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Sleep
Problems
What's
the best way to get my child to go to sleep?
Babies do not have
regular sleep cycles until about 6 months of age. While newborns sleep about
16 to 17 hours per day, they may only sleep 1 or 2 hours at a time. As babies
get older, they need less sleep. However, different babies have different
sleep needs. It is normal for a 6-month-old to wake up during the night but
go back to sleep after a few minutes.
Here are some suggestions
that may help your baby (and you) sleep better at night.
-
Keep
your baby calm and quiet when you feed or change her during the night.
Try not to stimulate or wake her too much.
- Make daytime playtime.
Talking and playing with your baby during the day will help lengthen her awake
times. This will help her sleep for longer periods during the night.
- Put your baby to
bed when drowsy but still awake. This will help your baby learn to fall
asleep on her own in her own bed. Holding or rocking her until she is completely
asleep may make it hard for her to go back to sleep if she wakes up during
the night.
- Wait a few minutes
before responding to your child's fussing. See if she can fall back to
sleep on her own. If she continues to cry, check on her, but don't turn on
the light, play with her, or pick her up. If she gets frantic or is unable
to settle herself, consider what else might be bothering her. She may be hungry,
wet or soiled, feverish, or otherwise not feeling well.
Toddlers and preschoolers
often resist
going to sleep, especially if they have older siblings who are still awake.
Use the following tips to help your toddler develop good sleep habits:
-
Set
up a quiet routine before bedtime to help your child understand that
it will soon be time to go to sleep. Use this time to read him a story,
listen to quiet music, or give him a bath. It may be tempting to play with
your child before bed. However, active play may make your child too excited
to sleep.
- Be consistent.
Make bedtime the same time every night. This helps your child know what to
expect and helps him establish healthy sleep patterns.
- Allow your child
to take a favorite thing to bed each night. It's okay to let your child
sleep with a teddy bear, special blanket, or some other favorite toy. These
often help children fall asleepespecially if they wake up during the
night. Make sure the object is safe. Look for ribbons, buttons, or other parts
that may be choking hazards. Stuffing or pellets inside stuffed toys can also
be dangerous.
- Make sure your child
is comfortable. He may like to have a drink of water, a light left on,
or the door left slightly open. Try to handle your child's needs before bedtime
so that he doesn't use them to avoid going to sleep.
- Do not let your child
sleep in the same bed with you. This can make it harder for him to fall
asleep when he is alone.
- Do not return to
your child's room every time he complains or calls out. Instead, try the
following:
-
Wait several seconds before answering and make your response time longer
each time he calls. This will give him a chance to fall asleep on his
own.
-
Reassure your child that you are there. If you need to go into the room,
do not turn on the light, play with him, or stay too long.
-
Move farther from your child's bed every time you go in, until you can
reassure him verbally without entering his room.
-
Remind him each time he calls that it's time to go to sleep.
-
Give
it time. Helping your child develop good sleep habits can be a challenge
and it is normal to get upset when a child keeps you awake at night. Try
to be understanding. A negative response by a parent can sometimes make
a sleep problem worse.
Published online: 2/07
Source: Sleep Problems in Children (Copyright © 2007 American
Academy of Pediatrics, Updated 8/06)
Healthcare professionals
may order
this publication in multi-copy packs.
Parents can find more information on this topic in Caring for Your Baby
and Young Child: Birth to Age 5. To order a copy of this book visit the
AAP
Bookstore.
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The information contained
in this publication should not be used as a substitute for the medical care
and advice of your pediatrician. There may be variations in treatment that
your pediatrician may recommend based on individual facts and circumstances.
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