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Sleep strategies for new parents |
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Written by Tera Schreiber
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Mar 01, 2007 |
Sleeping like a baby? Not necessarily a good thing, as many new parents
know. Doctors say babies "sleep through the night" when they sleep an
uninterrupted five hours, but that often doesn't happen for several
months. The shock of newborn sleep -- or lack thereof -- can be a hard
one for parents to bear.
The shock itself is problematic. The Journal of Pediatric Healthcare
reports that teaching parents about normal sleep development can help
by giving them reasonable expectations about sleep, and a chance to get
ready and make a plan to deal with it.
"Sleep is a family issue," says Ann Keppler, a nurse and parenting
author, consultant and educator. "It takes work on the part of both
parents to survive the normal nighttime wakings of infants and
toddlers. When sleep becomes an issue, parents should take time to come
up with a sleep plan that reflects what the infant is able to do
developmentally and that takes temperament into account."
Understanding why
Understanding infant biology can help. A baby's first months are
essentially a fourth trimester. "Remember, the baby has never been cold
or hungry before birth -- all of their needs were taken care of in the
womb," says Debra Sheldon, postpartum doula and an instructor for a
program called Happiest Baby on the Block. "Babies need parents to help
them gently make the transition to life outside the womb. As they grow
and mature, they will need parents less often at night."
Sheldon teaches parents to help babies sleep by swaddling, holding
babies on their side (until they are put into bed, where they should be
put to sleep on their backs), "shhh-ing" in their babies' ears,
swinging their babies and encouraging sucking. Sheldon says these
techniques help babies fall asleep faster and encourage them to sleep
longer.
Experts say parents should resist advice to switch to formula or to
feed solid foods early to try to extend sleep. The American Academy of
Pediatrics, the United Nations Children's Fund, and the World Health
Organization all recommend exclusive breastfeeding for six months
before introduction of solid foods. Dr. Jeff Ernst of Richmond
Pediatrics in Shoreline concurs: "Sleep is much more complex than just
hunger. In fact, early feeding of solids may disturb a baby's sleep."
Sleep strategies
But understanding biology only gets tired parents so far; sometimes
creative problem-solving is in order. "My husband and I take shifts,"
says Trina Fykerud of Kenmore. "He gets Jack before 3:00 a.m., and I
get him after 3:00 a.m. Most nights it works out pretty fair."
Kim Reppart of Seattle also shares nighttime parenting duties with her
husband. "He responds to (our daughter) if she wakes before 4:00 a.m.,
and I respond to her after. Since he is a nighttime person and I am a
morning person, this plays into our innate abilities and works well for
our family."
Heather Pleasant from Sedro Woolley found her solution with
co-sleeping. "It's much easier to roll over on your side and nurse
while you sleep than to get out of bed," she says. "You barely have to
wake up. I can't imagine how I would have felt during the day if I had
gotten up several times each night to nurse or make a bottle."
Sometimes parents need more help. A certified postpartum doula can be a
lifesaver. Postpartum doulas provide emotional and physical support,
including helping create a sleep plan, or just attending to the needs
of a fussy baby so parents can enjoy uninterrupted and unencumbered
sleep.
New parents frequently ignore advice to "sleep when the baby sleeps,"
instead struggling to function like they did before the baby arrived.
But as the laundry piles up and exhaustion mounts, perhaps the best
advice is to be kind to yourself. You may have to reduce your
expectations until you catch up on some sleep. It's perfectly
reasonable to see this time as a moment in the life of your child, and
try to enjoy -- or at least survive -- those intimate moments in the
middle of the night with your baby.
And remember, almost every parent with a story of sleep deprivation
says it does get better. As Seattle mom Jessica Jensen says, "Our sleep
problems just sort of work themselves out, usually in favor of some
new-- but slightly less exhausting -- issue."
Tera Schreiber
is a freelance writer and the former executive director of Great
Starts, a nonprofit parent education service. With the support of her
husband, Eric, she has survived newborn sleep with her two children.
Resources
- Northwest Association for Postpartum Support provides a referral line for postpartum doulas -- 206-325-1419; www.naps-doulas.org
- The No-Cry Sleep Solution: Gentle Ways To Help Your Baby Sleep Through The Night, by Elizabeth Pantley
- Great Starts Sleep Consultations with Ann Keppler, RN, MN, co-author of Pregnancy, Childbirth and the Newborn: The Complete Guide,
and facilitator of the First Weeks and Next Months groups at the
Community Birth and Family Center. For more information on sleep
consulting with Ann, see www.greatstarts.org or call 206-789-0883.
- "Happiest Baby on the Block" classes are offered at Evergreen Hospital in Kirkland (www.evergreenhealthcare.org) and at Great Starts Birth and Family Education in Seattle (www.greatstarts.org). Private or small group classes are also available. For more information go to www.happiestbaby.com or call 425-681-0736.
- Debra Shelden, birth and postpartum doula, and certified "Happiest Baby on the Block" instructor, www.eastsidedoulacare.com.
- Guidelines for co-sleeping safety are available at www.askdrsears.com/html/10/t102200.asp.

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