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. 

When it comes to sleep training, understanding the concept of extinction bursts and what they are can be very helpful to parents seeking to establish healthy sleep habits for their toddlers and children. An extinction burst can be a challenging phase, but recognizing and managing it effectively can lead to long-term success in sleep training. In this blog post, we will define what extinction bursts are, explain their significance, and provide practical tips on how to handle them to ensure your child sleeps all night long (and you too!). While there are different sleep training techniques, this particular method is recommended for sleep training toddlers at least 1 year old. But when you’re a sleepy mama and you’re ready for sleep again, this can be a helpful way to know what to expect. 

What is an Extinction Burst?

An extinction burst is a temporary increase in the intensity, frequency, or duration of crying during sleep training. They typically happen when a child’s crying or protests escalate before they eventually decrease and stop.

Why Do Extinction Bursts Occur?

During sleep training, extinction bursts occur because your child is used to receiving a specific response or reinforcement for a behavior, such as rocking, holding their hand, patting to sleep, etc. To illustrate this example, if a child is accustomed to being rocked to sleep, they may cry louder and more persistently when you decide to stop rocking them to sleep. The child is essentially "testing" to see if their usual behavior will still elicit the same response from you, the parent. While not always an easy thing to listen to, it indicates that your child is learning to adapt to the new sleep training method.

The Role of Extinction Bursts in Sleep Training

Extinction bursts are a natural part of the sleep training process and can actually be a positive sign. They indicate your child is beginning to adjust to the new sleep routine and learning to self-soothe themselves to sleep. While the increase in crying or protests can be distressing for parents, it is important to remain consistent and patient. Here’s how extinction bursts can be useful in sleep training:

1. They’re a sign of progress: An extinction burst often signifies that the child is on the verge of learning to fall asleep independently. Recognizing this as a step forward can help parents stay committed to the sleep training process.
2. Learning a new way of going to sleep: Through extinction bursts, children gradually learn that their previous behavior (crying, protesting) no longer yields the desired outcome (such as being rocked or held to sleep). This adjustment is key to developing self-soothing skills and a well rested mama.
3. A short term situation for long term results: While extinction bursts can be challenging in the short term, they are typically followed by significant improvements in sleep patterns. Expect to hear some form of crying or protest whenever you change the way a child falls asleep or where they fall asleep. You can’t fully explain to a toddler that you’re tired of letting them twirl your hair to get to sleep, right?! 

Managing Extinction Bursts During Sleep Training

Dealing with extinction bursts requires a combination of consistency, patience, and a supportive approach. Here are some practical tips to help you manage this phase effectively:

1. 1. Be Consistent: Consistency is crucial during sleep training. Stick to your chosen method (whichever one you decide to use) and bedtime routine, even when faced with increased crying or protests. Changing your approach in response to an extinction burst can reinforce the unwanted behavior.
2. Create a Sleep Environment: Ensure your child’s sleep environment is calm, serene, and conducive to rest. A cool, dark, and quiet room is the optimal way to sleep. Consider using white noise to drown out background noises of the house that might disrupt sleep. A small dim nightlight if your child has a fear of the dark. 
3. Have and Maintain a Soothing Bedtime Routine: A predictable and calming routine at bedtime can help your child that it’s time to sleep recognize that it’s time for sleep. Activities such as reading a book, taking a warm bath, or singing lullabies can create a relaxing atmosphere that prepares your child for a long night of sleep.
4. Offer Comfort Without Reinforcing: When your child protests or experiences an extinction burst, offer comfort without reinforcing the behavior you are trying to eliminate. For example, if your child is used to being rocked to sleep, talk to your child, providing verbal reassurance, and gentle pats instead of picking them up as they’re expecting you to..
5. Monitor for Safety: Ensure that your child is safe and not in distress. Check on them periodically to confirm they are okay, but keep interactions brief and soothing to avoid reinforcing the crying or protests.
6. Set Realistic Expectations: Understand that extinction bursts are a normal part of the sleep training process and that every child is different. Some children may experience multiple extinction bursts before their sleep patterns improve, while others may adjust more quickly. Usually within 3-5 nights you should see progress. 

Long-Term Benefits of Managing Extinction Bursts

Successfully managing extinction bursts can lead to significant long-term benefits for both parents and children:

• Improved Sleep Quality: By learning to self-soothe themselves to sleep, children can fall asleep independently and stay asleep longer, resulting in better overall sleep quality.
• Increased Parental Confidence: Kids are trying to communicate and when they can’t verbally tell you “Hey Mom, why aren’t you rocking me?!” they will likely cry. Successfully navigating extinction bursts can boost parents’ confidence in their ability to manage sleep training and other behavioral challenges.
• Healthy Sleep Habits: It’s never to late to make a change. Establishing healthy sleep habits early on can contribute to better behavior, mood, and cognitive development in children.

Conclusion

While this phase can be challenging, it is also a positive indication that your child is learning to adapt to new sleep patterns. By staying consistent, maintaining a calming bedtime routine, and offering comfort without reinforcing unwanted behaviors, you can help your child develop independent, healthy sleep habits. Remember, patience and perseverance are key. With the right approach, you and your child can achieve restful nights and enjoy the long-term benefits of a good night'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. 

I had no idea what a sleep consultant was 10 years ago. I was leaving my corporate job because I was tired of working 60 hours per week, carrying 2 cell phones and never seeing my daughter. I knew I wanted to keep working and be able to spend more time with my daughter. Once I got my daughter sleeping through the night, I fell in love with getting proper sleep coupled with the idea of coaching tired parents to help their entire family sleep all night. 

I absolutely love my job! Getting to help tired moms and dads to get their family sleeping well is so rewarding when all of our efforts pay off. Maybe you have an interest in pursuing this work as well! Here’s how to become a pediatric sleep consultant. 

First, you need to take a pediatric sleep consultant course. There are a few different factors you need to consider when choosing a sleep consulting course. You’ll need to decide is if you’d like to take the course in-person or online/remotely. There has been a rapid rise in online courses over the past few years (thanks Covid!) that have made it incredibly easy to access sleep consultant training from virtually everywhere. However, if attending an in-person class is how you learn best, you’ll want to look for one near you. Costs vary from course to course and you’ll need to evaluate what you’re getting for your hard-earned money. Make sure you look at the curriculum of the course and the certification requirements. 

The next thing you’ll need to decide is if the course you are looking at has all of the information you’ll need to learn. To be a professional sleep consultant you’ll need to know all about the different sleep training methods as well as the science of sleep, what's normal for newborn, infant and toddler sleep, and have an understanding of the challenges to a child's sleep at different ages. Sound like a lot? Don’t stress. A course will walk you through each of these points and guide you on the journey to becoming a pediatric sleep consultant. There are many, many options out there for courses. If you do your research using the tips I’ve given you, you’ll be able to find a course that is just right for you. Or just ask and I'll provide you with my favorite courses. 

The last thing you will need to have is drive and motivation. Decide if you want to work on a team with another sleep consultant or want to start your own business. Each path has its pros and cons; if you want to start your own business, you’ll need to do things like create a website and social media presence, develop a marketing plan, handle bookkeeping and finances and work with clients. Working for another sleep consultant eliminates most of those administrative tasks and lets you focus on what you like doing, working with clients! 

If you want to have a rewarding side-gig or replace a full-time income, sleep consulting can be a great way to do that. Ask me how! Email me at [email protected] and let’s schedule a quick chat to answer any questions you might have. 

Happy learning!

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? 

​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.