Kerry Secker - Paediatric sleep consultant Archives | Annabel Karmel https://www.annabelkarmel.com/experts/kerry-secker/ Baby Food, Recipes, Books & Products for Babies and Children Wed, 07 Aug 2024 15:24:42 +0000 en-GB hourly 1 https://wordpress.org/?v=6.6.2 https://www.annabelkarmel.com/wp-content/uploads/2023/09/fav2-60x60.png Kerry Secker - Paediatric sleep consultant Archives | Annabel Karmel https://www.annabelkarmel.com/experts/kerry-secker/ 32 32 Busting common baby sleep myths https://www.annabelkarmel.com/advice/busting-common-baby-sleep-myths/ Mon, 09 Sep 2019 09:59:57 +0000 https://annabelkarmel.com/?post_type=advice&p=64313 Busting Common Baby Sleep Myths Let’s talk baby sleep (and yours for that matter!). There’s no topic more hotly discussed among new parents. Unsolicited advice flies from all directions with what feels like pointy fingers probing “Is he a good sleeper?” or “Is she sleeping through the night yet?”.  Before you know it, your baby’s […]

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Busting Common Baby Sleep Myths

Let’s talk baby sleep (and yours for that matter!). There’s no topic more hotly discussed among new parents. Unsolicited advice flies from all directions with what feels like pointy fingers probing “Is he a good sleeper?” or “Is she sleeping through the night yet?”.  Before you know it, your baby’s sleeping habits are the talk of your baby sensory class, and the Costa coffee queue for that matter!

Everyone seems to have an opinion on how baby should be sleeping, which can leave you feeling like you’re on the bed backfoot. Add to the mix an exhausted state of mind from countless sleepless nights and it becomes even harder to separate fact from fiction.

Here’s what I can tell you; it’s not your fault that your baby is not sleeping. You are not a bad parent.  There is also nothing wrong with your baby. They are not developing at a slower level because they are waking up throughout the night.

There is no such thing as a text book baby. Text books are guidelines in any case, not gospel. And, in fact, there is no such thing as sleeping through the night. We all wake-up at some point, sometimes partially and sometimes fully. It’s human nature (and I’ll talk more about this shortly).

What is important is to go with what works for you and your baby. And for the benefit of parents everywhere, here I separate truth from tale with 8 common baby sleep myths.

Myth #1. Your baby should be sleeping through the night by six months.

Ok, let’s firstly define “sleeping through the night”. No baby (or grown-up for that matter) sleeps through the night. Some babies immediately start a new sleep cycle once one ends without adult help. Some will wake-up, but remain quiet in their cot, while others will wake and cry for help to start a new cycle. But no baby sleeps solidly through the night.

What the term “sleeping through the night” should really mean is your baby being able to sleep unassisted throughout the night. The true goal is getting your baby to be able to transition between sleep cycles without crying and without needing you to help them fall back asleep.

Myth #2: Your baby is waking up at night because they are hungry.

Waking at night isn’t just to do with hunger. Yes, newborn babies have tiny tummies so have to feed little and often. However, all babies, no matter how old they are, can wake for all sorts of reasons, just like adults do.  They may need a nappy change, they may be too cold (or too hot), they may have misplaced their favourite comforter, or simply want comfort from you. It could be down to trapped wind or perhaps another tooth is on its way.

Myth #3: Once your baby is on formula or solids they will definitely sleep better.

The old wives tail of “topping up” with formula or giving baby a bigger meal shortly before bedtime won’t help your baby to sleep through the night. Why? Because this doesn’t mimic their bodies’ natural feeding patterns. In fact, for a period of time, it could actually cause further night wake-ups as their digestive system is trying to cope with these changes.

Imagine yourself going to bed after drinking an extra-large milkshake or three-course meal. Would it help you sleep better, or make you more likely to wake-up feeling over full?

Myth #4: You should skip daytime naps if your baby isn’t sleeping well at night.

A baby who doesn’t sleep enough in the day is likely to be overtired, irritable and fussy by the time bedtime comes around.  And an overtired baby is harder to settle and more likely to wake at night.

I work with lots of families and a lack of daytime sleep is a common reason for little ones fighting bedtime. My advice is not to pass-up naps, but prioritise them. It’s your call as to how and where your baby naps – there is no right or wrong here. What’s important is to have a good nap schedule that works for you and your baby.  And if your baby wakes earlier than usual from their nap, or even resists a nap, you may need to bring bedtime forward a little. Let your baby be your guide and watch out for those cues for tiredness.

Myth #5: Co-sleeping, feeding to sleep or staying with them to get them to sleep are making rods for your own back.

Most parents have been on the receiving end of the classic “You’re making a rod for your own back”, or the unhelpful “You don’t want to get into that bad habit”.

Ok, so you’re feeding your baby to sleep because they need comfort.  Or you’re sitting by their cot holding their hand through the wooden bars to help them fall asleep peacefully. All the while, you’re thinking “Should I be encouraging her to self-soothe”, or “How will he learn to be independent”.

But this is what you have to ask yourself; is your baby happy right now?  Does this feel right for you right now?  If the answer is yes, then don’t ever doubt what you are doing.  There is no right or wrong. It’s about what is right for you and your baby, and by making them feel safe, secure and attached, they will be more settled in their sleep.

Nobody ever makes a rod for their own back when it comes to parenting.  You make your own decisions because you know your baby the best.

If you feed to sleep THAT’S OK.

If you lie down with baby to get them to sleep THAT’S OK.

If you walk them round the block in the pushchair THAT’S OK.

Myth #6: Your baby should be in bed by 7pm.

Of course, the time your baby goes to sleep does make a difference. We all have a biological clock and your baby’s circadian rhythm (once it kicks in) can help them sleep if they are put to bed at the right time. Moreover, maintaining a consistent bedtime is pretty central to helping baby be at their bedtime best.

However, all babies are different, and a 7pm lights out may not work for your little one. That said, a too-late bedtime may lead to difficulties getting your baby to sleep as they’ve passed their natural “sleep window”, with cortisol (aka baby Red Bull) kicking in. It could also result in more frequent night and early morning waking.

Myth #7: The only way to get a baby to sleep better is to use controlled crying or cry it out methods.

Breastfeeding and Food Allergies

I work with so many families to improve sleep without training or leaving baby to cry. I’m sure you’ll have heard of lots of methods being banded around your mum friends at soft play.

There is a lot pressure everywhere for parents to ‘train’ their baby to sleep better, and many end up going against their gut instinct and doing it because they think it’s the only way.  Pin pointing why your child wake-up and gentle tweaking can make a huge difference to their sleep overall. So next time someone suggests your baby should cry to learn how to sleep on their own, just ignore them. All babies eventually learn to sleep on their own and so will yours.

Myth #8: Your baby should want to sleep when it gets dark.

 

Newborn babies are naturally nocturnal and not biologically programmed to sleep through the night. This stems from survival needs from our cave man days. It was far safer to feed at night, plus food was more available at night after a day’s hunt. Added to that, when your baby was safely tucked up in your womb, your movement and heartbeat during the day would soothe them to sleep. So, by night time they were often ready for a little party (remember those 3am bouts of kicking?!). It will take then time to adjust to day and night but with regular routine, this can really help.

So remember, waking at night is normal.  It’s common. And you’re in the majority. So the next time you feel like you’re the only parent settling your little one for the 10th time, remind yourself that the wide-awake parent club is there with you!

Kerry Secker Baby Sleep Expert

Visit Care It Out® for more information and free video to get you started.

Kerry Secker’s Ecourse on bedtime basics for under 18 months is now available. The Care Care It Out Sleep Show Podcast is also now live with new episodes fortnightly.

Follow Kerry on Facebook and Instagram.

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Supporting your baby if they wake at night https://www.annabelkarmel.com/advice/supporting-baby-wake-night/ Mon, 09 Sep 2019 09:59:22 +0000 https://annabelkarmel.com/?post_type=advice&p=64345 How to Support Your Baby When They Wake at Night   Meeting your baby’s needs at night is never the wrong thing to do. There are so many reasons why a baby may need your support, and responding to their cues isn’t about spoiling them, or pandering to them unnecessarily. If they are crying, it’s […]

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How to Support Your Baby When They Wake at Night

 

Meeting your baby’s needs at night is never the wrong thing to do. There are so many reasons why a baby may need your support, and responding to their cues isn’t about spoiling them, or pandering to them unnecessarily. If they are crying, it’s about meeting their needs – even if you can’t fathom out why!

Babies, newborns in particular, need to get to know that the world around them is safe and trustworthy, and they learn a sense of security and comfort when you respond to them.  My approach always meets them at their point of need. And yes, you can still get a settled night’s sleep. Here’s how.

When your baby is asking for support at night, usually by crying out for you, meet their needs straight away, but I recommend a technique called “rolling-up your response”.

There are various levels of response you can give your baby if they wake, and adopting the following process enables you to support them at a level they need to be able to drift of.  That could be as simple as a short and sweet calming voice (then off you scamper back to bed), or it could escalate to a full feed if your baby isn’t settling.

The point of following this is that you are only in their sleep space only as long as they need you to be. They may be awake and asking for support but it doesn’t necessarily mean they want to be picked-up or fed.

If your baby wakes at night, here are my steps to rolling-up your response:

  1. Go to them straight away but very calmly. Try not to fling open the door or stomp on in. This is likely to further awaken them, and before you know it, they’re ready for playtime (or mega meltdown!).
  2. Make eye contact with them if you can. When parents’ and babies’ eyes meet, an emotional connection is established. And that connection is extra important when your baby is feeling lonely and in need of some simple reassurance. I don’t believe in no eye contact; if you’ve made moves to enter their sleep space, then show them that you are there to support them.
  3. Offer your baby some calming and soothing verbal reassurance. It’s believed that stone age mothers would talk to their baby as they gathered food to stop them crying and alert predators. The soothing tone of a parent’s voice is quite magical in terms of the comfort it can bring.
  4. If they do not settle by this point, offer a light touch. Gently stroking their head or patting their bum can help induce sleep if that is what they are used to.
  5. If this isn’t working, pick them up and settle them back to sleep in your arms.
  6. If all the above aren’t working then offer them a feed.

Don’t always assume that your baby will need the same level of response every time, so start with a low-level response and escalate as needed.

A few simple soothing words may be enough to help them drift off back into la-la land – and that means a quick drop-in job for you.  Imagine if you had swooped in, picked them up and fed them for 20 minutes, when really all they needed to send them back off was a light touch for reassurance. That’s a good chunk of time you and your baby could have been sending up the zeds.

Of course, you are your baby’s expert, and you know them best. Your instinct is incredibly powerful, so please only use my night time response tool as a guide.  You need to tend to your baby as you feel appropriate, and if that involves picking-up and feeding, then trust in what you want to do.

Kerry Secker Baby Sleep Expert

Visit Care It Out® for more information and free video to get you started.

Kerry Secker’s Ecourse on bedtime basics for under 18 months is now available. The Care Care It Out Sleep Show Podcast is also now live with new episodes fortnightly.

Follow Kerry on Facebook and Instagram.

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Resettling at nap times https://www.annabelkarmel.com/advice/baby-nap-times/ Wed, 14 Aug 2019 15:08:13 +0000 https://annabelkarmel.com/?p=63913 Resettling Your Baby at Nap Times Naps. Babies need them, and they are just as priceless to parents. That stretch (however long…or short) is like gold dust, whether you need to re-set with a (strong) coffee, or dart around the home Usain Bolt style to power through the chores. And let’s face it, even the […]

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Resettling Your Baby at Nap Times

Naps. Babies need them, and they are just as priceless to parents.

That stretch (however long…or short) is like gold dust, whether you need to re-set with a (strong) coffee, or dart around the home Usain Bolt style to power through the chores. And let’s face it, even the simplest of jobs can be near-on impossible to nail with a baby in tow.

I hate to break this to you, but some babies will only sleep for 20-30 minutes in one stretch, no matter what you do. Reality check; that’s ok!

Lots of babies are just fine on shorter sleeps, so don’t waste time worrying about it.  I take a baby-led approach that if your baby sleeps in 30-minute spells, wakes-up cheerful and doesn’t show signs of tiredness until their next sleep is due, then fix up, move on and enjoy your day together.

Trying to get them back to sleep can be frustrating and laborious for both you of you, so in the words of our favourite snow queen…let it go! Forget that mum at your local baby group who proudly professes her baby visits the land of nod for a good couple of hours each day. That’s her unique sleep story, not yours.

No matter how short your baby’s nap has been, the positive is that they’ve had a nap, even if it’s a short sleep snack.  This will have taken the edge off their tiredness.  In fact, give yourself a pat on the back as you’ve managed to get them off minus the magic of melatonin (that powerful sleep hormone) which simply isn’t present in the daytime.

And if you’re hanging onto the hope of having more than 20 minutes sans wide awake baby, don’t worry. Babies sleep and nap patterns are forever evolving and changing, and likelihood is, their sleep will increase as time goes on.  They have a habit of doing things in their own good time.

Opportunity to resettle

If your baby wakes-up tired, grizzly or crying after a short nap it is likely that they are not quite ready to get back on the play train. That’s where you may need to resettle.

Now, whilst I suggest you don’t get into a ‘nap-off’, I wanted to share my suggestions to maximize naps if you think your baby needs a little longer.

1. Give them their sleep space

If they have woken but you don’t hear crying, give them the opportunity to resettle.  They need to practice going to sleep without you. A little grizzle or moan is quite common when a baby stirs, it’s just what they do in between sleep cycles.

2. Give them the support they need

How long you give your baby to resettle is completely up to you. However, if they are crying and you instinctively feel they are asking for your support, I recommend resettling them for 5-10 minutes.

Do whatever you do to get them to sleep; holding, rocking, patting, a lullaby, re-inserting the dummy, or a push in the buggy (none of which are bad habits if not an issue for you).

If they’re going to resettle, they’ll usually do it quickly. Just don’t let yourself get into a sleep stand-off. Move on with your day.

3. Set the scene at the start of sleep

Using white noise can be an effective way to help babies to sleep and re-settle. Used as part of a routine, it provides a strong cue that it’s sleep time, helping them to zone out and wind down.

Bright light can be stimulating to a baby and may affect them resettling after one sleep cycle. If they are sleeping in a room, then you can’t go too wrong with investing I a blackout blind (black sacks also do the trick!). This will become even more important as babies become more aware of their surroundings and notice all those wonderful toys becoming them to come play!  If they regularly nap in their buggy or pram, something like a snooze shade is a good idea to block out light.

My baby still won’t resettle!

Give my tips and chance – even if they haven’t worked after the first or second attempt.  As with anything in parent land, it takes patience and persistence!  However, if your baby just isn’t nodding back-off, count the catnap as a victory (they’ve slept, right?) and move on.

Don’t get me wrong, it’s hard not to get fixated on how much sleep your baby is getting. Yes, sleep is important, but babies are clever little things, and your best bet is to be guided by them and try and relax.

Visit Care It Out® for more information and free video to get you started.

Kerry Secker’s Ecourse on bedtime basics for under 18 months is now available. The Care Care It Out Sleep Show Podcast is also now live with new episodes fortnightly.

Follow Kerry on Facebook and Instagram.

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Baby sleep: the biology behind bedtime https://www.annabelkarmel.com/advice/baby-bedtime/ Thu, 25 Aug 2016 14:11:58 +0000 https://annabelkarmel.com/?p=343 Baby Sleep: The Biology Behind Bedtime When it comes to a settled night’s sleep for your small, there are two important hormones to know about: Melatonin: This is the sleep hormone controlled by the circadian rhythm or sleep system which is fully developed between the ages of 5 to 6 months. Cortisol: AKA baby Red […]

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Baby Sleep: The Biology Behind Bedtime

When it comes to a settled night’s sleep for your small, there are two important hormones to know about:

  1. Melatonin: This is the sleep hormone controlled by the circadian rhythm or sleep system which is fully developed between the ages of 5 to 6 months.
  1. Cortisol: AKA baby Red Bull. This is the opposite of melatonin and it’s designed to keep your baby in a high state of alert and awake.

The Magic of Melatonin

At around six months old, your small’s sleep system is up and running meaning they produce melatonin on a 12 hour sleep shift:

  • 3pm: melatonin starts to slowly rise and they begin to slow down in preparation for sleep
  • 7pm to 7.30pm: their melatonin is at its peak. When it’s at its peak the level stays consistent until midnight.
  • Midnight: melatonin slowly starts to leave their body
  • 3am: All their melatonin has left the body

Sleep Stages

  • Bedtime to midnight: melatonin levels should be fairly high and it’s the deepest sleep stage. It’s usually a good block of sleep and if your baby wakes they’re usually easily settled.
  • Midnight to 3am: your baby can wake more frequently and you may need to do a bit more work to get them back to sleep. It’s not uncommon that some babies may even be awake for long chunks of time.
  • 3am to midnight: By now all the melatonin has left their body and sleep is at its lightest. Your small may appear restless and unsettled. Again, some babies may be awake for long periods or even wake up for the day now.

 

Cortisol Cues

A likely cause of your baby not going to sleep or waking in the night is over-tiredness. When your baby is over-tired, a stress hormone called cortisol is released by the body. With higher levels of cortisol, your baby switches into high-alert mode to prevent them from danger. This means your baby wakes, even though they are tired.

Fact: Once your little one produces cortisol, they can take six times longer to settle to sleep.  That’s is a good reason to ensure your small doesn’t get over tired.

Here are 14 signs that your baby is overtired:

  1. They wake up early in the morning
  2. They fight and resist their naps
  3. They take short naps of 30 minutes or less
  4. They are fussy, clingy and tearful especially towards the end of the day
  5. They’re totally wrecked at bath time
  6. They’re begging for bed after their bath; crying, upset and unsettled
  7. They crash out as soon at their bedtime feed.
  8. They may be too tired to feed properly and/or leave a lot of their milk
  9. They get the sleep sillies; they are manic, over-wired but don’t look tired
  10. They resist going to sleep and/or bedtime takes an age to settle them
  11. They wake 30-40 minutes after going to sleep
  12. They wake frequently during the night
  13. They wake up frequently post-midnight
  14. They’re awake for long periods post-midnight

Sleep steps for balancing your baby’s hormones

Balancing these two hormones is the first step to getting a settle night’s sleep. Control the cortisol and take a cue from their melatonin, and you’re over halfway to a settled night’s sleep.

1. Naps control the cortisol

The best way to prevent over-tiredness at night is by getting on top of daytime naps. Rather than having scheduled nap times, it is best to work around when your baby wakes up. For example, if your little one has woken up earlier than usual, their nap times will need to be earlier than normal too.  The timings and number of naps needed are dependent on your baby’s age, but here is a guide.

 

AgeNap needs per day
6 months and younger 3-4 hours’ sleep over 3 to 4 naps
6 to 9 months2-3 hours’ sleep over 2-3 naps
9 to 18 months 2-3 hours’ sleep over 1-2 naps
18 months to 3 years1-2 hours nap over 1 sleep
3 to 5 yearsSometimes 1 nap (most lose between 3 & 5)

2. Choose the right bedtime

Pushing bedtime too late can quickly undo all your good work of controlling the cortisol during the day and ideally your small is settled to sleep when their melatonin is at its peak. Here is my guide to best bedtime by age.

Under 6 monthsKeep to their nap gap. So if they go 2 hours between naps during the day, ensure bedtime is no more than 2 hours from their last nap of the day
6 months to 18 monthsIdeally no more than 4 hours from 3pm
Over 18 monthsBedtime can be pushed to suit your little one but I would generally suggest between 4-5 hours from 3pm

If your baby is battling bedtime try bringing their bedtime earlier; just 10 -15 minutes can make such a positive difference to how they settle to sleep, their night sleep and the time they wake up.

3. Support at night

Meeting your small’s emotional needs at night is never spoiling them or creating bad habits but try to be mindful of what they’re communicating to you. If they aren’t asking for support try to give them the sleep space they’re asking for.

4. Post-midnight movement

After midnight melatonin levels decrease and sleep is gets lighter. It’s natural that your little one may look awake, unsettled or restless but this is all perfectly natural and it doesn’t always mean they need support from you.

Kerry Secker Baby Sleep Expert

Visit Care It Out® for more information and free video to get you started.

Kerry Secker’s Ecourse on bedtime basics for under 18 months is now available. The Care Care It Out Sleep Show Podcast is also now live with new episodes fortnightly.

Follow Kerry on Facebook and Instagram.

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The bedtime routine and preparing for sleep separation https://www.annabelkarmel.com/advice/baby-sleep-routine/ Sun, 17 Jul 2016 11:02:27 +0000 https://annabelkarmel.com/?p=441 Your Baby’s Bedtime Routine: Preparing for Sleep Separation Whilst it’s a little unrealistic to expect the bath, book and bed routine to magically get you a free pass to a settled night’s sleep, it can certainly help set it up. Although it may seem fairly trivial to us as adults, going to sleep for your […]

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Your Baby’s Bedtime Routine: Preparing for Sleep Separation

Whilst it’s a little unrealistic to expect the bath, book and bed routine to magically get you a free pass to a settled night’s sleep, it can certainly help set it up.

Although it may seem fairly trivial to us as adults, going to sleep for your baby is a period of separation from you and they need preparation for this. I often call the bedtime routine your preparation for sleep separation; it’s about helping to cue and calm your small child to settle them smoothly to sleep.

Your bedtime routine doesn’t have to be super rigid; all a routine means is that you do the same few things in the same order every night.

The more you repeat something the more familiar it will become and in turn, this will help your baby to anticipate the next step. Which means they know exactly what to expect and when.

You can start a simple bedtime routine off when your baby is a newborn, but the most important thing is to do it when you feel ready.

 

My three key sleep suggestions to blasting-off bedtime:

  1. Aim for it to be between 30 to 40 minutes long. This gives your small child or baby enough time to connect with you and settle, but not so long that they get overtired. We want to avoid overtiredness.
  2. Where you can, aim to do the same 3 or 4 things in the same order every night helping them come to know what to expect next.
  3. Focus on spending quality time together, having a bit of fun (bathtime) and bonding before bedtime.

Here’s my suggested bedtime routine:

  1. Bath for 5 to 10 minutes. Let them splash, sing songs and have some fun. But aim to keep this to a set time as this will prevent your baby from becoming over-stimulated or tired. Also please don’t feel you need to bath EVERY single night. It won’t impact on the night.
  2. A short massage if they’ll let you. This can really help a small child with reflux, wind or colic.
  3. Nappy/pyjamas/sleep sack or swaddle if using one.
  4. Straight into their sleep space (where they’re going to be falling asleep such as their nursery). The aim is for this sleep space to feel familiar, helping them stitch their sleep cycles together at night.
  5. Story or sing a sleepy song. If they’re already exhausted and bed begging, feel free to do this quickly or leave it out altogether.
  6. Bedtime feed if they don’t feed to sleep.
  7. Say goodnight to 3 or 4 things in the same order. I call this my blast off to bed! Your small child will come to enjoy saying goodnight to their nearest and dearest soft toys and it’s also a great cue to let them know sleep time is coming.
  8. Big kiss and cuddle. This releases oxytocin (the feel-good hormone) and can help your small child separate and settle to sleep smoothly.
  9. Settle your small child to sleep. Feeding, rocking or cuddling to sleep are not bad bed habits. If they work for you, all is well.

Like most things parenting-related, there’s no right or wrong way to do your bedtime routine. This is a gentle guide that I hope is useful for you but the most important thing is to do what works for you and your small.

Kerry Secker Baby Sleep Expert

Visit Care It Out® for more information and free video to get you started.

Kerry Secker’s Ecourse on bedtime basics for under 18 months is now available. The Care Care It Out Sleep Show Podcast is also now live with new episodes fortnightly.

Follow Kerry on Facebook and Instagram.

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