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5:15 pm February 22, 2010
| pam
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| Member | posts 6 | |
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We've had 22 months of off and on struggles. We hit a good patch and thought we were in the clear finally, then comes colds, teething, vacations and what had seemed like 2 good steps forward has taken us 100 steps back.
Our girl spends 8 to 9 hours a day in daycare. She generally naps very easily there anywhere from 90 minutes to 2.5 hours.
Bedtime is a whole different story. She fights going to bed and if she does fall asleep (which is not unassisted as we must be in the room until she falls totally asleep) she'll either wake at 2 am for 2 to 4 hours or will wake up at 5 am and never fall back to sleep.
Despite how we feel about it, we're doing CIO based our pediatricians recommendations. Her crying has decreased but she is still waking in the middle of the night and wakes for the day tired/cranky and mentions to us that "mommy and daddy close the door" so she has an obvious issue with the whole CIO being alone thing. She's not the kind of child who has ever played by herself. When we leave her to cry she'll throw any object out of her crib and if she stops crying, she's tossing and turning for hours (video monitor).
We're exhausted and I know she must be. I've done the math, she sleeps (on a good night which means no waking, which is rare) 8 to 9 hours with the 2 hour nap during the day. When we try and put her to bed early we're met with struggle.
Right now we start our bedtime routine around 7pm but generally it is 8:45 by the time she falls asleep. If she isn't up already, she needs to be up by 7 am for our routine to get to daycare on time.
Any suggestions? What are we doing wrong? I feel so awful because she just seems like she wants to spend time with us and I can't say I blame her since she is in daycare so much. 
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1:49 pm February 24, 2010
| Kimberly
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Hi Pam,
So sorry to hear about your sleep troubles. Sure sounds like a tough situation especially the conflicted feelings you are having with CIO.
For her naps, is she taking just one nap per day or does she have more than one nap with the total being 90 mins to 2.5 hours? If she has more than one nap, how late is her last nap? I'm wondering if possibly either her last nap is too late in day or too long for that late in the day or if she only has one nap, then possibly she's overtired by the time bedtime comes.
Can you describe your bedtime routine a bit? I'm thinking maybe it's possible that with being daycare, between the time you get home in the evening and the time she goes to bed, maybe she's feeling she needs a bit more one on one time.
It's also possible there are developmental milestones that have caused the regression. Have you noticed any of these?
How are you handling the middle of the night wakings? I know with my son, we had to just make night wakings as boring as possible and send the message that nighttime was for sleeping. Does she accept some soothing and then you can leave again or does she just cry during that time?
Hang in there. I know it's tough. It's not a matter of you're doing something wrong, it's just a matter of finding what works. You might also want to check out this post on Nicole's blog about Sleep Training and CIO.
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Kimberly
The Baby Sleep Site (TM)
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4:23 pm February 24, 2010
| pam
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Thank you Kimberly.
She gets just one nap a day. According to daycare she can go down anywhere between 12:13 and 12:40 pm and sleeps 90 minutes to 2 hrs, the latter being the average.
Bedtime routine is get into jammies, sit with a sippy of milk and read books. She adores books and sitting on our laps and reading so we'll do that for a long time. Then, we read the same book last (to indicate sleep is coming), turn out the lights (night light is on) and turn on the ipod that plays 2 songs that used to relax her followed by wave sounds for the rest of the night. We generally lay her in her crib when the 2 songs come on and either rub her back or give her a blanket etc. Lately, she has been fighting right at this moment, popping back up and saying "no sleep" whereas before she'd actually TRY to settle in but cannot. We can't leave the room. If we leave crying immediately starts.
No developmental milestones. She's a verbal child. Talks well and understands well. She had colic as an infant.
We USED to handle the night wakings but going in and trying to either snuggle or rub her back to settle her back down. She isn't interested in playing during this time, just does not want to be left alone. She'll let you hold her but she'll never fall back to sleep. Sometimes she makes up excuses like her "diaper" or that she wants to hold your hand but all of which does not result in her going back to sleep. Now when she wakes in the middle of the night we go in, point to the clock and tell her it is not wake up time, it is still night night time and to go back to sleep. We'll try to settle her down and then we tell her we love her and that it is time for sleep and that we'll see her in the morning and we shut her door to which she then screams, cries and tosses all blankets and animals out of her crib. Crying can last anywhere from 5 minutes to 2 hrs and she if she stops crying, she tossing and turning a lot.
I will take a look at that link you provided thank you. Yes, we don't really LIKE CIO because we don't want to ignore her which is what it seems like we're doing. I also think it backfires because she becomes more clingy during the daytime.
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2:34 pm March 2, 2010
| Kimberly
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Post edited 9:37 pm – March 2, 2010 by Kimberly
Hi Pam,
A couple of things come to mind….
Have you tried maybe telling daycare to limit her nap to no later than 2 p.m.? This way maybe she'll be just tired enough by the time she falls asleep at night. Or does she already seem overly tired during the evening?
I know with my son, I had to explictly tell my daycare provider to not let him sleep past 3 pm. under any circumstances otherwise we were looking at a 10 pm bedtime.
Also, have you tried maybe changing the nighttime songs and then to cut out the wave sounds all together or at least to turn them off when she wakes up the first time at night? We used wave sounds and white noise as well, but at some point it seemed to not work anymore and was almost have the opposite desired effect. Sometimes as kids get older, what used to work on them, doesn't work anymore.
Do you think she's having anxiety at night when she wakes and just doesn't want to be alone? If you think it's anxiety, you might try a couple of different things. During the day, when she's awake, walk her through exactly how many steps it is from your room to hers and then say “See, your room is only this many steps from our room…it's almost like we're right next to each other.” Or, consider going shopping for a new “big girl lovey.” Make a big deal out of how grown up she is and that its time to get a new big girl lovey that will keep her company at night. Incorporate the new lovey as much as possible into her life so she feels like it is a special friend. Another idea is to try incorporating a reward chart, where for each night she goes back to sleep on her own or each night she settle herself to sleep without a big crying scene then she gets a sticker on her chart, and when she's earned 3 or 5 stickers then provide her will a little reward, maybe it's a special trip to the zoo, or a new bedtime book…just something that re-inforces to her the good sleep habit behavior.
I don't know if this would be helpful, but you might try checking out this Good Nite Lite…let her know it's her own special moon and sun just for her room that helps her to know when it's time to sleep and when it's time to wake up.
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Kimberly
The Baby Sleep Site (TM)
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12:40 pm March 3, 2010
| pam
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| Member | posts 6 | |
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Thank you Kimberly. I am looking into that Good Nite Lite thinking perhaps it might help. We're also reconsidering the music/noise machine. I tend to keep it because we have a small, thin walled home that is VERY noisey and she's always been a light sleeper in that regard. For example, flush the toilet and the pipes run along her wall and that will wake her.
I 100% thinks she has anxiety when she wakes and does not want to be alone. She wants us to hold her hand when she tries to go back to sleep but she grips it so tightly you can't really let go w/o waking her. We have a lovey but she is no longer interested in sleeping with anything. In fact, upon waking in the middle of the night, the first thing she does is stand up and throw all blankets and stuff animals out of the crib and onto the floor.
I have told daycare to not let her nap past 2.5 hours but even on days when she only naps an hour at daycare we have rough nights and days when she naps long she has rough nights. There does not seem to be any sort of pattern really. She comes home from daycare tired, but then immediately perks up upon entering the home and in the evening. She has amazing stamina.
Nights when she does seem overly tired, i.e. yawning during our book time and quite early compared to when she would normally go down . . . it isn't any easier. I would try sometimes to jump on the yawning aspect and put her down soon after but it results in me having to be by her crib for an hour while she drifts off. Currently, it seems that 9pm is her "fall sleep" time no matter how tired she is but it still take 45 minutes to a hour of sitting in the room with her, by the crib, to get her to drift off.
I will try the sticker incentive but I don't think it would really register with her just yet. Last night was ugly. She woke up at 3 am and would not go back to sleep. I was so upset I even let her cry a long time, something I hate to do, and was not a nice mommy and consequently am paying the price in mommy guilt today. I just really think it is absolutely hopeless for us.
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2:50 am March 4, 2010
| Miriam
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| Member | posts 22 | |
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Hey Pam. I'm totally hearing you. I have a 23 month old very similar in some ways. She had severe colic as an infant and has never been a good sleeper (although she doesn't go to day care so I don't have to deal with those issues too). I actually rang a baby sleep centre here in Australia a couple of weeks ago as my little one was just screaming for hours every time she went down for a nap or at night and then waking every couple of hours overnight just wanting mummy cuddles. Was driving me CRAZY! They suggested to put a chair next to her bed facing away from her. After the nighttime routine sit in the chair until she went to sleep, totally ignoring crying, screaming, requests, questions etc (my daughter would vomit or dry reach with distress but they still said to ignore it) only saying every now and again "shhh – go to sleep" calmly but firmly with no eye contact. Then as she got better at going to sleep, moving the chair closer and closer to the door until you were standing at the door then just outside the door, then checking on her every few minutes etc etc. I actually didn't do this but used elements of the strategy which have worked a treat and she now, more often than not, doesn't necessarily go to sleep straight away but will sit or lie down on her bed and read a book or sing to herself until she goes to sleep – without need for mum to come back and give cuddles. I know my little one has never fitted into a box or strategy or "normal" behaviours and as a result was willing to try anything! Might be worth a try? You'd have to be very committed though as may take a while for her to catch on. Good luck! It WILL get better…
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12:20 pm March 8, 2010
| pam
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Thanks Miriam.
We have good nights and bad nights but she is steadfastly attached to having SOMEONE in the room with her while she drifts off . . . and that person cannot be seated. Go figure.
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12:42 pm March 10, 2010
| Kimberly
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Hi Pam,
So sorry to hear of the on-going struggles. I know how very hard it is for your and for your daughter.
It sounds like the anxiety is a big part of the problem for her right now. I'm going to have to do some additional thinking on this one and see if we can come up with some additional suggestions. If anxiety is so prominent right now, I think I'd be reluctant to do any hard CIO with her right now.
You mentioned that she's a very verbal child. Have you been able to talk with her about her sleep or how she feels at nighttime? Maybe a simple conversation (not at bedtime but during the day when she's in good spirits) might help you to understand what's going on for her when she wakes or when she refused to let you leave the room. Have you looked on Amazon for some simple picture books that talk about sleeping at night?
It's not hopeless, but I know it certainly seems like it right now. We'll keep working on it!
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Kimberly
The Baby Sleep Site (TM)
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4:14 pm March 16, 2010
| pam
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Thanks Kimberly. We're continuing to work on it. I got that night light you recommended and she LOVES it! I can't say it works but she's adores it and kisses the moon each night it comes on. Unfortunately, no matter how tired she is, she has to wait until it comes on! LOL I have it set to a "normal" bedtime for her but you know how just some days they should go down earlier . . . she can't until she sees the moon! ha
I have been in communication with Nicole as well and we're working on leaving her for 5 minutes but reassuring her that we are returning and we in fact DO return in 5 minutes. Our problem lies in that sometimes she crashes before we can do the 5 minute re-tuck and sometimes not. There is no consistency.
She is verbal and I am trying to talk to her about sleep being good. I think maybe working with putting one of her "babies" to sleep might help too. Good idea about the book. We have a lot night time books but none that really relay the message that sleep is "ok" and good for her etc.
A friend also suggested she might be ready for a big girl bed but Nicole said that might open up a whole other can of worms! 
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