Night Nurse vs Sleep Consultant – What Do I Need? 

When it comes to ensuring your baby or toddler gets a good night’s sleep, parents often seek professional help. Two common options are hiring a night nurse or sleep consultant. While both can be invaluable, they offer different types of services and support. Understanding these differences can help you make the best choice for your family’s needs. In this blog post, we’ll explore the roles of a night nurse and a sleep consultant, highlighting their unique contributions to your child’s sleep health.

What is a Night Nurse?

A night nurse, also known as a newborn care specialist or night nanny, is a professional caregiver who provides overnight care, typically for newborns and infants. Night nurses are typically trained in newborn care and may have backgrounds in nursing, but this is not always required.

Services Provided by a Night Nurse:

1. Overnight Care:
Night nurses take care of your baby throughout the night, allowing you to sleep. They handle feedings, diaper changes, and soothing your baby back to sleep.

2. Feeding Support:
Whether breastfeeding, bottle-feeding, or both, a night nurse can assist with feeding your baby during the night. They may also help with lactation support and ensure proper feeding techniques.

3. Sleep Monitoring:
Night nurses monitor your baby’s sleep patterns and make adjustments to ensure they are comfortable and safe. They can help establish a sleep routine but primarily focus on immediate care needs.

4. Parental Support:
In addition to caring for the baby, night nurses often provide guidance and reassurance to new parents. They offer advice on infant care and can help ease the transition into parenthood.

Benefits of Hiring a Night Nurse:

• Night nurses provide instant relief for sleep-deprived parents by taking over nighttime duties.
• Expert Care:  Their expertise in infant care ensures that your baby is in capable hands, giving parents peace of mind.
• Flexibility: Night nurses can be hired for specific nights, weeks, or even longer periods, depending on the family’s needs.

What is a Sleep Consultant?

A sleep consultant is a trained professional who specializes in helping parents develop and implement strategies to improve their child’s sleep habits. Sleep consultants typically work with children of various ages, from infants to toddlers and young children, and should have extensive training and certifications in sleep training methods and child development.

Services Provided by a Sleep Consultant:

1. Assessment of Your Child’s Current Sleep:
A sleep consultant will begin with a thorough assessment of your child’s current sleep patterns, routines, and any sleep-related issues. This may involve detailed questionnaires and discussions about the current situation.

2. Sleep Plan:
Based on the assessment, the sleep consultant will create a personalized plan unique to your child’s struggles and your goals. This plan includes specific solutions and techniques to improve sleep habits.

3. Support and Guidance:
Sleep consultants guide parents through the implementation of the sleep plan. This includes offering step-by-step instructions, troubleshooting issues, and providing ongoing support. This can be of different forms, including phone calls, emails, texts, video, etc. 

4. Education and Training:
Sleep consultants teach parents about the sleep needs of their child, healthy sleep habits, and various sleep training methods. They empower parents with the knowledge and skills needed to maintain the newly formed sleep habits.

Benefits of Hiring a Sleep Consultant:

• Long-Term Solutions: Sleep consultants focus on teaching children to develop independent sleep skills, leading to long-term improvements in sleep patterns.
• Personalized, 1-on-1 Sleep Solutions: Their sleep plans are tailored to the specific needs and preferences of each family, ensuring a more effective solution.
• Parental Education: Sleep consultants help families gain confidence in managing sleep issues independently.

Key Differences Between a Night Nurse and a Sleep Consultant

Focus and Approach:

Night Nurse: Focuses on immediate, hands-on care and support during the night. Their primary role is to provide direct care to the baby, allowing parents to rest. Mainly used for newborns. 

Sleep Consultant: Focuses on assessing and addressing sleep issues at different ages, from infants and toddlers to young children and teens, through customized sleep plans and parental education. Their approach is more strategic and long-term, and aims to establish healthy sleep habits.

Duration of Support:

Night Nurse: Typically provides short-term, immediate support. They are often hired for specific nights or weeks to help parents during the early months of a newborn’s life.

Sleep Consultant: Provides support over a set period of time, guiding parents through the process of implementing and maintaining a sleep plan. Their services often include follow-up consultations to ensure long-term success.

Expertise and Training:

Night Nurse: Expertise in newborn and infant care, with a focus on feeding, diapering, and soothing. Some may have nursing backgrounds, but formal sleep training is not their primary focus.

Sleep Consultant: Will have expertise in sleep training methods and child development. They are trained to identify and address various sleep issues and provide strategies for long-term improvement.

Choosing the Right Professional for Your Family

When deciding between a night nurse and a sleep consultant, consider your family’s specific needs and circumstances:

• If you need immediate, hands-on help with nighttime care and want to ensure your baby is well-cared for while you get sleep at night, a night nurse may be the right choice.
• If you’re looking for long-term solutions to improve your child’s sleep habits and want to be actively involved in the process, a sleep consultant can provide the guidance and support you need.

Conclusion

Both night nurses and sleep consultants offer valuable services that can significantly improve your child’s sleep and your overall well-being. Understanding the differences between these professionals can help you make an informed decision that best meets your family’s needs. Whether you choose a night nurse, a sleep consultant, or both, the ultimate goal is to ensure your child gets the restful sleep they need for healthy growth and development. Be sure you understand the costs and what specific services each provides before hiring someone to help with your child’s sleep. 

In this era of economic uncertainty, many parents searching for sleep training help for their toddlers, babies and children are coming up with creative ways to help pay for all of that support and assistance to get their children sleeping all night. Working with an experienced, knowledgeable pediatric sleep coach can be a big financial commitment.  

Hiring a sleep consultant or sleep trainer can be costly depending on the sleep consultant’s experience and services offered, so make sure you now exactly what you’re getting for your money. 

Since I trained as a sleep consultant 8 years ago, it’s become much more common for parents to seek assistance with sleep training, yet insurance companies haven’t quite caught up and cover it along with other insurance benefits such as lactation consultants and chiropractors. 

One avenue parents have researched is how to get their medical insurance to pay for it. Now it's not guaranteed that insurance will pay for sleep training but it’s possible you can use your flexible spending account (FSA) or health savings account (HSA) to pay for it. I’ve had a few clients come back to tell me they successfully had my services paid for by their insurance.

Get Pre-Approved

First, check with your individual insurance carrier to see if they cover Sleep Services, Newborn Care particularly out of network Sleep Consultants. make sure that you find out exactly what you'll need in order to be paid. Sleep Consultants are considered alternative, out of network therapies, thus requiring parents to pay upfront and be reimbursed by their insurance company. Make sure that you check with your carrier to see if they cover it.

Determine the Required Documents

Your insurance company should be able to tell you exactly what paperwork is required, such as a detailed invoice, dates of service, exactly what services are being utilized or diagnosis code. 

How to Pay for a Sleep Consultant

You may need to pay upfront and be reimbursed, or use your HSA debit card to pay. Either way, you’ll get a detailed receipt that you can send back for reimbursement.

Finding a sleep consultant near you that fits your family both in personality, their services and support can be a big financial decision and families should explore alternative routes.

And if you are not able to get your health insurance to pay for a sleep coach or consultant, there are a few other alternative routes including crowdsourcing, gift certificates and buy now- pay later options as well. If you find a sleep consultant that you really want to work with and feel they believe the service they offer is worth it, look at different ways of paying for it so that you and your child can get to sleep that you need. 

From Southeast to Northwest DC, moms across the city are juggling it all... work, homelife, their children and particularly, their sleep routines. And when their toddlers and babies aren't sleeping, neither are they. The toll sleep deprivation takes on a mother and her family is far reaching... everything from missed deadlines at work and trying to get a baby to nap when the virtual work-from-home meeting is starting, to having little to no time in the evening to spend with a spouse, work on house chores or just a little time alone. 

So if you're dealing with a sleep regression, popping in a binkie/pacifier multiple times per night or trying to decide which sleep training method is right for you, contact us and set up a free introductory call to ask any questions you like. 

Twins! Twice the fun and double the love. With any baby, sleep training can be hard. As a parent of twins, it can seem downright impossible. But sleep training twins can be successful with a few tips to get you started. 

The biggest thing to consider when getting ready to sleep train twins is their adjusted age. Chances are, when your babies were born, they were not full term. This means they have a bit of catching up to do developmentally before they’re ready to form the best sleep habits. If you’re calculating their age based on the day they were born, you may be attempting to sleep train before they are ready. 

A big misconception that I hear often is that sleep training requires letting your baby cry it out. This can make a twin parent cringe! How can you let one baby cry it out with the other one trying to sleep nearby? The cry-it-out method is not the only sleep training method you can use. Look into other methods such as the pick up/put down method or the chair method (which could potentially be used for both twins at once!). In addition, if one baby is sleeping better than the other, consider having them sleep in another room temporarily while you train their sibling. Twins tend to be on the same routine once it’s established, but getting there may take some work. 

Listening to your baby's cues also helps immensely. As new parents, we often feel the need to document everything and feed on a schedule. During the night time, let your babies sleep and only feed them if they wake! This may seem pretty obvious, but if your baby is gaining weight as they should be, get the sleep while you can and let them tell you when they’re ready to eat again. 

Lastly, as a twin parent, celebrate your successes no matter how small! You are working so hard and any steps you make towards better sleep should be recognized. Dropped a night feeding? Hooray! Got both babes to self-soothe? Boom! Give yourself a pat on the back. 

I want to know, have you trained infant twins? What tips and tricks worked for you? 

There are three key aspects to focus on in helping your child develop healthy and effective sleep habits. When working with clients, here is what I focus on first:

1. A Regular Bedtime Routine
Little ones thrive on consistency. They look to us, the parents/caretakers, to guide them in what they should be doing and how/when/where they should be doing it. This is why it is so important to develop routines. Babies and toddlers need consistent routines to orient themselves to where they are in their day and be able to anticipate what is coming next. Creating a regular bedtime routine that begins at (relatively) the same time each night will cue your baby to the fact that it is almost time to sleep. A simple bath, pajamas, a story/song, then off to bed routine can do wonders as long as you repeat the same actions in the same order each night.. Develop your routine based on what works best for you and your child! 

2. Boundaries Around Sleep
If you’ve been around a toddler for more than 5 minutes you’ll know that they love to push boundaries. This is a completely normal developmental milestone, and it’s important for toddlers because they are looking to you to communicate to them what is allowed and what is not. To avoid frustration and confusion, it is important to set clear boundaries for our children, and sleep habits are no exception. Beginning when Baby is young, you can communicate that the expectation at bedtime is for them to sleep in their own bed. Other boundaries you can enforce could be keeping the baby in their room/bed until a certain time each morning (who wants to get up at 5am??) or making sure your toddler is staying in their bed all night. Decide on some healthy boundaries that will serve everyone in your household. 

3. Consistency and Holding Boundaries 
With both of the above tips, consistency is key. As I mentioned before, babies and toddlers look to us to orient themselves within their day and the world at large. Keeping consistent routines and boundaries allows them to know what to expect as well as how to act. This is crucial for them to be able to develop a sense of security and understand the world around them. You’ll begin to notice your toddler taking initiative when you prompt them to begin their bedtime routine. Keep it consistent and everyone will be on the same page!

What does your bedtime routine look like? What healthy boundaries have allowed your child to develop good sleep habits? ​

Bringing a new baby into the house is very likely to impact your older child’s sleep habits in one way or another, and there are two big reasons why;

1. Your toddler will likely hear the newborn’s cries and think they should help.
2. Your toddler’s wondering why he or she is no longer the center of your world and may be a bit jealous to share your attention.

The confusion of the upheaval of a once only kid household and jealousy will likely cause sort of a regression, prompting your toddler to want the ‘only kid’ attention they enjoyed previously, such as…

● Lots of requests for snuggles
● They may want to ‘act like a baby’ again
● Requesting to sleep in your bed or in your room
● Additional stalling, antics and tantrums during the bedtime routine

The biggest reason this can affect sleep is that parents start feeling guilty about the fact that they don’t have enough hands or time to be in two places at once, so they try to compensate by giving in to all those requests, and those requests frequently show up right at bedtime. You’ll likely hear everything from requests for extra stories, staying up later, laying with them, holding hands, etc. 

Parents… I totally understand. Guilt sucks. And when we feel guilty about spending so much extra effort on a new baby, we start to do anything to make sure our kiddos know they haven’t been forgotten, get extra time with us and feel all the love. 

So what’s the harm in a few more books and laying in bed with our kid to give some extra love and attention?  

“Children are as independent as you expect them to be.” ~Maria Montessori 

It’s likely this situation will happen at some point, so here’s what you do:

Keep everything around bedtime exactly as it was before the new sibling arrived; the same bedtime routine with the same limits you had before (ex: reading 2 books), sleeping in their own bed and sleeping there all night. 

Comfort and support, but don’t change the how, where and when. 

If you start changing what’s allowed around bedtime, such as adding a dance party and saying goodnight to every stuffed animal in your child’s room, it’s only going to tell your toddler that boundaries mean nothing and trust me, they’ll take 10 miles if you give an inch. 

Second, try to focus 15-20 minutes during the day where it’s just you and your toddler, one-on-one to do something together. Your kiddo will love the extra time and snuggles. 

Never apologize to yourself or your kid for setting boundaries. If the feeling of “oh no, I have to give everything” guilt starts to set in, remember that your toddler is simply working through some big emotions, which toddlers don’t know how to navigate. You are doing the best you can and holding to your boundaries to have a happy, attached and supported kiddo. You’re an awesome parent…don’t forget that. 

Within a few weeks, your whole family will have had time to adjust to the newest member of the family and you’ll find that new groove. You’ve got this!​

​Tired parents are desperate to get their kids to sleep. There’s a whole industry designed to help (for a fee).

​I remember when I reached my breaking point with my son’s sleep. He had faced big changes to his little life over the previous year: an interstate move, a new house, a new preschool, and the arrival of his baby sister. His routines suffered for it, and his bedtime demands had become increasingly baroque and desperate.
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If my husband or I didn’t stay in the room with him until he fell asleep, he would explode with panic. “I’m all alone and I’m only 3 years old!” he wailed through a sheet of tears and mucus. If we left the room, he hurled his body against the door like a moth thumping a porch light.

This particular night, my husband was out of town, leaving me solo with both kids. Hours since I’d gotten him in his jammies, my son was still awake and his protests were threatening to wake the baby. This risk was unacceptable.

I pulled him out of their shared bedroom and into “the big bed” with me. The lights were off but his little overtired body wouldn’t stop twitching and jerking with excitement. As his heels jabbed at my ribs (“I’m just stretching”), I directed my phone’s glow away from his face and fired off a deranged missive via online form. Christine emailed me back the next morning.

“One of the top times that I get emails from tired parents is somewhere between midnight and 2 am,” says Christine Stevens, who owns Sleep Solutions by Christine. Stevens is a certified child and infant sleep consultant, a professional who offers services to families struggling with behavioral childhood sleep problems. She is one of the growing league of such professionals around the globe, a cohort of providers who fill this need for exhausted families.

Time to Fall Back and Say Goodbye to Daylight Savings Time

According to the calendar, this weekend we’re supposed to get an extra hour of sleep as daylight savings time ends…tell that to our kids! ​