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Mon, January, 5, 2009

Baby Care Topics

Infant Sleep

HOW INFANTS SLEEP

From "The Baby Book" and "Nighttime Parenting", William Sears, M.D. & Martha Sears, R.N. (parents of eight!)

No one sleeps through the night. We all cycle in between stages of sleep; REM (light or active sleep) and non-REM (deep sleep). Adults can pass into non-REM sleep pretty quickly. Babies, however, spend more time in REM sleep before cycling into the deep sleep stage. Infants enter deep sleep through a period of REM (light) sleep usually lasting about 20 minutes. If you nurse and rock your baby to sleep but try to place him in his bed before he has passed through the REM state, he is likely to wake. Wait at least 20 minutes. Pick up an arm or a leg; if it drops tonelessly, baby is probably in the deep sleep stage. If baby jerks or twitches, wait a bit longer. Remember, too, that co-sleeping babies and mothers often share sleep cycles, making it less likely that baby will wake mother from the deep sleep stage.

In addition to entering the deep sleep state differently, babies have shorter sleep cycles than adults. Adults spend an average of 90 minutes in the deep sleep state before rousing into the lighter REM state. Babies enter this lighter sleep state twice as often as an adult, sometimes as frequently as every hour. Babies are vulnerable to stimulus during this lighter sleep phase and that's when night waking occurs.

Furthermore, babies have twice as much light sleep than adults. There is a very good reason for this; the biological survival of the infant. If babies slept as deeply as adults for long periods of time they could not signal their needs. Babies are designed to awaken easily so they can feed frequently, so their breathing isn't compromised, or if it is, they can signal their parents by crying. Some researchers have theorized that SIDS may be linked to an infant being so deeply asleep that he cannot rouse himself (apnea). Sleep researchers also believe that light sleep stimulates brain development. Remember, that light or REM sleep, is the stage where dreaming takes place. It is believe that the visual images of dreams provide stimulation of the baby's brain, enhancing it's development. If REM sleep is chemically suppressed in newborn animals, they show sleep and brain dysfunction as adults. When humans are deprived of REM sleep for a time, the percentage of REM sleep increases in the following nights.

In the first three months of life, an infant's sleep is much like his feeding: small, frequent meals followed by short, frequent naps. Most infants do not sleep more than four hours without needing a feeding. In a breastfed baby, this interval may be as short as two hours. Take heart, though; as baby grows and matures, the periods of light sleep become less frequent and deeper sleep more common. By age two, most children only spend 25% of their sleep time in the REM state.

QUICK FACTS ABOUT INFANT SLEEP

Babies enter sleep through REM sleep; they need help to go to sleep.

Sleep cycles are shorter for babies than for adults, with more light than deep sleep.

Babies have more vulnerable periods for night waking than adults; they have difficulty getting back to sleep.

The medical definition of "sleeping through the night" is a five hour stretch.

Babies usually awaken two or three times a night from birth to six months, once or twice from six months to one year, and may awaken once a night from one to two years. Babies' night waking habits and parents' perception of what constitutes a "sleep problem" vary so widely that "average" or "normal" amounts of night waking must be stated as ranges rather than in exact figures.

Babies' sleep habits are more determined by individual temperaments than parents' nighttime abilities. It's not your fault baby wakes up, nor is it his.

Giving babies solids before bedtime rarely helps them sleep longer. Starting solids before 4-6 months of age is not recommended.

It's all right to sleep with baby in your bed. In fact, sharing sleep works better than other arrangements for many families and may be more "normal" than baby sleeping separately in a crib.

You cannot force a baby to sleep. Creating a secure environment that allows sleep to overtake baby is the best way to create long-term healthy sleep attitudes. The frequent waking stage will not last forever.

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