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Posts Tagged ‘trouble sleeping’

How will you know it is time to drop a nap?
Typically, they tend to resist taking the last nap of the day or seem unsettled during the last nap of the day. They might even start to sleep a shorter amount of time for that nap. All of the other naps could also be effected, causing them to be shorter in length. You may even notice he may have a hard time going to bed at your designated bedtime, making bedtime later than you would desire. For some babies, they might even start waking early in the mornings because they are getting to much daytime sleep.

Try Shortening the nap to a catnap first
If your baby is experiencing sleeping problems mention above, sometimes all you have to do is shorten the last nap of the day to a catnap. A catnap is a nap that is usually very brief, about 30-45 minutes in length. If, however, shortening the last nap to a catnap does not resolve the other nap lengths or help bedtime, then you know it is time to drop the last nap of the day.

Dropping the 4th Nap
Around what age will they drop the 4th nap? Between 4-5 months

It is easy to drop the 4th nap when you move from a 3 hour schedule to a 3.5/4 hour schedule. Another way to drop the 4th nap is to just keep your baby awake during that 4th nap, but you might have to put your baby to bed early for a few nights or weeks until they are adjusted to staying up longer at night before bedtime.

Personal Experience:
With my son, I dropped the 4th nap when I moved from a 3 hour schedule to a 4 hour schedule at 4 months of age.
My son’s schedule @3 months on a 3 hour schedule(4 naps):
8:00 Feed
9:30-10:30/11:00 Nap
11:00 Feed
12:30-2:00 Nap
2:00 Feed
3:30-5:00 Nap
5:00 Feed
6:30-7:15 Cat Nap
7:30 Feed
9:00-10:30 Nap/ Nighttime sleep
10:30 Feed & Put right back to Bed for nighttime sleep

My son’s schedule @4 months on a 3.5/4 hour schedule (3 naps):
7:00 Feed
8:30-10:30 Nap
10:30 Feed
12:30-2:30 Nap
2:30 Feed
4:30-6:30 Nap *** He stopped taking a good nap here at around 20 weeks old so I began to shorten it to a cat nap
6:30 Feed
9:00 Feed
9:15/ 9:30 Bed

With my twin daughters, I dropped the the 4th nap when I move from a 3 hour schedule to a 3.5 hour schedule. There was about a week or two when I had to put the twins to bed around 6/6:30pm instead of the desired 6:45pm/7pm when I dropped the 4th nap. Gradually I started to stretch out their bedtime back to 6:45/7pm as they learned to stay awake longer at night.
Twin’s schedule @ 4 months on a 3 hour schedule (4 naps):
7:00 Nurse
8:30-10:00 Nap
10:00 Nurse
11:30-1:00 Nap
1:00 Nurse
2:30-4:00 Nap
4:00 Nurse
5:30-6:15 Nap
6:15 Nurse
7:45 Nurse
8:00 Bedtime

Twins’ Schedule @5 months on a 3.5 hour schedule (3 naps):
7:00 Nurse
8:30-10:30 Nap
10:30 Nurse & Solids
12:15-2:15 Nap
2:15 Nurse
4:00-4:45 Nap
4:45 Nurse & Solids
6:15 Nurse
6:45 Anna Bedtime, 7:00 Molly Bedtime

Dropping the 3rd Nap

Around what age will they drop the 3rd nap? Between 6-8 months of age

Typically around 6-8 months, you will find that your baby will be able to stay awake longer in the evenings. Your baby will most likely be on a 4 hour schedule at this point and will not longer require the 3rd nap (usually a cat nap by this time). I have found that around 6-8 months of age, babies tend to fall into a 2-3-4 napping schedule. This is when the baby is awake for 2 hours in the morning and then nap, awakes for 3 hours in the afternoon and then naps, and then awake for 4 hours in the evening before going to bed. For more information on a 2-3-4 napping schedule, please see my post 2-3-4 napping schedule for older babies: http://blogginaboutbabies.wordpress.com/2009/05/13/2-3-4-nap-schedule-for-older-babies/

Personal Experience:
My son Cooper dropped the 3rd nap at 6 months of age. I just decided that he did not need that nap any longer because it was effecting his bedtime. He need a longer wake time before bedtime and I did not want to put him to bed any later than 8pm. So I just dropped the catnap cold turkey. It took about a week or two of distracting him and helping him stay awake the last hour before bedtime, but he eventually he was able to stay awake happily until bedtime without the catnap.

Cooper’s Schedule @5 months (3 naps)
7:00 Feed (milk & solids)
9:00-11:00 Nap
11:00 Feed (milk & solids)
1:00- 3:00 Nap
3:00 Feed (milk only)
5:00-5:45 Cat Nap
5:45 Feed (solids only)
7:45 Feed (milk only)
8:00 Bed

Cooper’s Schedule @6 months (2 naps)
7:00 milk & solids
9:00 nap
11:30 milk & solids
2:00/2:30 nap
3:30/4:00 milk
5:30 solids
6:30 bath & milk
7:00 bed

My twins dropped the 3rd nap at 6 months of age. I knew they needed to drop the catnap because they started to refuse to sleep for the 3rd nap and if they did take the 3rd nap, they would stay awake longer at night before bedtime. I did not drop the catnap cold turkey with them though. I started trying to keep them awake until bedtime without a catnap. Some nights they could make it to bedtime without the 3rd nap and other nights they could not skip the catnap and would need to take it. Anna dropped the catnap much quicker than Molly. On some nights that they dropped the catnap, they had to go to bed earlier than 7pm, which is their normal bedtime. Even now at almost 8 months old, Molly still needs to go to bed earlier, around 6:30pm and Anna can make it to 7/7:30pm.

Twin’s Schedule @first half of 6 Months
7:00 Nurse & Solids
9:00-11:00 Nap
11:00 Nurse & Solids
1:00-3:00 Nap
3:00 Nurse
5:00- 5:30 Nap
5:30 Nurse & Solids
7:30 Nurse & Bed

Twin’s Schedule @Second half of 6 months
7am Nurse
8am Solids
9:00/9:15- 11:00 Nap (Molly goes down for a nap sooner than Anna)
11:00 Nurse
12:30 Solids
1:15/1:30- 3:30 Nap (Molly goes down for a nap sooner than Anna)
3:30 Nurse
5:00 Solids
6:30 Molly Bottle, Followed by Bed
7:00 Anna Nurse, Followed by Bed

Dropping the Second Nap
Around what age will they drop the 2nd nap? Typically between 15-18 months of age, but for some it could be as early as 12 months old.

I wrote a long post about moving from two naps a day to only one nap a day. Please read that post to get more information about dropping the second nap. http://blogginaboutbabies.wordpress.com/2009/12/14/transition-from-two-naps-to-one-nap/

Personal Experience:
With both my son Cooper and my twin daughters, I found that I had to shorten the morning nap in order for them to be tired enough to still take a good afternoon nap. If my kids took a longer nap 1.5-2 hours in the morning, the afternoon nap started became shorter or they required a longer wake time in order to go to sleep for their second nap (making the second nap too late in the day and thus effecting bedtime). I shortened the morning nap to 1 hour and the afternoon nap was preserved this way and was usually about 1.5-2 hours in length.

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My son is almost 11 months old. He has cut 8 teeth, 4 on top and 4 teeth on bottom. Some teeth seemed to give him more pain than others. I noticed last week that my son’s gums were very swollen where his molars are suppose to come in. YIKES! I did not think he was suppose to get them yet. Poor guy, he has cut a total of 6 teeth in 2.5 months and here we go on the molars. One of the molars is super swollen and I noticed today that it even appears to be blue. This alarmed me. I went searching the Internet for an answer. Here is what I found:

“Occasionally, a small, dark blue area will form on the gums where a tooth is about to emerge. This is the result of a small amount of bleeding beneath the surface of the gums, and is not a cause for concern. It will generally resolve without any special treatment, but cold compresses may be used for comfort and to reduce swelling.” (Source: http://findarticles.com/p/articles/mi_g2603/is_0006/ai_2603000699/)

Days that are not so bad, here is what I do:

  • Cold, frozen teething toys and rings
  • Mesh feeder with frozen food
  • Let him chew on a tooth brush (he loves this!)

Days that are really bad, here is what I do:

  • Tylenol 30-45 min before his naps. I would only do this if his pain was so bad that it was disrupting his sleep for more than two days or if he was crying non-stop
  • Motrin 30-45 min before naps- I only started to do this when I notice that the gum is really swollen. Motrin has an anti-inflammatory in it and it seems to help with the swelling a little.

Other things friends of mine swear by, but they did not work for my son:

Are there any other comfort methods you do to help your child deal with teething pain? If you do, share. I am always looking for new ideas and suggestions!

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Note: The following post was written by a friend of mine. I asked her to write a post about PU/PD since I myself have never used the method. She has found great success with it and I hope that information and her personal experience she shares in this post will help you if you decide to use this sleep training method.

Pick up/put down is a sleep training method described in the book, “The Baby Whisperer” by Tracey Hogg. It offers your baby the reassurance that you are there but also the independence to help him learn to sleep on his own. It is important to note that this method should not be used before your baby is 4 months old.

There are several case studies described in the book where Hogg was called in as a consultant to help tired families teach their little ones to sleep (These can be found in all three of her books by looking at the index section for PU/PD or sleep training.).

My husband and I were advised by the pediatrician to let our son cry it out at 4 weeks old. He said, “bath at 6, bottle at 7, bed at 8. Put the baby in his bed awake and let him cry if he needs to.” After 5 nights of the crying for over 45 minutes at a time, and it got longer each night, I gave up and went back to feeding him to sleep. At 5 weeks old my mother-in-law brought me the Baby Whisperer book and my life changed forever! We started swaddling and put my son (and us) on E.A.S.Y.

By 4 months old my son was sleeping from 6:30 PM until 8 AM. He got his bath at 6, had a bottle and was swaddled and put in bed no later than 6:30 PM. As he’s gotten older, he goes to sleep a little later because he plays longer in the bath and now we read books. But the most important thing to remember with any sleep training method is consistency. It is the key to getting your little one through the night.

With PU/PD you offer your baby reassurance by being with him but you don’t become his sleep aid or “prop” because you remove the extra reassurance the second your baby does not need you.

So, when your baby cries for help***,

1.You go into his room. You go right to his bed and do NOT make eye contact, do NOT speak, just go to him, pick him up, a pat on the back or a rub of the head is fine, and then as soon as his body is calm you put him back in his bed.
2.You do this until he is completely settled and going back to sleep.
3. If he wakes early from a nap, you do the PU/PD method until he either goes back to sleep or it is time for his next feeding.
4. In the night, you do it until he goes to sleep (this can take 2-5 hours or more depending on what reinforced habits you have, you can read about my detailed experience in a bit).
5.You should keep a journal of every attempt because then you can see the progress you have made.

***(there are different types of cries, a mantra cry is very rhythmic. A mantra cry is your baby trying to put herself back to sleep. You should not go into your baby’s room for a mantra cry. Always stop outside the baby’s door and wait. Listen to the cry and determine if it is a cry for assistance or a mantra cry)

My Experience with PU/PD

Sleep Journal One:

At 5 months old we went on a trip. I went on a 3-hour flight with my son and we stayed at my parent’s house. We made the room he was sleeping in just as dark as his at home room (he is a spirited baby and so all distractions must be eliminated to achieve sleep.

That night my son woke up unfamiliar with the smells and the crib, so I did PU/PD:

Night 1: 6:00 PM – Bath, Bottle, and Bed by 6:30.

10:30 PM – Dream Feed.

1:00 AM – First waking. I picked him up, did one-two gentle (like burping)

pats on his back and put him back in his bed. He cried out once, rolled over and went to sleep. I did this 3 separate times in the night.

3:00 AM – Second waking. Repeat 1st waking method.

5: 30 AM – Third waking. Repeat 1st waking method.

7:30 AM – Up for the day.

Night 2: 6:00 PM – Bath, Bottle, and Bed by 6:30.

10:30 PM – Dream Feed.

7:45 AM – Up for the day.

Now you can see from that sleep journal that there was a LOT of improvement that second night. We left that next day so there was no more nights on that visit and upon returning home, the baby went back to sleeping from 6:30 PM until 8:00 AM.

Sleep Journal Two:

At 8 months old, I got into some “accidental parenting”.

At this point, my son’s routine was well established. He was napping during the day, sleeping at night, crawling all around the house and eating solids. Plus, he was still sleeping from 6:30 PM until 8:00 AM.

Well, one night he woke in the night and was crying.

(This, after 4 months of not having him wake at all in the night besides for 1st the visit to my parents (we went up another time at 7 months and everything went smoothly. He even had other people put him to bed at night)

I went to him, and did PU/PD. After about an hour I thought, he might be hungry, 8 months is a pretty big physical development age and maybe he didn’t get enough to eat or is going through a growth spurt. So I made a bottle and he drank 10 oz down so fast you would’ve thought he hadn’t eaten in days. I then put him in bed and he slept fine.

About a week or two later he woke in the night again. This time, I was tired and wanted to go back to sleep quickly, I just made a bottle and went to him and fed him. Here was my mistake. Considering anything could’ve woken him, the best thing to do would have been PU/PD. And I look back at this moment and think, why did I give him that bottle? And thus my problems began.

At first the night-wakings for bottles was inconsistent, sometimes it would happen and sometimes it wouldn’t. There would be 2-4 days in a row that he would sleep straight through and then there was 2-4 days where he would wake up and I would give him a bottle. I was still trying to convince myself it was hunger and continued the bottles.

By 11 months, he was waking 2-3 times in the night, drinking 2 oz and going back to sleep. Now, I new that he wasn’t hungry and didn’t need the bottles and it was just a “prop.”

We were moving at the end of his 11th month, so I decided to use the move as a time to re-sleep train him, since I would need to be doing that anyway.

By 11 months old, babies are set in their ways. Habits are MUCH, MUCH, HARDER to break, but NOT impossible. And that is the key. It took nearly 3 weeks to get my son back on track with his night-time sleep. However, I am happy to report that after those 3 weeks of PU/PD he has been sleeping from 6:40ish PM until 8:00 AM again, it’s been 2 months!

Here is my sleep journal from then:

Night 1: Dad got him down in about 45 minutes with P.D. by 10:00 PM (late night because the movers were still at the house and son threw up from a grape allergy, only allergy he has…weird though)  Wake time was 6:30 AM

Night 2: Regular night routine, in bed by 6:45ish PM.  Woke around 1:00 AM, got him to sleep with P.D. and light back rub in about 10 minutes.

Night 3: Regular night routine, in bed by 6:45ish PM.  Woke up once, got him to sleep with P.D. and light back rub in about 2 minutes.

Night 4: Got the crib set up, had been sleeping in the pack n play.  Played in the crib and was SUPER excited about it during the day.  Regular night routine, would not go to sleep, kept standing up and crying. Tried to do P.D. but he started falling to the mattress and laughing whenever I went to P.D.  I got annoyed that he was making it a game and left the room.  He cried, I came back, he eventually did the same thing.  This went on for 30 minutes and my husband took over.  Same thing.  We thought maybe he got too excited from our brisk visit with the new neighbors before bed and so we got him up for 20 minutes and then redid the bedtime routine.  Woke at 11:35 PM, got him to sleep with P.D. and light back rub in about 1 minute. Woke again at 1:30, got him to sleep within 1 minute.  Woke at 2:35 AM, got him to sleep within 1 minute.  Cried off and on until 3:20 AM.  Full blown crying and I could not settle him.  At 4:20 I traded with my husband.  At 4:40 he thought maybe son was hungry and said I should give him a bottle (probably a bad idea, I know).  Gave him 4 oz of water first because I didn’t want to reinforce the previous bad habit.  He drank it all and then I gave him 8 oz of milk and he drank it all.  Then he went right to sleep until 8:00 AM.

Night 5: Regular night routine, in bed by 6:45ish PM.  Woke around 11:35 PM, got him to sleep with P.D. and light back rub in about 10 minutes.  Woke around 2:35…did P.D. until 4:20, husband got annoyed and we were so tired from previous night and the move that we caved and gave bottle to save our sanity (truly a bad idea in hindsight).

Night 6: (after the previous night, I spent the day resting and decided that I needed to dig in my heals and stick with P.D. and be CONSISTENT).  Regular night routine, in bed by 6:45ish PM.  Woke around 11:35 PM, got him to sleep with 43 P.D.’s and light back rub, and WI/WO towards the end and he went to sleep around 1:35 for the night.  Wake time was 7:30 AM.

Night 7: Regular night routine, in bed by 6:45ish PM.  Woke around 12:00 AM, got him to sleep with 27 P.D.’s and light back rub, and WI/WO towards the end and was asleep by 1:30 AM for the night.  Wake time was 6:00 AM.

Night 8: Regular night routine, in bed by 6:45ish PM.  Woke around 11:35 PM, got him to sleep with minimal P.D. and light back rub, and WI/WO in about 40 minutes. Yay! 7:00 Am wake up.

Night 9: Regular night routine, in bed by 6:45ish PM.  Woke around 1:00 AM, got him to sleep with P.D. and light back rub in about 20 minutes.

Night 10: Regular night routine, in bed by 6:45ish PM.  Slept through! WooHoo! 6:00 AM wake up (uggh)

Night 11: Regular night routine, in bed by 6:45ish PM.  Woke around 2 AM, P.D. and light back rub in about 1.5 hours. 5 AM wake up, did P.D. and light back rub about 20 minutes.  Wake time 8:00 AM.

Night 12:  Regular night routine, in bed by 6:45ish PM.  Woke around 1:30 AM, got him to sleep with P.D. and light back rub in about 40 minutes.  EW of 5:30 AM, P.D. until 7:00 then started our day.

Night 13: Regular night routine, in bed by 6:45ish PM.  Woke once, got him to sleep with P.D. and light back rub in about 15 minutes.

Night 14: Regular night routine, but he started doing the playing with P.D. again.  Husband and I took turns.  Eventually he Mantra cried himself without us in the room to sleep in about 10 minutes.  Was asleep by 7:15 PM.  Wake time 5:00 AM, did P.D. and light back rub with WI/WO, took about 30 minutes to get him back to sleep until 8:00 AM.

Night 15: Regular night routine, in bed by 6:45ish PM.  Woke around 2:00 AM, took 3 P.D.’s then he played with his lovey sheep and chatted, so I left the room and he put himself down.  Repeat at 5:00 AM.  Woke up around 7:30 AM.

Night 16: Regular night routine, in bed by 6:45ish PM.  Woke at 5:35 AM, took 7 P.D.’s then he played with his lovey sheep and chatted, I left and he put himself down until 7:30.

Night 17: UGHH!  What the heck!?!?!  Great Nap today! Wonderful day, he was chatty and so much fun.  Bedtime he went to bed like normal and then 5 minutes later just screamed and screamed.  Went in to do P.D. and he kept running across the crib and playing and throwing himself around.  I left.  He started screaming.  I came back, rinse and repeat for 10 minutes.  He started screaming while I was in the room (bratty screams), didn’t want to be touched, didn’t want to be held.  Would NOT calm down.  Gave himself the crying hiccups.  After husband got angry at the ear piercing screams he asked me to leave the room.  Took son about 3 minutes to soothe himself to sleep.  He cried out off and on for 10 minutes and has not been up since (it’s 11:13 now).

Night 18: Regular night routine, in bed by 6:45ish PM.  Woke at 5:35 AM, put himself back 7:45 AM.

Night 19: Regular night routine, in bed by 6:45ish PM.  Woke at 6:00 AM, he cried out nce, went back to sleep until 8:00 AM.

Now, not every night is perfectly smooth, but I don’t go in anymore. He will cry out after a sleep cycle (45 minutes) some nights and put himself back to sleep within 5 minutes and that’s that. After 1 year, if you use PU/PD, you should implement the WI/WO method instead. You can find this on, the Baby Whisperer Forums at this link: http://www.babywhispererforums.com/index.php?topic=80750.0

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What is the 45 minute intruder?

The 45 minute intruder is a term that was coined in the book Baby Wise, but this is not a Baby Wise phenomenon. The 45 minute intruder refers to when your baby wakes up from a nap or nighttime sleep after only being asleep for 45-50 minutes. Why are some babies waking up at this point? Well, if they are in a growth spurt, it might be because they are hungry. However, if they are not in a growth spurt and are well feed it could be related to their sleep cycles. Babies cycle from light, deep, and back to light sleep in about 45-50 minutes. When your baby returns to light sleep, they may partialy arouse. If they hear a noise, smell something funny, realize they are too hot or cold, or are conditioned to need a sleep prop such as rocking or nursing to sleep, they will have difficulty returning to sleep to complete another sleep cycle. For more information on sleep cycles, read my post entitled “infant sleep cycles”http://blogginaboutbabies.wordpress.com/2009/04/13/infant-sleep-cycles/

Other possible causes for waking 45-50 minutes into a nap could be due to being overtired, overstimulate, or not enough wake/ play time. If you keep your baby up too longer, they may be too tired and wake up early from a nap. Or perhaps you had company over and everyone was playing with your baby, that may have overstimulated your child. Both overstimulation and overtiredness can cause a baby to wake early out of a nap. Make sure you are following your son/ daughter’s naps cues and you get them down for a nap before this occurs. For more on this read my post entitled “Sleep Windows: Get them to bed before it’s too late”  http://blogginaboutbabies.wordpress.com/2009/04/23/sleep-windows-get-them-to-bed-before-its-too-late/ It may be possible that you did not keep your child up long enough. That happen to my son a couple of times. I put him down for his nap and he fall asleep relatively easy, but would wake up 45 minutes into his nap. It occurred to me that he was getting older and may need to stay awake longer. I adjusted his awake time and that solved the waking up at 45 minutes. I believe he just was not tired enough to take a long nap. For more about appropriate awake time lengths see my post entitled, “Baby & Infant Daily Schedules” http://blogginaboutbabies.wordpress.com/2009/04/16/infant-schedules/

My son had chronic 45 minute napping problems

My son has chronic problems with the 45 minute intruder from the time he was 2 months up until he was 4.5 months old (maybe even almost 5 months old). You could set a stop watch and he would wake exactly 45-50 minutes into each of his naps. It use to make me nuts. At first, I thought he was a short napper, but he would wake up fussy. According to Baby Wise and The Baby Whisperer, your baby should not fussy if they just woke up from a nap and you’ve feed them upon waking. The Baby Wise book says that it can last a few day or even two weeks–ha! This lasted for 2.5-3 months. I never thought I would see the day when he would sleep straight through a nap.  By the time he hit 4.5 months old, he was sleeping through most of his naps without waking. We still had the occasional 45 minute intruder, but that was about 20% of the time. Now he is 7 months old and my son rarely ever wakes up early from a nap unless he is in a growth spurt, has a dirty diaper, or a sound from our condo building has stirred him.

What I did to get through the 45 minute intruder

Lay a firm hand on his chest: a little before the 45 minute mark, I would creep into his room and place my hand on his chest. I would press firmly on his chest and apply a little pressure. This kept him from startling himself awake when he was transitioning from one sleep cycle to the next. I did this when my son was very young around 4-8 weeks old.

Swaddle/ Sound Machine: I started to swaddle my son really tight so he would not startle himself awake. This helped a lot. I bought a swaddle me (http://www.kiddopotamus.com/p_swad.php), but then I added an extra step to the swaddle me. I took a piece of cloth from a receiving blanket and would lay it behind his back and weave the fabric over his arms and tuck it behind his back again. This kept his arms good and snug so there was no way he could break free while napping. This kept his body from jerking himself awake. I got this idea from the miracle blanket. Watch their instructional video clip to see how I modified the swaddle me to keep his arms snug. http://www.miracleblanket.com/video.htm I also used a fan and later a sound machine to block out the noise he may have heard from living in a condo building. Both of these things helped greatly, but we still had our issues. The most important thing is to make sure you create a good sleep environment that eliminates as much stimulus as possible. For more on creating a good sleep environment read my post called “Creating a Good Sleep Environment” http://blogginaboutbabies.wordpress.com/2009/04/27/create-a-good-sleep-environment/

Cry-It-Out (CIO): Around 10 weeks old, I believe that I start to just let Cooper cry-it-out at the 45 minute mark. The first week I started this, he would cry for almost 45 minutes until it was time to get up for his next feeding. But it only took a week, and after that if he woke up at the 45 minute mark, he would only cry for 5-15 minutes and then fall back to sleep for another sleep cycle of 45-50 minutes. This pattern of waking up at the 45 minute mark and crying lasted for about a month (the entire time he was 3 months old). The nice thing was, when I finally got him up to feed him he was always happy and well rested! Then around 4 months old, he would still wake up at the 45 minute mark, but just fuss or cry a tiny bit and drift back to sleep right away!

Other Nap Intervention Suggestions

I have not tired these various methods, but I have a friend who used the PU/PD method with great success. I have used the wake-to-sleep at night, but never during the day. It worked great for me at night. Both of these strategies come from the book The Baby Whisperer Solves All Your Problems. (p.251)

Wake-to-Sleep: “Instead of waiting for her to wake, go into her room at 30 minutes, because that’s when she starts to come out of a deep sleep…pat her gently until you see her body relax again. It could take 15-20 minutes of gentle patting. If she starts to cry, though, you’ll have to send her back to sleep with PU/PD.”

PU/PD (Pick Up/ Put Down): This method is intended for a baby 4 month or older. You pick your child up while he is crying and the minute he stops crying you put him back in his crib. If he starts crying, pick him up again. Then if he stops crying, place him in the crib again. You will repeat the pick up/ put down until he stops crying and will fall asleep in his crib on his own. “Granted the first time you try this remedy either situation, you might spend the entire nap period doing PU/PD. and then it’s time for the next feeding. Now both of you are tired! Because sticking to the routine is as important as lengthening her nap, you need to feed her and then try to keep her up at least half and hour before putting her down for her next nap- at which point you’ll probably have to do PU/PD again because she is overtired.” Just keep repeating the PU/ PD until he quietly lays in his crib without crying. (The Baby Whisperer Solves All Your Problems p.221-224) I have a friend who used this method with her son with great success. For more on this method read: http://blogginaboutbabies.wordpress.com/2009/05/11/pupd-pick-up-put-down-baby-whisperers-sleep-training-method/

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How can you know if your baby is getting the right about of sleep? Are they getting too much or too little? According to Kim West in her book Good Night, Sleep Tight “children need to get the right amount of sleep and they need to get the right kind of sleep. Quality counts along with quantity. Good Sleep should be largely uninterrupted. If your child is getting up a lot, she isn’t getting all the sound sleep she needs.”

Signs that you baby is not getting enough sleep:

  • Baby falls asleep in the carseat all the time- A well rested child will not fall asleep in the car often, unless it is close to his scheduled nap time.
  • Sleep disruptions- if your baby is overtired you will notice that you baby may have more difficulty falling asleep and staying asleep. You child may wake early from a nap or wake several times throughout the night if overtired. Or you child may have difficult falling asleep at night. For more on this see my post about sleep windows.  http://blogginaboutbabies.wordpress.com/2009/04/23/sleep-windows-get-them-to-bed-before-its-too-late/
  • Fussy/ Irritable- You may notice that your baby is waking from a nap or nighttime sleep fussy. Your baby should be waking up happy unless they have not slept enough. Young babies will wake from a nap crying, but that is usually due to hunger. Once they are feed, they are generally content unless they did not get enough sleep. Make sure you don’t rush in when you hear your baby stir during sleep or naps, they might be cycling from one sleep cycle to the next. If you leave them alone they might return to sleep on their own. For more on this see my posts entitled “Baby Wise: Sleep Training” http://blogginaboutbabies.wordpress.com/2009/05/06/baby-wise-sleep-training/ and “Sleep Cycles” http://blogginaboutbabies.wordpress.com/2009/04/13/infant-sleep-cycles/

Quantity?: Check my post about sleep requirements that babies need. For instance a three month old should be getting a total of 15 hours, 10 hours at night and 5 hours during the day (spread over 3 naps). If you are already jotting down the time and length of each of your daily naps in a sleep log, then you should be able to quickly total up the amount of sleep to see if it equals 15 hours. Some babies will sleep slightly less or slightly more than the recommended amount, but usually no more than an hour of deviation. At 3 months old my son slept for about 15.5 hours a day, 9 hours at night and 6.5 during the day. You can see that my son still slept close to 15 hours a day, but his nighttime sleep was a little less and his day time sleep was a little more than the average infant at that age. The important thing is that he was getting at least 15 hours and appeared to be well rested.   http://blogginaboutbabies.wordpress.com/2009/04/08/sleep-requirements-for-infants/

Quality?: Your baby really needs to sleep in his own crib or bassinet for his naps and nighttime sleep. Prior to 6-8 weeks old, your newborn is so sleepy they will sleep in someones arms, in the car, in the swing. When your baby is older than 6-8 weeks old, they really need to sleep in a stationary crib. “Motion lulls us to sleep, bit it also keeps us in a lighter, more fragmented sleep; our brains never reach the level of full restorative sleep if we’re moving.” If your baby falls asleep in the car (and it will happen every now and again), try to move them from the car to the crib as soon as you get home. If you put your baby in a swing before nap time and you notice him drifting off to sleep, quickly remove him and place him in his crib. Now I know that babies are only little for so long and that you might want to hold them a little while they sleep, that is okay. Just try not to make that a habit.  Also, it is important to make sure that your baby’s room is conducive to sleep. You would not want to put your baby down for a nap in a bright room right outside a noisey street. Try to make sure your baby’s room has very little sound and light and is a good temperature. For more on how to create a good sleep enviroment for you baby see my post “Create a Good Sleep Enviroment” http://blogginaboutbabies.wordpress.com/2009/04/27/create-a-good-sleep-environment/

Quotes taken from Good Night, Sleep Tight by Kim West p. 35-36

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