Sleeping Like a Baby Sleeping Like a Baby A PEEK INTO BABY’S NIGHT LIFE Avi Sadeh Yale University Press New Haven and London The informationand suggestionscontainedin this book are not intended to replacethe servicesof your physicianor caregiver.Becauseeachperson and each medicalsituationis unique,you shouldconsultyour own physicianto get answersto your personalquestions,to evaluateany symptoms you may have, or to receive suggestionson appropriatemedications. The author has attemptedto make this book as accurateand up-to-date aspossible,butitmayneverthelesscontainerrors,omissions,ormaterialthatisoutofdate at the time you read it. Neitherthe author nor the publisherhas any legalresponsibility for errors, omissions, out-of-datematerial,or thereader’sapplicationof themedical informationor advicecontainedin this book. Copyright(cid:2) 2001 by AbrahamSadeh. All rights reserved. This book may not be reproduced,in whole or in part, includingillustrations,in any form (beyond thatcopyingpermittedby Sections107 and 108 of the U.S. CopyrightLaw and exceptby reviewersfor the publicpress), withoutwrittenpermissionfrom the publishers. Designedby Sonia Shannon Set in Cochintype by BinghamtonValleyComposition. Printedin the UnitedStatesof America. Library of Congress Cataloging-in-PublicationData Sadeh,Avi, 1957– [Lishon kemo tinoo`k. English] Sleepinglike a baby : a peekinto baby’snight life/ Avi Sadeh. p. cm. Includesbibliographicalreferencesand index. ISBN 0-300-08824-8 1. Infants—Sleep.2. Sleepdisordersin children.3. Parentand infant.I. Title. BF720.S3313 2001 649'.4—dc21 00-011100 A cataloguerecord for this book is availablefrom the BritishLibrary. The paper in this book meetsthe guidelinesfor permanenceand durability of the Committeeon ProductionGuidelinesfor Book Longevityof the Councilon LibraryResources. 10 9 8 7 6 5 4 3 2 1 This book is dedicated to the memory of my mother, Pnina, who did not live to see my children, awake or asleep, and to my father, David Hirschfeld, a flowing brook of tenderness, peacefulness, and love. Contents Preface xi Acknowledgments xiii I Sleep and Development 1. “Why do we sleep?” The Significance and Role of Sleep 3 2. “What’s so interesting about a sleeping baby?” What Sleep Is and How We Can Peek into a Child’s “Night Life” 7 3. “She sleeps when she feels like it, two hours here, two hours there” The Formation of Sleep Patterns 18 4. “Why did my child laugh in his dream?” The Significance and Roles of Dream-Sleep 34 5. “A child who doesn’t sleep doesn’t grow” Sleep and Physical Growth 41 6. “He’s hyperactive, and at night he has trouble falling asleep” Sleep, Personality, and Behavior of the Baby 45 vii Contents 7. “She refuses to go to sleep ever since she awoke from a scary nightmare” Infant Sleep in Stressful Situations 54 8. “It’s hard for me to abandon him alone in bed” The Meaning of Sleep for Children and Parents 61 9. “She won’t sleep without her ratty ‘blankie’” Soothing Techniques and Accessories 68 10. “He’ll sleep only in our bed” Communal Sleeping, Separate Sleeping, and Cultural Outlooks 78 11. “At night she can scream for hours and her father doesn’t hear a thing” The Father’s Role 84 II Sleep Disorders 12. “He falls asleep only in the car, and in the middle of the night that’s absurd” Difficulties Putting the Baby to Sleep 93 13. “She awakens every hour on the hour” Nocturnal Wake-Up Calls 99 14. “He wakes up terribly frightened and doesn’t calm down” Nightmares, Night Terrors, and Other Sleep-Time Phenomena 105 15. “She doesn’t eat enough, she’s teething” Physiological Factors That Influence Sleep 111 viii Contents 16. “He suddenly stops breathing and it takes my breath away!” Sleep Apnea and Breathing Disorders 117 17. “While she slept we took turns standing guard to make sure she was breathing” Crib Death, or Sudden Infant Death Syndrome 122 18. “Be patient! He’ll grow out of it” The Stubborn Nature of Sleep Disturbances 128 19. “To sleep or not to sleep, that is the question!” Difficulty Falling Asleep and Staying Asleep 131 20. “My child is possessed” Family and Personal Dynamics of the Parents 150 21. “Does it really help?” Research on the Efficacy of Treatment and Its Ramifications 159 22. “It’s hard to believe that this is the same child” Changes in the Wake of Treating Sleep Problems 162 23. “How can I make sure my new baby won’t develop sleep problems?” Principles of Preventive Treatment 165 24. “Sometimes even a good parent feels like throwing the baby out with the bathwater!” Parting Words of Encouragement to Parents 169 25. “Good morning, sun’s up, new day!” The End of the Night Train 171 ix
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