Mari turned eight months old yesterday. I can hardly believe it -- time goes so fast. Since I haven't posted photos in awhile, here are a few of the very latest ones.
Mari has been busy learning new skills too. She can now get up onto her hands and knees and her very latest trick is getting onto her hands and feet in the "downward dog" position. No crawling yet, but she seems very close. She's still doing her backwards creeping and is more efficient at it than ever.
She can now say "dada" and "daddy," though I'm still waiting for that elusive first "mama." She has two teeth now. She can now eat an awful lot of solid food. The photo above is from after she polished off half an avocado. While it may look like half an avocado is smeared all over her, I am convinced the vast majority of it went into her mouth. She's also getting good at eating even small, slippery bits of food. Oh, and she can drink from her sippy cup now, though there is still some spillage as she will only drink from it without the non-spill valve in.
As for sleep, she has been getting somewhat better about staying asleep longer for naps, which is HUGE for me, though she's still not consistent. At night, though, she's back to waking up twice most of the time, when for awhile we were down to one or none. I am thinking again about starting to limit her second night feed.
Today: An average day for sleep. A decent morning nap of nearly an hour and a half, but an afternoon nap of less than an hour, which is less than optimal. She woke up still cranky but wouldn't go back down. She was up super early this morning (6:10) and was so tired she had to be put to bed early (just after 7 PM), so I hope this doesn't lead to an even earlier waking and the beginning of a vicious circle.
Showing posts with label breastfeeding. Show all posts
Showing posts with label breastfeeding. Show all posts
Wednesday, April 21, 2010
Thursday, April 15, 2010
Day 84: Book reviews and update
Sorry it's been so long since I posted. Mari's been having a more or less good run of sleeping lately, though she's still waking up about twice a night to feed. I've been thinking again about weaning her off the second night feed, since she doesn't really seem to need it -- she's fine when she sleeps well and gets up only for one feed. Also, if she has a second night feed she won't feed again when she wakes up in the morning, not until nearly time for her first nap. I would rather she feed when she gets up too. Also, she still quite often wakes up from a nap after only one sleep cycle, despite being obviously tired. I don't know what more I can do about that than what we're already doing. However, her naptimes have stabilized a little. I'm doing everything I can to ensure she sleeps at least 13 hours total a day, but she really does best when she gets 14 hours. More about that in the book reviews below.
I'm a big researcher, arguably an over-researcher, so I have read all kinds of books on baby sleep. All have had good points as well as not-so-good. Here's the lowdown on what I think of all the books I've read, in order from the ones I've liked most to least.
1. The No-Cry Sleep Solution, by Elizabeth Pantley
The book that started me and Mari on this journey, and in my opinion, still the best. I like that it offers an organized way to create a sleep plan and to track progress. It also offers plenty of suggestions to create healthy sleep habits. You don't have to follow them all; just the ones that work for you. In fact, it offers a lot of flexibility, including no guilt about co-sleeping or crib sleeping. Most important, unlike most other baby sleep books, it doesn't involve making the baby cry it out, which despite my having dipped a toe or two into those waters, is in my opinion still an admirable and loving goal.
However, as I have mentioned before, I have come to believe it's not always possible or necessarily desirable to achieve no crying at all. At least for Mari, I have not been able to prevent her from crying entirely, and until I stopped taking the book quite so seriously, I felt a lot of guilt about that. I believe there are different types of crying that should be treated different ways. There are indeed times when she seems to need to fuss a bit before falling asleep, and if I keep trying to comfort her, it actually takes longer or even prevents her falling asleep. Having said that, if I get the timing just right, she fusses little or not at all. She cries when she's overtired, so it's best to prevent her from getting overtired.
2. Solve Your Child's Sleep Problems, by Richard Ferber. M.D.
I've never systematically Ferberized, but I found this book very informative. It has the best explanations about child sleep that I've ever read and the chapter about sleep associations, I found to be better than in the NCSS. I read the whole thing out of interest, even though Mari doesn't have problems with things like narcolepsy or sleep apnea, and now I feel I know what to look out for if she should ever develop more serious sleep problems.
I had formed a bad opinion of Ferberizing before I read this book. However, once I read the book, rather than just what other people had to say about it, I found the description of the method to be more logical and less harsh than the extinction method of crying it out. I think the method could work for parents who don't have the patience to implement the gentler but more time-consuming methods of the NCSS first, but after a couple of months on the NCSS, I found that Mari's sleep habits were already mostly good enough that it was unnecessary to let her cry for increasing intervals. Most of the time now she goes down pretty easily and if she doesn't, it's either because she's not tired enough yet to go to sleep or because she's overtired, in which case it seems too harsh to me to leave her to cry for very long.
I have, however, taken some things from Ferber. When necessary, I use the idea of increasing intervals between responses and keeping my time in the room short. If Mari cries after being put down, I will first respond and comfort her after about two minutes of full-on crying (I let her fuss longer if she doesn't sound very upset). At all times I limit my time in the room to two minutes unless of course I'm nursing her. If she still keeps crying, I next respond after five minutes. After that, 10 minutes and so on until half an hour has passed since I first put her down. If she's still upset at that point, I let her get up and play for a little while before I try again, because I figure she either wasn't tired or is overtired but has gotten a second wind. I have only had to let her get up for naps; never for bedtime sleep. I have not, however, increased time between responses from day to day.
There is one major area in which I tend to disagree with Ferber. Ferber constantly contends that sleep problems can be solved by at least temporarily making bedtimes later so the child is more tired when he or she is put to bed. Maybe, just maybe, this is something that could work for older children, but it certainly doesn't work for Mari and probably not most babies. The more overtired Mari gets the LESS she sleeps and the HARDER it is to get her down to sleep.
Also, Ferber says a six-month-old should be getting about 12.5 hours total sleep a day. I find this just barely in the adequate range. Mari averages about 13, and she's happier when she gets 14 hours of sleep or more in a day if I can manage to get her to sleep that long. In the three weeks since I have been using babybix.com to keep track of her sleep, Mari has slept a maximum of 14.5 hours and wow, she was in a great mood that day. Nor do I believe it's just that Mari needs more sleep than most. On the online message board for moms that I visit, it would seem the majority of 7-8 month-olds need 13 hours or more of sleep a day.
Wow, that took longer than I expected. I will post this now and continue the book reviews another day. Next up: Healthy Sleep Habits, Happy Child; The Baby Whisperer; The Baby Sleep Book.
I'm a big researcher, arguably an over-researcher, so I have read all kinds of books on baby sleep. All have had good points as well as not-so-good. Here's the lowdown on what I think of all the books I've read, in order from the ones I've liked most to least.
1. The No-Cry Sleep Solution, by Elizabeth Pantley
The book that started me and Mari on this journey, and in my opinion, still the best. I like that it offers an organized way to create a sleep plan and to track progress. It also offers plenty of suggestions to create healthy sleep habits. You don't have to follow them all; just the ones that work for you. In fact, it offers a lot of flexibility, including no guilt about co-sleeping or crib sleeping. Most important, unlike most other baby sleep books, it doesn't involve making the baby cry it out, which despite my having dipped a toe or two into those waters, is in my opinion still an admirable and loving goal.
However, as I have mentioned before, I have come to believe it's not always possible or necessarily desirable to achieve no crying at all. At least for Mari, I have not been able to prevent her from crying entirely, and until I stopped taking the book quite so seriously, I felt a lot of guilt about that. I believe there are different types of crying that should be treated different ways. There are indeed times when she seems to need to fuss a bit before falling asleep, and if I keep trying to comfort her, it actually takes longer or even prevents her falling asleep. Having said that, if I get the timing just right, she fusses little or not at all. She cries when she's overtired, so it's best to prevent her from getting overtired.
2. Solve Your Child's Sleep Problems, by Richard Ferber. M.D.
I've never systematically Ferberized, but I found this book very informative. It has the best explanations about child sleep that I've ever read and the chapter about sleep associations, I found to be better than in the NCSS. I read the whole thing out of interest, even though Mari doesn't have problems with things like narcolepsy or sleep apnea, and now I feel I know what to look out for if she should ever develop more serious sleep problems.
I had formed a bad opinion of Ferberizing before I read this book. However, once I read the book, rather than just what other people had to say about it, I found the description of the method to be more logical and less harsh than the extinction method of crying it out. I think the method could work for parents who don't have the patience to implement the gentler but more time-consuming methods of the NCSS first, but after a couple of months on the NCSS, I found that Mari's sleep habits were already mostly good enough that it was unnecessary to let her cry for increasing intervals. Most of the time now she goes down pretty easily and if she doesn't, it's either because she's not tired enough yet to go to sleep or because she's overtired, in which case it seems too harsh to me to leave her to cry for very long.
I have, however, taken some things from Ferber. When necessary, I use the idea of increasing intervals between responses and keeping my time in the room short. If Mari cries after being put down, I will first respond and comfort her after about two minutes of full-on crying (I let her fuss longer if she doesn't sound very upset). At all times I limit my time in the room to two minutes unless of course I'm nursing her. If she still keeps crying, I next respond after five minutes. After that, 10 minutes and so on until half an hour has passed since I first put her down. If she's still upset at that point, I let her get up and play for a little while before I try again, because I figure she either wasn't tired or is overtired but has gotten a second wind. I have only had to let her get up for naps; never for bedtime sleep. I have not, however, increased time between responses from day to day.
There is one major area in which I tend to disagree with Ferber. Ferber constantly contends that sleep problems can be solved by at least temporarily making bedtimes later so the child is more tired when he or she is put to bed. Maybe, just maybe, this is something that could work for older children, but it certainly doesn't work for Mari and probably not most babies. The more overtired Mari gets the LESS she sleeps and the HARDER it is to get her down to sleep.
Also, Ferber says a six-month-old should be getting about 12.5 hours total sleep a day. I find this just barely in the adequate range. Mari averages about 13, and she's happier when she gets 14 hours of sleep or more in a day if I can manage to get her to sleep that long. In the three weeks since I have been using babybix.com to keep track of her sleep, Mari has slept a maximum of 14.5 hours and wow, she was in a great mood that day. Nor do I believe it's just that Mari needs more sleep than most. On the online message board for moms that I visit, it would seem the majority of 7-8 month-olds need 13 hours or more of sleep a day.
Wow, that took longer than I expected. I will post this now and continue the book reviews another day. Next up: Healthy Sleep Habits, Happy Child; The Baby Whisperer; The Baby Sleep Book.
Saturday, April 3, 2010
Day 72: Scheduling feedings
I've never really scheduled feedings. When Mari was younger, I fed on demand. More recently, I've been noticing she hasn't been as demanding -- she can go for longer between feeds, even if she is in fact hungry enough to eat well before she starts to fuss to be fed. So more recently I've been trying to offer her the breast every three hours or so during the day. However, I haven't been very consistent about it. Of course, when she fusses to be fed, I feed her right away. But sometimes I've been feeding her more often or less often as convenient.
I've decided this needs to stop. Mari needs a better-wound internal clock, not just for naps, but also for sleep. Also, if I feed her more often during the day, hopefully she won't need to feed as much at night. For the moment, I still won't push the night weaning issue. However, I will as of tomorrow try to feed her at more consistent times, every 2.5 hours during the day, so ideally she gets six feedings in during the day. Also, I should be more consistent about nursing her before she gets solids, so she's getting the important calories in first.
One variation in the every 2.5 hours rule is that I will try to nurse her before her afternoon nap. At all times, I will not force her to nurse if she doesn't want to. If she's about to go down for a nap and doesn't want to nurse, I'll let her go to sleep without worrying. She's unlikely to wake up because she's hungry, as she has proven she can go four hours or more between feeds during the day. If she refuses to nurse when she's up, I'll try her again in half an hour and try to make up for the stretched-out feedings by offering her the breast every two hours, rather than 2.5, after her afternoon nap.
So her ideal schedule should now look like this:
7 AM - Up and nurse
7:30 - Breakfast (solids)
9:30 - Nurse, followed by naptime routine
10:00 - Nap
11:30 - Active play
12:00 PM - Nurse, followed by lunch (solids)
2:00 PM - Nurse, followed by naptime routine
2:30 - Nap
4:00 - Active play
4:30 - Nurse
6:00 - Dinner (solids)
6:30 - Bath and bedtime routine, including nursing close to end of bedtime routine
7:30(ish) - Sleep
I will continue to allow half an hour of flexibility on either side for naps, depending how how tired she seems to be.
I've decided this needs to stop. Mari needs a better-wound internal clock, not just for naps, but also for sleep. Also, if I feed her more often during the day, hopefully she won't need to feed as much at night. For the moment, I still won't push the night weaning issue. However, I will as of tomorrow try to feed her at more consistent times, every 2.5 hours during the day, so ideally she gets six feedings in during the day. Also, I should be more consistent about nursing her before she gets solids, so she's getting the important calories in first.
One variation in the every 2.5 hours rule is that I will try to nurse her before her afternoon nap. At all times, I will not force her to nurse if she doesn't want to. If she's about to go down for a nap and doesn't want to nurse, I'll let her go to sleep without worrying. She's unlikely to wake up because she's hungry, as she has proven she can go four hours or more between feeds during the day. If she refuses to nurse when she's up, I'll try her again in half an hour and try to make up for the stretched-out feedings by offering her the breast every two hours, rather than 2.5, after her afternoon nap.
So her ideal schedule should now look like this:
7 AM - Up and nurse
7:30 - Breakfast (solids)
9:30 - Nurse, followed by naptime routine
10:00 - Nap
11:30 - Active play
12:00 PM - Nurse, followed by lunch (solids)
2:00 PM - Nurse, followed by naptime routine
2:30 - Nap
4:00 - Active play
4:30 - Nurse
6:00 - Dinner (solids)
6:30 - Bath and bedtime routine, including nursing close to end of bedtime routine
7:30(ish) - Sleep
I will continue to allow half an hour of flexibility on either side for naps, depending how how tired she seems to be.
Labels:
baby scheduling,
bedtime routine,
breastfeeding,
naps,
naptime routine
Wednesday, March 24, 2010
Day 63: A near-perfect day and rethinking night weaning
Mari had a great day today. A morning and an afternoon nap of an hour and a half each, and hardly a moment of fussing all day, none at all at naptime or bedtime. Of course, I can't count on every day being like this, but I want to celebrate the good days. I did have to put her back down when she woke up from her morning nap, but at least she let me put her back down. And she slept all the way through her afternoon nap. Though she cried out a bit in the middle, when I went to check on her she was still asleep.
I am, however, reconsidering if I should try to limit her to one night feeding. I had been thinking I ought to because that's what our doctor said. I like our doctor; I think she's a very reasonable woman. However, Mari isn't a big eater during the day. I have been trying to feed her at least once every three hours lately but until recently she was often going four hours between breastfeeds -- I was more or less feeding on demand, but she didn't demand feedings often. Even with the effort now to feed her more often, I really don't think she's eating any more even when she does take the breast. She often stops before my breasts feel really drained, or really feeds properly off only one breast. And her weight gain has been slow lately.
Doctors seem to say a lot of different things about when a baby should night wean. Some say they're ready at three months; other say it's OK to night nurse well into toddlerhood. That tells me there's no definitive answer.
Mari hasn't demanded feeding more than twice at night in a long time. Sometimes she wants to nurse only once; rarely, not at all. But twice a night, considering she's sleeping an average of 11 to 11.5 hours in total, isn't too much to ask. I don't want her to get into a habit of nursing at night unnecessarily. But for now I will continue letting her nurse twice a night, though I will still limit it to 5 hours after she goes to bed, then 3 hours after the first night feeding. I will offer both breasts at both feedings.
I am, however, reconsidering if I should try to limit her to one night feeding. I had been thinking I ought to because that's what our doctor said. I like our doctor; I think she's a very reasonable woman. However, Mari isn't a big eater during the day. I have been trying to feed her at least once every three hours lately but until recently she was often going four hours between breastfeeds -- I was more or less feeding on demand, but she didn't demand feedings often. Even with the effort now to feed her more often, I really don't think she's eating any more even when she does take the breast. She often stops before my breasts feel really drained, or really feeds properly off only one breast. And her weight gain has been slow lately.
Doctors seem to say a lot of different things about when a baby should night wean. Some say they're ready at three months; other say it's OK to night nurse well into toddlerhood. That tells me there's no definitive answer.
Mari hasn't demanded feeding more than twice at night in a long time. Sometimes she wants to nurse only once; rarely, not at all. But twice a night, considering she's sleeping an average of 11 to 11.5 hours in total, isn't too much to ask. I don't want her to get into a habit of nursing at night unnecessarily. But for now I will continue letting her nurse twice a night, though I will still limit it to 5 hours after she goes to bed, then 3 hours after the first night feeding. I will offer both breasts at both feedings.
Thursday, March 4, 2010
Day 44: Top 10 things I have learned in the last six weeks or so
While Mari's sleep habits are nowhere near perfect, they are certainly a lot better. And while I continue to learn, these are the most important things I think have worked so far to help improve her sleep. Some are derived from the No-Cry Sleep Solution, some are from Healthy Sleep Habits, Happy Child, and some are of my own invention. These points are roughly in order of importance, in my opinion. Of course, every baby is different, even babies at the same age, but from what I understand from my research, these are points that would help most, if not all babies.
1. Trust your baby. One of the hardest things for me to wrap my mind around is that Mari has often proven herself capable of more than I have expected. Maybe it's because babies grow and change so fast. I tend to think rules that applied a few weeks ago as still applicable, but often that's not been the case. The biggest thing for me was getting over the idea that Mari would never be able to put herself to sleep, because there was a time when that was true. The first time I left her alone in her room still awake, if very drowsy, I was afraid she'd freak out and it would then take me forever to get her to sleep. Instead, she "talked" for a little while and then there was blessed silence.
2. Trust yourself. Another hard thing for me has been to weed through all the contradictory things all the different books say and pick out what I think will work for us. Consistency is important, yes, but sometimes I've have to do a bit of experimenting to find out what does work. Once I've found it, I've been trying to be consistent yet flexible -- i.e. if something disrupts her routine. It's a hard line to walk, and sometimes I have to stop and tell myself I'm a good mom and I know my child best.
3. You do have to alter your life to fit your baby's sleep needs. Being well-rested during the day is crucial to a good night's sleep, and an older baby isn't going to be well-rested if she's not home and in a sleep-inducing environment at consistent times. I miss the days of newborn portability, when Mari could nap anywhere, at any time. But those days are gone and I have to accept it. So I have to keep any outings short and be strict about it. Yes, it's a bit of a pain for me. But a decently rested baby is so worth it and it makes for better rested parents too.
4. Not every cry is the same and not every sound from a baby necessitates an immediate response. Leaving a baby to fuss for a bit is not the same as crying it out. For more: http://sleeplittlebaby.blogspot.com/2010/03/day-41-talking-fussing-calling-crying.html
5. Your child's temperament will affect his/her sleep habits and your responses to them. Some babies might be able to set and stick to a schedule on their own. Others will not. Some babies will cry very persistently, others will not. Some need a lot of cuddling, others don't like it. For more: http://sleeplittlebaby.blogspot.com/2010/02/day-36-temperament-and-sleep.html
6. By about six months at the latest, natural sleepy times develop, even in an irregular child, according to Healthy Sleep Habits, Happy Child author Dr. Marc Weissbluth. If one nap is short or skipped it may be better to keep the baby awake until the next naptime, to keep the baby on some sort of schedule, though that needs to be balanced with the need not to get the baby too overtired. The morning nap should start between 9-10 and the afternoon nap, between 12 and 2. For Mari, her morning nap has been starting around 8:30 to 9 and her afternoon nap around 1-ish. A third nap is variable, according to Weissbluth. Mari's has been around 5-ish and she's OK with it only being half an hour if the first two have been long enough. I have been having an easier time convincing her to nap around these natural sleepy times than I did strictly watching the clock to make sure she was up exactly, say, two hours and 15 minutes between naps.
7. The first nap of the day is crucial, and needs to start no more than two hours after the wake-up time. Apparently the morning nap is something of a continuation of night sleep, with plenty of REM sleep. I have found the morning nap sets the tone for the whole day. If Mari is sleeping again within two hours of waking up, she goes down more easily and is more likely to sleep longer. If the morning nap turns out to be shorter than an hour, she'll have a crankier day and will tend to wake up more easily from her naps. However, for some reason it's harder to get her back to sleep if she wakes up prematurely from her morning nap than from afternoon naps. This is something I'm still struggling with -- today, her morning nap was only 40 minutes and I couldn't get her back down. Lo and behold, she was a bit cranky.
8. A parent's presence can be a hindrance, not a help, in getting to sleep. Mari has always been a bit clingy, and my presence can reassure her if she's upset. However, my being around once she's calm at night seems to often delay her falling asleep, because she'd rather interact with me than sleep. However, at naptime, it's harder for me to leave the room, because she's more awake and gets upset if I leave. Having her put herself to sleep for naps is still something we need to work on.
9. A comfortable, sleep-inducing environment is important. Mari has started napping a bit better since I put the blackout fabric on the other side of the bamboo blinds. However, it's still not a very dark room and sometimes I regret not having bought black blackout fabric. On the other hand, I don't want to train her into only being able to sleep in a bat cave. Other environmental things that help: a white noise machine that stays on all night long (we have one on a timer too but she often wakes up when it turns off), removing all toys from the crib (wasn't necessary a few weeks ago, but it is now -- she's more aggressive about getting at them and more active in her sleep -- I usually put her down on her back, head to the left, and very often she wakes up on her tummy, head to the right).
10. It's normal for breastfed babies to wake up once or twice a night to feed until the age of 9 months, according to Dr. Weissbluth. Knowing this has helped me be OK with one or two night wakings and responding fairly promptly with feeding.
Near-future posts: ideas I have not found useful, ideas that may or may not be working, things I have learned specifically about Mari.
1. Trust your baby. One of the hardest things for me to wrap my mind around is that Mari has often proven herself capable of more than I have expected. Maybe it's because babies grow and change so fast. I tend to think rules that applied a few weeks ago as still applicable, but often that's not been the case. The biggest thing for me was getting over the idea that Mari would never be able to put herself to sleep, because there was a time when that was true. The first time I left her alone in her room still awake, if very drowsy, I was afraid she'd freak out and it would then take me forever to get her to sleep. Instead, she "talked" for a little while and then there was blessed silence.
2. Trust yourself. Another hard thing for me has been to weed through all the contradictory things all the different books say and pick out what I think will work for us. Consistency is important, yes, but sometimes I've have to do a bit of experimenting to find out what does work. Once I've found it, I've been trying to be consistent yet flexible -- i.e. if something disrupts her routine. It's a hard line to walk, and sometimes I have to stop and tell myself I'm a good mom and I know my child best.
3. You do have to alter your life to fit your baby's sleep needs. Being well-rested during the day is crucial to a good night's sleep, and an older baby isn't going to be well-rested if she's not home and in a sleep-inducing environment at consistent times. I miss the days of newborn portability, when Mari could nap anywhere, at any time. But those days are gone and I have to accept it. So I have to keep any outings short and be strict about it. Yes, it's a bit of a pain for me. But a decently rested baby is so worth it and it makes for better rested parents too.
4. Not every cry is the same and not every sound from a baby necessitates an immediate response. Leaving a baby to fuss for a bit is not the same as crying it out. For more: http://sleeplittlebaby.blogspot.com/2010/03/day-41-talking-fussing-calling-crying.html
5. Your child's temperament will affect his/her sleep habits and your responses to them. Some babies might be able to set and stick to a schedule on their own. Others will not. Some babies will cry very persistently, others will not. Some need a lot of cuddling, others don't like it. For more: http://sleeplittlebaby.blogspot.com/2010/02/day-36-temperament-and-sleep.html
6. By about six months at the latest, natural sleepy times develop, even in an irregular child, according to Healthy Sleep Habits, Happy Child author Dr. Marc Weissbluth. If one nap is short or skipped it may be better to keep the baby awake until the next naptime, to keep the baby on some sort of schedule, though that needs to be balanced with the need not to get the baby too overtired. The morning nap should start between 9-10 and the afternoon nap, between 12 and 2. For Mari, her morning nap has been starting around 8:30 to 9 and her afternoon nap around 1-ish. A third nap is variable, according to Weissbluth. Mari's has been around 5-ish and she's OK with it only being half an hour if the first two have been long enough. I have been having an easier time convincing her to nap around these natural sleepy times than I did strictly watching the clock to make sure she was up exactly, say, two hours and 15 minutes between naps.
7. The first nap of the day is crucial, and needs to start no more than two hours after the wake-up time. Apparently the morning nap is something of a continuation of night sleep, with plenty of REM sleep. I have found the morning nap sets the tone for the whole day. If Mari is sleeping again within two hours of waking up, she goes down more easily and is more likely to sleep longer. If the morning nap turns out to be shorter than an hour, she'll have a crankier day and will tend to wake up more easily from her naps. However, for some reason it's harder to get her back to sleep if she wakes up prematurely from her morning nap than from afternoon naps. This is something I'm still struggling with -- today, her morning nap was only 40 minutes and I couldn't get her back down. Lo and behold, she was a bit cranky.
8. A parent's presence can be a hindrance, not a help, in getting to sleep. Mari has always been a bit clingy, and my presence can reassure her if she's upset. However, my being around once she's calm at night seems to often delay her falling asleep, because she'd rather interact with me than sleep. However, at naptime, it's harder for me to leave the room, because she's more awake and gets upset if I leave. Having her put herself to sleep for naps is still something we need to work on.
9. A comfortable, sleep-inducing environment is important. Mari has started napping a bit better since I put the blackout fabric on the other side of the bamboo blinds. However, it's still not a very dark room and sometimes I regret not having bought black blackout fabric. On the other hand, I don't want to train her into only being able to sleep in a bat cave. Other environmental things that help: a white noise machine that stays on all night long (we have one on a timer too but she often wakes up when it turns off), removing all toys from the crib (wasn't necessary a few weeks ago, but it is now -- she's more aggressive about getting at them and more active in her sleep -- I usually put her down on her back, head to the left, and very often she wakes up on her tummy, head to the right).
10. It's normal for breastfed babies to wake up once or twice a night to feed until the age of 9 months, according to Dr. Weissbluth. Knowing this has helped me be OK with one or two night wakings and responding fairly promptly with feeding.
Near-future posts: ideas I have not found useful, ideas that may or may not be working, things I have learned specifically about Mari.
Thursday, February 18, 2010
Day 31: The new 10-day plan including nap plan
Damn. Mari didn't sleep through the night last night, for the first time in over a week. She was close, since I'm still defining "through the night" as one five-hour stretch -- she had a 4.5-hour stretch. But it has underlined to me that I still need to be emphasizing the nighttime sleep plan as much as ever. I'll probably need to do that until well into childhood, though of course there will be significant changes to the plan before then.
Anyway, here's the new plan, including the plan for naps. Unless otherwise stated, previous plans still apply.
1. For this 10-day plan only I will not try to schedule naps. I will instead look for sleepy cues and try to respond IMMEDIATELY by reading her a quick story, rocking to the point of drowsiness while singing a lullaby, then putting her down. I will try to feed and potty her at least 45 minutes before she's likely to fall asleep. (Feeding her immediately upon waking up has been totally unsuccessful and I will discontinue that attempt. She's too raring to go to settle down for a feed when she's just woken up.)
2. If I miss feeding her and pottying her before she shows me sleepy signs, I will feed and potty her immediately, limiting time on the potty to a minute or two regardless of if she goes. I will then rock her and put her down without a story or song.
3. I will keep track of naptimes for the next 10 days so I have a sense of when her natural tired times are. I will use the data to create a nap schedule for the next 10-day plan. For this 10-day plan I will only try to schedule bedtime, starting her bedtime routine at 6:30 every day so she's asleep sometime between 7:30 and 8.
4. I will make Mari's room darker for naps by sewing blackout fabric onto the backs of the bamboo blinds. (I already did this for one blind, but I don't think the fabric is dark or thick enough, so I'll add another layer.)
5. I will continue to co-nap with Mari for her morning nap for now, since the morning nap seems to be key. In any case, I usually need a nap too! If she starts to stir too early, I will put a hand on her before she wakes and shush her to try to keep her asleep. If she still wakes up after less than an hour, I will do whatever I have to do to get her back to sleep, including rocking and nursing.
6. For afternoon naps, I will put Mari down in her crib and leave the room so she gets more used to napping alone. I will, however, stay upstairs. I will enter the room immediately when I hear a sound and try to get her back to sleep if it has been less than an hour or if she seems cranky. Exception: if she napped long previously, seems happy and alert and has napped at least 30 minutes, I'll leave her be. She can have one nap a day of less than an hour, assuming three naps a day.
7. I will work on putting her down after less rocking, drowsy but not yet falling asleep, so she learns to fall asleep on her own in the crib. I will stay by her side for a little while, saying "shh," but I will now not keep a hand on her stomach unless she fusses. If she fusses, I will use the hand but I won't pick her up unless she starts to truly cry, or if she fusses for more than 5 minutes at naptime and doesn't seem to be trying to put herself to sleep. At night, I will leave the room 5 minutes after I put her down, even if she's still awake. At naptime, I'll stay in the room until she's very nearly asleep -- but not quite.
8. Since her weight gain has slowed, I'm OK with feeding her once or twice a night. Ideally I will do this once before I go to bed, in hopes her longest sleep stretch comes after I go to bed. However, if she doesn't wake up, or puts herself to sleep after less than five minutes of fussing, I will not wake her up to feed her, nor will I do a dream feed.
9. For night wakings, I will continue to let her fuss alone -- NOT cry -- for the following amounts of time:
- 5 minutes if it's just after I put her down and leave the room, but she's still clearly awake and not happy about being left alone.
- 15 minutes if she has already fallen asleep once for the night but less than three hours have passed since I put her down. If I end up having to go in and comfort her, I will not feed her.
- 5 minutes if more than 3 hours has passed since I put her down for the night. If she continues to fuss for more than five minutes, I will feed her immediately upon going in.
- 15 minutes if I have already fed her once during the night and less than five hours have passed since then. If I go in, I won't feed her.
- 5 minutes if more than five hours have passed since her first night feeding. If I have to go in, I will feed her.
- 5 minutes at any time of the night if it has been less than 30 minutes since her last night waking and she was not fed at the last night waking. If this happens, I will feed her immediately upon going in.
- At any time if she starts full-on crying, I will go in immediately. However, I will only feed her according to the above guidelines.
10. I will no longer hold Mari during her naps after she has fallen asleep, even if I picked her up after a premature awakening. If she wakes up prematurely, I will soothe her and put her down, up to twice. If she wakes up a third time after being put down, she can stay up.
11. I will make sure she gets at least some active tummy time between every nap, even if it's only for five minutes before an outing.
12. I will try very hard to avoid being out when Mari has to nap. However, if it's unavoidable and she falls asleep in her car seat, I will stay in the (intermittently warmed up, if necessary) parked car with her until she wakes up or has napped for a minimum of 45 minutes. Only then will I go in the house, since going in almost always wakes her up. If she falls asleep in the carrier or stroller, I will try to keep walking around outside for the same amount of time. However, if it's too cold, I will take her inside and keep walking around quietly indoors in hopes she won't wake up.
13. In the last stages of getting Mari down to sleep (naps and at night), I will do the "Pantley Dance" -- alternating periods of rocking and shushing with holding her still and quiet in my arms. I will do both a few times each until she is sleepy but not yet asleep. Then I will put her down.
14. If she seems in danger of falling asleep nursing, I will employ the "Pantley Pull-Off" (see http://www.pregnancy.org/article/when-your-baby-wakes-frequently-feed-pantley-pull)
Anyway, here's the new plan, including the plan for naps. Unless otherwise stated, previous plans still apply.
1. For this 10-day plan only I will not try to schedule naps. I will instead look for sleepy cues and try to respond IMMEDIATELY by reading her a quick story, rocking to the point of drowsiness while singing a lullaby, then putting her down. I will try to feed and potty her at least 45 minutes before she's likely to fall asleep. (Feeding her immediately upon waking up has been totally unsuccessful and I will discontinue that attempt. She's too raring to go to settle down for a feed when she's just woken up.)
2. If I miss feeding her and pottying her before she shows me sleepy signs, I will feed and potty her immediately, limiting time on the potty to a minute or two regardless of if she goes. I will then rock her and put her down without a story or song.
3. I will keep track of naptimes for the next 10 days so I have a sense of when her natural tired times are. I will use the data to create a nap schedule for the next 10-day plan. For this 10-day plan I will only try to schedule bedtime, starting her bedtime routine at 6:30 every day so she's asleep sometime between 7:30 and 8.
4. I will make Mari's room darker for naps by sewing blackout fabric onto the backs of the bamboo blinds. (I already did this for one blind, but I don't think the fabric is dark or thick enough, so I'll add another layer.)
5. I will continue to co-nap with Mari for her morning nap for now, since the morning nap seems to be key. In any case, I usually need a nap too! If she starts to stir too early, I will put a hand on her before she wakes and shush her to try to keep her asleep. If she still wakes up after less than an hour, I will do whatever I have to do to get her back to sleep, including rocking and nursing.
6. For afternoon naps, I will put Mari down in her crib and leave the room so she gets more used to napping alone. I will, however, stay upstairs. I will enter the room immediately when I hear a sound and try to get her back to sleep if it has been less than an hour or if she seems cranky. Exception: if she napped long previously, seems happy and alert and has napped at least 30 minutes, I'll leave her be. She can have one nap a day of less than an hour, assuming three naps a day.
7. I will work on putting her down after less rocking, drowsy but not yet falling asleep, so she learns to fall asleep on her own in the crib. I will stay by her side for a little while, saying "shh," but I will now not keep a hand on her stomach unless she fusses. If she fusses, I will use the hand but I won't pick her up unless she starts to truly cry, or if she fusses for more than 5 minutes at naptime and doesn't seem to be trying to put herself to sleep. At night, I will leave the room 5 minutes after I put her down, even if she's still awake. At naptime, I'll stay in the room until she's very nearly asleep -- but not quite.
8. Since her weight gain has slowed, I'm OK with feeding her once or twice a night. Ideally I will do this once before I go to bed, in hopes her longest sleep stretch comes after I go to bed. However, if she doesn't wake up, or puts herself to sleep after less than five minutes of fussing, I will not wake her up to feed her, nor will I do a dream feed.
9. For night wakings, I will continue to let her fuss alone -- NOT cry -- for the following amounts of time:
- 5 minutes if it's just after I put her down and leave the room, but she's still clearly awake and not happy about being left alone.
- 15 minutes if she has already fallen asleep once for the night but less than three hours have passed since I put her down. If I end up having to go in and comfort her, I will not feed her.
- 5 minutes if more than 3 hours has passed since I put her down for the night. If she continues to fuss for more than five minutes, I will feed her immediately upon going in.
- 15 minutes if I have already fed her once during the night and less than five hours have passed since then. If I go in, I won't feed her.
- 5 minutes if more than five hours have passed since her first night feeding. If I have to go in, I will feed her.
- 5 minutes at any time of the night if it has been less than 30 minutes since her last night waking and she was not fed at the last night waking. If this happens, I will feed her immediately upon going in.
- At any time if she starts full-on crying, I will go in immediately. However, I will only feed her according to the above guidelines.
10. I will no longer hold Mari during her naps after she has fallen asleep, even if I picked her up after a premature awakening. If she wakes up prematurely, I will soothe her and put her down, up to twice. If she wakes up a third time after being put down, she can stay up.
11. I will make sure she gets at least some active tummy time between every nap, even if it's only for five minutes before an outing.
12. I will try very hard to avoid being out when Mari has to nap. However, if it's unavoidable and she falls asleep in her car seat, I will stay in the (intermittently warmed up, if necessary) parked car with her until she wakes up or has napped for a minimum of 45 minutes. Only then will I go in the house, since going in almost always wakes her up. If she falls asleep in the carrier or stroller, I will try to keep walking around outside for the same amount of time. However, if it's too cold, I will take her inside and keep walking around quietly indoors in hopes she won't wake up.
13. In the last stages of getting Mari down to sleep (naps and at night), I will do the "Pantley Dance" -- alternating periods of rocking and shushing with holding her still and quiet in my arms. I will do both a few times each until she is sleepy but not yet asleep. Then I will put her down.
14. If she seems in danger of falling asleep nursing, I will employ the "Pantley Pull-Off" (see http://www.pregnancy.org/article/when-your-baby-wakes-frequently-feed-pantley-pull)
Sunday, February 14, 2010
Day 27: In other news...
Since we started the NCSS, Mari has learned to sit up unsupported -- actually the day after we started, on Jan. 20, the day she turned five months old. When she's not too tired, she sits solidly enough now for me to be able to leave her playing alone while seated, though I still leave pillows around her as insurance, because she does tend to topple after awhile.
In the last few days she has learned to jump in her exersaucer and has figured out how to operate the musical toy on said exersaucer.
She also seems to be trying to learn to creep. She has managed to push herself backwards a few times and is now pretty good at spinning around on her belly, but forward movement has been elusive so far. However, she can raise her chest a long way off the ground, sometimes with her head back at an angle that would make a contortionist jealous. She can raise her bum off the ground too -- just not at the same time as her chest yet.
So there you have it -- she's been a busy little monkey.
Today: Mari had a nice two-hour nap in the morning but her latter two naps were short. Still, she seemed not too badly off, unlike the other day, when she had a short morning nap and was terribly moody. I think the morning nap is key. Last night her sleep wasn't quite as good, though I can't really complain -- she had an 8 3/4-hour stretch of sleep. But she woke up at 4:45 AM and wouldn't go back to sleep for another hour. So I've been tired today. I'm not sure whether I should now just refuse to nurse her at night now that she's proven she can do it. Any input on that would be much appreciated.
Sunday, February 7, 2010
Day 20: Elimination communication dilemma
Mari is only actually diaper-free for certain periods during the day, when we're home, I'm not going to be very distracted (such as when I'm making dinner) and she's not breastfeeding or sleeping. We don't EC at night; never have. However, I still consider that we EC pretty much full-time.
Lately, though, I've been wondering if EC-ing should take a back seat (no pun intended) when I'm trying to get Mari down to sleep or for her naps. One of the fairly reliable times when she's likely to pee or poo is right after a feed (occasionally during, which is why I always diaper her before I nurse her). At the moment, pottying is incorporated into our naptime and bedtime routines for right after she nurses from the first boob.
However, sometimes pottying can take significant time, especially when I'm sure she has to go but she's taking her sweet time about it. By the time she's clean and has her clothes back on, the potty trip can take up to 10 or even 15 minutes, eating into her sleeping time. Also, if I take her to the potty when she's drowsy, it tends to wake her up.
On the other hand, if I try to put her to sleep without having gone to the potty, she often wakes up quickly because she has to pee or poo -- she never seems to go without waking up at least a little. So I'm constantly torn between taking her to the potty and emphasizing sleep. Any input would be appreciated.
Today: Things went a little better in terms of keeping more or less to the schedule and getting a decent amount of total naptime, though I ended up having to hold her for a significant part of her last nap, because she kept waking up still tired. Today is logging day, so I'll post results tomorrow.
Saturday, January 23, 2010
Day 5: Ch-ch-ch changes
It's clear some aspects of my sleep plan aren't working out.
For one, I can't breastfeed every two hours. I used to be able to, when Mari was younger, but now she's eating more at once and isn't hungry as often, and when she's not hungry, she rejects the boob. All that's good in general, but not when I'm trying to get her to eat more during the day so she doesn't need as much at night. It's still not clear to me just how much Mari really needs to eat at night. She does seem legitimately hungry sometimes, but other times, even now that I've been stretching out how often I'll put her to the boob, she barely nips.
Also, I don't think Mari can really take three 90-minute naps. It's a battle getting her to stay napping for more than 20 minutes sometimes. I can persevere to a point, but sometimes she's obviously up and energetic and no amount of rocking will put her back to sleep. So I will now be trying to get her to nap for 90 minutes in the morning and late afternoon, but will allow her early afternoon one to be shorter -- that one's been the shortest for a long time. I'll still try to get her to nap at least 3.5 hours in total, 4 if I can manage it.
Finally, I think we need to be stricter about her naptimes, to try to get her onto a more consistent schedule, much as she resists being scheduled. It takes her quite awhile to settle down into sleep, so I need to start a naptime routine half an hour before I want her actually sleeping. That's only an hour and a half of active awake time between naps. So her ideal day should now look like:
7:30ish - up and play
9:00 - Naptime routine: breastfeed boob 1, story, song, breastfeed boob 2 (she likes a break between boobs), rock and shh
9:30 - Nap
11:00 - Play
12:30 - Naptime routine
1:00 - Nap
2:00 - Play
3:30 - Naptime routine
4:00 - Nap
5:30 - Play
6:30 - Bedtime routine: Bath, massage, breastfeed boob 1, two stories, lights out and sound machine on, lullaby, breastfeed boob 2, rock and shh
7:30 - Sleep
Today: It was a rough start to the evening. Mari went down okay by 7:45, but by 8 PM, she was up again. I tried repeatedly to soothe her just enough to get her drowsy and put her down still awake. Several times, she seemed to go to sleep, only to start fussing again minutes later. Finally she started all-out crying. She seemingly didn't want to be rocked, jiggled, nursed or put down -- nothing worked for the longest time. Finally I gave up (for now) on trying to put her in her crib still barely awake, and finally she allowed me to rock her to sleep. It took an hour, and she was up again within less than another hour. Argh!
For one, I can't breastfeed every two hours. I used to be able to, when Mari was younger, but now she's eating more at once and isn't hungry as often, and when she's not hungry, she rejects the boob. All that's good in general, but not when I'm trying to get her to eat more during the day so she doesn't need as much at night. It's still not clear to me just how much Mari really needs to eat at night. She does seem legitimately hungry sometimes, but other times, even now that I've been stretching out how often I'll put her to the boob, she barely nips.
Also, I don't think Mari can really take three 90-minute naps. It's a battle getting her to stay napping for more than 20 minutes sometimes. I can persevere to a point, but sometimes she's obviously up and energetic and no amount of rocking will put her back to sleep. So I will now be trying to get her to nap for 90 minutes in the morning and late afternoon, but will allow her early afternoon one to be shorter -- that one's been the shortest for a long time. I'll still try to get her to nap at least 3.5 hours in total, 4 if I can manage it.
Finally, I think we need to be stricter about her naptimes, to try to get her onto a more consistent schedule, much as she resists being scheduled. It takes her quite awhile to settle down into sleep, so I need to start a naptime routine half an hour before I want her actually sleeping. That's only an hour and a half of active awake time between naps. So her ideal day should now look like:
7:30ish - up and play
9:00 - Naptime routine: breastfeed boob 1, story, song, breastfeed boob 2 (she likes a break between boobs), rock and shh
9:30 - Nap
11:00 - Play
12:30 - Naptime routine
1:00 - Nap
2:00 - Play
3:30 - Naptime routine
4:00 - Nap
5:30 - Play
6:30 - Bedtime routine: Bath, massage, breastfeed boob 1, two stories, lights out and sound machine on, lullaby, breastfeed boob 2, rock and shh
7:30 - Sleep
Today: It was a rough start to the evening. Mari went down okay by 7:45, but by 8 PM, she was up again. I tried repeatedly to soothe her just enough to get her drowsy and put her down still awake. Several times, she seemed to go to sleep, only to start fussing again minutes later. Finally she started all-out crying. She seemingly didn't want to be rocked, jiggled, nursed or put down -- nothing worked for the longest time. Finally I gave up (for now) on trying to put her in her crib still barely awake, and finally she allowed me to rock her to sleep. It took an hour, and she was up again within less than another hour. Argh!
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