Monthly Archives: April 2014

Day Time Schedules

Date: April 29, 2014
Author: Emm
Categories: Age: 3-6 months, Behavioural & Cognitive-Behavioural Psychology, Mental Health, Routines & Schedules
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Thinking more about him sleeping through the night, I was thinking about schedules. ???????????????????????????????

I’m attempting a better day time schedule (maybe this will positively impact on night time?). So far we don’t really have one. This is terrible I know because in my work I am all about behavioural interventions and working with people to log their activities and create meaningful activities and some structure to their day. In my depression related work with adults this can be fundamental and people often see an increase in mood with an increase in meaningful activities, good self care and better sleep at night. At the moment with LL we just do what I think he wants to do when he wants to do it. It’s probably an extension of the feeding and sleeping on demand that was present from birth. But now I’m wondering if the lack of structure and routine is just not very containing or predictable for him, or for me. Naps and feeds then get thrown off and can occur at any time. He doesn’t know what to expect and neither do I.

In another attempt to break the eat-sleep association, I’m trying to not feed before naps and instead to do a feed, wake (inc. play/activities/baby classes etc) and then sleep kind of structure. I just need to work out how long each cycle should be. Some say 3, some say 4 hours at this stage (e.g. Baby Whisperer; LL is 4.5 months). The eat-sleep association just kind of arose because it was difficult to get LL off to sleep initially and that seemed to work. Rocking him while singing row your boat also seemed to work for day time naps and although I knew that in the long term these methods might not be great because he was reliant on my rocking or feeding, I didn’t mind because at least he was getting some sleep and not cyring about being tired. I thought – well I’ll just have to make changes to any habits later on because at this point (first few weeks/months) any sleep is better than no sleep, and I don’t care how we achieve it! And the longer the sleep, the better.

Ok so plan for next few weeks is to start more of a day time routine! Consistency and predictability is really important.

When will he sleep through the night?

Date: April 27, 2014
Author: Emm
Categories: Age: 3-6 months, Behavioural & Cognitive-Behavioural Psychology, Routines & Schedules, Sleep
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So we are still getting up a few times a night for feeds.

The Little Lovely (LL) seems to wake up around 1am, 3:30/4am and then about 6:30am. Apparently 6:30am is classed as morning and doesn’t count as a night awakening. Well it does in my book because it’s still the middle of the night and too early for me. He goes to bed around 8pm so can now go a good 5 hours before waking which is great compared to the earlier months and weeks when I was getting up every 2 hours to feed him and it was horrible. I think I must have adapted to disturbed sleep and little sleep. I wonder if my sleep cycle has adapted so that the times LL wakes up actually coincide with the end of a sleep cycle? I have no idea if that’s possible.

What’s the research on this? (note to self – look into this)

So now I’m wondering if he should be sleeping without so many feeds and if I should be doing something about this – or if he is still too young. I don’t mind the first feed at 1am because he has had a good stretch of sleep. But is the next feed necessary? Should we just put up with it until he’s weaned or should we spend a few screamy nights of breaking the eat/sleep association)? Yaaay says LL’s father, to the latter idea. But what if he is genuinely hungry?

A quick look at the internet says that LL might be a “habitual waker” because he tends to wake at the same time every night. Apparently if he was going through a growth spurt and needed the food he would be waking at random times. We briefly attempted not feeding him during one waking the other night and all that happened was he cried at us and refused to be soothed or settled by cuddles, rocking or any other soothing and only calmed once he was fed.

Maybe I can try a briefer feed and slowly cut down on the length/time of feed to change the association between eating and sleeping  (I have to suckle in order to fall asleep, otherwise I can’t do it alone).Although I’m not sure if a graded approach will work because I would still be feeding him to sleep, plus I’m very tired at 4am and might dose off and lose track of how long it’s been or it might work somewhat but take some time. And dosing off while nursing (both of us) is probably contributing to the issue.

I’ve found this:

PANTLEY’S GENTLE REMOVAL PLAN (See here)

More on how Pantley developed The No-Cry Sleep Solution and her research methods

from what I understand, this involves:

  • Feeding baby when awake but rather than letting him fall asleep during the feed and whilst sucking, wait until he is relaxed and sleepy, then remove the breast/bottle just before falling asleep.
  • If baby starts to look for the breast/bottle and tries to continue sucking then try to hold his mouth closed gently by putting a finger under his chin or some light pressure on the chin just below his lips (hmm, sounds easier said than done). You can rock the baby or say comforting words while doing this.
  • If this doesn’t go down well then give the bottle/breast again and repeat the process until he falls asleep without sucking.
  • When removing the breast/bottle, do this for about 10-60 seconds and count while you do this
  • Repeat each night until baby can fall asleep on own and does not frequently wake at night.
  • Work on this technique at bedtime, in particular the initial falling asleep as baby will probably want to fall asleep the same way for the rest of the night following any further awakenings.
  • Once night time use of this method is achieved then it can also be used for naps.
  • It could take several days or longer to break the association but you should eventually see a reduction in night awakenings

…… well we’ll see how well that goes down!

(see Pantley’s book if you are interested in more – I haven’t read it, just found the information above from general sleep and baby forum reading online)

The other option is just to not nurse LL to sleep in the first place and to break the association, or develop a new association there. We should try reading a book or singing a lullaby or something immediately before sleep.

  • Rather than feeding him in the bedroom right before he falls asleep maybe I’ll feed him in the living room with a dim light – then take him into the bedroom for a story or another quiet activity immediately prior to sleep.

Tooth for the Price of One!

Date: April 26, 2014
Author: Emm
Categories: Age: 3-6 months, Teething
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Two for the price of one!

There’s two teeth there not just one! ogre tooth two

The Little Lovely’s daddy noticed another one coming in right next to the first. Poor boy. I wonder if it’s confusing for him to have these things suddenly appear and hurt in his mouth. No calpol, granuals or teething gel today. I did get another teether though in case it helps him. He doesn’t seem to be too interested in them though and prefers to chew on his or my hand instead.

Although he’s been drooly for a while, teething symptoms apparently occur significantly more frequently in the days before, during and after the tooth emergence (an 8-day teething period or “window” – says a recentish study (1)). Might explain some irritability and poor sleep we all had recently.  The study didn’t find high fever to be associated with teething, something that I was looking out for and relying on to confirm teething! Although a mild rise in temperature was associated.  Some infants had no symptoms, but they do helpfully highlight “mild symptoms” found to be temporally associated with teething including increased biting, drooling, gum-rubbing, sucking, irritability, wakefulness, ear-rubbing and facial rash. Although, no particular cluster of symptoms were found to reliably predict the imminent emergence of a tooth — so poot if I was looking for a predictive formula. oh well, only one study.

Note though symptoms are not necessarily caused by teething (they are only associated) – for example, this study (2) writes that  “during this same time period of an infant’s life, passive immunity due to maternal antibodies wanes and exposure to a wide variety of childhood illnesses occurs. Due to this temporal relationship, teething often is blamed for symptoms such as changes in sleep and eating patterns, rhinorrhea, drooling, rash, fussiness, and diarrhea.”

 

References:

(1) Macknin et al., (2000).  Symptoms Associated With Infant Teething: A Prospective Study. Pediatrics, 105 (4), pp. 747 -752

(2) Markman, L. (2009). Teething Facts and Fiction. Pediatrics in Review, 30, pp. e59 -e64 

Is that a tooth?

Date: April 25, 2014
Author: Emm
Categories: Age: 3-6 months, Teething
Comments: 1 Reply

small chair LL  The Little Lovely (LL- as pictured) is teething!

He’s been drooly for a while now, and could get quite irritated, so we suspected It could be teething but then we also weren’t sure as he can get slobbery and annoyed at other times as well. He gets particularly drooly before his bedtime feed; I started singing the song “truly scrumptious” but replacing “truly” with “drooly”, until the song got stuck in our heads and LL’s daddy banned the song. In fact I’m singing the song now. I just googled it and found this website, so I’m apparently not the only one making that association. Unfortunately for me the site is American, so I can’t buy anything there. Too bad, this one looks quite nice

ogre tooth

Anyway, he has one little toothy peg coming in on the bottom in the middle. He’s going to look like a ogre with one little tooth sticking out, but it appears that he is “normal” in terms of this tooth coming in first according to info on order of tooth appearance.

I was sitting next to a nanny at a baby class, and she told me that when the front and bottom teeth come in the baby looks like a rabbit – nice! She said she has nannied 7 babies so far and has her own children, so I suppose she should know.

I was recommended those chamomile teething granules so we used one today and a bit of teething gel. LL didn’t seem at all concerned that we were putting strange stuff in his mouth. I don’t know if they work yet for him, it’s only been used the once.

I was a bit upset when he first started drooling and I suspected teething. And now he actually has one coming through it means he’s not a baby anymore and and a reminder he won’t need milk forever. He’s on the way to chewing and munching through his own foods. He’s only 4.5 months old, it all seems a bit early. My little baby is no longer so little.

I need to find a gum massager and other teething tools. We have some teethers that I bought a few weeks ago, but he is not very interested in chewing on them. I got a chewable toothbrush but I’ve seen some that you can put on your finger for babies to chew. This might be a better idea because LL is a big fan of hand and finger chewing, both his own and anyone else’s.

 

Earworms