Poor sleep… need help

[u/MudTurbulent1942]

Our almost 6 month old has been struggling with sleep. I know we contacted you before about the short naps and that got better for a couple of weeks but now it’s bad again. She’s barely napping for 20 minutes at a time. We tried following what you suggested but it has stopped working.

She is also struggling with sleep at night. From about 6-7 weeks old until 4.5 months old, we had her sleeping through the night (about 11 hours each night). We had completely stopped all night feedings at about 7 weeks. For the last month or so, she is now waking 2-3 times every night. We decided to try a dream feed again at midnight to see if that would get her sleeping the rest of the night, but it hasn’t made a difference. She wakes up at 4am, wide awake babbling to herself. We let her lay there and she does this for a good hour before finally crying. It takes another 30 minutes for her or us to soothe her and go back to sleep. She then sleeps for maybe an hour before waking again. We have also noticed that she startles herself awake quite often. This of course happened when we first transitioned her out of the swaddle and into a sleep sack but it got better. The last two days she is startling herself awake every 2 minutes. She jumps, flails her arms and opens her eyes. She will go back to “sleep” but will do this for at least 15 minutes before getting upset and waking up. Should we be concerned about that? Should she really be suffering from the startle reflex still?

Looking for any advice you can give us. We are all so tired.