Back to Sleep | Parenting In the Loop

NOTEWORTHY WEDNESDAY!

Every now and then I write about SIDS (Sudden Infant Death Syndrome).

It is frightening for parents to even think about this happening but there are American Academy of Pediatrics‘ recommendations to follow to lessen the risk of SIDS .

SIDS is considered by some professionals to be a disease. Here is what Norman Lewak, Clinical Professor of Pediatrics at UCSF … had to say:

SIDS is a real disease. The “Triple Risk Model for SIDS is described in the Technical Report that accompanies the Policy Statement on-line edition only. Thanks to the work of Hannah Kinney of Boston Childrens, we know that SIDS infants have lesions in the respiratory center of the brainstem. This is the first risk pre-exiting respiratory center lesion. The second risk is the vulnerable developmental age, peaking at 2-4 months, in which CNS respiratory control changes. The third risk is an “environmental trigger“–an environmental event that blocks continued respiratory activity.This trigger appears to many of us to be deep sleep brought on by increased comfort from increased warmth. Prone sleep has been proven to increase warmth. The pacifier effect is most likely caused by an increase in activity, thus a lighter sleep.http://pediatrics.aappublications.org/content/early/2011/10/12/peds.2011-2284/reply#content-block

Some AAP recommendations to prevent SIDS are:

supine sleeping position
a firm sleep surface
breastfeeding
room sharing without bed sharing
consider using a pacifier which leads to a lighter sleep
avoid soft bedding
avoid overheating of the room where baby sleeps
avoid exposure tobacco smoke, alcohol and illicit drugs

According to recent information, SIDS a disease which can be triggered by other environmental factors such as sleeping on soft surfaces, or stomach sleeping. These situations can set off a reaction whereby an infant ceases breathing due to an abnormal increase in his/her CO2 level. SIDS is not “suffocation”.

Every parent-to-be should be given information about SIDS prior to delivery and any questions should be answered by nurses or pediatricians early in the newborn period.

It is easier to follow sleeping guidelines when they are explained and make sense as to why they are important and how they can make a difference in the prevention of SIDS. Of course unfortunately, there are never any guarantees but parents can do their best with the knowledge that they have to prevent a tragedy.

There is so much to being a parent … children are precious… we are their protectors…just as we use car seats to protect them in the car we should protect them when we put them to sleep.

SIDS is down, but back-sleeping is just part of the message – USATODAY.com.

Replies to SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment.

SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment.

http://pediatrics.aappublications.org/content/128/5/e1341.full

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NOTEWORTHY WEDNESDAY!

Nightmares…

Recently we have been having problems with our resident pre-schooler…she is having nightmares, which are disturbing for her and for us. She has been an incredibly good sleeper since around 2 months old but now is having difficulty going back to sleep after waking from a nightmare in the middle of the night.

Being a good grandma and blogger…I did some research that I would like to share about children and nightmares.

Children around three years old begin to have fears …nightmares are sometimes the results of these fears and anxiety.Usually these ‘bad’ dreams wake them up during the last half of the night and sometimes it is difficult for them to return to a peaceful sleep.

“The child may dream about danger or a scary situation. Nightmares may involve disturbing themes, images, or figures such as monsters, ghosts, animals, or bad people. Loss of control and fear of injury are common themes”

Bedtime routines that are quieting without the stimulation of a scary story or television show are helpful to ward off scary dreams.

Reassurance is important…this is a time when a parent will wake with a crying child and will want to go and console him/her and listen to his/her story. Sometimes your child will want to frantically tell you about the nightmare in vivid detail but if they don’t …no need to press them.

In the morning they may want to talk again about their dream and this is a time when you can perhaps create a different ending for the story one that is not so scary…this may help ward off a recurrent dream theme.

Coping strategies can include checking around the child’s room with him /her so they know there is nothing lurking under their beds…monsters are real at this point in their young imaginations.

There are also things that you can do to help your child. Especially with younger children, a security object such as a favorite stuffed animal or a blanket can help a child feel relaxed and safe in bed. Other things that can help are leaving a low nightlight on in your child’s bedroom and teaching him relaxation techniques. Have your child imagine a relaxing scene, such as a being on the beach or watching a sunset, will help him relax after a scary dream. Children can also use their imagination to help them settle down and fall back to sleep. Have your child imagine a different ending to the nightmare, hang a dream catcher over your child’s bed which helps catch the “bad dreams,” or have your child draw pictures of his nightmare that he crumples up and throws away.

Our little one has a magic wand that helps to ward off ‘bad dreams’…some nights it works better than others…

Nightmares are real and scary…your presence and a big hug is above all the best reassurance for your little one that all is well especially in the middle of the night!

http://www.babycenter.com/0_nightmares-why-they-happen-and-what-to-do-about-them_67319.bc

http://children.webmd.com/guide/nightmares

http://www.sleepfoundation.org/article/ask-the-expert/children-and-bedtime-fears-and-nightmares