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The down-to-earth guide to getting more sleep

Turn your baby's bedtime nightmares into sweet dreams.

By Cathryn Tobin, M.D.

Eyes wide open. After feeding and the bedtime ritual, it's time to put your sleepy but awake baby into bed. If she cries, and most likely she will, pat her on the back and whisper words of reassurance: "Shhh -- it's okay. Mommy's here." Comfort her when she cries, but stop patting her when she's quiet, otherwise you'll simply be exchanging one bad habit for another. On average, a baby takes five to twenty minutes to fall asleep. Guide and support her through this learning period, and she'll soon be nodding off on her own. If she cries for a prolonged period, pat her gently, jiggle her, sing to her, even give her a top-up of milk, but don't let her fall asleep in your arms.

Truthfully, the biggest challenge is the one that takes place in our heads. Many parents struggle with the question "Am I hurting my baby by encouraging her to be independent?" Let me reassure you, independence is a good thing. Not only because it gives you more free time and because you'll get more sleep (although who's complaining?), but because it boosts self-esteem. The true first step to solving sleep problems is to wholeheartedly believe in your baby. Most babies are born strong (just go take a Iook at your own baby pictures and you'll see what I mean). Work with the assumption that your baby's capable and tough, and you'll send the message that you have confidence in her.

What to expect. It will take determination, resolve, and stamina not to cave in when your infant cries, especially the first few nights. Your baby will cry, and despite your reassurance, patting, and high hopes, things may very well get worse before they get better. Your baby may cry harder and longer as she tries to convince you to revert to the old routine. But although you may find it hard to do, if you persist a little longer, your baby will discover new ways of comforting herself back to sleep. How long it takes will depend on your child's age and temperament. Many parents expect the worst and are pleasantly surprised by how quickly the baby learns a new routine.

Talk shop. In my office, I consider it a matter of respect to explain to a baby or child what I'm going to do before doing it. For instance, I jabber away while I'm examining a newborn: "Now I'm going to check your hips, and then I'm going to shine a light in your eyes" I carry on a conversation as if the baby understands me; I know she doesn't understand my words, but my tone of voice hopefully conveys reassurance. Talk your baby through sleep problems in the same way by saying, "Okay, pumpkin, it's bedtime. I know you like to fall asleep with a bottle, but you're tough, and I know you can learn to fall asleep without one." If your baby cries, reassure her by saying, "It's okay, you're a strong baby and I have confidence in you.

Pacifier penalties. In my experience, a pacifier causes as many problems as it solves. A baby who is put to sleep with a pacifier will wake up from a shallow sleep state when his prop is lost. He can't doze off without it, yet he can't find it on his own. You're better off to put your baby to bed without a pacifier and avoid this trap altogether.

Weed out nighttime feedings. Many parents assume that a baby wakes up at night because he's hungry. According to the American Academy of Pediatrics, by the time your baby is four months of age, he should be able to go eight hours without feeding. But what if your baby disagrees with the American Academy of Pediatrics and continues to want to feed in the night? Ask your pediatrician whether your baby is gaining well enough to skip a nighttime feeding. In reality, most babies wake up because they've reached a shallow level of sleep and don't know how to get back to sleep without you. They nurse to go back to sleep, not to satisfy hunger. To help your baby learn how to fall back asleep soundly when he's in a shallow sleep, give him an opportunity to comfort himself when he begins to squirm. Don't rush in. If it doesn't look like he's able to get back to sleep, then go and comfort him. But remember to put him back in the crib while he's awake so he gains the experience of falling asleep independently.

One strategy that has helped many babies under my care to sleep longer is to give the little one an extra feeding before you go to bed. You should be able to quietly feed the baby without actually waking him up.

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