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Abstract Sleep problems are common during infancy mostly in the form of night waking or sleep refusal. Infant sleep problems are associated with maternal stress, anxiety, increased marital stress, and family breakdown. Parents frequency ask their family physician about sleep related problems at routine health maintenance visits. Unfortunately, infant with sleep problems tends to grow into chikdren with sleep problems. Researchable have found that about 40% of infants with sleep problems at the age of four months still had a problems at 3 years. The goal of management is to help children developed healthy pattern of sleep, not simply eliminate an immediate problem In this study we evaluate the effect of the sleep Modulation program (SMP) on the sleep of 50 infants and anxietry score of their mothers (cases) in comparison to another 50 infants and their mothers not underwent any intervention (controls). SPM composed of three components that help parents to correct the abnormal sleep pattern of the infants and establishing healthy sleep habits they are behavioral part, reflexology and back massage The measured sleep parameters are total sleep hours per day, duration of night sleep in hours, numbers of naps and duration of day sleep, the time onset of night sleep, the number of night waking, the regularity of naps and the regularity of the time of night sleep, and the ease of sleep induction In both groups the sleep parameters and the Hamilton anxiety scale is done initially and after 2 and 4 weeks |