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Sleep Training // Is It Harmful?

August 2, 2013 by lauren.anvari@gmail.com 1 Comment

photo (22)

Sleep training is definitely a hot button topic.  Whether you’re all for sleep training or adamantly against it, you’ve probably felt judged at some point, which leaves you feeling like you have to defend your decision to some parent who is in the other camp.

If you’ve been reading my blog a while, you know that I’m pro sleep training but I don’t believe that it is right for every family.  I’ve always said that if what you’re doing is working for you, then by all means continue.  If you’re happy and the baby is happy and you aren’t walking around like a zombie from lack of sleep then go about your business.  But if you’re miserable, cranky and at your wits end, then perhaps sleep training is something you may want to look into.

There are a lot of misconceptions out there about sleep training.  Allow me to go over some of the ones I’ve encountered:

MYTH: All methods of sleep training involve letting your child cry.  FACT: This simply isn’t true.  There are a variety of methods and some of them don’t involve crying.

MYTH: The methods that do involve crying, require you to leave your child in their room until they either cry themselves to sleep or throw up from screaming so much.  FACT: I have literally never encountered a sleep training method that involved putting your baby to bed and leaving and not going back in no matter how long they cry.  This, to me is neglect.  The methods that involve crying, have the parents going back in frequently to check on and reassure the baby.

MYTH: Letting your baby cry causes brain damage.  FACT:  This isn’t true.  Severe neglect in infants leads to their brains not developing the way they should, but allowing them to cry while they learn to self sooth, is in no way going to lead to brain damage. (1)

MYTH: Sleep training will alter your baby’s personality or lead to personality disorders later in life. FACT: There hasn’t been any research to back this up.  In fact, if your child is sleeping better and more rested they are likely to be much more pleasant and cheerful, then they would otherwise be, which in turn leads to an increase in family well-being. (1)

MYTH: Sleep training increases the risk of Sudden Infant Death Syndrome (SIDS).  FACT: Sleep training has not been linked to SIDS, however bed sharing/co-sleeping has and I did a whole post about that, which can be found here.

So now that we have debunked some myths, I will say that not all sleep training methods are suitable for all children.  You have to find the one that works best for your family.  The Journal of Sleep did a review of the 52 best sleep studies and found that there were no differences in the effectiveness in the leading sleep training methods and furthermore none of the studies identified adverse secondary effects of participating in a sleep training program. (1)  With that said however, there will always be instances where sleep training could be harmful.  The following except from a developmental psychologist and one of the authors of the book Bedtiming, addresses this issue:

“It depends because some kids are particularly sensitive to separations; it depends because parents can get so resentful of failed attempts at sleep training that they treat the child poorly and that, in turn, has detrimental effects (and we can’t tease apart these effects from the amount of crying the child is doing); it depends because some children’s crying, even the most minimal amounts, sends some vulnerable women into a tailspin of postpartum depression and we know that’s not good for kids in the long run; it depends because some children become physiologically so aroused when they cry that they vomit or hyperventilate and, well, that’s not good for some kids either; it depends because some children cry MORE when they’re being rocked to sleep by well-intentioned parents than they would if they were left alone and ignoring that need that some kids have to be left alone (which they can’t articulate) may actually be equally detrimental to some kids; it depends because many couples go through significant marital conflict when it comes to deciding how long to let their baby cry and marital conflict has repeatedly and consistently been found to have long-term negative consequences for children. So… how would you tease out whether it was the length of crying during sleep training or the marital conflict about the crying that made the biggest dent in a child’s developmental outcomes? (You COULD do it, but the study would be very complex and it hasn’t been conducted yet). So, yeah, it depends (and I could go on for much longer about all the factors that make this seemingly simple question so very, very complex).” (2)

Baring abnormal circumstances, sleep training of any form is actually beneficial. (1)  This, article by Rachel from My Baby Sleep Guide, does a really good job at summarizing the previous research around what is arguably the most controversial form of sleep training; The Cry It Out Method.

So as you can see, the research shows that sleep training isn’t detrimental however, that doesn’t mean that every single parent should sleep train.  Every parent needs to make this decision for themselves.  If one method isn’t working for them, or they think it’s having a negative effect on their child, then they should stop, take a break and try something else.  No matter what you or anyone decides, there shouldn’t be any judgement involved.  Parenting is hard enough, without also being judged by some other parent that thinks they know what’s best for your family and your child.  My advice is this; even if you adamantly disagree with someone else’s parenting choice, you should just agree to disagree and support each other in your decisions.

1. Mindell, J. A., Kuhn, B., Lewin, D. S., Meltzer, L. J., & Sadeh, A. (2006). Behavioral Treatment of Bedtime Problems and Night Wakings in Infants and Young Children. Sleep , 1263-1276.

2. Granic, Isabela. (2009, June 19). What are the long-term outcomes of letting your baby cry while sleep-training? Retrieved 8 2, 2013, from Child of Mind: Developmental Science and Everyday Parenting: http://bedtiming.typepad.com/bed-timing/2009/06/what-are-the-longterm-outcomes-of-letting-your-baby-cry-while-sleeptraining.html (SCROLL DOWN FOR ARTICLE)

Filed Under: Sleep training Tagged With: baby, cry it out, education, infant, myths, parenting, sleep, sleep habits, sleep training

For Your Reading Pleasure // I Read All The Baby Sleep Books

June 1, 2013 by lauren.anvari@gmail.com Leave a Comment

Ava Neyer

This post by Ava Neyer touches on how confusing and frustrating infant sleep patterns can be and the advice out there isn’t much clearer.  You can basically find something to support any field of thought on infant sleep if you dig deep enough.  I’ve heard a lot of people say that their babies “just aren’t good sleepers.”  While, this may be true in some instances, unless you’re willing to try a lot of different methods, you shouldn’t put the blame on your baby like that. If your baby isn’t responding well to one method, move on to another and if that doesn’t work try something else and so on.  There are so many varied methods of sleep training that you should be able to find one that works for you and your baby.  Don’t give up.

So read this.

On another note, I am once again going out of town.  This time I am heading north to the tiny and lovely town of Eliot, Maine to spend a week with my parents before we all head back to the D.C. area for my younger brother’s wedding.  I will be taking Asher with me, but sadly Rafaan, can’t spare the vacation days so it will be my first time flying alone with the babe.  While, I’m going to miss my hubs immensely, I’m so thankful to him for understanding my need to spend quality time with my parents and giving me his blessing to take his son away from him for a whole week.  I do not think I’d be able to do the same if our roles were reversed.  He truly is the better half of us.

Needless to say, posting may be light while I’m away, but I promise to document our trip thoroughly.   I have a lot of requested posts that I am currently working on in draft form in the queue.  So, if you’ve requested a certain topic, rest assured it’s coming and thank you for your patience.

Filed Under: For Your Reading Pleasure, My life Tagged With: article, baby, infant, parenting, sleep, sleep training, travel

Surviving Growth Spurts

May 8, 2013 by lauren.anvari@gmail.com 2 Comments

When you’re a new parent it can be tough to tell when your child is going through a growth spurt and figuring out how best to get through them can feel like walking a gauntlet.  Growth spurts can be incredibly confusing and frustrating, just when you thought you had your little one’s schedule all figured out a growth spurt will hit that can send their whole routine spiraling out of control.  Asher generally sleeps very well at night, but during a growth spurt, he may wake up as often as every hour or two requesting, nay demanding to be fed.  Needless to say this is no fun for either of us.

Growth spurts are an important part of infant development and are usually accompanied by an increased appetite either followed or preceded by longer periods of sleep. Babies need sleep in order to grow. There is a strong relationship between sleep amount and growth spurts, which indicates that it is very important for infants to get high quality sleep (1).

Frequency:

Most babies will experience 5-7 major growth spurts in their first year, these occur at around 2 weeks, 4 weeks, 6 weeks, 3 months, 6 months and 9 months. However every baby is different so this time frame should just be used as a rough guideline.

Duration:

Most growth spurts last 2-4 days, but some can last up to a week or more.

How To Spot a Growth Spurt:

There are several signals that can tip you off that your little one is in fact experiencing a growth spurt.

Hunger: Your tiny tot will generally have a seemingly insatiable appetite and may want to eat seemingly around the clock, sometimes every hour.  If you are exclusively breastfeeding resist the urge to supplement with formula or expressed milk during this time.  The best way to increase your milk supply and support the higher caloric demands of your child is to put your baby to the breast as frequently as possible.  Short but frequent feedings are better than long and infrequent feedings at signalling to your breasts to produce more milk.  If you really want to try to speed things along, then you can consider pumping for 10 minutes after each feeding, just make sure to freeze the milk you pump for a rainy day rather than give it to your baby during the growth spurt.

Mood: Your little one may also be quite cranky or fussier than normal, which can sometimes be mistaken for colic.  They may even complain while at the breast, pulling of and re-latching over and over.  This mood swing is due in part from lack of sleep (eating all the time really interrupts catching some good quality shut eye) and in part due to the higher caloric demands (they want more milk NOW).

Disrupted Sleep: Your baby will likely wake up more often at night in order satisfy their increased appetite.  Some parents find this one the hardest to identify.  It can sometimes be hard to tell if your baby is going through a growth spurt or experiencing sleep regression.  The best way to tell is if your baby is waking up at the same times every night, then it is probably sleep regression or habitual waking.  However if the waking times are sporadic and hold no pattern then you are likely dealing with a growth spurt, in which case it’s best to feed your baby promptly.  I have definitely been guilty of mistaking a growth spurt for sleep regression and let me tell you, doing so just prolongs the whole process and makes it that much more painful for you both.  

Increased Sleep: As I mentioned earlier, either preceding or following a period of increased feeding your baby will exhibit periods of extended sleep.  Don’t wake up the baby to feed during this time because sleep is essential for their growth.  In fact babies generally do most of their growing while they are asleep (2) and can gain 1-3 ounces and grow up to 1 cm in length over the course of a day (3). I suggest reveling in this respite and catching up on some sleep yourself.  

When to Be Concerned:

If your little one is still experiencing the signs of a growth spurt for longer than two weeks or doesn’t seem to be gaining weight you should talk to your child’s pediatrician to rule out any other problems.  In fact if you’re worried about whether or not your baby is getting enough food in general then I suggest going to a lactation consultant and weighing your baby on their high tech scale before and after a feeding.  That way they will be able to tell how many ounces your baby is consuming, which is pretty neat!

How Best to Survive a Growth Spurt:

The best thing you can do during a growth spurt is to hunker down and ride it out.  Feed on demand.  You may feel like you’re nursing non-stop, and that’s probably because you are.  Just remember there is an end in sight and the less you resist the process, the easier it will be.  In the meantime take extra care of yourself.  Drink lots and lots of water and make sure you eat sufficiently to help support your increasing milk supply.  All the late night feedings may leave you feeling extra exhausted and strung out so make sure to cut yourself some slack and enlist help to tackle all the non-growth spurt related tasks.  When Asher is going through a growth spurt, I like to curl up with him and nurse whenever he wants it, which is constantly.  Don’t expect to get much else done.

(1). Lampl, M., & Johnson, M. L. (2011). Infant Growth in Length Follows Prolonged Sleep and Increased Naps. Sleep , 34 (5), 641–650.

(2). Tikotzky, L., DE Marcas, G., Har-Toov, J., Dollberg, S., Bar-Haim, Y., & Sadeh, A. (2010). Sleep and physical growth in infants during the first 6 months. Journal of Sleep Research , 19, 103-110.

(3). Kirton, B. (2012, Novemeber 6). Everything you need to know about infant growth spurts. Retrieved May 7, 2013, from Life Stages Feeding: http://www.lifestagesfeeding.com/blog/everything-you-need-to-know-about-infant-growth-spurts/

 

Filed Under: Health, My life Tagged With: appetite, babies, baby, development, feeding, growing, growth spurts, infants, nursing, nursing on demand, sleep

Sleep Training // Part 1

May 2, 2013 by lauren.anvari@gmail.com 2 Comments

Sleep, blessed sleep.  The thing everyone tells you you’ll never get enough of once you’re a parent and you believe it but can’t quite comprehend it until you are in fact, a parent.

Asher was a fairly good sleeper right from the start due in large part to the fact that I had been given strict instructions from his pediatrician to wake him up and feed him every 2 hours.  Luckily we only had to do that for four days, but it really helped get his sleep pattern in check.  You see, the poor thing was so tired and I was constantly having to wake him up to feed him that it did two things: first, it meant that he became used to waiting for me to wake him up and feed him, which in turn helped get his days and nights set, and really that’s half the battle.

By the time he was 1 week old he was doing a solid 4 hour stretch of sleep at night, and when we started a night-time routine at 6 weeks old he began sleeping 6 hours straight.  The problem was, however, that GETTING him to fall asleep was not so easy.

God forbid if I tried to rock him while standing in place, that child required forward motion and nothing else would do.

It required that I either a: nurse him to sleep, or b: hold him on his side with a pacifier in him mouth and his face pressed to my chest while I paced back and forth patting his bottom and singing him a song.  God forbid if I tried to rock him while standing in place, that child required forward motion and nothing else would do.  This wouldn’t have been terrible if it weren’t for the fact that Raf wasn’t able to do it 8 times out of 10, which meant that the bulk of getting him to sleep fell on my shoulders.  Additionally, the only way Asher would nap during the day for longer that 20 minutes was if he was physically on my person.

Something had to give.

Right before Asher turned 3 months old we had just returned from our trip to Israel and thought that this would be the perfect time to sleep train him.  We decided to rip the band-aid off in one fell swoop.  We moved him into his own room, stopped swaddling him and began sleep training all at the same time.  Sleeping well is a learned skill for babies and the biggest obstacle to overcome is self soothing.

Sleeping well is a learned skill for babies and the biggest obstacle to over come is self soothing.

We used the ‘progressive waiting’ method, which is a more accurate name for the well known ‘cry it out’ method.  This does involve some crying so it is not for the faint of heart or the weak willed.  The keys to success with this method are: 1.  Make sure you put the baby down when they are fully awake. 2. Do not pick them up when you go in to comfort them.  3. Be consistent.  4. Establish a bedtime and nap routine if you haven’t already.

It works like this.  You go about your bed time routine as normal.  For us, this involves taking a bath, playing lullaby music, reading a story, saying prayers, have a night cap, singing a song and finally turning on a sound machine that plays ocean waves.  I know that seems like a lot, but some of these things are happening at the same time, the whole process takes about 30 minutes from when bath time starts to when I put him down in his crib (before sleep training I would nurse him to sleep at the end of his bedtime routine). Ok, once you finish your routine, put the baby down in the crib when they are still awake and leave the room.  I tell Asher “it’s sleep sleep time” and that I love him, give him a goodnight kiss and then leave.  When you first do this the baby will most likely be crying, because they are used to YOU putting them to sleep rather than needing to put THEMSELVES to sleep.  Once you have left the room you wait 3 minutes and go back in and pat and sooth the baby, replace a pacifier, what have you, but DO NOT pick them up or you will have to start all over.  Only stay in the room for 1 minute and then leave again even if they are still crying.  Now you wait 5 minutes and repeat.  Finally you wait 7 minutes and repeat.  If the baby is still not asleep after the longest wait time for that day, keep repeating the longest wait time until they have fallen asleep with you out of the room.

The wait times get longer with each successive day.  I have listed the times we used below but feel free to set whatever times you feel comfortable with, just make sure you’re consistent.

Day 1.  3 min, 5 min, 7 min

Day 2: 5 min, 7 min, 10 min

Day 3: 7 min, 10 min, 12 min

Day 4: 10 min, 12 min, 15 min

Day 5: 12 min, 15 min, 17min

Day 6: 15 min, 17 min, 20 min

Day 7: 17 min, 20 min, 22 min

Do the same thing for all naps.  It took Asher 3 days to fall asleep on his own at night without crying and 7 days to fall asleep on his own for naps without crying.  If your baby is still not falling asleep their own by day 8, then you can lengthen the time as needed, but if they still haven’t gotten the hang of it by day 14 I suggest tabling it for a while and revisiting sleep training when your baby is a bit older or you could always try another method.

I didn’t continue the progressive waiting throughout the night.  Many people do apply the sleep training throughout the night, which normally results in a baby that sleeps through the night.  Since Asher wasn’t even 3 months old, I felt it was still important to feed him in the middle of the night if he was hungry.  In any case he normally only wakes up once at night to feed and then goes straight back to sleep.  Of course there are exceptions, occasionally he will wake up twice and if he’s sick or going through a growth spurt he may wake up every few hours, but for the most part he sleeps 12-13 hours and only gets up once.  The exact time he wakes up for his nightly feeding varies.  Sometimes he will sleep 10 hours straight and then get up, while other times he’ll get up to feed after 6 hours.  Asher will sometimes fuss a bit periodically throughout the night, but I learnt that he isn’t fully awake at these times and is just settling himself back to sleep, while his hunger cry is quite distinct.

It was no easy feat to not go in and scoop him up when he was crying.  The only way I got through it was by putting my head phones in and watching the baby monitor light up when he was crying rather than hearing the cries directly.  All the pain I felt during that time was well worth it because it resulted in a happier, better rested baby and who can complain about that?

All the pain I felt during that time was well worth it because it resulted in a happier, better rested baby and who can complain about that?

After learning to roll.  This can not be comfortable.

Our next step is determining if, when and how we are going to night wean.  Stay tuned.

*UPDATE*

We did it!  Check out Sleep Training // Part 2.

Filed Under: My life, Sleep training Tagged With: babies, baby, cry it out, Ferber, growth spurt, progressive waiting, sleep, sleep training

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