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Sleep & Life Hacks

"Nap Training and Other Disasters": Fraternal vs. Identical Twins

2/4/2020

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Sleep Training Identical and Fraternal Twins
​"They each got up and intermittently played and cried. Clementine was okay. Cecilia acted exhausted. They ate once, or maybe twice, each. I tried to get Cecilia to nap in her swing. She cried desperately. I gave up. They played, and whined. Cecilia fell into a bottomless pit of despair and I carried her up to her crib, where she settled happily and admired her jellyfish and sucked her thumb. I came downstairs. Clementine was trying to sleep on the floor. I carried her upstairs. She rolled over in her crib, spun 180 degrees so her feet was where her head should be, and shouted. I tried to wait it out. Cecilia started occasionally crying (wouldn’t you?). I went upstairs and removed Clementine. Cecilia saw me and sobbed. I put Clementine in the swing. She fell promptly asleep. Cecilia cried for several minutes, remembered her jellyfish, and then fell asleep. From the time they needed that nap until they fell asleep was an hour and a half. That’s insane." 

Twins are tough! I recently wrote another post with tips for sleep training twins and higher order multiples. Today I'll delve a bit deeper. 

Identical twins usually have similar sleep needs, while fraternal twins' sleep needs are are different as any other set of siblings. This means it will be more challenging to get your twins on a similar schedule if they are fraternal... but there are things you can do to help the process along. 

In any given set of fraternal twins, there is typically one who is considered one who is the more sensitive sleeper and another who is considered the more challenging sleeper. The sensitive sleeper is more reliant on routine and can't adapt well to changes in the schedule but generally sleeps well. The more challenging sleeper struggles with falling asleep independently and tends to take shorter naps. 

In order to prevent overtiredness -- which makes it harder for children to sleep -- parents should generally focus on prioritizing the sleep needs of the more sensitive sleeper, the one with apparently higher sleep needs. 

If the children will be sharing a room, it is generally recommended that parents sleep train their twins in the same room. Yes, they may wake each other initially, but it's the only way they will eventually learn to sleep through each others' noises. The American Academy of Pediatrics recommends that twins do not share a sleep surface. Room-sharing with parents for at least the first six months, but ideally until one year, can reduce the risk of SIDS by up to 50%.

As discussed in my previous post, put the cribs as far apart as possible. Put a white noise machine on the floor between them. Use blackout curtains for every nap as well as at night. If one baby wakes at night for a feeding, wake the other for a feeding also unless they are past four months and your healthcare provider has given the okay for night weaning. In that case, don't wake the sleeping baby for a feeding. I know this can be scary because it might mean twice as many night wakings for you! Try to delay the first feeding until after midnight.  

Fraternal twins typically do not consolidate naps at the same time. But you want them on the same schedule. This can be tricky! When one wakes after a short nap... don't let him get up! He needs practice putting himself back to sleep. Even at the risk of disturbing his twin. Give the catnapper at least 15-30 minutes to fall back asleep, for at least a total of 60-90 minutes in the crib. If he still won't sleep, get both babies up and out of their cribs so that they are sleepy at the same time for the next nap. 

Night sleep training typically takes about 2 weeks for twins and naps can take even longer to fall into place. But don't despair, with time and consistency, things will get better.

I love working with twin families! You guys amaze me. Let me help you get your little ones sleeping through the night. Let's set up a free chat and see how I can get your family the sleep you deserve. 




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Should My Child Have A Later Bedtime on Weekends?

12/11/2019

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Weekend Bedtimes
Weekends. Gloriously free but hectic, too. So much you need to do. And so many things you just want to do.

Grocery shopping. Errands. Cooking. Catching up with friends and family. And then the ever-elusive sleeping in.

Surely a later bedtime on weekends can't hurt?

Well, only if you and your child don't mind the occasional jet lag.

The truth is, children don't do well with a lack of consistency in their routine. Children thrive on predictable wake times, nap times, and bedtimes. Putting them to bed later feels to their bodies like changing time zones. You know that doesn't feel good. 

And the even uglier truth? Adults do better with consistency, too.

Part of the reason you so desperately want to sleep in on weekends is that you are accumulating sleep debt by changing your bedtime and wake times so frequently.

It's hard to give up those occasional late nights, but if you do, you will feel less tired. Even if you get a bit less sleep, overall. 

Before you accuse me of being a Grinch... I get it. I truly do.

This past weekend, I kept my children up late to go see the newly-lit Christmas tree in town. My little one got to bed an hour and a half late. 

Sometimes, we have to prioritize life over sleep. It's important to balance the needs of the entire family, including the parents, with the sleep needs of your child. 

I encourage you to limit exceptions, though, to no more than twice a month. Plan ahead so you save those later nights for the most important of occasions.

Here are some other ways to limit the impact of the occasional late night: 

  • Plan for an extra-early bedtime the next night, or even the next several nights. Don't have two late nights in a row. 
  • Expect your child to be extra cranky the next day, and plan for extra patience on your part.
  • Plan for Monday morning to also be harder than usual. Plan to get up a little early so you won't have to rush your child out of the house too quickly.
  • Don't expect your child to sleep late. It's more likely she will wake up early. If she's able to sleep late occasionally, consider yourself lucky!
  • Even if he sleeps late, naptime should be at the regular time or even a bit earlier than usual. Try to expose your child to plenty of natural light and get him outside for some exercise the morning after your late night. Lazing around and watching TV all morning won't help him get back on schedule. 
  • If your child sleeps late on a regular basis (past 7:30 am), she needs an earlier bedtime. Every night. She is showing you that she is exhausted.  
  • If he's waking before 6 am, he's also showing you that he's most likely overtired. 

Watch your child and see how she reacts to the occasional late night. As she gets older, she will be more able to tolerate that occasional exception. A younger toddler may be better off staying home with a babysitter and getting to bed on time, rather than going out with the family. It may also be a lot more enjoyable for you that way. Rest assured, she won't need this early bedtime forever. 

Need some help adjusting your child's bedtime? Set up a free consult and let's chat!

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How To Get Your Baby Back On a Sleep Schedule After Travel

12/2/2019

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Holiday travel and sleep schedules. 

You had the best of intentions, right?

And then it all went out the window. Because you weren't in control of mealtimes, and thus couldn't control bedtimes. And now your little one is going to bed too late and waking up too early and maybe even sleeping in your bed. You are afraid that all your hard work with sleep training has gone out the window. 

Deep breaths, tired parents. 

It hasn't all gone out the window.

And no judgment. We've all been there. Me too. 

Once you have done the hard work of sleep training the first time, it'll never be this hard again. I promise!

Here are some tips for getting your little one back on track quickly:
  • Assume she is overtired and put her to bed early the first few nights back at home. She's actually less likely to wake up too early with an earlier, rather than later, bedtime.

  • Immediately revert back to the bedtime routine you had before your trip. If you used to nurse and then brush teeth, but have been nursing him to sleep on your trip, go back to nursing and then brushing teeth on your first full day back home. Don't bother with this after a long day of exhausting travel... just get him to bed as quick as you can that first night. Go back to the old routine the next night.

  • If you were bed-sharing while you were traveling, but didn't before your trip, don't continue it at home. Even for a night. Your child will quickly understand that sometimes, exceptions are made on trips, but the old rules still stand at home.

  • If your child is having night wakings, go back to whatever training method you used to sleep train initially. Don't wait, as this will only make it harder -- start on your first full day back home. 

    If you used an exinction method, do it again. I promise it will be faster this time! Same goes for if you used timed checks or the chair method. (In the case of the chair method, I would start with the chair halfway across the room and move it further from the crib each day.) Just be extremely consistent and your child will quickly get the message that the old rules now apply once again. 

  • Minimize screen time once you are back home. I'm the first to offer unlimited screen time when my kids are trapped in a car or on a plane. But once we are back home, the screens should be put away again. The lighting from a screen is stimulating to a child's brain and can make it harder to fall asleep, especially if the screen time is in the hour before bed. Try to offer plenty of fresh air and activity in the hours before bedtime, instead. 

  • Go back to a healthy diet with plenty of fruits and vegetables. All those carboydrate-rich foods little ones enjoy while traveling tend to be constipating. This can interfere with sleep. Increasing fiber in her diet will help get her regular again. 

Rest assured parents, we've all been there. Travel, and visiting family, is a beautiful thing. Even when it messes with their sleep. If you follow these tips, you should be back on a predictable, restful schedule again very quickly. Don't forget to include an early bedtime for yourself, too! All that travel and social interaction is exhausting for everyone.

Need some help getting back on track? Or maybe your child's sleep wasn't ideal to begin with? No worries. I'm here to help -- no judgment. Just schedule a free consult and we'll get your family the rest you all deserve.
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Holiday Travel With Your Toddler

11/6/2019

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Travel With Toddler
Now that we’ve all theoretically survived the transition back to Standard Time — I know some of you are still struggling! — the next challenge many of us face is traveling with small children for the holidays.

Travel is never easy with little ones, who are thrown off kilter by any change in the routine. Most of us can expect extra sugar and processed carbs, extra screen time, limited opportunities for exercise and structure, and as a result, extra tantrums. (To those who are able to avoid those “necessary” evils of travel: I applaud you!)

The first thing I suggest to any parent who is traveling with a small child, especially over the holidays, is lots of kindness and forgiveness for yourself. Please don’t start sleep training or do anything else challenging while you are traveling.

That said, if you have already established good sleep habits for your child, trying to maintain them as best you can — while not making yourself too crazy — will really help the whole family survive this challenging time AND the ensuing aftermath when you get home.

Here are some ideas:

1. Try to maintain as early of a bedtime as you can. Explain to your relatives that if Johnny goes to bed late, he wakes up extra early… and the rest of the extended family will be up extra early as a result, too! If you make an exception and let him stay up late one night, try to get him to bed early the next night. Little ones can handle one exception a lot better than night after night of them. 

2. Consider feeding Alicia an early dinner at your temporary new "home" before you go out to a meal with relatives. She will eat better if you offer familiar foods in a less stimulating environment. If she’s starving when you arrive at a restaurant, it’ll be stressful for everyone and she’ll end up filling up on less healthy food. Better to give her chicken and green beans, for example, at home and then the buttered roll when you arrive at the restaurant.

3. If your little one is used to sleeping by herself in her own room, try to maintain that while traveling… even if it means setting up her Pack n Play in a closet (leave a door open a bit for ventilation) or bathroom. These spaces are great, too, for keeping her sleep environment dark and quiet.

4. Consider bringing his car seat on the plane if you think it may make him more likely to sleep there. Some children do better in that familiar cocoon. Others prefer to curl up on the airplane seat. (Of course it’s always safest for a child to travel in a car seat on an airplane… but many families are intimidated by the thought of lugging a car seat onto a plane. If your car seat at home is heavy, consider a lightweight travel car seat like this one -- I use it myself for travel with my preschooler).

5. Bring your white noise from home. If you don’t have one you love, or if yours is bulky, I love this one by Homemedics. It’s lightweight and can be powered by batteries if the power goes out.

6. Pack light — I’ve learned the hard way that my kids never play with the toys I bring when they are in a new environment — but bring along a few favorites. Make sure to pack any loveys and pacifiers your child uses at home. I keep a couple of nightlights in my travel toiletries kit so that I can instantly transform any “too dark and scary” bedrooms and bathrooms. I also bring along my kids’ owl nightlights — they are battery powered and turn off within a few minutes, so I know the nightlight won’t keep them awake. But being able to carry the nightlight to the bathroom makes my little ones feel a lot more secure.

7. Get your little one outside for fresh air and daylight every single day. Even if it's just in an empty parking lot. This will help him adjust more quickly to a different time zone. Fresh air and exercise also tire kids out, helping them nap better and sleep better at night.

8. Limit screen time. With the caveat that all bets are off with on travel days. Whatever keeps them quiet is great. But once you arrive at our new destination, turn off the screen and encourage exploration and movement. Screen time tends to make children's brains wired, even while it keeps them quiet. And screen time in the hour before sleep can make it harder for children to fall asleep. Let them play and run and interact with Great Grampa Joe instead. Save the screen for when you really need it.

9. If you have the opportunity to do so, stay in a hotel with a pool. Pools are amazing for wearing little ones out. And with a pool around, you really don’t need toys.

10. Be prepared to “abort mission” if your little one is falling apart at the family dinner. Children act out as a way to communicate that their needs aren’t being adequately met. It's not their fault. It’s not your fault. It’s just hard for little ones to accommodate the needs of their older friends and relations. They will be more flexible as they get older.

11. And when you get back home, revert back to the old routine immediately. You may experience some protest crying, especially if you indulged in some less than ideal sleep behaviors while you were traveling — like sharing a hotel bed — but if you revert back to the old ways as soon as you get home, your little one should be back on track within a few days. Until the next trip, anyway!

Need some help getting back on track after the time change or recent travel? Totally understandable -- it's not easy! Let’s schedule a free chat and get your family back on track.

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How to Adjust to the End of Daylight Savings Time

10/21/2019

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End of Daylight Savings Time
It's that time of year again. Where the powers that be decide to torture the parents of small children. The dreaded time change. 

The good news is that "fall back" is a lot easier to manage than "spring forward." We can put off thinking about that misery for another six months.

While you can do absolutely no preparation for the time change, this may result in early wakings and disrupted sleep for your family for a few days. 

Instead, I recommend you take a few days to transition yourselves. By moving bedtime just a few minutes later each day, you can gradually shift it without causing early waking (read more about why this happens at why-does-my-child-wake-up-so-darn-early.html). You can also shift mealtime a few minutes later each day and this will also naturally help your child's body adjust to the new time. 

So let's say your child normally goes to bed at 6:30 pm and gets up at 6:30 am with naps at 9 am and 1 pm. Meals are normally at 7:30, 12, and 5.

Start the transition at bedtime. I'll show a 4-day transition here but if you have time to do it more gradually, all the better!

Night One: Bedtime at 6:45 pm. Try to leave her in the crib until 6:45 am. Naps at 9:15 and 1:15. Meals at 7:45, 12:15, and 5:15.

Night Two: Bedtime at 7 pm. Try to leave her in the crib until 7 am. Naps at 9:30 and 1:30. Meals at 8, 12:30, and 5:30.

Night Three: Bedtime at 7:15. Try to leave her in the crib until 7:15 am. Naps at 9:45 and 1:45. Meals at 8:15, 12:45, and 5:45.

Night Four (the night that the clocks actually fall back): Bedtime at 7:30. And the next day, the wake and nap times will be at the correct standard (not DSL) time. So wake time is at 6:30 am standard time, nap at 9 and 1, meals at 7:30, 12, and 5. 

Of course, babies are not necessarily going to immediately fall into line with their new time zone. You may see earlier wake times, disrupted naps, and even poor eating. But if you are consistent -- while also being flexible with nap times and bedtime when your child starts to show signs of being overtired -- you should have your happy, well-rested baby back within the week.

Daylight savings ends on Sunday, November 3rd for of the United States and Canada. 
Daylight savings ends in Mexico on Sunday, October 27th. 


Still struggling with early morning or middle of the night wakings? Let's chat and get your family the sleep you deserve.  
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    Author

    Abby Wolfson is a pediatric nurse practitioner, certified child sleep consultant and certified life coach for parents. She divides her time between Brooklyn, NY and San Miguel de Allende, Mexico. 

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