M.S. asks from Alexandria, VA on November 14, 2008
Advice on Sleeping Routine for 10-Week Old
I hope I cna get some suggestions and advice for establishing a sleeping routine for our 10-week old baby son.
We are dealing with a sleeping nightmare where our son will only sleep attached to either myself or my husband or in a car seat placed in his crib.
When I finish breastfeeding or bottlefeeding expressed milk, we burp him and he gets comfortable on our chests. He takes quite some time to fall asleep and transition to the deep sleep stage at which point we try to place him in the crib so we establish a permanent sleeping place for him. However, he only lasts about 10-15 minutes during the day and somewhat longer during the night although during the night, he still wakes up every 3 hours to feed.
The questions I have are following:
Do we continue this nightmare of making him fall asleep in our arms and then transition him to the crib even though it only lasts 10-15 min or do we continue with the car seat?
I have read some negative things about making your baby sleep in a car seat (bad for hip and spine development, stomach is perhaps under more stress as it is folded, etc.)
I practice attachment parenting and carry him around our house a lot, thinking, he is still so little and needy but am I creating too much dependency?
He only sleeps for the total of about 6-7 hours in any 24-hr cycle with extremely brief naps during the day and longer naps as described above during the night.
Sometimes he gets sleepy when I carry him and since he is getting heavy for me (at about 13 lb), I place him to sleep in various places around the house and he seems to like softer surfaces (on our bed, on sofas with blankets, etc.) I do not understand why baby mattresses have to be so hard and he seems to hate that surface.
He also has reflux so our doctor recommended placing him in car seat with elevated back or simply try to place him in the crib w/o the car seat but with elevated mattress on one end so we placed rolled up towels to give it some angle.
I would love to establish a routine where he feeds and goes to sleep directly in the crib and not in the car seat placed in the crib. Are car seats in your opinion bad for the child's posture, hip, spine development, etc?
Also, please give me some suggestions about a general daily routine with the 10-week old, what he should be doing, how often and for how long he should sleep or play and what things to do with him to stimulate his development.
Another problem we are having is that I am trying to introduce tummy time with him (our doctor recommended doing this for 10-15 min 2x a day) but when I place him on his belly, he mostly lies there with his hands next to his body as opposed to trying to start propping himself up and looking around. He can hold his head when we carry him upright but still does not have full control of his neck muscles and his head bobs and flops a bit. He would often do this in startling and forceful motions as if budding us.
What should I do with the tummy time? Should I help him somehow or let him fight through it? He can have a perfect day being content but once I place him on his tummy, he gets frustrated and starts screaming. Is it perhaps too early for him at his age?
Any suggestions would be greatly appreciated.
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C.W. answers from Washington DC on November 15, 2008
My son slept in a carseat for the first 4 months and then we moved him to his crib with the mattress slightly elevated. At 4 mo he could roll himself on his belly and he would do that to sleep (the doc said it was ok as long as he could roll himself). I know swaddling was a life saver for a friend, and be prepared, the baby hates it at first.
As for tummy time, most babies hate it until they can roll over, but they need the practice and it keeps their heads from getting that flat shape from being on their backs all the time. I would put him on his tummy under one of those baby gyms so he has something to focus on, or in front of a mirror. Give him a few minutes at a time and he will gradually adjust. Just be prepared that with reflux, he may spit up a bit. Good luck.
S.C. answers from Norfolk on November 15, 2008
Try a sleeping wedge/prop pillow which will elevate him and swaddle him to help him sleep. As far as tummy time goes, he might not like it yet (or at all). Try tummy time propped up in a boppy he may just not like being all the way flat on his tummy especially if he has reflux.
W.J. answers from Roanoke on November 15, 2008
I just wanted to comment on the sleeping in the carseat issue. . . I didn't do this with my son because he didn't need it, but a friend of mind had her son sleep every night in his car seat in the crib until he was six months old. He's perfectly normal, is crawling well, and very active. If you're concerned about it being uncomfortable for him just remember that he has shown you he'll wake up if he's uncomfortable for some reason, so try not to worry about that. Babies with reflux often have trouble sleeping laying flat, so his car seat could be much more comfortable for him than you realize.
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A.F. answers from Norfolk on November 15, 2008
I can't really tell you about a routine to get into. My boys set their own and I went with it. It worked out really well. But I can help you with tummy time. Our youngest now 1 1/2) hated to be put on his tummy. He would scream till the cows came home. Well we finally started putting him in a walker and it was history ever since. He crawls more now than he did then. Plus he has on olde brother. We figured he just wanted to run and play like him. Even though he is an only child try to let him stand in a walker and see what happens. We een had a bouncy thathung in a door way. Which usually put him to sleep.
Plus him liking softer surfaces. Both my boys did too. Though many disagree with what I am about to say, I put a pillow in the crib with them. I never went long periods without checking on them though. Even at night!! It got them to sleep in their crib. I'm not recommending you do this. I'm only saying it worked for us. I wish you luck in whatever is right for you.
E.M. answers from Washington DC on November 15, 2008
First, baby mattresses are so hard so they can't accidentally suffocate. Uncomfortable, perhaps, but safety is the most important thing. That's why they say to take away blankets and such when they are little.
All babies hate tummy time. It's work out time. No babies like to work out like this. They want to see what is going on around them (not face plant into the floor/bed) so they have to struggle to lift their heads. They want it easy. No, it is not too early, you have to make him do the work. It will help him be healthier in the long run.
It is ok for your son to cry. You have to learn to let it happen. Let him learn to put himself to sleep at night. Let him learn to hold his head up in tummy time so he's strong enough to learn to crawl. We did tummy time from really early on and it frustrates them... but it is very valuable exercise.
I suggest you purchase the book... "our baby's first year". It is put out by the American academy of pediatrics. Our pediatricians gave us this book and said they follow the recommendations in the book. So, every question I have that can be answered in the book, will be the same answer as if I called the peds. So, I read the book, cover to cover. It's wonderful. What to expect, when to try new things, what milestones they should be hitting, when to worry, when to call the doctor. Special sections on how to help siblings relate (maybe useful in the future), how to handle breast feeding issues, how to introduce foods, good activities to do with your baby to develop different abilities, what abilities your child should have...etc. It's a wonderful reference that I used for both of my children and I recommend it to everyone.
Being a first time mom is so stressful because they don't come with an instruction book. Or do they? This book is pretty close.
I'd suggest you get your baby very groggy and then put him down in the bed and let him put himself to sleep. It is a wonderful thing once he learns how to handle it. He'd much rather you hold him and snuggle him, but that isn't realistic and will make you very unhappy down the road since he'll never learn to put himself to sleep. I don't have time right now to look up what it says in the book, but if you have a specific question you want me to look up, I can look up the details for you and let you know.
Good luck.
Liz
C.M. answers from Colorado Springs on November 18, 2008
Congradulations on your little boy. Some babies can be a bit more difficult on sleeping in their beds. He like the comfort of you or your husband's body. Keep swaddling him and trying to get him into his bed. It takes time. I have always let my babies sleep in bed with me and just transitioned them out when they are older. As for establishing a rountine, watch your baby for cues. When is he most tired? Take him to his room and get him to sleep. If he wakes up and is still really tired, keep him in there and get him back to sleep.
Some babies don't like tummy time until they can move more. I would lay down next to mine so they could see my face, or a mirror. Just keep putting him on his tummy for a little each day and lengthen it as he gets more comfortable with it. The more corrdinated a baby get, the happier they are with it.
S.W. answers from Norfolk on November 15, 2008
Hi M.,
I am mom to 2, a ds who is 7 and a dd who is 2.5. First of breathe :)
It's so tough getting a handle on baby and sleep schedules and such. Basically what I learned is that you pretty much have to go with the flow of the babe. Make sure you are sleeping whenever he does!! Have you tried bringing him to bed with you at night? I found that worked wonders for my son and when my daughter came around we didn't even set up the crib. I agree with you about those hard crib mattresses. Plus, babies come into the world from a warm, cozy place where they could feel your heartbeat, that is what comforts them.
I would hold off on tummy time or only do it for a couple of minutes, if he's fussing about it he's not ready. Again, go with the flow of the babe. If we 'really' listen they will tell us what works. It's hard to know what's 'right' when there is so much input about do this, do that, etc., but in time your mommy instinct will develop and then just follow that!!
Some great websites for info are www.askdrsears.com, www.mothering.com, www.llli.org, and www.kellymom.com.
Good luck and hang in there!!
S.
E.T. answers from Washington DC on November 14, 2008
Hi, M..
Personally, I think you are doing the right things right now. I know that it is a hot topic. I LOVE the attachment parenting philosophy for the baby's first 4 months... particularly in regards to sleep. It is difficult, but I really do think they are still transitioning from their time in your uterus... to being in the outside world.
I would not worry about the car seat. If it works, go for it.
You might want to start to be open to more schedule-oriented philosophies for when your baby is about 5-6 months. We basically followed a hybrid sleeping strategy based on Weissbluth and Ferber. It is really tough to teach your child to sooth themselves... but I am so happy that we did and that we did it at the right time. Again, I think you should continue just doing what works for now... until your baby is a little older... but not too old... or else it is really tough to get good sleep habits if you wait too long.
Also, if you need a better baby carrier... I LOVE the ERGO BABY CARRIER. Wonderful. Great for walking for miles... no back pressure.
Best of luck to you and hang in there.
S.M. answers from Washington DC on November 15, 2008
I am going to start with the tummy time comment. My son hated tummy time and would scream his head off the entire time he was on his tummy until a few weeks ago when he figured out how to roll from his tummy to his back on his own (about 5 months)Now he plays happily on the floor and rolls over and plays on his tummy and back. However until then I had to let him scream it out. It is really hard to listen to but it is good exercize and I would sit right by him and rub his back and tell him what a good boy he was and what a good job he was doing. That way he knew I was there for him but I had to fight the urge to pick him up.
Onto the sleeping questions. You must be so exhausted! He is not getting enough sleep either. For during the day if you have a baby swing I would try getting him to sleep in that. The rocking motion helps sooth them to sleep (so put him in awake) and then when he is sound asleep turn it off. Hopefully he will keep sleeping.
At night try 1) swaddling him in a thicker baby blanket before bed, it will make the surface softer and the restriction of the swaddle may help keep him from startling himself awake, like possibly the constriction of the carseat is now. 2)try doing tummy time closer to bed time so that he is really tired out and hopefully will sleep better.
It gets better as they get older i promise but there will always be seasons where they go through a growthspurt and eat every 3 hours day and night. My son just finished one and he is 6 months old today
H.R. answers from Washington DC on November 15, 2008
Congratulations on your little one! You're going to get answers from one end of the spectrum to the other on the sleep topic. Although you have to go with what works for you and your family (and what your gut is telling you), I personally could not use any of the "sleep training" and "cry it out" techniques. Your baby is so young, he needs you, and especially needs to be close to you! At this age, his wants ARE his needs and of course he is going to sleep best in your arms or right next to you!! This is not spoiling him, as some will no doubt tell you. Have you tried bringing him into bed with you? If you're still BF'ing, this would allow everyone to get some good rest. Even placing a co-sleeper next to the bed may work for your situation.
Have you tried using a sling or baby carrier during the day? They are wonderful and babies love to nap in them while you're on the move. They are also great while they are awake, as the babies are right at eye level and you can talk to them and interact with them as you do things around the house. As for activities and development, keeping him close to you in a sling and going about your daily routine throughout the day is great. Tell him what you are doing, show him things around the house and tell him what they are. Take a walk outside and show him the trees and grass, or go to a museum and let him see all of the color.
Trust your gut! These babies are only little and only really *need* us for such a short period of time.
A.G. answers from Washington DC on November 15, 2008
So here are some bottom of the line things:
MOST IMPORTANT
If you do not want to use a technique for the next 6 months DO NOT do it now. If you don't want to have your baby sleep on you - then don't make it an option. If you are ok with it, just be prepared to do it for a while. So if you practice baby wearing and you love it - keep it up, if not stop now and only use it for extremely fussy times.
I never let my kids Cry It Out until about 6 months. You don't have to do it to make Babywise work for you. I did use Dr. Karps suggestions instead. He is a genius and you can get his DVD at almost any public library. Its awesome because it shows him doing the techniques which is so much better than just reading about it.
Baby Wise was awesome IF you combine it with your mothering instincts and what works for your family. Read it and use some of the features that work for you. It could only be detrimental if you are the type of Mom that does what the book says no matter what. Babywise does not tell you that you have to let your little one cry it out - it only suggests that as one possible solution. The most important things are the eat, play, sleep cycle that teaches kids that eating is not the only way to get to sleep and the fact that you should put your child down after no more than 2 hours awake.
Clearly your child is not getting enough sleep - should be at least 14 hours at this stage. To help him get to sleep better you should put him down at the very first sign of tiredness and at this age he should almost never be awake for more than 2 hours at a time. That means one yawn or eyerub and you start the bedtime routine. It seems like maybe he isn't giving you enough cues and then is staying awake until he is overtired. An overtired baby CANNOT get to sleep until they are so far overtired that they cannot stay awake. Either the books Babywise or Healthy Sleep Habits Happy Child can help you recognize sleep cues.
Tummy time will get better eventually, my kids hated it until they could put themselves on their bellies with out my help, once they were in control they loved it. My Dr said that unless head control was behind normal development, it wasn't important to push the issue.
I do understand that your Dr. suggested the carseat, I would not be very comfortable about that because car seat manufacturers say that babies should not sleep in the seats when unobserved since their heads can fall forward and restrict the airway.
As for sleeping on soft surfaces it just isn't safe, which is why crib mattresses are hard. I think that swaddling would really help your little one in that area.
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