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Sleep Tips for Babies and Toddlers

Babies and Sleep

Congratulations on the birth of your new baby. This is a glorious time in your life – and a sleepless time too. Newborns have very different sleep needs than older babies. This article will help you understand your baby’s developing sleep patterns, and will help you have reasonable expectations for sleep.

Read, Learn, and Beware of Bad Advice

Absolutely everyone has an opinion about how you should handle sleep issues with your new baby. The danger to a new parent is that these tidbits of misguided advice (no matter how well-intentioned) can truly have a negative effect on our parenting skills and, by extension, our babies’ development…if we are not aware of the facts. The more knowledge you have the less likely that other people will make you doubt your parenting decisions. When you have your facts straight, and when you have a parenting plan, you will be able to respond with confidence to those who are well-meaning but offering contrary or incorrect advice. So, your first step is to get smart! Know what you are doing, and know why you are doing it. Read books and magazines, attend classes or support groups – it all helps.

The Biology of Newborn Sleep

During the early months of your baby’s life, he sleeps when he is tired, it’s that simple. You can do little to force a new baby to sleep when he doesn’t want to sleep, and conversely, you can do little to wake him up when he is sleeping soundly. Newborn babies have very tiny tummies. They grow rapidly, their diet is liquid, and it digests quickly. Although it would be nice to lay your little bundle down at bedtime and not hear from him until morning, this is not a realistic goal for a tiny baby. Newborns need to be fed every two to four hours — and sometimes more.

Sleeping “through the night”

You may believe that babies should start “sleeping through the night” soon after birth. For a new baby, a five-hour stretch is a full night. Many (but not all) babies can sleep uninterrupted from midnight to 5 a.m. (Not that they always do.) This may be a far cry from what you may have thought “sleeping through the night” meant! What’s more, some sleep-through-the-nighters will suddenly begin waking more frequently, and it’s often a full year or even two until your baby will settle into an all-night, every night sleep pattern.

Falling Asleep at the Breast or Bottle

It is natural for a newborn to fall asleep while sucking at the breast, a bottle, or a pacifier. When a baby always falls asleep this way, he learns to associate sucking with falling asleep; over time, he cannot fall asleep any other way. This is probably the most natural, pleasant sleep association a baby can have. However, a large percentage of parents who are struggling with older babies who cannot fall asleep or stay asleep are fighting this powerful association.

Therefore, if you want your baby to be able to fall asleep without your help, it is essential that you sometimes let your newborn baby suck until he is sleepy, but not totally asleep. When you can, remove the breast, bottle, or pacifier from his mouth, and let him finish falling asleep without it. If you do this often enough, he will learn how to fall asleep without sucking.

Waking for Night Feedings

Many pediatricians recommend that parents shouldn’t let a newborn sleep longer than four hours without feeding, and the majority of babies wake far more frequently than that. No matter what, your baby will wake up during the night. The key is to learn when you should pick her up for a feeding and when you can let her go back to sleep on her own.

Here’s a tip that is important for you to know. Babies make many sleeping sounds, from grunts to whimpers to outright cries, and these noises don’t always signal awakening. These are what I call sleeping noises, and your baby is asleep during these episodes. Learn to differentiate between sleeping sounds and awake sounds. If she is awake and hungry, you’ll want to feed her as quickly as possible so she’ll go back to sleep easily. But if she’s asleep – let her sleep!

Help Your Baby Distinguish Day from Night

A newborn sleeps sixteen to eighteen hours per day, and this sleep is distributed evenly over six to seven sleep periods. You can help your baby distinguish between night sleep and day sleep, and thus help him sleep longer periods at night. Have your baby take his daytime naps in a lit room where he can hear the noises of the day. Make nighttime sleep dark and quiet, except for white noise (a background hum). You can also help your baby differentiate day from night by using a nightly bath and a change into pajamas to signal the difference between the two.

Watch for Signs of Tiredness

Get familiar with your baby’s sleepy signals and put her down to sleep as soon as she seems tired. A baby who is encouraged to stay awake when her body is craving sleep is an unhappy baby. Over time, this pattern develops into sleep deprivation, which complicates developing sleep maturity. Learn to read your baby’s sleepy signs -- such as quieting down, losing interest in people and toys, and fussing -- and put her to bed when that window of opportunity presents itself.

Make Yourself Comfortable

It’s a fact that your baby will be waking you up, so you may as well make yourself as comfortable as possible. Relax about night wakings right now. Being frustrated about having to get up won’t change a thing. The situation will improve day by day; and before you know it, your newborn won’t be so little anymore — she’ll be walking and talking and getting into everything in sight…during the day, and sleeping peacefully all night long.

Here’s something that may really surprise you: As much as we may want our babies to sleep through the night, our own subconscious emotions sometimes hold us back from encouraging change in our babies’ sleeping habits. You yourself may be the very obstacle preventing a change in a routine that disrupts your life. So let’s figure out if anything is standing in your way.

Examine Your Own Needs and Goals

Today’s society leads us to believe that “normal babies” sleep through the night from about two months; my research indicates that this is more the exception than the rule. The number of families in your boat could fill a fleet of cruise ships.

“At our last day-care parent meeting, one father brought up the fact that his two-year-old daughter wasn’t sleeping through the night. I discovered that out of 24 toddlers only six stayed asleep all night long.” …Robin, mother of thirteen-month-old Alicia

You must figure out where your own problem lies. Is it in your baby’s routine, in your management of it, or simply in the minds of others? If you can honestly say you want to change your baby’s sleep habits because they are truly disruptive to you and your family, then you’re ready to make changes. But if you feel coerced into changing Baby’s patterns because Great Grandma Beulah or your friend from playgroup says that’s the way it should be, it’s time for a long, hard think.

Certainly, if your little one is waking you up every hour or two, you don’t have to think long on the question, “Is this disruptive to me?” It obviously is. However, if your baby is waking up only once or twice a night, it’s important that you determine exactly how much this pattern is disturbing to you, and decide on a realistic goal. Be honest in assessing the situation’s effect on your life. Begin today by contemplating these questions:

• Am I content with the way things are, or am I becoming resentful, angry, or frustrated?

• Is my baby’s nighttime routine negatively affecting my marriage, job, or relationships with my other children?

• Is my baby happy, healthy, and seemingly well rested?

• Am I happy, healthy, and well rested?

Once you answer these questions, you will have a better understanding of not only what is happening with regard to your baby’s sleep, but also how motivated you are to make a change.

Reluctance to Let Go of Those Nighttime Moments A good, long, honest look into your heart may truly surprise you. You may find you actually relish those quiet night wakings when no one else is around. I remember in the middle of one night, I lay nursing Coleton by the light of the moon. The house was perfectly, peacefully quiet. As I gently stroked his downy hair and soft baby skin, I marveled at this tiny being beside me—and the thought hit me, “I love this! I love these silent moments that we share in the night.” It was then that I realized that even though I struggled through my baby’s hourly nighttime wakings, I needed to want to make a change in our night waking habits before I would see any changes in his sleeping patterns.

You may need to take a look at your own feelings and if you find you’re truly ready to make a change, you’ll need to give yourself permission to let go of this stage of your baby’s life and move on to a different phase. There will be lots of time to hug, cuddle, and love your little one, but you must truly feel ready to move those moments out of your sleeping time and into the light of day.

Worry About Your Baby’s Safety

We parents worry about our babies, and we should! With every night waking, as we have been tending to our child’s nightly needs, we have also been reassured that our baby is doing fine — every hour or two all night long. We get used to these checks; they provide continual reassurance of Baby’s safety.

“The first time my baby slept five straight hours, I woke up in a cold sweat. I nearly fell out of bed and ran down the hall. I was so sure that something was horribly wrong. I nearly wept when I found her sleeping peacefully.” …Azza, mother of seven-month-old Laila

Co-sleeping parents are not exempt from these fears. Even if you are sleeping right next to your baby, you’ll find that you have become used to checking on her frequently through the night. Even when she’s sleeping longer stretches, you aren’t sleeping, because you’re still on security duty.

These are very normal worries, rooted in your natural instincts to protect your baby. Therefore, for you to allow your baby to sleep for longer stretches, you’ll need to find ways to feel confident that your baby is safe—all night long.

Once you reassure yourself that your baby is safe while you sleep, you’ll have taken that first step toward helping her sleep all night.

Belief That Things Will Change on Their Own

You may hope, pray, and wish that one fine night, your baby will magically begin to sleep through the night. Maybe you’re crossing your fingers that he’ll just “outgrow” this stage, and you won’t have to do anything different at all. It’s a very rare night-waking baby who suddenly decides to sleep through the night all on his own. Granted, this may happen to you—but your baby may be two, three or four years old when it does! Decide now whether you have the patience to wait that long, or if you are ready to gently move the process along.

Too Fatigued to Work Toward Change

Change requires effort, and effort requires energy. In an exhausted state, we may find it easier just to keep things as they are than try something different. In other words, when Baby wakes for the fifth time that night, and I’m desperate for sleep, it’s so much easier just to resort to the easiest way to get him back to sleep (rock, nurse, or replace the pacifier) than it is to try something different.

Only a parent who is truly sleep deprived can understand what I’m saying here. Others may calmly advise, “Well if things aren’t working for you, just change what you’re doing.” However, every night waking puts you in that foggy state where the only thing you crave is going back to sleep—plans and ideas seem like too much effort.

If you are to help your baby sleep all night, you will have to force yourself to make some changes and follow your plan, even in the middle of the night, even if it’s the tenth time your baby has called out for you.

So, after reading this section and you’re sure you and your baby are ready, it’s time for you to make a commitment to change. That is the first important step to helping your baby sleep through the night.

Excerpted with permission by McGraw-Hill/Contemporary Publishing from The No-Cry Sleep Solution: Gentle Ways to Help Your Baby Sleep Through the Night by Elizabeth Pantley, copyright 2002

TODDLERS AND PRESCHOOLERS

Up to 70% of children under age five have sleep problems. Sleep issues are complicated and have many causes. They’re hard to deal with because when children aren’t sleeping, parents aren’t sleeping, and that lack of sleep affects every minute of every day for every person in the family because lack of sleep isn’t just about being tired. Sleep has a role in everything -- dawdling, temper tantrums, hyperactivity, growth, health, and even learning to tie his shoes and recite the ABCs. Sleep affects everything. The following ideas are of value to almost any sleeper, of any age. These tips can bring improvement not only in your child’s sleep, but also in her daytime mood and last, but not least – improvements in your own sleep and outlook as well.

# 1 A consistent bedtime and awaking time. Your child’s biological clock has a strong influence on her wakefulness and sleepiness. When you establish a set time for bedtime and wake up time you “set” your child’s clock so that it functions smoothly. Aim for an early bedtime. Young children respond best with a bedtime between 6:30 and 7:30 P.M. Most children will sleep better and longer when they go to bed early.

# 2 Encourage regular daily naps. Daily naps are important. An energetic child can find it difficult to go through the day without a rest break. A nap-less child will often wake up cheerful and become progressively fussier or hyper-alert as the day goes on. Also, the length and quality of naps affects night sleep – good naps equal better night sleep.

# 3 Set your child’s biological clock. Take advantage of your child’s biology so that he’s actually tired when bedtime arrives. Darkness causes an increase in the release of the body’s sleep hormone -- the biological “stop” button. You can align your child’s sleepiness with bedtime by dimming the lights during the hour before bedtime. Exposing your child to morning light is pushing the “go” button in her brain — one that says, “Time to wake up and be active.” So keep your mornings bright!

# 4 Develop a consistent bedtime routine. Routines create security. A consistent, peaceful bedtime routine allows your child to transition from the motion of the day to the tranquil state of sleep. An organized routine helps you coordinate the specifics: bath, pajamas, tooth-brushing. It helps you to function on auto-pilot at the time when you are most tired and least creative.

# 5 Create a cozy sleep environment. Where your child sleeps can be a key to quality sleep. Make certain the mattress is comfortable, the blankets are warm, the room temperature is right, pajamas are comfy, and the bedroom is welcoming.

# 6 Provide the right nutrition. Foods can affect energy level and sleepiness. Carbohydrates can have a calming effect on the body, while foods high in protein or sugar generate alertness, particularly when eaten alone. A few ideas for pre-bed snacks are: whole wheat toast and cheese, bagel and peanut butter, oatmeal with bananas, or yogurt and low-sugar granola. Vitamin deficiencies due to unhealthy foods can affect a child’s sleep. Provide your child with a daily assortment of healthy foods.

# 7 Help your child to be healthy and fit. Many children don’t get enough daily physical activity. Too much TV watching and a lack of activity prevents good sleep. Children who get ample daily exercise fall asleep more quickly, sleep better, stay asleep longer, and wake up feeling refreshed. Avoid activity in the hour before bedtime though, since exercise is stimulating – they’ll be jumping on the bed instead of sleeping in it!

# 8 Teach your child how to relax. Many children get in bed but aren’t sure what to do when they get there! It can help to follow a soothing pre-bed routine that creates sleepiness. A good pre-bed ritual is story time. A child who is listening to a parent read a book or tell a tale will tend to lie still and listen. This quiet stillness allows him to become sleepy. Work with these eight ideas and you’ll see improvements in your child’s sleep, and yours too.

Excerpted with permission by McGraw-Hill Publishing from The No-Cry Sleep Solution for Toddlers & Preschoolers (McGraw-Hill 2005) By Elizabeth Pantley, Author of Gentle Baby Care available at www.pantley.com/elizabeth

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