Getting a good night's sleep

Posts Tagged ‘pediatric sleep’

Naptime at our house used to be a recurring mystery: When would Lucy go down today? I’d be on the lookout for clues and remain suspicious through dim lights, books, and droopy eyelids.

Don’t fret when babies won’t nap, experts say. When babies needs to sleep, they will.

When I could no longer stand the suspense, I’d plop her in her car seat, where she’d anticlimactically drift off like it was no big deal. I knew Lucy should be napping in her crib, but she hated to, so I was willing to do whatever worked.

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f you’re reading this, you are probably in the throes of sleepless nights with your infant. Maybe there are bags under your eyes and dark circles. You’re probably yawning and wondering why you have the only baby in the universe, it seems, who refuses to sleep. Take heart, there’s help.

Perhaps you’ve thought about “sleep training” but have felt unsure about which method to choose. If so, the following guide will help you take the guesswork out of choosing the right sleep plan for you and your baby.

The Sleepeasy Solution In a nutshell: This approach, developed by Jill Spivack and Jennifer Waldburger, pediatric sleep experts who own the popular Los Angeles-based sleep consultancy Sleepy Planet (which has loads of Hollywood clients – yes, celeb babies cry too!), was developed with an efficient yet compassionate approach in mind. In short, you might hear some crying, but you’re going to discover how to phase your baby into learning how to sleep.

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HAVING YOUR CHILD EVALUATED FOR OBSTRUCTIVE SLEEP APNEA

If you suspect that your child has obstructive sleep apnea (OSA), you may want to consult first with your child’s primary care provider (usually a pediatrician or family physician) and share your concerns. You may also choose to consult with an otolaryngologist (ear, nose, and throat specialist or ENT) or a pulmonologist (a specialist in lung problems) who deals with children. Sometimes, because of the hyperactivity, inattentiveness, aggressive behavior, irritability, and mood swings associated with pediatric OSA, a mental health provider, such as a child psychiatrist or psychologist, or a neurologist may be the first to recognize the problem. However, before seeing any specialist for an evaluation, you should check with your insurance company as you may need a referral or have to go to a specific provider.

Doctors who specialize in sleep medicine may also practice in your area. They have usually trained under other sleep specialists and/or studied sleep medicine through a residency program, continuing medical education (CME) courses, and scientific meetings. Physicians certified by the American Board of Sleep Medicine have passed standardized tests on both pediatric and adult sleep disorders. You should ask any doctor or health care provider about his/her credentials and experience, especially in dealing with children. You should be satisfied with the explanations and how it will be diagnosed and treated in your child’s particular case.

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Normal infant sleep is very quiet. If your baby is making noise, sweating, moving around, or making extra effort to breath, they need to be seen by a pediatric sleep specialist.

Help with getting infants to sleep.

There are many methods that can help get your infant to sleep. The great debate is whether to let a baby “cry it out” (CIO). I will give you some ideas to help minimize crying.

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Your Top 10 Questions About SleepAnswered! Rest easy. Here’s everything you need to know. By KATHERINE FINN DAVIS, PHD, RN, CPNP

New parents often worry about their babys sleep: Is he sleeping too much or not enough? Is he in the right position? Where should he sleep? Dont let these questions keep you up at night the answers are easy once you know the basics.

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This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My File Cabinet Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Sadeh, A. Search for Related Content PubMed PubMed Citation Articles by Sadeh, A. Related Collections Office Practice Social Bookmarking What’s this? PEDIATRICS Vol. 113 No. 6 June 2004, pp. e570-e577 ELECTRONIC ARTICLE A Brief Screening Questionnaire for Infant Sleep Problems: Validation and Findings for an Internet Sample Avi Sadeh, DSc

From the Department of Psychology, Tel Aviv University, Tel Aviv, Israel

ABSTRACT TOP ABSTRACT METHODS RESULTS DISCUSSION APPENDIX: THE BISQ REFERENCES Objective. To develop and validate (using subjective and objective methods) a brief infant sleep questionnaire (BISQ) that would be appropriate for screening in pediatric settings.
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Berkeley Parents Network Home Members Post a Msg Reviews Advice Subscribe Help/FAQ What’s New
Waking at Night: 2 and 3 Year Olds Berkeley Parents Network > Advice > Sleep > > Waking at Night

• 2-year-old used to sleep well, wakes at night now
• 2-year-old has started waking up at 2:00 A.M.
• 2.5 year old waking several times a night
• 2.5 year old has never slept through the night
• Setting up an “OK” time for 3-y-o to come into our bed
• Night Terrors
• More advice about waking at night

2-year-old used to sleep well, wakes at night now Feb 2004

I have a 2 year old who has always been a good sleeper and is now waking once or twice a night and having a hard time getting back to sleep. I checked the archives and noticed this doesn’t seem to be unconmmon. To parents who have 3 and 4 year olds who went through this at 2, does it go away on it’s own? Is this a phase that will pass without work or should I do something to help him through it. Currently, my husband or I go in and sleep on the floor but it’s tiering for us and I’m wondering if he’ll need us in there forever to be comfortable? Are we supporting him through a difficult developmental phase or are we creating a dependancy we will have to ”break” him from later. Let me know. Thanks! Sleepless

For what it’s worth, I am someone who recently posted a desperate e-mail about night- (and early-morning-) waking in my two-year-old, who up until then had been a champion sleeper. Her brother arrived just before she turned two, so I don’t know whether it was turning two, or the new addition to the family, but she just became a miserable, miserable sleeper — unable to fall asleep without having someone stay by her side for ages, waking up with terrible nightmares and unable to fall back asleep without yet more endless help, and then getting up to start the day sometimes as early as 4 a.m. I’m not really sure how we got through this, but yes, it DOES get better. My husband was in favor of indulging whatever requests she came up with — extra songs, lots of ”watching over her,” taking her into our bed (a big disaster), etc.; I was more inclined to try to nip things in the bud. In the end, we took a sort of middle road: he, the one willing to put up with everything, started putting her to bed, so at bedtime she got indulged — but ONLY as long as she was TRYING to fall asleep. If she was just playing around in her crib, or whining, or whatever, he would threaten to leave; if she lay there quietly with her eyes shut (although clearly suffering from some kind of anxious insomnia), he would stay quietly in the room for as long as it took, until she fell asleep. I would go to her for the night wakings, with a similar sort of approach. However, since we had the new little baby, eventually I would just get too exhausted to stay up with her, and amazingly, when I explained that I HAD to leave because I just couldn’t stay awake any longer, . . . she simply accepted that and went to sleep herself. Now, at 2-1/2, she often falls asleep without much trouble and when she (rarely) wakes during the night, a quick visit is enough to get her right back to sleep. I do think she benefitted from the extra comforting we gave her — maybe this helped her eventually to feel a bit more relaxed and confident – - but it was also interesting to see that she really didn’t NEED all of the comforting she had been demanding.

Or, . . . maybe she just grew out of it!

2-year-old has started waking up at 2:00 A.M. May 2002
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We’re located in the Plano Pediatric Medical Pavilion, at Marsh and W. Plano Parkway, North of the George Bush Tollway and West of the North Dallas Tollway and the Shops at Willow Bend Mall.

Pediatric Sleep Institute

7000 W. Plano Pkwy #220
Plano, Texas 75093
(214) 778-3000
(214) 778-3005 FAX

Office Hours
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When my daughter was 2 months old, she slept only 9 hours a day, often only 5 hours at night, and never for more than 3 hours at a stretch. She, my husband, and I were all exhausted. So I decided to consult the experts: I went to my library and, not knowing which baby sleep book to borrow, checked out all of them. My 6-month-old daughter now regularly falls asleep on her own in her crib, sleeps from 7pm-7am at night with one feeding in the middle, and takes 2-3 naps per day. Our family is well-rested, and so much happier!

* 10 month update: We decided to drop the middle-of-the-night feeding at 9 months, again by letting her cry it out, and by the 3rd night she stopped waking up. She has been sleeping 11-12 hours straight at night for over a month now. For my 2nd child I will probably do this earlier.

* 2 year update: Our daughter continues to be a great sleeper — I am so happy that we endured those few nights of crying in order to help her learn how to fall asleep on her own. When we have friends over for dinner parties, they are amazed at how easily she goes down. She typically sleeps from 7:45pm until 7:15am, with a 2-hour nap in the afternoon.

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Introduction Background

Childhood obstructive sleep apnea (OSA) syndrome is characterized by episodic upper airway obstruction that occurs during sleep. The airway obstruction may be complete or partial. Three major components of obstructive sleep apnea have been identified: episodic hypoxia, intermittent hypercapnia, and sleep fragmentation. Habitual snoring without obstructive sleep apnea is more common and may also lead to sleep fragmentation. Both primary snoring and obstructive sleep apnea have been associated with poor quality of life and increased healthcare use in children.

Pathophysiology

Disordered breathing during sleep is a hallmark of obstructive sleep apnea syndrome. Breathing abnormalities include apnea (cessation of air flow) and hypopnea (decreased air flow). In addition, in contrast to adults, some children exhibit a variation of obstructive sleep apnea termed obstructive hypoventilation (OH). Children with obstructive hypoventilation demonstrate periods of hypercarbia that occur in the absence of discrete respiratory events that fulfill criteria for apnea or hypopnea.

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