The Family Info and News

Dr. William Sears, father of eight and a practicing pediatrician for over 30 years, has developed a comprehensive checklist for parents so they can get their baby on a solid sleep schedule that will enable them to sleep for longer periods of time, thereby allowing mom and dad more restful nights as well.

Initially, he advises parents to develop a realistic attitude about nighttime parenting, and to develop a long-term plan that will teach your baby a restful attitude about sleep. He reminds parents that no single approach will work with all babies, and that it’s very important to keep an open mind and remain flexible during this process. If your baby’s sleep plan just isn’t working, then drop it.

Also be flexible in the method which you use in order to lull your baby to sleep. Don’t rely on just rocking or just nursing in order to entice your infant to sleep, but get them used to several different routines that can be associated with sleep time. In addition, consistent bedtimes and rituals are key to a successful transition to sleep, and help your little one stay asleep longer. Any changes in their sleep time routine can be a stressful and confusing thing, thereby causing everyone to lose sleep as a result.

It’s also imperative to teach your baby that daytime is for playing and eating, and that nighttime is for sleeping. Sometimes older babies and toddlers are so busy playing during the day that they forget to eat enough, which can result in hunger pangs at night, so be sure to feed your baby sufficiently through the course of the day.

And don’t forget to create an environment that’s conducive to sleeping, eliminating as much noise and light from the room as possible. Some soft soothing music can help drown out outside noises and help baby sleep more soundly.

The especial province of the mother is the prevention of disease, not its cure. When disease attacks the child, the mother has then a part to perform, which it is especially important during the epochs of infancy and childhood should be done well. I refer to those duties which constitute the maternal part of the management of disease.

Medical treatment, for its successful issue, is greatly dependent upon a careful, pains-taking, and judicious maternal superintendence. No medical treatment can avail at any time, if directions be only partially carried out, or be negligently attended to; and will most assuredly fail altogether, if counteracted by the erroneous prejudices of ignorant attendants. But to the affections of infancy and childhood, this remark applies with great force; since, at this period, disease is generally so sudden in its assaults, and rapid in its progress, that unless the measures prescribed are rigidly and promptly administered, their exhibition is soon rendered altogether fruitless.

The amount of suffering, too, may be greatly lessened by the thoughtful and discerning attentions of the mother. The wants and necessities of the young child must be anticipated; the fretfulness produced by disease, soothed by kind and affectionate persuasion; and the possibility of the sick and sensitive child being exposed to harsh and ungentle conduct, carefully provided against.

Again, not only is a firm and strict compliance with medical directions in the administration of remedies, of regimen, and general measures, necessary, but an unbiased, faithful, and full report of symptoms to the physician, when he visits his little patient, is of the first importance. An ignorant servant or nurse, unless great caution be exercised by the medical attendant, may, by an unintentional but erroneous report of symptoms, produce a very wrong impression upon his mind, as to the actual state of the disease. His judgment may, as a consequence, be biased in a wrong direction, and the result prove seriously injurious to the well doing of the patient. The medical man cannot sit hour after hour watching symptoms; hence the great importance of their being faithfully reported. This can alone be done by the mother, or some person equally competent.

There are other weighty considerations which might be adduced here, proving how much depends upon efficient maternal management in the time of sickness; but they will be severally dwelt upon, when the diseases with which they are more particularly connected are spoken of.

Putting your toddler to bed can sometimes be an exercise in frustration. If you have experienced this, you might want to consider one of the following techniques to make bedtime a peaceful time.

Be consistent about bed times and waking times. Your toddler is more likely to respond positively if he’s used to a specified schedule. The earlier your child’s routine is established, the easier it is to put them to bed without incident.

Make the activities the same every night, and make the time before bed quiet and peaceful. Whether a parent tells the child a story, provides a bedtime snack, puts in a short video, or plays quiet games before putting the child in bed, consistency is the key.

Try not to lie in bed with your toddler until he falls asleep. This might actually have the opposite effect, and might encourage your child to stay awake, and ask for drinks of water and more bedtime stories. An alternative might be telling your toddler you’re going to complete a chore and that you’ll come back in and check on them in a few moments. It’s most likely that the child will fall asleep while waiting for mom or dad to return. You might also want to talk about your child’s day with them. Keep your tone soft and quiet, and try not to excite your child in the process. Turning this into a nighttime story with your child as the main character is a fun option as well.

As the child grows older, if a consistent bedtime is maintained the task will become easier. The most important issue is consistency and repetition. If the child can expect the same thing every night, and these customary tasks are pleasant, bedtime can become a delightful family ritual. If however, your child is continually resisting sleep, talk with your child’s pediatrician, as their might be a medical problem at the root of it.

During infancy

Infants are very susceptible of the impressions of cold; a proper regard, therefore, to a suitable clothing of the body, is imperative to their enjoyment of health. Unfortunately, an opinion is prevalent in society, that the tender child has naturally a great power of generating heat and resisting cold; and from this popular error has arisen the most fatal results. This opinion has been much strengthened by the insidious manner in which cold operates on the frame, the injurious effects not being always manifest during or immediately after its application, so that but too frequently the fatal result is traced to a wrong source, or the infant sinks under the action of an unknown cause.

The power of generating heat in warm-blooded animals is at its minimum at birth, and increases successively to adult age; young animals, instead of being warmer than adults, are generally a degree or two colder, and part with their heat more readily; facts which cannot be too generally known. They show how absurd must be the folly of that system of “hardening” the constitution (to which reference has been before made), which induces the parent to plunge the tender and delicate child into the cold bath at all seasons of the year, and freely expose it to the cold, cutting currents of an easterly wind, with the lightest clothing.

The principles which ought to guide a parent in clothing her infant are as follows: 

The material and quantity of the clothes should be such as to preserve a sufficient proportion of warmth to the body, regulated therefore by the season of the year, and the delicacy or strength of the infant’s constitution. In effecting this, however, the parent must guard against the too common practice of enveloping the child in innumerable folds of warm clothing, and keeping it constantly confined to very hot and close rooms; thus running into the opposite extreme to that to which I have just alluded: for nothing tends so much to enfeeble the constitution, to induce disease, and render the skin highly susceptible to the impression of cold; and thus to produce those very ailments which it is the chief intention to guard against.

In their make they should be so arranged as to put no restrictions to the free movements of all parts of the child’s body; and so loose and easy as to permit the insensible perspiration to have a free exit, instead of being confined to and absorbed by the clothes, and held in contact with the skin, till it gives rise to irritation.

In their quality they should be such as not to irritate the delicate skin of the child. In infancy, therefore, flannel is rather too rough, but is desirable as the child grows older, as it gives a gentle stimulus to the skin, and maintains health.

In its construction the dress should be so simple as to admit of being quickly put on, since dressing is irksome to the infant, causing it to cry, and exciting as much mental irritation as it is capable of feeling. Pins should be wholly dispensed with, their use being hazardous through the carelessness of nurses, and even through the ordinary movements of the infant itself.

The clothing must be changed daily. It is eminently conducive to good health that a complete change of dress should be made every day. If this is not done, washing will, in a great measure, fail in its object, especially in insuring freedom from skin diseases.

During childhood

The clothing of the child should possess the same properties as that of infancy. It should afford due warmth, be of such materials as do not irritate the skin, and so made as to occasion no unnatural constriction.

In reference to due warmth, it may be well again to repeat, that too little clothing is frequently productive of the most sudden attacks of active disease; and that children who are thus exposed with thin clothing in a climate so variable as ours are the frequent subjects of croup, and other dangerous affections of the air- passages and lungs. On the other hand, it must not be forgotten, that too warm clothing is a source of disease, sometimes even of the same diseases which originate in exposure to cold, and often renders the frame more susceptible of the impressions of cold, especially of cold air taken into the lungs. Regulate the clothing, then, according to the season; resume the winter dress early; lay it aside late; for it is in spring and autumn that the vicissitudes in our climate are greatest, and congestive and inflammatory complaints most common.

With regard to material (as was before observed), the skin will at this age bear flannel next to it; and it is now not only proper, but necessary. It may be put off with advantage during the night, and cotton maybe substituted during the summer, the flannel being resumed early in the autumn. If from very great delicacy of constitution it proves too irritating to the skin, fine fleecy hosiery will in general be easily endured, and will greatly conduce to the preservation of health.

It is highly important that the clothes of the boy should be so made that no restraints shall be put on the movements of the body or limbs, nor injurious pressure made on his waist or chest. All his muscles ought to have full liberty to act, as their free exercise promotes both their growth and activity, and thus insures the regularity and efficiency of the several functions to which these muscles are subservient.

The same remarks apply with equal force to the dress of the girl; and happily, during childhood, at least, no distinction is made in this matter between the sexes. Not so, however, when the girl is about to emerge from this period of life; a system of dress is then adopted which has the most pernicious effects upon her health, and the development of the body, the employment of tight stays, which impede the free and full action of the respiratory organs, being only one of the many restrictions and injurious practices from which in latter years they are thus doomed to suffer so severely.

Bedtime routines and rituals are very important for most children in establishing positive sleep patterns and in developing a sense of security and stability. Your child will benefit from a set bedtime. Pick a time for bed that is reasonable for your child and which you can consistently provide.

Establish a bedtime routine that can provide predictability and a comforting, familiar pattern. Even an understandable and structured visual pattern can assist this process and can provide reminders and consistency for the whole family.

A good bedtime routine will help teach a child to calm down, relax and get ready to sleep. However, not every technique works for every child. For example, if bathing is stimulating or frightening for your child, it’s probably a better idea to do it at another time of day rather than right before you want your child to calm down and go to sleep. Incorporate activities that you know have a calming effect on your child into their bedtime preparatory routine. Keep the routine short and sweet. It should realistically only consist of four to six steps that can be completed in a reasonable time frame, not drawn out into hours on end each night.

Reading a favorite book each night, brushing teeth, having a glass of water, and saying a goodnight prayer can all be calming, soothing activities for a young child to perform each night routinely. Hugging and kissing family members is usually also an integral part of the process, of course!

There are those nights or times when circumstances prevent your child from getting to bed at their usual time. Be sure not to shortchange the process when this happens, but keep in mind that each step can be shortened significantly in order to prevent long frustrations at a time when everyone is tired.