Wednesday, August 3, 2011

Do You Sleep Train Your Babies?

Do you sleep train your babies? I do. And I'll tell you why I do... to keep from going totally, bat-poop crazy. Seriously. I don't know how moms who don't sleep train their babies stay human. So what is sleep training, you ask? Just the most AMAZING resource available to new moms : ) Here are the details, and how I adapt them to fit my lifestyle and my babies...
First off, you need to get a hold of a copy of the book "On Becoming Baby Wise" by Gary Ezzo and Robert Buckman. Then, read it with an open mind. Obviously the authors believe strongly in sleep training since they wrote a book about it. So they are definitely bringing a bias to the table when they discuss Parent Directed Feeding vs. Feeding on Demand or Clock Directed Feeding. But if you know that and expect that before you start reading, it will make you less likely to throw the book out the window after the first few chapters. Also, I found you don't need to follow it EXACTLY by the book for it to work - so just take the principles and make them work for you and your individual baby. OK... done with the disclaimers : ) Now on to the good stuff!


The basis of the Baby Wise method is to put your baby on a regular, predictable feeding schedule, which will in turn put your baby on a regular, predictable sleeping schedule. The authors call this "Parent Directed Feeding" - basically, the parents dictate when the baby will eat as opposed to something like on-demand feeding, where the baby eats whenever he is hungry. I know, I know... it sounds harsh. But it's really not. I promise. With Baby Wise/Parent Directed Feeding, your baby will eat every 2-3 hours, which is pretty much what they do anyway, right? But here is the major difference - instead of letting your baby fall asleep right after eating, you make them stay awake for "Awake Time" or "Play Time". Then, after about 30 -45 minutes or so of Awake Time, you put your baby in his/her crib to fall asleep on their own. Let them sleep until it's time to feed again, which usually will be between 1 to 1.5 hours of sleep depending on if you are following a 2 or a 3 hour schedule. And then do it again. Eat, Play, Sleep. Eat, Play, Sleep. Every 2-3 hours for the entire day. Then, when it's time for the baby to go to bed for the night, you skip the "Play" portion and let them eat, then fall asleep. Any time they wake up during the night, just feed them and put them back to sleep. Easy peezy, right? : )

So I know what you are thinking... because I had the same thoughts/questions after I read the book : ) Here are the questions I had, and what I found to be true after going through it with Miss Paige, and now Deacon.
* How do you keep your baby awake after feeding for the "Awake/Play Time" and what does that really entail? The truth in how I keep Deacon awake after eating? By any means necessary. I sing loudly. I dance around with him. I do raspberries on his belly, neck and cheeks. I lay him down on his play mat and let Paige beat on her drum or shake her tambourine next to him. Sometimes I even whip out an ice cube to rub on his feet - that really makes him mad! But it wakes him up. The key is to break the association between eating and sleeping. Otherwise, the baby uses the breast or bottle as a "prop" to fall asleep instead of figuring out a way to fall asleep on their own. Once the baby is awake, "Awake time" can take on any form - reading to the baby, walking around, sitting him in a bouncy chair or swing (as long as it doesn't lull him to sleep), etc. Basically anything besides sleeping. After a few days, the baby doesn't fall asleep after eating and you can spend less time trying to keep him awake, and more time having fun!
 
* Do you really put your baby down while he/she is still awake? Isn't that ferberization? And aren't they too young for that? So, I guess it is a bit like ferberization or "letting the baby cry it out". And the first few days are emotionally taxing - trust me. Hearing your baby cry is horrible. But - when you hear them fall asleep on their own after less than 5 minutes of crying, and then faster and faster as each day passes - it makes it all worth while. After about a week, they don't even cry when you put them down. Or if they do, you know it's just that they have to let out a little energy before they can settle into sleep. Because they are tired and WANT to sleep after getting a full belly, and then playing for 30 minutes or so, it makes everything a lot easier. The authors of Baby Wise say that napping well is an "acquired" skill - that babies have to learn how to take restful, real naps and not just little "snoozes"  or cat naps throughout the day.
 
* How does this lead to sleeping through the night? To be 100% honest, I'm not really sure. Nice, right? But within the first few weeks, you'll see a gradual progression from 2-3, to 4, to 5, to 6 hour stretches between feedings at night, and finally a full night's sleep for your baby, usually between 8-10 weeks of age. 2-3 hour intervals of Eat, Play, Sleep will remain constant during the day for a good while. It's important they get all their calories during the day so that they won't be hungry at night.
 
* Do you wake your baby up from a nap in order to stay on the 2-3 hour Eat, Play, Sleep intervals? Yup! At first you will have to do this a few times a day if your baby is a real sleepyhead. But after 3 or 4 days, your baby will begin to wake up exactly when it's time for him/her to eat again. Pretty much like clockwork. With this method, you are basically training your baby's biological clock to know when to eat and when to sleep.
 
* What if your baby wakes up early and is starving?! Can I feed him? Of course! This part really had me stressed out, because I couldn't see denying my children food if they were hungry. I was already making them cry themselves to sleep... Child Protective Services would be beating down my door if I denied them food too. So with this, I say use your best judgement. You know when your baby is having a growth spurt and needs to eat more often or is hungry and can't wait until the 2-3 hour mark. And during those times, I went ahead and fed my baby. And then I would just adjust the Eat, Play, Sleep interval to start again after she was done with that feeding. It doesn't mess anything up too bad, and it's important to use your best judgement - not just the clock - to determine when to feed your baby. Say that happens once a day or so... you'll soon figure out when your baby needs to eat more and adjust that Eat, Play, Sleep interval accordingly. It might not make 100% sense right now, but trust me that when you are in the thick of it, it will totally make sense and you'll see everything adjust in a normal way.
 
* Won't my baby naturally do this on his/her own after a while? Eventually, I'd imagine any child would put themselves on a schedule. But this just kind of speeds up the process and lets you (the parent) be in charge of making it happen. I think of it as being on the offense vs. the defense when it comes to parenting. I'm not constantly reacting - I can actually plan a little bit. I did it with Paige and it was great. With Deacon, I waited a few weeks to start. Not because I didn't believe in the process, but because I was so scattered between dealing with the two kids, that I wasn't really paying attention to time at all. And I was paying the price - feeling disorganized, exhausted and completely crazy. I didn't know when Deacon was going to nap and when I was going to get things done - and so nothing got done. Now I know that I'll have about an hour to get things done every few hours because he is on a predictable nap schedule. It also gives me time to spend alone with Miss Paige. I know that at certain times of the day, Deacon will be sleeping so Paige and I can spend quality time together reading books and playing. It's a win-win : )
 
* Does the Eat, Play, Sleep interval system go on FOREVER? Not exactly as it is in the beginning, but the concept can go on for as long as you want it to. After a few months, the intervals will organically stretch to about 4 hours. For Miss Paige, we extended the Play Time to about an hour - hour and a half after she would eat. Then, she'd nap for about an hour - hour and a half. Then it would be time to eat again. If you think about it, it makes sense: wake up at 7 a.m. and eat (breakfast). Play from 7:30 - 9:00 a.m.. Then nap from 9:30 - 11:00 a.m. And then eat at 11:00 (lunch). Play from 11:30 - 1:00 p.m. Nap from 1:00 - 2:30 p.m. Then eat again (snack). Play from 3:00 - 4:30 p.m. And then this is where we mix up the intervals to work better for us - Instead of napping at 4:30 p.m., we would keep Paige up and eat again at 5:00 p.m. (dinner), then use the "Play time" for a bath and reading books (5:45 - 6:00 p.m.) and then put her down for the night. She's been on this same schedule since about 4 months old. She's now almost 20 months, and it still works. Pretty neat, right? Of course some days it varies because I don't wake her up from her naps, or we have to run errands and stuff. But in general, I still follow the Baby Wise method with Paige as a toddler.
 
For me, The Baby Wise method of sleep training totally makes sense. But I know that to others, this probably sounds absolutely foolish. So like I said earlier, it's important to go in with an open mind and then take bits and pieces of the concept to make it work for you and your baby.
 
Oh, one more piece of advice if you are going to go down this road: Wait to start until you have a week with very few visitors, no guests, and limited plans. Why? Well as far as guests and visitors, you don't want to have to explain yourself. For this to work, you really have to stay focused and determined to see it through. The last thing you'll need is someone making you feel bad for letting your baby cry or trying to feed them and then rocking them to sleep despite your protests for "Awake Time" : ) And def try to stay close to home the first week or two so you can stick to the schedule without distraction.
 
Good luck!

Friday, July 29, 2011

An Unexpected Journey: Craniosynostosis

Two words I had never heard before, and really wish I never knew existed: craniosynostosis and scaphocephaly.

Cranio what?! How do I even pronounce those?! Not MY son...

That's what I was thinking when I saw those words scribbled across the referral from Deacon's pediatrician to see the pediatric neurosurgeon. I don't think it's accurate to say I was in denial, because to me there was nothing odd about D's head. Most babies have odd shaped heads. It's part of the deal from being smushed into a small, tight space for 40 weeks. As I drove home after D's 4 week check-up, I was confident the pediatrician was just being over cautious by asking me to take D to see a neurosurgeon. So confident in fact that I didn't even read the referral and those words - craniosynostosis and scaphocephaly - until later that evening when I took a break from cooking dinner. I decided I would do a quick Google search to see what those words meant. And that's when my heart dropped into my toes... as image results began popping up of baby boys with head's that looked exactly like D's head, I realized there really may be a problem. It hit me for the first time that this was serious. Very serious. And then I clicked on one of the websites... read the definitions of those words - craniosynostosis and scaphocephaly - and almost passed out. Literally. The blood rushed out of my brain and everything went black for a moment. Not my son...God, please, not my son.

Craniosynostosis (CRAY-NEO-SIN-O-STOE-SIS): Craniosynostosis is a congenital (present at birth) defect that causes one or more sutures on a baby's head to close earlier than normal. Sutures are connections that separate each individual skull bones. The early closing of a suture leads to an abnormally shaped head.

Scaphocephaly (SCAF-O-CEF-A-LEE): Scaphocephaly refers to the condition where the head is disproportionately long and narrow as a result of the premature fusion of the sagittal suture. The sagittal suture runs from front to back starting at the fontanel, at the top of the head, and extends backwards along the middle of the skull to the back of the head. Often the fontanel, or soft spot, is absent or closed. A ridge can be seen, or felt, running along the top of the head in between the right and left half of the skull. When viewed from above, the skull is wider near the forehead and gets narrower towards the back of the skull (which is the opposite of what is normal: that is, the back of the skull should be wider than the front). When looking straight on at the child's face, the forehead seems quite big, or prominent, and the sides of the skull look narrow. The incidence of scaphocephaly is one in 2,000 births. It is the most common form of craniosynostosis. Almost all children affected with scaphocephaly require surgical treatment.

 
Deacon's head isn't just shaped funny as all baby's head are for the first few weeks before it rounds out. Deacon's head is shaped funny because the sutures or "soft spots" on his skull fused together too early. Because of this, his head can't round out as it it supposed to. It can't grow side to side - only front to back. The bones that would usually stretch apart (and eventually grow and fuse together in the toddler years) are already "glued" together. The hard ridge I felt running down the back of his head where the soft spot should have been isn't normal either. That's where the bones fused. All of it makes sense now that I know what it is. So how exactly did this happen? There are two ways... one, is genetic. The other is due to fetal position inside the womb. Remember all that pain I felt because D was sitting so low in my pelvis? Well - that position in my womb kept his skull from growing as it should. Being wedged into my pelvis made his skull bones touch together too early, signaling that they needed to fuse since they weren't able to grow normally. No God, not my son. Please don't let this be true. This happens to other babies... other mothers. Mothers that when you hear their stories, your heart breaks for them. You pray for them. When you hear what they are going through, you thank God your babies are healthy because you doubt you have the strength to handle what those mothers handle on a daily basis.

Nearly two weeks have passed since all this came to light. It's taken me that long to be able to write about it. And, as far as we know at this point, it is true. Appointments with a Pediatric Neurosurgeon and Pediatric Craniofacial Surgeon have been scheduled. The consultations will determine just how many sutures have fused and what the next steps will be. The good news out of all this? The situation can be fixed. This isn't something life threatening, painful or that will affect Deacon long term. The bad news? It can only be fixed through surgery. Skull surgery. Between 2 and 3 months of age. Followed by Head Banding (aka Helmet Therapy) for 6 months to a year after. If it isn't treated now? That's when things get bad. The head can't grow properly, which means the brain can't expand. Facial deformities, extreme pressure on the brain... that's just the beginning. The scenario is enough to make you lose your mind with worry. Trust me on that one...

So for now we wait. We wait for our appointments. For the surgery. For the recovery. And we pray. We pray for the best surgeons to be on the case. For full recovery without complications. And to see God's hand at work. I'll write more about that aspect later... there is a lot to say about that topic : )

In the meantime, here are some videos that I found that help explain the situation.  One shows the condition and explains the procedure to fix it. And one is short documentary of a family that went through this. It's a stressful, emotional time for us - but I truly believe that there is a reason this is happening, and that we will come through on the other side of this in a better place. This is only the beginning of a journey we didn't expect, didn't plan for, didn't even know was in the realm of possibilities. But here we are. I'm looking forward to the finish line : )










 

My Vegan Baby


Tiny Tevas

I think I may have a Granola baby on my hands. Today, he's gone vegan. Tomorrow, he'll be wearing little Teva sandals and turning my backyard into a neighborhood recycling hub. See, the Big D decided he can't have regular, milk-based formula... he prefers soy. Soy-based baby formula. Well, I guess if you want to get technical about the situation, I am the one who decided he should switch to soy : ) But still... he is a total Granola in the making. Trust me. Which I think is secretly my husband's dream. I think Daniel is an under-cover Granola. He would go full-throttle, but he enjoys meat way too much. So he's letting it eek out of his pores in other ways - most recently taking up every outdoorsy sport imaginable. Mountain biking. Kayaing. I drew the line the other day when he dragged me to REI to check out a "really cool pair of shoes" that he wanted. They were Vibram FiveFinger shoes. So he could "feel the earth" beneath him when he went out on his adventures. I screamed in disgust and backed my 80-lb double strolled right back out to the parking lot. I have to draw the line somewhere... and shoes where each toe has its own pocket is it  : O   Anyway....

Once I switched D to formula full time, I noticed he was having some MAJOR gas issues. And it wasn't just that he was tooting all the time (I consider that pretty normal for babies... and husbands). But it actually seemed like he was in pain before he could let the gas out. He would curl up in the fetal position and let out a few screams before he tooted. So after a few days of this, I switched him to a "Gentle" milk-based formula. Miss Paige had to use this kind, so I figured it was another thing my babies had in common. Except it didn't make much of a difference. He still appeared to be in pain after eating. Of course this upset me and so I hit up Google to find an answer. It seemed the overriding advice was to try a soy-based formula - that he may have an allergy to milk proteins. So I slowly switched him over and lo and behold - no more painful gas! Of course he still toots like a tugboat, but it doesn't appear to be painful any more. His poops are a little on the solid side vs. the runnier poops of most babies. But he definitely seems a lot more content. I even caught him trying out the Downward Dog yoga pose during tummy time today. Yup - he's definitely gone Granola. : )