Tuesday 19 January 2010

Calming babies and children under 1 year.

The most difficult thing in getting a young child to sleep when they are resisting, is getting the child to be calm enough to relax and become drowsy. There are a number of simple techniques which can help with this.
If the child is still a baby and not yet mobile, there are the much lauded "4 S's"

Swaddling a baby is conforting, gives a feeling of being held without the need for a parent or carer to hold the child. It provides "deep pressure", avoids waking from the startle (moro) reflex when hand coordination is not fully developed, and for a majority of babies helps to calm.

Shuushing, providing background noise which reduces the effects of sudden loud noise and replicates the noises heard by baby while in the womb.

Sucking is calming for most babies unless they have reflux and associate this with pain. Using a comforter/pacifier/dummy to calm a baby is good but they should not be left in the mouth until the child is asleep or they may become dependant on this aid.

Shoogling, the short gentle movements which replicate the gentle movements felt as mum went about her day before delivering baby. Some parents use a swing, stroller, or rock baby in their arms.

All of the above in a variety of intensity and combinations will soothe a distressed baby. Unless a child is calm getting them to sleep is virtually impossible. Having a recognisable routine which is always done in the same order at the same time is reassuring for every child and the older the child the more important that routine is. This makes some certainties in the child's life. If a certain set of circumstances occur, then the anticipated response is also familiar and it is easy for the child to give the appropriate response. Our children want to please us and having at least one thing which they recognise and know how to respond to, helps build confidence in an otherwise uncertain world.

Some parents, who struggle with settling and sleep issues resort to the use of medications, or homeopathic, or herbal remedies. These may help but do not address the root cause of the undesirable behaviour. Adults come to rely on the administration of these products to acheive a calm and sleepy child. The child also learns that sleep can only be accomplished by the use of such substances. This is not a healthy route to sleep. It does not allow the development of independant abilities to self soothe to sleep. This can become a long term issue which, when behavioural interventions are used would be short lived.

There are very few occasions when it is appropriate to medicate to sleep. While there are treatments which will achieve this they are not without side effects and they do not address the problem, they only treat the symptoms.

If you have difficulties settling your child, Contact Dream-Angus.com