitely want to use these techniques! It talks of the "5 S's to Stop a Crying Baby"- swaddle, side/stomach position, shushing, swinging, and sucking! And I have the DVDs for the whole curriculum, which is amazing! The guy is a g...more

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Jun 10, 2008 Lisa rated it 5 of 5 stars · review of another edition Recommends it for: Pregnant Women and their partners

Recommended to Lisa by: Amazon.com

This book is an absolute parenting essential. In the future, I will purchase this book, along with a swaddler, for every friend/relative who has a new baby. It's the closest thing to magic I have encountered during my brief time as a parent!

We used the techniques in this book almost every day for the first 4 months of our child's life. We still swaddle our son now and he's almost six months old.

I wold strongly recommend reading it before you give birth - we actually used the entire technique ou...more

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Sep 28, 2008 Adam rated it 4 of 5 stars · review of another edition

There's quite a bit of filler in this, I think it could have been about half the length or less, and the publisher was looking for an excuse to charge the full 12.95 or whatever a book costs nowadays. That said, THIS BOOK IS MAGICAL. As a new parent, I don't know what I would do without this book.

Swaddle, Side, Sway, Shhh, Suck. There be magic in them words, and while I'm up at 1am writing this review, my baby is quiet, if not asleep enough to lay down on her own. I'd be ripping my hair out ins...more

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Dec 11, 2008 Kim rated it 3 of 5 stars · review of another edition

The basic points are good - and they work. But, the book is amazingly boring.

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Feb 04, 2013 Libby rated it 4 of 5 stars · review of another edition

Shelves: non-fiction, women-family

I wanted to read this after reading Karp's "Happiest Toddler on the Block" which I really liked.

I thought his theory about the "4th trimester" sounds plausible, which is basically that humans evolved to be born a semester early because our brains are so big, if we continued developing inside we wouldn't be able to get out, so trying to mimic the womb conditions for the first 3 months after the due date will greatly help calm your baby if they are crying for no apparent reason. He gives lots of e...more I wanted to read this after reading Karp's "Happiest Toddler on the Block" which I really liked.

I thought his theory about the "4th trimester" sounds plausible, which is basically that humans evolved to be born a semester early because our brains are so big, if we continued developing inside we wouldn't be able to get out, so trying to mimic the womb conditions for the first 3 months after the due date will greatly help calm your baby if they are crying for no apparent reason. He gives lots of examples of other cultures where babies have no colic because they are always held or bundled and swinging, which mimics the womb.

I really really wish I had read this before my first baby because all the things he talked about are things I eventually discovered, after much trial and error, and he also gives some additional positions to hold your baby I had never thought of. Also, though I had essentially done the things he said, I had never really noticed that I was doing the 5 "S's" (as he calls them): 1)Swaddling, 2)Side & Stomach, 3)Shhhhh, 4)Swing, and 5)Suck.

My main complaints are
1) this book could have been much shorter if he would just get to the point. His writing style is very "friendly"? I guess, and I felt at time repetitive when I just really wanted him to get on with it so I could be soothing my baby.
2) He glosses over some of the problems that other books I've read mention will happen if you always rock your baby to sleep, for example. He mentions weaning your baby of these activities, and says things like, (pg 217) "Don't worry- by the time your baby is three to four months old, you will be able to wean him off [the 5 "S's"] without difficulty", but then gives one vague page of information about that.

About weaning (these are notes for me to remember):
He does at least give vague time-goals:
First wean the sucking (pacifier), then swinging (by 3-4 months), then the swaddling (by 4-6 months), and shhing, or white noise machine (by 6-12 months)

I did like that there were explicit diagrams about how to properly swaddle, and hold your baby in various ways, though a couple more would have been nice. (really videos would have been nice... ;D)

Sadly, everything in this book is really geared for babies younger than 3 months and my baby is just barely 3 months. I would definitely recommend this book to any soon-to-be first-time mom especially.(less)

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Jan 13, 2013 Noor Alam rated it 3 of 5 stars · review of another edition

The book's general premise is that human infants are simply evicted from the womb earlier than they would like, namely because their heads after 9 months would be too big to pass through the birth canal. Thus, the first thee months of a baby's life is what Karp calls "the fourth trimester" and accordingly, babies are happiest when the conditions around them are made to replicate those they encountered in the womb. Karp's recommendation to new parents is thus to use the 5 s's, swaddling, side-lyi...more The book's general premise is that human infants are simply evicted from the womb earlier than they would like, namely because their heads after 9 months would be too big to pass through the birth canal. Thus, the first thee months of a baby's life is what Karp calls "the fourth trimester" and accordingly, babies are happiest when the conditions around them are made to replicate those they encountered in the womb. Karp's recommendation to new parents is thus to use the 5 s's, swaddling, side-lying, shushing, swinging, and sucking, to soothe a crying baby.

The thesis is compelling, though the book itself is a bit repetitive. The insistence on aggressiveness with the newborn is hard for a sensitive parent to deal with, and I still struggle with it sometimes. But connecting these conditions with the conditions of the womb make sense. For example, Karp claims that the swaddle must be done tightly, names to replicate the tight and restrictive conditions of the womb. Outside of this confinement, the baby is left only with limited motor skills,and can distress itself by the uncontrolled movement of its limbs. We saw this with our daughter to some extent, especially early on when she would often scratch herself. While she would protest to the swaddling at times, and often try to free herself, when the swaddling was combined with other calming methods, such as breast feeding or rocking, she would enter a sublime calmness. And notably, her sleeping periods were generally longer if she was swaddled than if she was not.

What I find most interesting is that the techniques discussed in the book do indeed seem to trigger a reflex. In fact, it seems almost impossible for our daughter to resist sleeping if we walk her in a carrier, or swaddle her, rock her, and put on a white noise machine. While having her stay asleep is sometimes a bigger challenge, her reaction to the 5 s's makes me convinced that despite the gimmicky nature of the book, Karp is onto something, and it definitely wasn't something I found to be intuitive at all.

(less)

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Oct 04, 2012 Rebecca rated it 4 of 5 stars · review of another edition

Shelves: nonfiction

Well, the final evaluation is going to have to wait for a few months until I have someone to try the technique out on. But the book came very highly recommended, both from mothers I personally know and from various experts whose opinions I respect, so we're going to give him the benefit of the doubt for now. His theories, as he lays them out, certainly do make sense, and jive up well with information I have from other sources. (Although there's plenty of theories in every generation that subsequ...more

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May 16, 2012 Pkelsay rated it 5 of 5 stars · review of another edition

This book was recommended to us in the hospital by one of the labor and delivery nurses. It makes a very compelling case for understanding and appropriately reacting to an infant's behavior, particularly in light of the first three months after birth. It starts with the argument that human babies physiologically need a fourth trimester of development before they are able to interact with their environment in the way most other mammal babies already do at birth. (This is also supported by Brain R...more

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Mar 23, 2012 Christy Ford rated it 3 of 5 stars · review of another edition

Shelves: parenting

I think a better title for this would be 'how to make a baby shut up'
or 'what to do with a crying infant' (my previous response to that one was 'hand it back to it's mother').

We're pre-baby at the moment, but I'm going on the basis of others' comments that the techniques described are effective. This isn't a long book, and it certainly doesn't cover comprehensive infant care, but it sticks to its thesis, and explains the techniques well, including a satisfying amount of theory and justification...more

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Feb 11, 2012 Laura rated it 5 of 5 stars · review of another edition

Shelves: favorites

I wish I had gotten this book sooner. It was recommended to me by a friend with a 4 year old. I had great reservations about the efficacy of the techniques and frankly, put off reading it because I'm a Doubting Thomas.

My daughter is 8 weeks and has recently started fussing and resisting bedtime, leading to a 3-4 hour wailing battle with me almost every night. I was worried it was colic, or reflux, and dreaded considering putting her on GERD medicines.

I read this book last night and tried the S t...more

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Oct 28, 2011 Chrissy rated it 3 of 5 stars · review of another edition

I have to say that in the beginning this book was a life saver. But once my body stopped producing milk for some unknown reason and we went on to formula she developed severe colic. The techniques did work to an extent and made life a little more manageable. However I do not agree with constantly holding a baby, as a result of continually holding a baby our daughter is now use to it and at 8 months of age while awake we can not set her down without her screaming bloody murder unless we are right...more

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Jul 27, 2011 Jasmin rated it 4 of 5 stars · review of another edition

Shelves: pregnancy-and-parenting, guides

This book primarily deals with how to take care of a baby during the first three months of life. My husband recommended that I read this book before the other infant care books we have and I am glad that I did. We are expecting any day now (I was due two days ago) and I feel like this book has lifted away some of my worries about newborn care. Harvey Karp basically says that for the first three months of life, a newborn is still a fetus. This means the baby is not really in a position to be lear...more

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Jul 09, 2011 Corinne rated it 4 of 5 stars · review of another edition

This is the perfect book if you baby has colic and/or is your first or second child. Useful information, but stuff I learned by accident along the way with all my babies!

Talks about the 5 S's for a happy baby (swing, swaddle, shush, suck, can't remember the last one) and refers to first three months of baby's life as the last trimester. (it is nice to put a name to it)

I am glad I don't have to feel guilty anymore about nursing my babies on demand, holding them a lot, and even sleeping with them...more

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May 16, 2011 Kylene rated it 4 of 5 stars · review of another edition

Well, I think boo to the apps on the phone. I had a very thorough review posted on here, and it got erased while I was using the Goodreads app on my Droid (I was putting baby to sleep and needed something to do while I was waiting to put her down).

But I digress... 4 stars to this book. Yes there is a lot of fluff, but it really helps you understand why baby is crying and why they need what the author is saying they need. I think this book is better read PRIOR to baby being born. I could imagine...more

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Mar 23, 2011 Aban (Aby) rated it 5 of 5 stars · review of another edition

This book saved my daughter and myself from going insane! My granddaughter was born in February and within days proved to be the most challenging of infants: she screamed for what felt like hours and hardly slept. We rarely ever saw the baby contented. Then a friend loaned my daughter this book (I swear there are angels on high looking after us!) and, thanks to what we learned from the book, the situation improved dramatically.

We learned from Harvey Karp, a doctor, that some babies are unable to...more

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Mar 16, 2011 Brian rated it 3 of 5 stars · review of another edition

Shelves: baby-training

Hopefully the techniques are more effective than the style

There's a lot of unnecessary fluff trying to convince you of the 'calming reflex' and the 'fourth trimester' idea. Skip the first 75 pages.
VERY repetitive (how many times must he remind us that "he had this type of stimulation 24 hours a day IN the womb, what you're doing now is a big decrease"?--apparently, this is written in the context of a society that is afraid of spoiling 3 month-olds by soothing them, which was news to me.
Off...more Hopefully the techniques are more effective than the style

There's a lot of unnecessary fluff trying to convince you of the 'calming reflex' and the 'fourth trimester' idea. Skip the first 75 pages.
VERY repetitive (how many times must he remind us that "he had this type of stimulation 24 hours a day IN the womb, what you're doing now is a big decrease"?--apparently, this is written in the context of a society that is afraid of spoiling 3 month-olds by soothing them, which was news to me.
Off-putting overly enthusiastic and conversational (in the motivational speaker sort of way) style, but probably like many of these mothery books
Really disruptive quotes from parents, outdated (like 18th century) parenting guides, and famous people that are inserted in random places in the middle of text. They do not add anything other than occasional humor but mostly frustration (I don't trust anecdotal 'evidence' by nature). The book would be better without them, though only 1/2 the length. Oh, same for the silly cartoons.

But HOPEfully, the strategies and techniques work (that's why I'm not giving it a 0.5), but I wouldn't discourage you from getting the meat of the book from another source and skip the read. Borrow it from someone and see which pages they dogeared or something. After I endured the text, I've marked the relevant pages so I can convert the book to a more palatable (and concise) reference. For those of you with the paperback 2003 edition, see the following pages:

23: determining why your baby's crying
115: how to swaddle
126-127: really, this is the book summarized. I guess he put it in the middle so the book can stay open to it. You can get away with just these two pages (I'm not suggesting you break copyright and photocopy it yourself, nosiree!)
134: some ways to hold baby to soothe him/her
187: the progression: try one technique, add another, add another till he calms down
194: infant massage
217: weaning off the soothing techniques
(less)

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Dec 07, 2010 Lauren rated it 3 of 5 stars · review of another edition

Good information for the lay person about a newborn baby's sensory needs. As someone who works with kids with sensory processing disorders, I've seen the disregulation that can occur when a child's sensory needs are not being met. I've bought this book for friends of mine who are new mothers. I like how Karp teaches new parents exactly how to swaddle their babies.
The reason I only gave it 3 stars is that the book is extremeley repetitive and is written in fairly simplistic terms. I think most pe...more

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Mar 02, 2010 Danielle rated it 4 of 5 stars · review of another edition

Shelves: 2010-read, picks, parenting

I'd recommend getting the DVD instead of this book. It's just as repetitious, but it's much shorter to get through, and you don't miss anything from the book.

10,000 stars for the ideas contained within the book, 2 stars for presentation. The author is really repetitious with his ideas, so I ended up skimming most of it. However, the ideas work wonders for my baby!

The 5 S's were things that I naturally tried, either from instinct to comfort the baby or from experience/watching other mothers. But...more

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Oct 09, 2009 Kolby rated it 3 of 5 stars · review of another edition

I found this book and the accompanying DVD useful in better understanding why my second and third children were so much more difficult to soothe than my first. It also helped me to not take it so personally! I like his concept of the "fourth trimester," that creating a womb-like environment helps the fussier baby transition into the world. Many of these tricks (the four s's) were ones I already knew or used in my own ways, but it was helpful to think of putting it all together for maximum effect...more

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Jul 26, 2009 Holyn rated it 5 of 5 stars · review of another edition

I read this book during the last few weeks of my pregnancy and the first few weeks of Adeline's life. I recommend this as a must read to any future parent. I think it was really helpful in knowing how to keep Adeline calm - and might be one reason she was not terribly fussy during her first few months of life.

Dr. Karp takes what he believes are the 'myths' surrounding a colicky baby, explains their origins, and then debunks each myth. I thought it was marvelous. He then explains his basic theory...more

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Jul 07, 2009 Lisa rated it 1 of 5 stars

Shelves: non-fiction, i-hated-this-book, non-fiction-child-rearing

Let me preface my review by acknowledging that the tips and tricks described in this book will probably be of great use in calming my baby when I have a newborn. And, if this book were, say, a seven-page article in a magazine, I would rip it out, keep it for reference, and recommend it to friends.

The problem is that this is not a seven-page article. It is a 260-page book. 260 pages of fluff, filler, and drawings. 260 pages to essentially inform the reader that calming a newborn takes "the 5 S's...more

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Jan 07, 2009 Marnie added it · review of another edition

While I can't yet attest to the results this book claims, it seems like it has good suggestions for the first 3-4 months of your child's life. There is a LOT of repetition, and it could've been a much shorter book.

The author believes that babies are missing a fourth trimester in the womb and thinks the best way to calm a fussy baby is to recreate their experience in the womb. The main points are the 5 s's, which need to be done in order:
1. Swaddle- to stop your baby from flailing. Make sure arm...more

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Dec 30, 2007 Amelia rated it 5 of 5 stars · review of another edition Recommends it for: every new mother

How can I say this?... If you want to never hear your baby cry for longer than 5 seconds and have them sleep through the night for their first three months, read this book and get the instructional DVD. I read it twice and perfected the technique before my baby boy was born and I seriously LOVED having a newborn and NEVER felt like I couldn't console him. It worked EVERY TIME. I really don't know how people do it without knowing this technique. It's a must for every mom.

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May 29, 2009 Carrie rated it 4 of 5 stars · review of another edition

I saw this doctor on Oprah YEARS ago... I remember that the audience was full of QUIET, contented babies and I wondered if they were all sedated.

The premise is that human babies are born 3 months BEFORE they are really developed because of the size of their heads. Therefore, the fist 100 days of their life is virtually a "fourth trimester" in which the baby needs constant vigilance and caring.

He offers "cuddle cure"... 5 steps done in sequence to calm a baby and simulate life in the womb: Swaddl...more

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Jul 07, 2011 Cindy rated it 5 of 5 stars · review of another edition Recommends it for: parents of colicky babies

We would have gone insane without this book. For four months, our baby was on the verge of crying, crying, or screaming nearly every minute she was awake. We felt totally alone and isolated, not to mention exhausted and hopeless.

Many critical reviews of this book are written by non-parents who have never needed the kind of support this book offers. I'm glad it was long. I'm glad it was simple. Each page gave me hope that our baby's behavior wasn't totally uncommon, even though all other babies...more

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Jun 13, 2011 Rebekah rated it 4 of 5 stars · review of another edition

Pretty much what everyone else said. The writing is idiotic and the whole book could be summed up in a page (as one reviewer mentioned, pages 95-99 tell you everything you need to know). But, the one page worth of stuff is pretty miraculous. Once our daughter sort of "woke up" from the daze of the first few weeks and realized how difficult and weird and uncomfortable her new world was, she had a few days of being really unhappy and frustrated. She would cry and fuss and the most we could do was...more

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Apr 17, 2009 Annette rated it 3 of 5 stars · review of another edition

Shelves: non-fiction-self-help, parenting-and-childhood, own

In the last couple of years, I have read - or at least tried to read - more "self-help" type books than probably the rest of my life combined. I am noticing a common problem: the author has a good or even great idea, piece of advice, research, or insight into the human condition. This idea can be adequately communicated in, say, 5 or 10 pages. But, the author would like to make some money off this idea, and therefore goes shopping for a book deal. The publishers would like to sell a hardback at...more In the last couple of years, I have read - or at least tried to read - more "self-help" type books than probably the rest of my life combined. I am noticing a common problem: the author has a good or even great idea, piece of advice, research, or insight into the human condition. This idea can be adequately communicated in, say, 5 or 10 pages. But, the author would like to make some money off this idea, and therefore goes shopping for a book deal. The publishers would like to sell a hardback at $20 and a bunch of paperbacks at $8 to $15. Obviously no-one will pay that for a 10 page book. So, the author and/or his ghost writers wrap his simple idea up into 150 to 200 pages of repetitive, often intelligence insulting prose.
"The Happiest Baby" is perhaps one of the worst examples of this trend I've yet come across. The entire book may be summed up in two points:
1) Babies aged 0 to 3 months who are in no true pain or hunger can usually be rapidly calmed by recreating a womb-like environment, which can be done by following the "5 S's" (Swaddling, side position, shushing, swinging, and sucking. Read the book if you want the details.)
2) It is OK to do this whenever your baby cries in this age range, because you cannot "spoil" a child still in its "fourth trimester."

This is pretty much all we need to know. But Dr. Karp, in an obvious effort to get his word count up, spends chapter upon chapter discussing colic, why the commonly ascribed causes cannot be correct, why his explanation makes the most sense, dozens of anecdotal examples, etc, etc, etc. One must wade through all this before getting to the meat of the plan, which is neatly summarized in a two-page diagram in the middle of the book. Errgh.

I always tend towards written vs. audio/visual material. Perhaps in this case, however, the DVD would have been a better bet. My baby isn't born yet, but from the number of parents who recommended this video, I've no real doubt that "The 5 S's" will work for us and save us and our son much frustration - especially if he turns out to be "colicky." Frankly, that's more than worth the price of admission ($13 at Target.) But it does leave me wishing that the current perverse incentives on self-help authors could be somehow reduced so I could waste less time on this sort of literature.

(For what it's worth, my husband, who has a PhD, assures me that the problem is just as significant in dissertations. He estimates that roughly 10% of his 200 page thesis contained his actual "contribution to the field." The rest was largely irrelevant...)

UPDATE: Either I am in a better mood today, or the last 4-6 chapters in the book were far more worthwhile than the first 4-6. :) Seriously, there was some good info in the latter 1/4 of the book on how to tell if your baby is really sick, how to transition away from the "S's" when your child is 4 months old or so, etc.
So if you're reading this book, scan the first 1/2, pay close attention to the exact techniques in the middle, and read to the end. (less)

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About Harvey Karp

Dr. Harvey Karp is a nationally renowned pediatrician and child development specialist. He is an Assistant Professor of Pediatrics at the UCLA School of Medicine. Over the past 30 years, he has taught thousands of parents, from working moms to superstars like Madonna, Michelle Pfeiffer and Pierce Brosnan his secrets for making children happy.

Dr. Karp has committed his full-time efforts to writing,...more

More about Harvey Karp...

Books by Harvey Karp

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The Happiest Baby on the Block and The Happiest Toddler on the Block 2-Book Bundle

Das Glücklichste Kleinkind Der Weltwie Sie Ihr Kind Liebevoll Durch Die Trotzphase Begleiten

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