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Claire McCarthy, M.D.

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Confession: This Pediatrician Is a Sleep Softie

Posted: 01/28/2012 12:00 pm

This may not be a great confession to make as a pediatrician, but when it comes to sleep and kids, I am a total softie.

Our kids slept in our bed. We slept in theirs (which was very cramped in the toddler bed, and didn't do great things to the frame) -- or lay next to them as they drifted off to sleep. We sat on the floor, telling stories and singing lullabies and slowly edging out of the bedroom as their breathing got deep and regular. We went in again and again to retrieve the stuffed animal from under the bed or to investigate the scary noise or possible spider. When they woke in the middle of the night, we held them until they went back to sleep -- sometimes night after night.

Our children have always had a reasonable bedtime (even if we ignore it sometimes), we've made sure their sleep is safe, and there has never been (or will be) a TV in a bedroom. And now that they are older, everyone sleeps just fine. But when they were little, it never really mattered to us whether they slept independently, or all night. We broke all sorts of "sleep rules" on a regular basis.

Not what a pediatrician is supposed to say.

I am not going to argue for a moment that uninterrupted sleep is a good thing. It's a great thing. I've probably whittled months if not years off my life, and lost a few brain cells, from all the interrupted sleep I had between 1991, when my first child was born, and 2009 when my sixth (at four) stopped breastfeeding and moved definitively into his own bed.

But for us, at the time, uninterrupted sleep wasn't so important. Breastfeeding was important, and it's really hard to do that for any length of time without some co-sleeping. Just being close to the kids was important -- our third child was born severely disabled and died in infancy, and, well, for us there was nothing better than falling asleep with a cheek on our child's head (D. H. Lawrence had it right when he wrote, "Sleep is most perfect when it is shared with a beloved.") For us, holding everybody closer was part of moving forward.

We were also lazy. It was just easier to get up and climb in bed with someone, or bring them into our bed, than work at getting them to go back to sleep by themselves. We knew they would eventually, and they did. We were fine with "eventually" being kindergarten and not infancy. That's it, in a nutshell: We were fine. We were getting enough sleep overall, we weren't persistently grouchy (I won't deny that we had some grouchy days after bad nights), it worked for our needs and our life.

Personally, I think that as a culture we are a bit too hung up on getting our kids scheduled and independent practically from the time they are born. But I'm not out to convince anyone of that as a pediatrician. When I talk to parents about their kids and sleep, aside from finding out if what they are doing is safe and healthy, what I most want to know is whether what they are doing works for them. If it does, we move on to the next topic. If it doesn't, I'll work with them to find a solution. That solution might be getting their kids to sleep independently and through the night -- but it might be something else.

For what it's worth, I am not a softie on everything. I'm really strict about eating vegetables, limiting TV time and homework. I will not abide lies, everyone has to exercise, and no matter how angry my kids might get with each other, I insist on basic standards of kindness. We all find our way as parents, and decide what's most important to us.

Honestly, there aren't all that many absolutes when it comes to raising kids. You must love them, really love them so they know it. You must do everything you can to keep them safe and healthy. You must keep their future in mind, because at some point they will move on and you want them to have a good and choice-filled life. But there are literally millions of ways to do these things -- billions, really. As many ways as there are families.

One bit of advice, if you are going to curl up in bed with your kid: Don't buy a toddler bed.

 

Follow Claire McCarthy, M.D. on Twitter: www.twitter.com/@drClaire

This may not be a great confession to make as a pediatrician, but when it comes to sleep and kids, I am a total softie. Our kids slept in our bed. We slept in theirs (which was very cramped in the to...
This may not be a great confession to make as a pediatrician, but when it comes to sleep and kids, I am a total softie. Our kids slept in our bed. We slept in theirs (which was very cramped in the to...
 
 
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07:03 AM on 02/02/2012
I am a sleep tech (spent a lot of time with peds too) and I also broke many sleep rules! The only thing I have seen, especially in pre-school children, that would give me pause is the number of kids who come in because the parents complain that they "just won't go to sleep." Nine times out of ten, the problem is sleep hygiene or limit-setting issues. Parents don't keep their kids on a fairly regular schedule and cave in when kids whine for "just a little bit longer!"

I don't think we should stick to strict absolutes, but I do know that children sleep better when they have a relatively consistent bedtime routine. That routine, though, shouldn't include mommy or daddy turning the TV on to try to appease a screaming toddler. It usually surprises parents when I tell them that children who don't get enough sleep may exhibit ADHD-like behaviors. That's when I realize that I'm going to have to do more in the way of explaining sleep hygiene than anything else.

Naturally, the same "rules" apply to adults.
05:43 PM on 02/01/2012
My son will soon be 6 and I'm so tired of him sleeping with us. He has his own room and bed but still refuses to use them.I have even slept on his floor and in his bed to help him along. This article doesn't say how they made the transition to their own beds though. Wish it did.
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fymayawf
11:37 PM on 01/31/2012
News flash! Doctors are fallible HUMANS! Who knew?
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roonie4
Don't Stop Believin'
07:58 PM on 01/31/2012
I agree that for each family you have to do what works best. This lady is a doctor, which means she has probably had more than a few sleepless nights and likely is better able to handle it physically than some others. Our little girl has on occasion stayed in our room (when sick or if we had visitors borrowing her room) but for the most part she sleep in her room. While I love those snuggly nights, I think my husband and I wouldn't be able to handle the discomfort of her being in there on a regular basis (she's a kicker and squirmer) and would become super crabby all the time, lol.
01:05 PM on 01/31/2012
We co-slept with our kids when they were babies (30 years ago or so). Around the age of 5, they gradually made the transition to their own rooms and their own beds.

Yes, it prolonged the interrupted sleep all parents of newborns have, but neither my husband or I regret doing it.

Bedtime was never a battle, and the bonds formed with our kids have lasted throughout their lives (yes, even during those tough teenage years!).

My son chose not to co-sleep, but my daughter did.

I see the difference that doing versus not-doing has made in their individual relationships with their children; as a result, I'm still a co-sleeping advocate.

Even when the grandbabers do a 'sleep-over', they co-sleep with my husband and I.

If there are too many to fit the bed, we have a slumber party on the floor (not so easy as geezers, but still doable).

End point, I was an fan of co-sleeping back when dinosaurs ruled the earth, and I'm still a fan now.

It just makes sense to me.
10:01 AM on 02/01/2012
Thank you for an interesting post! I was very intrigued by it. While I never coslept as a matter of habit, (although sometimes through sheer fatigue - lol) I did keep my newborns right beside me until they outgrew their bassinets. You said something that really intrigued me. What differences do you see in the parent/child relationships between your daughter and your son? That is very interesting. You think it is attributable to more than just the fact that your son is a dad rather than the mommy? Looking forward to your reply . . . :)
05:43 PM on 02/02/2012
Thank you for being intrigued.

Because you asked an "in-depth" question, it seemed important to give an "in-depth" reply.

I can't, but I can give a general observation.

When my daughter's son is upset, afraid, confused, unhappy, sick, etc. he turns to his Mom and his Dad (his Dad following the lead my daughter set).

When my son's daughters are upset, (ditto the above)...they turn to grandparents, great-grandmothers, and aunts for comfort.

For one, the source of reassurance is specific; for the other's, it's general.

Is it related to co-sleeping, to personal philosophies?

Don't know.

But what and interesting study, thesis, or dissertation if might make.
12:44 PM on 01/31/2012
co-sleeping, when done properly, isn't dangerous. in fact, in non westernized countries, co-sleeping is the more widely used practice. interestingly, SIDS levels in these countries are much lower than in the US. For example, Japan's SIDS death incidence rate is less than 3 per 1000 infants, compared to about 7 per 1000 infants in the US. there are, obviously, a great number of factors contributing to the success of co-sleeping (having the proper bedding, not smoking or drinking, etc), but if practiced correctly, co-sleeping can be very beneficial for both the mother/father/caretaker and the baby. Co-sleeping has simply been stigmatized in the US because of our constant drive for independent children and/or the lack of education on proper co-sleeping.
12:27 PM on 01/31/2012
My two boys sleep with us, ages 4 and 3. I love it. I love smelling their hair, and cuddling with them while they drift off to sleep. And I also keep in the back of my mind, that they are soon going to be 10, 16, 21, and will not only no longer sleep with me, but won't let me cuddle with them, smell their skin, or kiss them all over. So I'm cherishing every moment that I can now.
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Dean M Miller
I Feed On The Tears Of Liberals
12:25 PM on 01/31/2012
L0L im a 23 year old guy and i dont even know why im here on this article, but what is the huge deal with breastfeeding? there is a fierce comment battle going on about it and im confused lolol
10:02 AM on 02/01/2012
I think it is simply a cultural thing. Some of us feel squeamish nursing our children past babyhood! ;) LOL
12:22 PM on 01/31/2012
We practiced the family bed until our oldest one was five or six. I say when it comes to sleep and children you have to do what works for you. For us, it was knowing they were safe, happy and sleeping.
12:08 PM on 01/31/2012
I never minded the kids on our bed. Its was not an every night thing to be sure, but it happened. The look of contentment, security and happiness on their face was worth it when they were scared, sick, or needed a little extra love. Both are now well adjusted "A" students, use manners like "yes sir" and "no sir", are active in extra curricular pursuits and will grow up to be productive members of society. Parenting goes way beyond where they sleep and to each their own.
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emmyjwalker
:)
11:58 AM on 01/31/2012
great article! I am one of the parents that isnt going to cosleep when my son is born in March. He will be in a cradle next to my bed until he sleeps through the night and then he will be in his own room and thats just how my family will work. :) but I like that the author of this article is not embarrassed about how they do things! good for her.
01:25 PM on 01/31/2012
Well good for you. I think that I can tell you that things may justt change when the child is born. Ever heard of never say never? It would be interesting to read what you have to say in 10-12 months from the time of birth... Good luck on what ever.......
01:25 PM on 01/31/2012
I said that exact same thing. EXACTLY. Not doing that, absolutely no way. Not in my family. I am laughing to myself because my mother said to me " with the pitter, patter of little feet, are one hundred thousand words to eat."

Good for you if you can do it. But currently I have 2 boys in my bed nearly every night, even though they usually start off in their own room. Oh, well, can't sweat the small stuff.
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emmyjwalker
:)
03:49 PM on 01/31/2012
well Im glad that works for you. but Im going to have a sex life with my husband and if a child comes into my room in the middle of the night thats fine but when he starts sleeping through the night hes sleeping in his own room in his own crib which btw he cant get out of....Im find with my baby sleeping in his own room doesnt mean I want him to grow up to fast liek a lot of people say it just means that I want that time to spend alone with just my husband and I. I think thats ok. everything else will be centered around our son thats one time when we can unwind and have alone time.
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ae12wrangell
Tomorrow is Forever
11:52 AM on 01/31/2012
According to my Mom, both my sister and I had no pros - age 4. At infancey, we'd be put to sleep at 6:00 PM, and would wake up at 10:00 PM. Mom would change the diaper's, if needed, sing us back to sleep, then we'd wake up at 6:00 AM, or in that time frame. At age 4, it was a reepeat, except we'd sleep straight though, and wake up about 7:00 AM. As for breast feeding, Mom's doctor said "No." Hey, she was doing what her doctor told her to do. Oh, the year's were 1958, and 1960. Women have come a long way, since then!
11:51 AM on 01/31/2012
FINALLY! A pediatrician that makes sense! Many American parents co-sleep and don't talk about "their dirty little secret", but then when the "secret" comes out in a conversation, I think they are just so happy that others do it and they can talk to someone about it! I'll never forget reading about African women asking why American moms put their children in "cages" (cribs) to sleep because babies are meant to sleep next to their mothers. I have Asian friends who co-sleep as well, so I truly believe it is our culture of forcing them in their own beds. We bought an expensive crib nine years ago when the first of our three children were born and it collects stuffed animals!
11:49 AM on 01/31/2012
I know parents who slept with their kids---now their kid's can not sleep alone----put them to bed and let them cry---they WILL fall asleep !!!!!!!!!!!!!!!!!!
11:46 AM on 01/31/2012
I see that mine will be an opinion that is in the minority here.

First, it is a parent's right to do "what works best for them", but it's not about what's best for YOU. It's about what's best for your CHILD. I started out rocking every night & sneaking out after he fell asleep, but it made the transition worse as he got older. Children need to learn how to self-soothe. They will need to be able to calm & relax themselves a million times in their lives. My son is perfectly normal & goes to sleep alone.

Secondly, I have to say that while it is your right to give your child breast milk forever, it makes me shudder to think of him suckling at age four. Can't they have it in a bottle, cup, whatever? It's the MILK that's good for them, notso much the boob.

Lastly, all those who have commented about the hangups of Western culture need to remember that they are a part of said culture. People in other parts of the world do what is seen as common place in their society. They may co-sleep because they only have one room to live in. They BF for years because they cannot afford food or don't have clean water.

While I appreciate the positive comments, don't be hypocritical of those who disagree. Just because "bottle feeding parents who don't sleep with their kids" don't shout it from the rooftops, doesn't make it wrong for
01:57 PM on 01/31/2012
I'm sorry but you're totally wrong about breastfeeding being only about nutrition. Especially after the first year, nutrition (as great a benefit as it is) pales in comparison to the value of breastfeeding as a parenting and bonding tool. I can't imagine breastfeeding at age four either, but that's their choice (mom and child). At that age, it's definitely more about comfort and soothing, and makes perfect sense in the context of co-sleeping.

I'll tell you one thing: I bet those kids that are breastfed longer are less likely to have dental issues from sucking their thumbs (in an attempt to compensate for the comfort they get by breastfeeding).
10:23 AM on 02/01/2012
I learned the hard way that children need to learn to self-soothe, too! I was a bit of a slow learner and did not actually figure that out until my third child. LOL I'm with you, though. While the kids were always welcome to climb into bed with me if they had a nightmare and sometimes when they were babies I fell asleep on the larger bed in their rooms nursing them, it wasn't a deliberate choice to cosleep. As infants, they slept in bassinets, right by my bed, where my hand could rest on them, graduating to cribs in their own rooms when they outgrew the bassinets. Like you, I was concerned with how cosleeping would impact the parents sex life - not to mention the transition to their own bedrooms.

Obviously, it works for some and that's great. But I'm still curious how they're able to make more babies when the previous baby is still sleeping with them . . . ? (Anyone care to enlighten me?) LOL