Children's sleep difficulties.

Children's sleep difficulties vary with the age and developmental stage of the child. They can be simple with a single cause and a quick solution, or they can be complex with more than one difficulty. It is always important to differentiate between a genuine sleep difficulty and a physical or psychological problem. The most common sleep difficulties are related to going to bed, getting to sleep, and staying asleep all night without interruption.


Some children are resistant to bed time. They always want another story, another drink or snack, and generally put off the time when they must go to bed. For some children this is because they are fearful of being alone, of the dark or because they have had bad dreams, or fear bad things lurking in their room. Developing a good short recognisable pre bed routine which allows the child to quiet their thoughts and calm before bed is helpful and there are simple reassuring measures that parents can take to make the experience less worrying.


Learning to go to sleep without requiring any other stimulation is entirely possible. Always being be held, fed, rocked or to have a parent present, leads the child to believe that without these contacts and reassurances they cannot get to sleep by themselves. In fact every child can get to sleep without these associations but some take longer to learn this. Parents who have had difficulties in getting their child to sleep may inadvertantly create a situation where the child will not sleep without their presence and this has to be unlearned.


Although sleep is considered to be a quiet activity this is not always the case. Most children have between five and eight periods of lighter sleep when they may waken. If they required a parental presence to get them to sleep at bed time, they will require this again when their lighter sleep results in a night waking. Adults also have these periods of lighter sleep but they are usually aware that this is light sleep and may change their position and return to sleep without a full awareness of having been lightly asleep. Children have to learn to do this too.

If you need help to teach your child to sleep Contact us at Dream-Angus.com

The Fourth Shift

While a great deal of research has looked at sleep and children's sleep patterns the sociological effects of childrens sleep on that of their parents, has been largely ignored. Last year a sociological study examined how couples with children have their sleep influenced by caring for their child or children.

The key concerns were not only related to caring for young children and their physical needs at night, but also how the nature of caring for older children impacts on parents sleep. A number of couples aged 20-59 with both younger and older children took part in the study which involved completing auditory sleep dairies, individual in depth interviews, and follow up interviews.

It is not really a surprise to find that the physical and emotional care of young children at night was largely provided by women, with a lack of explicit negotiation between partners about who should provide this care, even when the woman returns to work. Overall considerably more women than men continued their daytime and evening employment, as well as undertaking a third shift, or sentient activity, for their family into the night. This resulted in a fourth shift where physical caring and sentient activities continued.

As a consequense mothers were more likely to subjugate their sleep needs to those of the family. Fathers, in general, did not undertake this fourth night time shift. Those fathers who did, were more likely to be fathers of older children who were staying out late at night, with their focus of concern being the safety of the children.

If you find your children are demanding during the night and you would like to alter this behaviour, Contact Dream-Angus.com

Migraines and Sleep Related Breathing Disorders.

Children who experience migrane headaches are more likely than the rest of the population to have sleep disorders, which are related to how they breathe while asleep. Obstructive Sleep Apnoea, where breathing is discontinued for 15 seconds or more while the child is asleep, is a recognised sleep disorder. Often this can be simply resolved by removal of large tonsils and/or adenoids. Other children experience this problem because they are overweight, or for other physical reasons.

Children with sleep related breathing disorders may wake suddenly in the night, when the brain announces a lack of oxgyen, and demands a breath be taken. This can result in a sudden, and to the child, inexplicable and terrifying waking, and may be accompanied by an associated gasp as the required breath is taken.

A study by Dr. S. Kothare looked at children who reported having regular headaches. The study found that children with migrane were twice as likely to also have obstructive sleep apnoea. This same study found that children with tension headache also grind their teeth at night.

Migraine in children, is a big and separate subject. It is not always reported as headache, and can, depending on the age of the child, be reported as abdominal pain. The relationship between sleep disordered breathing and headache, migraine and tension headache should be brought to the attention of parents so that appropriate investigations, advice and treatment can be obtained. Migraine is associated with a shorter total sleep time, a longer total time to fall asleep and a shorter period of Rapid Eye Movement sleep.

Obstructive Sleep Apnoea occurs in 2% of children. It can develop at any age, but is most common in pre school children (3-6 years). At this stage of life the tonsils and adenoids are large compared to the throat. The rate of occurance is the same regardless of gender. It is more common where another family member has the same disorder, and it is common in obese children.

If your child regularly wakes suddenly, with a sharp cry in the night, you should consider your family's sleep patterns and possibly seek advice regarding Obstructive Sleep Apnoea.

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