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Archive for Swaddling

To swaddle, or not to swaddle

By Goddess in Progress · Comments (11)·   June 5th, 2011

I just cannot figure out what this kid needs.

Ellie alternates between being a really solid sleeper and a really horrible one. Sometimes she’ll fall asleep, totally on her own, unswaddled. Sometimes she’ll sleep comfortably, for hours, all wrapped up.

Sleeping Ellie

And then, she doesn’t. The hands will flail and get so crazy, whipping her up into an overtired frenzy.  She wants her hands in her mouth, but then she’ll gag herself on them. She yanks on her ear, grabs handfuls of hair, pokes herself in the eye, and generally seems like she’s trying to claw her own face off. But then the swaddle makes her SO MAD. She can wiggle her arms out of any standard swaddle in seconds, whether pulled tight with a big muslin blanket or velcro-ed in with a sleep sack.  And even the famed uber-swaddle is a no-go. She literally spends all night furiously raging against it, and eventually manages to get an arm out.  And then the face-clawing begins anew.

M and I spend the whole night trying to find the sweet spot.  If she’s fighting the swaddle, sometimes you’ll unwrap her and she’ll pass out in under a minute.  If she’s making herself crazy with unruly arms, sometimes you can swaddle her and she calms right down.  You can do the bouncing and shushing thing from Happiest Baby on the Block and it will soothe the savage beast, or you can rock her and it’s like you’re pouring gas on the fire. And either way, 20 or 45 or 90 minutes later, she’s awake and you have to take yet another guess as to what will work this time.

It’s these things that make me feel like a rookie all over again. I’m at a loss to figure out how to get her to sleep better (we’ve got a day/night organization problem, as well). I’m forever giving people advice about sleep, but here I am, struggling like anyone else. Sure, the benefit of experience has me more likely to sit and wait to intervene, to see if she’ll settle herself instead of further revving her engine by picking her up too quickly. But still, I feel clueless much of the time. As soon as I think I might have figured out a trick, the next time it doesn’t work.

Sleeping Ellie

Some of our unique Ellie circumstances don’t help. While she’s over three months old, I’ve only had her home for four weeks. My knowledge of her cues and needs is still in the early stages.  The fact that she is fed via g-tube takes feeding and hunger out of the sleep equation in a very strange way.  Overnight, for instance, she is fed continuously at a very slow rate. So she’s neither hungry nor full, and doesn’t need to wake up to eat. But I also can’t use bottle- or breastfeeding as a soothing technique.

I know she’s too young to try to push a true nap schedule, or to do any real cry-it-out sleep training. I know I need to work on implementing a consistent bedtime routine. I can’t decide whether to limit her daytime sleep – while I’m a staunch believer in “sleep begets sleep,” sometimes she takes epic afternoon naps lasting 3-4 hours, and I wonder if that’s interfering with nighttime sleep.

Leave it to a new baby to make a know-it-all mom of twins feel like a brand-new rookie all over again.

Comments (11)
Categories : Infants, Sleep
Tags : Swaddling

Viva la revolution, part 2: overnight

By Goddess in Progress · Comments (10)·   February 15th, 2008

It’s time. Time for my kids to sleep through the night. Time for them to sleep un-frigging-swaddled. Time to stop making bottles between the hours of 7pm and 6am. Tonight, we Ferberize.

I had hoped I’d be able to make this happen gradually, that my kids would just start to sleep through on their own. Not so much. So I decided I’d go the Ferber route. Everyone I know who has done it says it’s a few rough nights but then all is well. Sounds good to me. But if I was going to do it, I wanted to really know what I was doing. I didn’t want to rely on my assumptions of what it was all about, or someone else’s re-telling of how it’s done. So, while I was in Florida, I actually read his book.

And you know what? I’m really glad I did. All I knew about Ferber before this was something about gradual crying-it-out, increasing intervals of time. And that, somehow was supposed to make the kids sleep better. After reading, now I get it. It’s not about the crying. It’s about sleep associations. What conditions am I putting in place for when my kids fall asleep, and will those conditions be the same when they wake up overnight (as all people do), so they can easily fall back asleep (as most people do). I realized I was perpetuating the overnight bottles, because our bedtime routine essentially includes feeding them to sleep. Shockingly, then, when they wake up at night, they want the bottle to fall back asleep.

I also had thought I needed to get them out of the swaddle before I could “Ferberize,” (not entirely knowing what that meant). Now, I realize that swaddling is just another sleep association that needs to change. And that, more fundamentally, is Ferberizing.

I realize that most people haven’t read his book. And I understand, most people don’t have a ton of time, and think they understand what it’s about. But there’s a lot of misconceptions out there. I told a friend I was planning on it this weekend, and she said “don’t go too hardcore. A friend of mine did that. She let the kid cry for like six hours, and he had pooped and vomited and was just lying there.” That’s not Ferber, though people assume it is, which is why lots of people balk when you say you’re Ferberizing. No, Ferber would have you go in and check if the kid is still crying. And if there’s poop or puke to deal with, you deal with it. You don’t have to let the poor kid stew in his juices all night. Anyways. If you’re interested in the idea, I highly recommend picking up the book. You can skip the chapters on sleep apnea and bedwetting (or save them for later). Just read the first parts.

We’re going kind of cold-turkey tonight on a number of things, which may seem a little harsh. But you know what? I could re-do this process with each condition that needs fixing, or just do it all at once. My kids will not be emotionally scarred. They’ll be just as upset with the change if I do it one thing at a time versus all at once. According to the book and nearly everyone I’ve talked to, this should all be over in three or four nights. Let’s hope that’s true.

The new bedtime routine, as of tonight:
- bathtime (same)
- PJs and sleep sack, maybe some songs while getting dried off and dressed (same)
- no swaddle
- upstairs, sit in the rocking chair for a last bottle (no longer while in bed, unlikely to fall asleep while eating)
- lie down in crib, read story (used to read while eating bottle in bed)
- smooch, good night, lights out.

For tonight, the cry-it-out intervals are 3, 5, and 10 minutes. If/when they wake up overnight (anytime before 6am), the intervals re-start. But no picking up and rocking, no bottles. A quick belly rub, a reminder that we haven’t really gone anywhere. But that’s it.

As for things specific to Ferberizing twins, I have decided to keep them in the same room, as always. M is not thrilled with this idea, and wants to separate them so they don’t wake each other up. I have three responses to that argument. The first is this: our house is not that big. If one is carrying on for an extended period of time at any real volume, the risk of waking the other is still present. The rooms just aren’t that far apart. Second: if they’re going to wake up and scream, I’d just as soon they did it at the same time in the same place. It’s incredibly frustrating to me when, as soon as one has calmed down, the other starts up. That means that mommy gets no sleep. And possibly even worse is when they cry at the same time but in different rooms. No thank you. My third response: I want our kids to share a room for the next couple of years. Part of that means learning to sleep through a certain amount of commotion. If you constantly separate them when one is disruptive, then you’ll always have to do so. Whereas if they learn to sleep through each other’s noise, then you can have some pretty sound sleepers on your hands, who aren’t easily woken when one gets sick, has a bad dream, or even when there’s noise from mom & dad’s dinner party downstairs.

I don’t mean for this to be one big commercial for Dr. Ferber’s theories. As with any of these books, there are things with which I disagree (including what he says about twins and his ideas about appropriate times for naps). And as with any of the millions of highly-touted methods for getting your baby to do this or that, everyone has to make the right choice for their family and situation. All I suggest is that any decision be an informed one. Whatever the theory/method may be, read the book.

Alright, this has become quite an epic post. Obviously this subject is taking up a lot of my emotional energy at the moment. But no more putting it off. The longer I wait, the worse my kids’ sleep seems to get. Project Ferber is a go.

Wish me luck.

Comments (10)
Categories : Infants, Learning/Classes, Sleep
Tags : Ferber, Ferberize, Overnight, sleep associations, sleeping through the night, Swaddling

Really?

By Goddess in Progress · Comments (3)·   February 12th, 2008

So, there may be an upside to the fact that Rebecca can’t seem to fully kick this stomach bug.

Though she seems just fine during the day, twice in the last few nights she has woken up at 11pm or so and puked all over the place (read: all over M, as I was sleeping…). Not fun, feel badly for her. However…

Last night, M brought her downstairs to where he was, got her cleaned up and changed into new PJs, and placed her in the Pack & Play, presumably while he went to switch laundry or something. When he came back, she was asleep. Unswaddled. Hrm.

Lucky M, she woke up an hour or two later with an explosive poop incident. Again, clean up, change. M put her in new PJs and back in her sleep sack, and decided to put her back upstairs in her crib with her pacifier. And there she slept. Unswaddled.

Oh sure, she woke up needing a pacifier replacement once or twice. But she slept. Unswaddled. And today? Two naps. Unswaddled. Tonight? Unswaddled.

Seriously? After all that? I have so many posts about my trials and tribulations with swaddling I’m not even going to link them all. I was all geared up to Ferberize this weekend, a main aim being to get them out of the swaddle (and I think we still will for Daniel, who is not giving in so gently). And then Rebecca just decides she’s ready. Well, I’ll be damned. Can’t take a lick of credit for it. She was just ready. Hey, I’ll take it!

Comments (3)
Categories : Illness and Injury, Infants, Sleep
Tags : Naps, Overnight, Swaddling

The one-armed baby did it

By Goddess in Progress · Comments (1)·   January 18th, 2008

Yesterday morning, when Daniel woke himself up at 5:30am fighting to get out of his swaddle, I decided it’s really time to bite the bullet. This is where we were, two months ago, when I learned the uber-swaddle. As nighttime wore on and his blanket inevitably loosened, he’d start wriggling around, waking himself up as he tried to free an arm or two. I learned about the baby straightjacket swaddle and it bought me two more months, but now it’s really time to be done. They’re too big (well, Daniel is, but Rebecca should be done, too).

So I decided to take the advice of the nice folks who commented after my attempts at going cold-turkey went so badly. I was skeptical about the one-arm-free method, as I feared it would only make Daniel more frustrated that he couldn’t have the other one. But it was totally worth a try, and I committed to trying all naps yesterday with a free arm. If it was a nightmare, we could revert back for bedtime. Anything other than a train wreck would be considered a success.

I’m happy to report that it actually went pretty well! Naps were, if not stellar, no worse than they’ve been recently. Bedtime was not bad at all. Daniel took a little extra time to fall asleep, but was calm and took his pacifier (another issue we’ve had recently). Rebecca woke up a few extra times overnight, but was easily calmed with a pacifier and a finger for that wild hand to grab. Daniel only woke up once, even! At 2:30am, after being put down at 7pm! Not too shabby. Today’s naps are kind of crappy, but that has more to do with the fact that we were out of the house and it threw things off (totally worth it to socialize!). And, more to the point, the free arm does not seem to be getting in the way of sleep much, except for when Rebecca accidentally yanks out her own pacifier.

Could the end of the swaddle truly be within reach? Could my children finally learn to just go to sleep? Tune in next time for more tales of the blanket…

Comments (1)
Categories : Infants, Sleep
Tags : Naps, Overnight, Swaddling

But I regress…

By Goddess in Progress · Comments (3)·   January 2nd, 2008

I was going to write this joyful post about how various sleep crutches were falling by the wayside. Our trip seems to have jump-started it. Daniel was napping in the crib instead of the swing. Both kids were sleeping flat on their backs instead of propped in the Boppy. They were going down for both naps and nighttime easily, even looking like they were going to drop an overnight feeding.

Well, apparently all of that forward progress was just too much to handle, because we seem to be heading into a hideous regression. Daniel, in particular. I think that Rebecca, who has always been the easier sleeper, had more subtle gains. So her steps back are equally minor. Annoying, perhaps, but minor.

Daniel, on the other hand, I’m trying not to kill. I think the mere suggestion that I was going to try to stop swaddling was enough to send him into a tailspin. Suddenly we’re back in the swing, refusing the pacifier, and screaming bloody murder. My usual tricks to get him to sleep, like rocking in the chair, now only make him scream louder. Rebecca, on the other hand, simply wakes up from all naps after precisely 45 minutes and flat-out refuses to go back to sleep. Charming.

Where did my two-hour naps go??? I know it’s not uncommon to have regressions in sleep patterns, but it’s just so cruel. You give me a taste of something so delightful, and then you snatch it away! Back to the part where I thought I’d lose my mind. Why, why, why?? So not cool!

As I write, Daniel has been fussing/crying in the swing for about 30 minutes. He’s fried, I’m fried. There was a dark moment this afternoon when all three of us were crying hysterically. It wasn’t pretty. Even the poor dog was cowering in the corner.

Looks like an early bedtime, I guess. Of course, early bedtime means solo bedtime, as M is apparently incapable of coming home from work before 7pm, no matter how many times I try to explain how shitty a solo bedtime is. Awesome.

Anyways, I’ll get them to bed tonight (hopefully), get a shower, and hopefully get some sleep. Tomorrow is a new day, and I’ll just have to hope it’s better than today. And hope this regression is short-lived and that I’ll soon be writing about what awesome sleepers my kids are. Bleh.

Comments (3)
Categories : Infants, Sleep
Tags : Naps, sleep regression, Swaddling

Nevermind

By Goddess in Progress · Comments (3)·   January 1st, 2008

Well, that went poorly. Our attempt at cold-turkey ditching the swaddle was quite unsuccessful. They are now back in their swaddles, and hopefully we haven’t messed up the entire night.

Anyone out there have suggestions for something other than cold-turkey on the swaddle? The rest of the bedtime routine was exactly the same. Rebecca went to sleep easily, but didn’t stay that way. Daniel took a long time to go to sleep at all, and only stayed asleep for 5-30 minutes at a stretch. But they’re getting big, strong, and clever, and I frequently find them completely out of the uber-swaddle at about 4am (wide awake). So I think the end of swaddling is nigh, since DCFS frowns upon the use of duct tape. Those of you who’ve done this, how did you do it?

Comments (3)
Categories : Infants, Sleep
Tags : Swaddling

Experiment

By Goddess in Progress · Comments (0)·   January 1st, 2008

We’re trying to un-swaddle them tonight. So far, so-so. I’ll keep you posted.

Comments (0)
Categories : Infants, Sleep
Tags : Swaddling

Uber-swaddle

By Goddess in Progress · Comments (21)·   November 27th, 2007

I thought I was a pretty good swaddler. “Tighter,” I would admonish people who tried to help me. “Make it really tight, or they’ll wiggle out!” Both of my kids have some pretty serious flailing arms, and don’t sleep at all well unless we swaddle the crap out of them. But they’re getting bigger and stronger, now. And for many nights in a row, Daniel in particular would wake himself up either in the attempt to get an arm free, or by whacking himself in the face with said free arm. Not cool.

Moms of twins to the rescue.

So, I’m at my MOT Support Group meeting a few weeks ago, and an awesome woman with two-year-olds hears that I’m having swaddling issues. I’m not ready to give it up, says I, but they have defeated even my best swaddle. Two napkins and a corkscrew later, she had demonstrated my new favorite trick. I think she learned it back in the day from a nighttime nanny service she hired a few times.

I’m telling you, this was a life-saver. I really do think it helps my kids sleep for longer stretches, because it isn’t getting loose and tempting them to wiggle those arms free. It kind of feels like a straightjacket, but I can’t argue with results. In fact, I will keep doing it as long as I can. I fear the (rapidly approaching) end of my swaddling days. But that’s another post for another day.

Without further ado, I give you the UBER-SWADDLE, demonstrated with the help of my lovely assistant, Rebecca.

1. This requires two blankets. I use a large waffle-knit blanket (which had been my main swaddling blanket of choice, anyways) and a regular flannel receiving blanket. Fold down one corner of the waffle blanket, and fold the flannel blanket in whatever manner you like to make it a nice, long rectangle. Lay out the blankets thusly:

DSC_0009

2. Position beloved baby with neck/shoulder along the top edge of the waffle blanket. Top edge of flannel blanket should be right at the armpits. Feel free to take a break and smooch baby cheeks, toes, or the like.

DSC_0010

3. Take the left side of the flannel blanket and thread between baby’s arm and belly.

DSC_0011

4. Take same side of blanket and fold around the arm and tuck under baby’s back. Flannel blanket needs to be long enough that, after this maneuver, it probably reaches almost to the right arm. Baby should be lying on top of the blanket tail to help hold it in place.

DSC_0012

5. Repeat with right side. The two tails of the flannel blanket will overlap underneath baby’s back.

DSC_0013

6. Now, swaddle as you wish with the waffle (outer) blanket. I take the left side first, bring around and tuck under baby’s back/butt.

DSC_0014

7. Bring up the bottom corner to the right shoulder.

DSC_0015

8. Bring the right corner around, and pull nice and snug. Smooch swaddled baby.

DSC_0016

Comments (21)
Categories : Infants, Sleep
Tags : how-to, NaBloPoMo, Swaddling

Hands! We’ve got hands!

By Goddess in Progress · Comments (0)·   November 10th, 2007

Both babies are getting better and better at finding their own hands. They seem to hold onto them (i.e. keep them in their mouths) for longer periods every day. Rebecca is even working on the more complicated maneuver of doing so while flat on her back. For those who might not read up on infant behavior and development, this is significant because I believe it signals a fading of the Moro Reflex, as well as improved sense and control of her own limbs. The Moro Reflex is also known as the startle reflex, and is why babies on their backs frequently jerk their arms out. It has to do with the sensation of falling, though the action is both a response to falling and a startle of its own.

This reflex fading away (which it usually does by 4-5 months), and increased ability to suck on their own hands, is something I look to as a potential harbinger of better sleep ahead. For one thing, the startling and uncontrolled flailing of the arms will wake them up, which is why neither of my kids can sleep longer than a few minutes if not in a tight swaddle. They also both find sucking very soothing, but the pacifier always falls out. Without sucking on something, they have a hard time self-soothing. So, my hope is that they will a) stop flailing so much; and b) be able to suck on their hands whenever and as long as they want to. Until that happens, though, they will continue to get the baby burrito treatment whenever it’s sleepy time.

For the moment, though, we’re somewhere in between. Swaddling is great and helps them calm down (Daniel also needs motion, but Rebecca calms right down), but they’re also bigger, stronger, and more aware that they have these “hand” things that they really want. So (Daniel in particular) they struggle to try to get their arms out. And if they succeed, they’re thrilled when they get that precious hand into their mouths. But seriously pissed off when that invisible force keeps taking it away (and putting it back in, and taking it away, and getting it close…).

I know there may come a time when I come back here and post that I’m so frustrated because I can’t get my three-year-old to stop sucking his/her thumb. But for the moment, I cheer them on every time they manage to get a hold of that delightful hand.

DSC_0006

Comments (0)
Categories : Child Development, Infants
Tags : Gross motor, NaBloPoMo, Swaddling
   

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