Posts Tagged ‘pediatric sleep’



Berkeley Parents Network: Naps for 2 & 3 Year Olds

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Naps for 2 & 3 Year Olds Berkeley Parents Network > Advice > Sleep > Naps for 2 & 3 Year Olds General Questions

  • 2-year-old’s naps have become impossible
  • 2.5 year old playing during nap time
  • 26 month old daughter refusing to nap for mommy
  • Almost 3-y-o wants to be up instead of resting
  • 2 1/2 year old twins can’t settle down
  • 2 year-old’s 4pm nap keeps him up late
  • 2.5 yo is singing and jumping, not napping
  • 2.5 yo can’t settle down at naptime
  • 26-month-old twins will not nap on the weekends
  • Two-year-old strips during naptime, climbs out of crib

Nap Topics for 2s and 3s

  • Giving up Naps
  • Naps at Daycare & Preschool
  • Waking from Naps Hysterical
  • Naps at 12-24 mos
  • Naps for Kids over 3
  • More Advice about Naps

2-year-old’s naps have become impossible Feb 2009

Our now 2 year old has been a good sleeper since he was maybe 8- 9 months or so, same routine for night and nap, bedtime at 8, nap at 2. He still is solid at night — when he gets tired after a few books he says ”I want to go in my crib” etc. and seems to have no problem with it. However, his naps have become impossible, and quite suddenly — doesn’t seem as though he is slowly not needing them anymore and they’ve been touch and go for awhile. He usually naps 1.5-2 hours a day and sleeps about 10-11 hours at night so I don’t think it’s an issue of too much sleep and he’s giving them up — he’s been exhausted by 5:30 on days this is happening. He starts screaming the minute I put him in the crib after a few books (and he’s generally not a big screamer) ”I don’t want to sleep, I want to get out, I want my mommy” etc. etc. I’ve talked to him about how important it is to rest, said he can just have quiet time if he doesn’t want to sleep but to no avail. We’re doing our same routine, snack, stories, same time, place et all — we always decide how many books and I let him know ”after this book we’re going to sleep”. I’ve heard 2 year olds can become resistant but I don’t know how to handle this. I’ve let him cry and gone in every 10, then 15 then 20 etc. on succeeding days, and it will seem to improve, but then regress again. I’m just not sure how to handle it — perservere and hope it improves? I feel cruel to let him cry but he clearly needs the sleep so not sure what the best route is to helping him get it. Any input much appreciated. Feeling like Mean Mommy

Oh, boy — I have a 2.5 year old, and how I wish she would take a nap! I don’t know if 2 years olds are really swayed by your logic that resting is important. I do think it would be pretty frustrating to be stuck in a crib — methinks your child would soon try to get himself out of the crib, and that could be dangerous. What we have is a very low-to-the-ground crib that has one side missing; in other words, it’s like a bed with three sides on it. Our kid is free as a bird to get in and out whenever she wants, and that seems to work pretty well — really limits frustration, I think. Yesterday, for example, she refused to take a nap during the day, and fell asleep on the couch at 5:30, before dinner. Now this is not ideal, (especially since she was up at 4:30 this morning), but I just take it as being part of parenting — she doesn’t nap the same way she did six months ago, and I feel like we’re constantly adjusting our expectations based on her sleep patterns, which keep changing: but I think that’s normal. The way I personally adjust is that if she falls asleep at 530 pm, I go to bed a little earlier than usual, so I am not so exhausted the next day. Is this catering to my child? In a sense, yes, but first, parenting is one of the inconvenient things I’ve ever done, so I think that inconvenience and work are part of the deal. And second, what’s the alternative? Spend a few hours keeping an increasingly hysterical and over-tired child awake? Please, I’m grateful for the silence and peace! kevin I, too, had a very hard time letting my little girl cry alone in her crib. And I came to the conclusion that for nighttime sleep, it works but it doesn’t for naps. What works for us is lying down with her in our bed at nap time. She is 27 months old and she naps about 2 hours every afternoon. Sometimes, she still resists but we give her the choice of being in her crib by herself or lying still and being quiet in our bed and that usually works. TR I also have a 2 year old. Like your son, she is a GREAT sleeper at night. However, she went nearly a year where she would NOT take ANY naps at all!!!! And I’m all about getting sufficient sleep so this was a very hard period for me…we tried EVERYTHING! But finally we realized that she just didn’t want to be in the crib for naps. We have a papasan chair in the living room and started putting the cushion on the floor in her room with a blanket to put her down for a nap. We do the same routine: book, milk, cuddle, lay down. I thought she would NEVER stay down if she wasn’t in her crib but after walking her back to her room twice when she would come out, she learned to put herself to sleep on the cushion. Now, when it is naptime she loves helping me carry it to her room and has been consistently taking 2 hour naps for 3 months with this technique. It has not at ALL affected her night time sleep or averted her from her crib at night (which I was afraid of). I also think that it will help her transition to a toddler bed which we are ready to move on to since we have another on the way. Best of luck to you and I know how awful it can be when someone is so accustomed to naps and then they get difficult. Naptime dependent mommy. 2.5 year old playing during nap time April 2008

I need advice! I’m loosing my mind! My 2.5 yr old daughter is trasitioning to a toddler bed. (her crib just with the side off). She has been doing so for about a month now. Bedtime is no problem, she goes right to sleep. Nap time all she does is play. She will play for hours…literally. I have tried EVERYTHING. I have tried moving naptime, going in and saying nothing, going in and telling her to get back in bed, going in and yelling, I have tried not going into her room at all, I’ve even tried bribing her. She will not go to sleep. I even tried not giving her a nap, since she won’t sleep anyway and it does not work. She is exhausted by 5pm and with no nap will not eat and will sleep horribly throughout the night. She will wake up crying from being overtired, which she does not do when she has adaquate rest. She has been an excellent sleeper since about 1 year old when we moved her from our bed to her crib. We only moved her out of her crib because she learned to crawl out and I did not want her to fall. We tried a crib tent while visiting out of town, but it does not fit on her crib at home. I don’t know what the right thing to do here is. I get frustrated every day with the struggle or with the crankiness of not having a nap! Please help! Renee

This was our experience with our daughter around this age. I feel for you because I know how frustrating this is. They need the nap; they just refuse to take it. We continued to put our daughter into her bed at nap time because we thought the down time was good for her. For a while there, she napped very infrequently, say once every week. Even so, we stuck with it and she naps about half the time now (she’s 3.5). I was ready to give up the naps completely, but I’m glad we stuck with the routine. Mama of an occasional napper When my son was 3, he still needed a nap but didn’t want to stay in his bed when at home on weekends (he napped fine at preschool because everyone did it). It was really important to me that he take one (and he ended up taking one until he was four and a half!), so here is what I did:
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Insomnia and Children

Most parents picture a crying baby when they think about kids and sleep problems. Many older kids and teens have problems sleeping too, including trouble going to sleep and waking up frequently in the middle of the night.

Unfortunately, not getting a good night’s sleep can affect your child’s mood and behavior during the day, leading to school and discipline problems.

Childhood Insomnia Like adults, children with insomnia either have trouble going to sleep, staying asleep, or are simply not well rested after what should be a normal amount of time sleeping. In addition to being sleepy during the day, symptoms of childhood insomnia can include:

  • irritability
  • mood swings
  • hyperactivity
  • depressed mood
  • aggressiveness
  • a decreased attention span
  • memory problems

Causes of Childhood Insomnia One common reason that many children don’t get enough sleep is that they go to bed too late. This is often because parents have unrealistic expectations for how much sleep their kids need or because their kids are over-scheduled and are participating in too many activities or have too much homework. Or your child may simply be up late talking on the phone, playing video games, or watching TV.

Remember that children between the ages of 6 and 12 need about 10 to 11 hours of sleep each night, and teens need about 9 hours of sleep each night.

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Sleep Disorder, Problems Associated With Other Disorders: eMedicine Pediatrics: Developmental and Behavioral

Introduction Background

Sleep disturbances in youth represent highly common phenomena that, in severe forms, can interfere with daily patient and family functioning. Interest in pediatric sleep problems continues to increase, yet further investigation is needed to develop empirically based detection and treatment of pediatric sleep disorders.

The consequences of untreated sleep problems may include significant emotional, behavioral, and cognitive dysfunction. The magnitude of these sequelae is inversely proportional to the child’s overall ability to adapt and develop in spite of the sleep disturbance. Nevertheless, sleep regulation remains a critical part of health for youths. Elevated rates of sleep problems exist among children and adolescents with neurodevelopmental, nonpsychiatric medical conditions and psychiatric disorders.

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3 Approaches to Get Your Baby to Sleep

When it comes to getting your baby to sleep, everyone has an opinion. Your mom, your mother-in-law, the newest member of your play group, friends with no kids, your pediatrician — heck, even strangers claim to know what’s right for you and your baby. It can be confusing and overwhelming, to say the least. What worked for well-meaning advice givers may just not work for your family — as evidenced by the bags under your eyes.

There isn’t a right or wrong way to get a baby to sleep, and there’s no one sleeping arrangement that’s best for every family. What is important, however, is that you do whatever method works for you as consistently as possible and that you have a plan. To help, we offer a (ahem) crib sheet to what the experts who literally wrote books on the subject have to say. Since every new mom (and dad) has her (and his) own point of view, we organized it by personality. Pick the sleep strategy that’s best for you, or pull tips from all of them and make your own plan.

Approach #1. Have Nerves of Steel
The Expert: Richard Ferber, M.D.

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Helping Your Child to Sleep Through the Night

Helping Your Child to Sleep Through the Night

An interview with Dr. Jodi A. Mindell, the author of Sleeping Through the Night

Interview By Allison Martin
Jodi A. Mindell is Pediatric Clinical Director of the Sleep Disorders Center at Allegheny University of hte Health Sciences in Philadelphia. She holds M.S. and Ph.D. degress in clinical psycyhology, is assoiciate professor of psychology at St. Joseph’s University, and is the author of numerous publications on the subject of pediatric sleep disorders. Her book, Sleeping Through the Night, provides practical advice for new parents who crave a restful night.

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OSA in Children – American Sleep Apnea Association

OSA in Children

By Carole L. Marcus, MD

OSA is estimated to occur in 1 percent to 3 percent of otherwise healthy preschool children.1,2 The peak prevalence is at two to six years of age, but it can be seen in neonates to adolescents. It is thought to occur equally among boys and girls, and can result in significant morbidity and mortality.

ETIOLOGY OSA in children is usually due to large tonsils and adenoids. There is no relation, however, between tonsils and adenoid size and the degree of OSA. This is probably due to the combined effects of muscle tone, pharyngeal size and adenotonsillar hypertrophy. Some children with huge tonsils are asymptomatic, whereas others with small tonsils have severe OSA. High risk groups include children with craniofacial anomalies, cerebral palsy, muscular dystrophy and Down syndrome. Children with OSA are not usually obese, but OSA does occur frequently in morbidly obese children and adolescents.
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Fact Sheet: Could My Child Have Sleep Apnea?

Pediatric Obstructive Sleep Apnea

Sleep disordered breathing (SDB) is a common problem for adults leading to hypertension, heart attack, stroke, and early death. Other consequences are bedroom disharmony, excessive daytime sleepiness, weight gain, poor performance at work, failing personal relationships, and increased risk for accidents, including motor vehicle accidents.

Sleep disordered breathing in children, from infancy through puberty, is in some ways a similar condition but has different causes, consequences, and treatments. A child with SDB does not necessarily have this condition as an adult.

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Pediatric sleep apnea todler sleep problem child sleep apnea baby snoring treatment

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Snoring | Warning Signs | Sleep Apnea in KidsConsequences of Obstructive Sleep ApneaTreatment Options | Fast Facts

Snoring

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The baby’s not sleeping: tips for family survival

The baby’s not sleeping: tips for family survival 12:03 PM CDT on Tuesday, August 5, 2008 By LISA MARTIN / Special Contributor to The Dallas Morning News

Good night, sleep tight. Right!

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Getting Toddlers to Sleep

Babies, Toddlers and Preschoolers Getting Toddlers to Sleep Having trouble getting your toddler down to sleep? Here are some ideas for making the bedtime experience less stressful.

“Go to sleep!”

What parent hasn’t uttered those words? But where exactly is the land of sleep? For some toddlers it takes a lot more than the sandman to help them find the way. The average toddler, defined as 18 months up to age three, requires about 12-14 hours of sleep each day, although some get by on much less. Most toddlers start with two naps, one in the morning, and one in the afternoon. By age 2 Â most have given up the morning nap.

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Recent Comments
  • Clara Edwards: Our daughter had been an erratic sleeper (much of it our fault, in retrospect) and frequently ended up...
  • Emilio Gonzalez: Ferber does a good job of describing what happens when you sleep. Apparently everyone wakes up in...
  • Roberta Reid: I guess my main problem with Ferber was the way that it’s an exact, rigid theory or philosophy....
  • Amber Laws: We were careful to put him in bed before he was completely asleep so he could adjust to the idea of being...
  • Debbie Hubbard: Good luck.posted by dragonsi55 at 7:07 AM on September 29, 2006
  • Douglas Witherell: This idea that you can have a child sleeping quietly in three days is more to appease the parents,...
  • Robert Spangler: The “Cry it out” method didn’t work on him — what did work was something...
  • William Aguilar: The thing is, children are not interchangable. For varying reasons, some kids sleep well righr away...
  • Robin Kelly: We got a baby massage book and started “bedtime” about 30 minutes before we put him down for...
  • Jessica Miller: That being said, rdurbin already wrote down everything I wanted to say–especially the part...
  • Justin Schultz: An idea? To appease us? We spent many months with various techniques that didn’t work, Ferber...
  • Linda Allmon: The second one was a preemie (about 7 weeks) and it literally took years for him to settle into a good...
  • Tara Mccandless: But they do, frequently, until their child is asleep. Have you read any other part of it than the...
  • Darrell Jones: I agree with the being present and patting on the back and telling him it is night night time while...
  • Todd Mcclelland: I think even if you don’t use his process, he’s got a lot of interesting things to say...