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Dear Magda,

It is becoming more and more difficult to put Alison, my seven-month-old, to sleep. I have always nursed her to sleep, but now she wakes up crying as soon as I put her down, or shortly thereafter. I have tried putting her down later and later in the evening, thinking she was not sleepy, but this did not help. Now, neither Alison nor I get enough sleep. Help! Tired Parent

                                                                                           

Dear Parent,

I'll try. But do not expect a magic formula; sometimes we cannot isolate any one problem area from the rest of the everyday life of your baby.


I know that the easiest way to put your baby to sleep is to nurse her into sleep. I have observed, however, that as an infant becomes more aware of herself and of her environment, it is better to put her down while she is still somewhat awake. It is possible that waking up in a crib with no memory of having been put there can be disorienting and scary. Babies younger than Alison may wake up confused because of the sudden change in their sensitive vestibular organization, (i.e. going from a more upright position to lying flat in the crib).

Rather than putting Alison down later and later, I suggest that you sensitively observe the very first signs of tiredness. That is the time a child is ready for sleep. As time goes by, increased tiredness builds resistance — and once the second wind hits, going to sleep becomes an ordeal for both your baby and you. An overtired child sleeps restlessly, wakes up more often during the night and gets up grouchy, way too early in the morning. Stress and overstimulation can also cause exhaustion, irritability and resistance to sleep.

Many parents I have advised have learned with surprise and delight that contrary to their fears, putting babies to bed very early in  the evening did not make them wake up earlier in the morning. Indeed, their babies often woke up much later in the morning, adding hours of sleep.

Your goal is to develop good sleeping habits. The easiest way to develop good habits in general is to have a predictable daily life. Young babies thrive on routine. Ideally, daily events of eating, sleeping, bathing, outdoor play, etc., happen around the same time and in the same sequence each day. As the baby is learning to anticipate the next event, many conflicts are eliminated. A mutual adaptation of the biological rhythm of your baby and your family schedule develops. It also enables you, the parent, to plan ahead for those blocks of rime when your baby is usually napping or playing peacefully.


But be prepared that there will be times when a child becomes reluctant to fall asleep, e.g. when she comes down with a sickness, shortly before a spurt of new developmental milestones, or during certain vulnerable times of emotional growth, such as separation anxiety. Your 7-month-old Alison is at a sensitive period for separation anxiety.

Both the amount and the pattern of sleep change from child to child and of course change as a baby grows. Newborn and very young babies alternate periods of sleep with periods of wakefulness six to ten times within 24 hours, with an average of 18 to 21 hours of sleep; two to three-year-olds average 12-14 hours of sleep.  

Everything that happens to your baby during the day can influence her sleep pattern. Does she spend plenty of time playing outdoors? Building a room-size outdoor playpen is an excellent investment Napping outdoors is a good habit.

I want to talk a little about how to put a baby to bed. As bedtime approaches, create an atmosphere that be comes progressively slower paced and more quiet Do you happen to know the lovely book by Margaret Wise Brown, Good Night Moon, in which page by page the room darkens, gradually evoking a sleepy mood? This is the feeling I suggest you work toward.

Repeating a simple pre-bedtime ritual helps your baby to get ready gradually. For example, making a habit of commenting while putting away toys can be helpful: "The ball goes into this basket here in the comer; dolly sits on the top shelf; the toys will stay here until morning when you can play with them again." Such comments build a bridge between 'tonight' and 'tomorrow,' and provide a sense of continuity and security. Then you may continue, "I am going to pull the curtains now, then I will turn off the big light and put on the night light then I will go into the other room." As Alison grows older, she may take over your role and have such monologues herself.

Some infants have a special bed companion, a 'lovey' such as a Teddy bear or blanket also referred to as a transitional object. Putting Alison and her lovey to bed, you may talk to the bear, "Have a peaceful rest I will cover both Alison and you so that the two of you will feel comfortable and cozy. Are you ready for your lullaby?" (You may want to sing or wind up a music box — music is a soothing way to end a day.)

Finally, caress your baby gently and say, "Good night I'll see you in the morning."

As you can see, I am giving you ideas of how you can create an atmosphere conducive to rest. But remember nobody can make another person fall asleep, (short of giving sleeping pills). How to relax and let sleep come is a skill Alison, like everybody else, must learn all by herself. Children also wake up several times during the night and learn how to ease themselves back into sleep, (unless they have a need, or get scared).

Your overall attitude can make a difference. Do not feel sorry for "poor baby" who must go to bed — rather remember how good it feels to rest when you are tired, and how nice it feels to wake up refreshed.

Wishing you peaceful nights and joyful days in 1984. 

Magda 


Ed note: We have followed these guidelines with Nathan from his earliest days, and he now knows when he needs sleep, and that it feels good to sleep when he is tired. The other day, he came into the kitchen after his rest, hugged me and said, "Mommy, I had a wonderful nap." 


(Originally published in Educaring Vol V No 1 Winter 1984)

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Given that sleep is a learned skill, and "you can lead a baby to bed, but you can't make him sleep" (Lisa Sunbury), what can a parent do to support a child to develop good sleep habits? Magda wrote this letter in response to a parent in 1984. We are republishing it today in response to a recent post validating the importance of helping infants and young children to get the sleep they need, and a subsequent reader comment/question asking for suggestions for how to help babies develop good sleep habits in a respectful way that includes them in the process. 

 


Comments

09/02/2012 1:09pm

Hello Magda, I just found this really usefull. I translated to post it on my Facebook page for children. I thought I could just post the translation in case a spanish reader needs it:

Cuando un bebe no duerme hay que pensar en toda su rutina, no suele ser un problema aislado. Pero hay algunos puntos para tomar en cuenta:

¿Cómo se duerme tu bebe? En su cuna, en la cama de los papás? Suele ser desconcertante para un niño levantarse en un lugar donde no se quedó dormido. El olor, la temperatura, el espacio físico no es el mismo y eso puede causar ansiedad.

¿Cómo da a entender que está cansado/a? A veces esperamos a que esté exhausto/a sin darnos cuenta que un bebe que ya sobrepasó su momento de cansancio, dormirá más intranquilo y se levantará más veces. En vez de esperar a que se canse más, hay que identificar qué señales de sueño nos da pues que se sienta sobreestimulado estando ya cansado puede generar resistencia para dormir.

¿Cuál es nuestro objetivo? Nuestro objetivo debe ser que el bebe tenga un buen hábito de sueño. Si tiene una rutina predecible irá identificando el momento de descanso. Más que la hora exacta, preocúpate por la secuencia en la que las actividades transcurren. Su ritmo biológico se irá adaptando cuando pueda anticiparse a lo que sucederá.

¿Es posible que tenga períodos de tiempo en los que no quiere dormir? Sí, los bebes tienen cambios de humor y períodos en su desarrollo emocional en los que necesitan más del contacto con los padres y el momento en el que suelen encontrarlos disponibles es por las noches.

¿Cómo se siente tu bebe durante el día? ¿Está relajado/a? Estás tú relajada? El estrés causa exceso o déficit en el sueño, tal vez necesiten salir un poco más seguido o tal vez tú necesites hacerlo.

Recordemos que la habilidad para conciliar el sueño depende del bebe en si mismo y que no es una tarea fácil!

Adaptado de: Magda Gerber

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09/02/2012 3:46pm

Fatima, We are so happy to hear that you found this post useful, and we are very grateful to you for translating it and sharing it with others who might benefit. Thank you.

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mindy r
09/02/2012 7:29pm

The part that makes reference to putting a child down early does not mean they will wake up earlier is not true in my son's case. It doesn't matter what time I put him to bed he will get up between 5-6am just like clock work.

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09/02/2012 8:35pm

Hi Mindy,

It sounds like your little boy has a very strong biological rhythm/clock. Every baby is a bit different, and for some children it is true that sleep begets sleep, and earlier bed times lead to later waking times. But, as you noted, for your son his natural wake up time is between 5 and 6, and that is not easily changed, in which case an earlier bed time means longer overall sleeping time. I think Magda was cautioning against the common practice/misbelief many of us share, that if a baby's bed time is later, this means he will be more tired and sleep longer/later. This tends to backfire, and causes babies to get less overall sleep, thus making them overtired, and more resistant to sleep, which can lead to a vicious cycle.

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