It's Never Too Late to Sleep Train by Craig Canapari MD

Author:Craig Canapari, MD
Language: eng
Format: epub
Publisher: Potter/Ten Speed/Harmony/Rodale
Published: 2019-05-06T16:00:00+00:00

Review your child’s sleep diaries. If you are using the diaries from my website, you find the typical night’s sleep by counting the shaded blocks over three days and divide by three. If your child falls into her appropriate range, this is a good first step.

However, what if your two-year-old sleeps eleven hours per day (at the low end of normal)? It is still possible that she is sleep deprived. To determine this, answer these questions:

Does your child wake up in the morning without complaint? It’s a little-known fact that people who get enough sleep don’t generally need alarm clocks. (It’s little-known because sleep deprivation is so common.) School-age children and younger should generally wake up happy, bright-eyed, and excited for the day. If you need to wake your child, this implies that either she is not getting enough sleep at night (say, from an inappropriately late bedtime or prolonged awakenings at night) or she has a medical disorder that is fragmenting her sleep, such as obstructive sleep apnea or poorly controlled asthma. (If you are worried that your child is tired in spite of sufficient sleep, please review with your pediatrician the list of medical issues that can cause sleep disruption. You can find this in Chapter 2.) One caveat here: A normal wake time for most children is between 6:00 and 8:00 a.m., especially if bedtime is between 7:30 and 8:30 p.m. If your child wakes up very early (say, 4:30–5:30 a.m.) and grumpy, this may be because of an inappropriate sleep onset association, especially if your child needs you in order for her to fall asleep and then you bring her into your room when she wakes up at 4:30 a.m. Once your child starts falling asleep on her own, this will likely improve. If not, I’ll tell you how to address this in Chapter 9.

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