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Rest easy: It may be easier said than done

Tucking your kids into bed at night, giving them a hug and a kiss and turning out the light is one of those special moments ... you’ve put the children safe and snug in their beds, prepared for a restful night to awaken to a bright new day.

Unless, of course, they have problems sleeping. Which is very common for children in the first few years of life. Problems include waking in the middle of the night, nightmares and night terrors.

The good news is that most sleep problems can be solved and your pediatrician can help. From the experts at The Children’s Mercy Hospital, here’s a look at some of the most common problems.

Night waking

Infants are born with irregular sleep cycles which take about six months to mature. As children get older, their need for sleep decreases; however all children are different and some children need more sleep than others.

It’s normal for infants to wake up briefly during the night, but these awakenings should only last a few minutes and children should be expected to go back to sleep on their own. Some steps to take to help prevent night waking:

  • Don’t let your infant sleep as long during the day.
  • Put your baby into the crib at the first signs of drowsiness. It is best to let the baby learn to relax himself to sleep.
  • Avoid putting a baby to bed with a pacifier; she may wake up without it and begin to cry.
  • Begin to delay your reaction to infant fussing at four to six months of age. Wait five minutes before you go check on the baby because the baby will probably go back to sleep in a few minutes anyway.

Nightmares

Nightmares are scary dreams followed by complete awakening. They usually happen during the second half of the night when dreaming is most intense. After a nightmare, your child will usually wake up and tell you what happened.

Children may be crying or fearful after a nightmare, but will be aware of your presence. They may have trouble falling back to sleep. Some ideas:

  • Reach the child as quickly as possible.
  • Arouse her and assure her that you are there and won’t let anything harm her.
  • If your child is crying or shaking, comfort and calm him.
  • Keep in mind that the nightmare is real to the child. Listen to him and encourage him to tell you what happened.
  • Once the child is calm, encourage her to go back to sleep.

Night terrors

Night terrors are different from nightmares and far less common. They happen when there is a switch from a deep sleep to a light sleep. During a night terror, it is almost impossible to wake the child who may be thrashing, screaming, kicking and/or staring without signs of recognizing his parents. The night terror might last as long as 45 minutes.

Children do not remember night terrors.

Some tips:

  • Remain calm.
  • Don’t try to wake your child.
  • If the child tries to get out of bed, gently restrain him.
  • Remember your child will probably relax and sleep quietly again as suddenly as he "awoke."

Keep in mind that night terrors are usually more scary for parents than for children and they rarely indicate any serious problems. Night terrors happen most often during early childhood and usually disappear by the time a child reaches grade school.

Sleep problems may be hard to understand and stressful for parents. But it’s important to remember that sleep problems are very common and with time and the help of your pediatrician or other experts, your child will outgrow them.


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