Friday, May 28, 2010

Nap Issues

Dear Dr. Rene,

My 2 year old still takes an afternoon nap for 1 to 3 hours each afternoon. I've noticed if the afternoon nap is long or if he naps later in the afternoon, he has trouble going to sleep at the regular 8:00pm bedtime or wakes up during the night. If he skips nap or naps for a short time, he is cranky by 5:00pm. Any suggestions?

Sincerely,

Lee, Mother of One



Dear Lee,

One thing that might help is being more consistent with your naptime routine. Naps benefit from being at the same time, in the same place everyday. It may also be helpful to build in a short naptime routine to aid the transition. If long naps seem to interfere with nighttime sleep, the idea is to gradually make naps shorter. Think about waking them up 15 minutes earlier each week. If they have been a 3 hour naps, for this wake them at 2 hours and 45 minutes consistently. The next week, 2 hours and 30 minutes until it seems to be the right amount of nap and not impact nighttime sleep. Also, be sure nap starts by 1:00pm at the latest so they might be back up is around 3:00pm. This will avoid bumping into bedtime.

Sincerely,

Dr. Rene

http://www.parentingplaygroups.com/

Sleep Issues - Children Sharing Room

Dear Dr. Hackney,
I have 26 month old twin girls. They share a bedroom. One of my twins wakes up crying in the middle of the night a few times a week. In an effort to prevent the twin who wakes up from waking the other, my husband and I usually wait a few minutes to see if the if the crying will stop and then go in to remove the crying twin from the room. It has become increasingly difficult to get her back to sleep. Once she is out of the room she asks to watch tv or go downstairs and play. She will sometimes stay awake for up to two hours before going back to sleep. She often asks for juice which we give her. How do we get her to stay asleep or help her go back to sleep more quickly when she wakes?
Thank you,
Grace, Mother of Two

Dear Grace,
The first thing to check if children are waking at night and calling out is how they are falling asleep at bedtime. Unless they are co-sleeping, the goal is for children to fall asleep in the same place and by themselves each night. The more able they are to nod off independently, the more likely they are to be able to self soothe if they wake later.

The idea when children wake at night is to do as little as possible. Avoid taking her out of the room. Better yet, avoid taking her out of her bed. Best if you can sit beside her quietly. Being able to get up and play or watch tv is very reinforcing to calling out the next time. I think I might get up in the night if I knew there was juice and someone to play with. While she may wake the first night or two, hopefully the other will learn to sleep through.
Sincerely,
Dr. Rene
http://www.askdrrene.com/