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? ​

Did you have a lovey as a child?  I’ll admit that I still have my pink crocheted blanket. It’s no longer on my bed, but I can’t bear to get rid of something so dear to me that brought me comfort and happy memories.

I always ask families if their child has a lovey. You might call them security blankets, wubbies, snuggle bunnies, blankies, etc but they are all the same thing…they are an object that your child takes to bed with them whenever they sleep for comfort and security.

Loveys can be a comforting way for your child to sleep and become one of your child’s strategies for falling asleep. 

I recommend parents introduce a lovey between 4 to 6 months of age. 

But how do you choose which one? And what if my child doesn’t like it?
Make sure the lovey is something small, such as a small stuffed animal or small blanket, about the size of a face cloth that the child can easily find in the dark. The benefit of a lovey is that it’s something baby can find in the middle night by themselves and doesn’t require your assistance.

Their lovey shouldn’t make noise, such as a rattle or crinkle sound; it shouldn’t light up and shouldn’t have pieces that can be choking hazards, such as buttons for eyes.

You may notice that your child has a particular attraction to a small stuffed animal during playtime. Once you’ve identified the new lovey, include it in activities during the day such as tummy time and when they’re traveling in their car seat. 
​

One of the oldest tricks in the book when it comes to getting babies to sleep through the night is the old “cereal in the bottle” trick.  It’s been used and recommended by parents for generations. As adults, we know that sleeping on an empty stomach isn’t easy, so I can understand why it’s so popular.

​We also know that staying awake when you’ve just eaten a huge meal is nearly impossible.

The idea that a little cereal in baby’s bottle of breastmilk or formula, will keep them feeling full for longer, and therefore help them sleep through the night, seems like a reasonable suggestion.

Now, any parent who has experienced a baby who isn’t sleeping well is probably anxious to find the reason why, and is likely to try anything they see as safe and potentially effective.  Unfortunately, the vast majority of parents who use this trick find that, even if it’s successful at first, the results are only temporary, and here’s the reason why...

Once your baby reaches a certain age and weight, (I’ll just use the 6 month mark here as a happy medium) waking in the night isn’t all about food and being hungry. Sure, baby might have nursed a little every time they were offered the breast or bottle, but that doesn’t mean that they were hungry.

The likely scenario is that baby’s become dependent on nursing as a method to get to sleep.
After all, if they’ve nursed to sleep every time they’ve woken up for the first six months of their lives, it only makes sense that they won’t be able to get to sleep without that familiar routine.

Putting cereal in the bottle works on the idea that babies fall asleep at bedtime and don’t wake up until morning, assuming there’s nothing bothering them, but that’s not how sleep works. Not for babies and not for adults. We all cycle in and out of deep sleep, and at the end of every cycle, we tend to wake up. Maybe not fully, but we do attain a certain level of consciousness.

In babies, that cycle is usually about 45 minutes, so even on a good night, they’re going to wake up a lot. And if the only way they know how to get to sleep is by nursing, they’re going to cry to get your attention, and wait for you to come in and help them out.

So if it’s got nothing to do with hunger, how can you help them sleep through the night? The solution to the issue, not the “hack” or quick fix, but the actual remedy, is teaching your baby to fall asleep independently.

That might seem like a tall order for a 6 month old, but I assure you, they’re fully capable of learning this invaluable skill. It’s natural, and they typically take to it faster than you would expect.  Lots of babies will babble to themselves for a bit, or rub their feet together, or suck on their fingers, or some combination of all three. Let them discover these strategies on their own, and then let them practice them a little.

I’m definitely not saying that you should shut the door and leave a crying baby to figure things out without any comfort or attention. Repeat…I am not saying you have to ignore your baby in order to get them to fall asleep.  You should feel free to attend to them, let them know you’re nearby and available, but don’t rock, nurse, or bounce them until they fall asleep. Let them find a way to do it on their own. That way, when they wake in the night, they’ll have the skills they need to settle back down on their own.

Would you like to know the truth about other sleep myths? Let me know what you are interested in learning about next in the comments down below! 

​I often meet parents who say their child doesn't nap and it's one of the major reasons that nighttime sleep doesn't go well either.  Ensuring your child is getting enough age-appropriate daytime sleep is a key component of good nighttime sleep... so how do you know?

First, newborns up to 3 months of age should be taking 4-5 naps per day, babies 3-6 months 3-4 naps, babies 6-11 months 2-3 naps and babies 12 months and older usually take 1 nap per day.  Naps should be around an hour in length.
​

First, don’t panic! The end of Daylight Savings time can be a dreaded time for parents of young children because they start waking up way too early! Adjustment takes about 1-2 weeks on average because children tend to be more structured in their bedtime and wake up around the same time each morning.
However, there are some things you can do to help make the transition to the new time go a little smoother. My recommendation is to leave your clocks alone Saturday night. Wake up Sunday morning, have breakfast, then go around your house and change your clocks. Psychologically, it will feel much better for everyone if you wait until Sunday morning to change the time.

My best advice for children to help them with the change is to split the difference with the old time and the new time. How does that work?
For babies less than 6 months old, if their bedtime and naptimes are not predictable, simply jump to the new time Sunday night as if you were traveling to a new time zone and use their wake time window (awake time between sleep periods) as your guide.

Infants (ages 0-12 mos): If bedtime is normally 7:00 p.m. move bedtime 15 minutes later each night until you reach the normal time again. So the first night you would put him down at 6:15 p.m., the second night 6:30 p.m., and so on. On the fourth night you should be back to 7:00 p.m. Do the same thing for naps. Start 45 minutes earlier than normal and move them 15 minutes later each day. So if morning nap is at 9:00 a.m. normally, start with 8:15 a.m. on Sunday, 8:30 a.m. on Monday, 8:45 a.m. on Tuesday and then 9:00 a.m. on Wednesday. Do the same for the afternoon nap.

For toddlers/school aged children (ages 12 mos and up) On Sunday, the first day of the time change, put your child down for his first nap 30 minutes earlier than normal. If baby usually naps at 9:30 a.m., put him down at 9:00 a.m. do the same with the afternoon nap if he takes an afternoon nap. For bedtime, if his normal bedtime is 7:00 p.m., you would put him down at 6:30 p.m. Do this for 3 nights after the time change and then on the 4th night, put him to bed at 7:00 p.m. and on 5th day move naptimes back to normal time. So if your child naps at 9:30 a.m, put him down at 9:30 a.m. and so on with the rest of the day.
A great thing about this time change is that there are more hours of darkness which helps make this transition a little easier. If your child wakes up too early, walk them back to their room and tell them it’s not time to get up yet. If your child wakes up too early and is in a crib, be sure to help his body understand it isn’t morning time by keeping him in his crib in the dark room until normal wake time.

Note for Toddlers/School-aged children: If you have a toddler or an older child who relies on a clock to know when their “morning time” has arrived, set the clock one half hour ahead of the new time so that it reads 7:00 a.m. at the new time of 6:30 a.m. Allow your child to wake a bit earlier than normal (they will think it is 7:00 according to the clock but it will be 6:30 a.m., new time). This will only be temporary as your child adjusts to wake at their usual 7:00 a.m. time after about one or two weeks.
​
It may take children and babies a bit more time to fall asleep, this is normal, since the time is different initially they might seem tired earlier. It usually takes about a week for children and babies to completely adjust to the new time, some children it can take up to a month. Be patient and stay very consistent, it will happen.
Sleep well!
Christine

When you’re considering where your baby should sleep, the obvious answer is ‘a crib’. What you put in that crib important…and I’m not just talking about the baby.

Baby stores, social media and online decorating boards show beautiful huge cribs with lots of bedding, stuffed animals and fluffy-ness all over. While it’s really cute, are those beautifully decorated cribs the safest place to put baby? When my husband and I were shopping for our daughter’s crib, there was a crib in the store decked out in all white with cushy bumpers, a sparkly mobile and soft sheets. My first thought was…what if she spits up? Who wants to try and clean spit up out of white sheets? Not only that, but the crib bumpers were nearly 6 inches thick!

Babies move, even the little ones just a few weeks old. They squirm and wiggle all over the crib so you want to create the safest place for them to sleep. Yes, they need to sleep in a crib or bassinette…not in your bed on the soft mattress, not on the couch or a comfy chair. Don’t use positioners either. If your crib height is adjustable, start it at the highest position, but as soon as baby starts to push him/herself up on her hands, lower the crib mattress height.
Bare is best when it comes to decorating cribs. Cribs should have a firm mattress, with a waterproof cover and a single sheet. Bumpers can become suffocation hazards. Also, don’t put mobiles, toys, stuffed animals, projectors or mirrors in their cribs. Not only can the toys become hazards, but we want baby’s crib to be a place for sleep…not playtime.

Dress baby in one piece pajamas to sleep and make sure nothing covers baby’s head. If you feel like they need to stay warmer, use a wearable blanket, such as a sleep sack. Do not use loose blankets.
Lastly, baby should be put to sleep on his/her back. It may not be the way that you were put to sleep or what you hear from your mom but since the Safe to Sleep campaign (formerly known as the Back to Sleep campaign) was implemented, SIDS deaths are down 50%. Once baby is old enough to roll, it’s ok to let them.
​
Making sure that your baby has a safe sleep environment is important, not only for parents, but also for all caregivers. Make sure you communicate to anyone who cares for baby about these safe sleeping practices.
Sleep well!
Christine

We as parents know that frequent hand washing and cleaning heavily used surfaces like doorknobs and light switches can go a long way to preventing the spread of germs, but what do you do when your little one wakes up with a stuffy nose and a cough?

Usually your baby is a great sleeper, but now she has what looks like a cold and consequently isn’t sleeping well. Have no fear! I want to give you some tips for handling sickness so that your baby doesn’t pick up bad habits that will persist long after the germs have gone. Here are a few things to keep in mind.
Expect that your sick child is going to have some nighttime wakeups. Anyone who is ill does not sleep as well as they normally do. They may have one, two, five or even more nighttime wake-ups…it’s how you handle those wake-ups will make a big difference.

One of the big mistakes people make is that they start to intervene in their child’s sleep skills. Meaning they go in, they try to rock or they start to feed again. They try to lull baby to sleep in their arms or go back to all their old sleep props. I understand why people do that because you want to comfort your baby when they’re sick. I’m not saying don’t comfort baby…you can absolutely go in. Have a short cuddle, wipe her nose, give her a drink of water, whatever you need to do to offer some comfort, but don’t interfere with her sleep skills.

You’re not going to rock her back to sleep. You’re not going to feed her to sleep. You’re not going to do any of the things that you normally wouldn’t let her do. The only time you would ever go back to a nighttime feed, obviously, is if your doctor or pediatrician suggests it. If she’s had a high fever for several days, she might need some extra fluids through the night.

You want to make sure that those only happen for a few nights. Three is kind of my rule of thumb. If anything happens for more than three nights, then there is the danger that the baby is going to now expect this and start waking up looking for feeds, rocking, etc even once the sickness is gone.
Another big mistake people make is that they bring their baby into bed with them. Again, I understand it. My daughter seemed to come home from daycare with a new sickness every other week. I’d get sick, then she’d bring home something new. It was a vicious cycle. I understand where that desire comes from. Again, you want to comfort your sick child. If you’re really concerned about your child in the night, it is much better for you to go to them than to bring them to you.

If you’re really concerned, throw down an air mattress on the floor of baby’s room. Spend a night or two in his room to keep an eye on him. Again, remembering my rule of threes, try not to do it for any longer than three nights or you might find yourself six months later still sleeping beside his bed. If everything falls apart, cut yourself a bit of slack. Sometimes it happens. Know that as soon as your baby is well again, just get right back on track with good sleep skills. Go back to your normal routine and baby will remember those great skills that she used before the sniffles came.