Slideshow: Top Reasons Your Child Can't Sleep, Including You
No. 2: You're the Sleep Aide
Rock a baby to sleep every night, and he can't learn to fall asleep on his own. Instead he cries to get what helps him -- you. Put him to bed when he's sleepy, but not sound asleep. He'll become a "self-soother" who learns to fall asleep on his own, even if he wakes up in the middle of the night.
No. 4: Separation Anxiety
It's normal for your child to go through this phase. Try not to encourage it with lots of talking, singing, rocking, or extra feedings. At around 6 months, you can help a baby to go back to sleep on her own. As long as she doesn't seem sick, speak softly and rub her back. Comfort her, but don't make it too rewarding by picking her up or feeding her. A nightlight may comfort toddlers who are afraid of the dark.
No. 5: No Bedtime Routine
Doing the same things each night before bed helps your child know it's time to sleep. Create a bedtime routine to wind down and relax. For instance, each night your child gets a bath, listens to you read them a story, has a snack, and then it's lights out. Do the same routine every night and always end in your child's room. It's best to start a routine early, by 4 months.
No. 7: Not Enough Nap Time
If they don't nap enough during the day, young kids may have trouble falling asleep at night. Most babies need two or three naps a day. Toddlers need at least one nap. Most kids still take an after-lunch nap until age 5. If your child is cranky and sleepy, let her nap, as long as it's not too close to bedtime.
No. 8: Obstructive Sleep Apnea
It's rare, but some children can't sleep due to obstructive sleep apnea -- when the airways are blocked, often by enlarged tonsils and nasal tissues called adenoids. Kids with sleep apnea usually snore loudly, have labored breathing, and restless sleep. It affects about 1 in 100 kids and is most common from ages 3 to 7, when tonsils and adenoids are at their biggest. Treatment includes surgery or having the child wear a nose mask at night.
No. 9: Snoring
About 1 in 10 kids snore. They can snore for many reasons, including sleep apnea, seasonal allergies, stuffiness from a cold, or a deviated septum. If their sleep is OK, your pediatrician probably won't treat snoring. But see your pediatrician if your child isn't sleeping well because of snoring or breathing problems.
No. 11: Walking While Asleep
Some children sleepwalk. When they're not fully awake they may walk, talk, sit up in bed, or do other things. Their eyes may be open, but they're not aware. Most kids outgrow this by their teens. Don't wake a child who sleepwalks. You may scare her. Gently guide her back to bed. Keep the area she may roam in safe: Lock doors and put up safety gates near steps.
No. 15: No Pacifier or Teddy Bear
Sometimes having a special object close by can help a young child fall asleep. Blankies or stuffed animals are among the top comfort objects. Pacifiers may please a baby's need to suck, even if they're breastfeeding. A white noise machine soothes their ears and hushes sounds.
Reviewed by Hansa D. Bhargava, MD on January 29, 2013
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SOURCES:
American Academy of Otolaryngology -- Head and Neck Surgery: "Fact Sheet: Pediatric Sleep Disordered Breathing/Obstructive Sleep Apnea."
American Academy of Pediatrics, Pediatrics, November 2005.
American Academy of Pediatrics: "Sleep Position: Why Back Is Best."
Calamaro, C. Pediatrics, 2009.
Children's Mercy Hospitals and Clinics: "Bed Time Can Be a Pleasant Way to End the Day."
Cleveland Clinic: "Insomnia in Children."
FamilyDoctor: "Nightmares and Night Terrors," "Sleepwalking."
Gary Montgomery, MD, medical director, Children’s Healthcare of Atlanta Sleep Center, pulmonologist, certified in sleep medicine.
Harvard Medical School: "Medications That Can Affect Sleep."
HealthyChildren: "Pacifiers: Satisfying Your Baby's Needs."
Iowa State Extension Service: "Fears."
KidsHealth: "All About Sleep," "Why Do Teens Have Trouble Sleeping?" "Tips for Reducing the Risk of SIDS," "Naps," "Sleep Apnea," "Snoring," "Sleepwalking," Sleep and Newborns."
National Sleep Foundation: "Children and Sleep," "How Much Sleep Do We Really Need?" "Backgrounder: Later School Start Times," "Pointers for Parents."
Owens, J. Journal of Developmental and Behavioral Pediatrics, February 2000.
University of Michigan Health Systems: "Sleep Problems."
This tool does not provide medical advice. See additional information:
THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
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