Rock-a-bye Baby: Bedtime Advice for Moms

Moms have a new source of help for putting baby to sleep – the Internet. A yearlong review of the online Customized Sleep Profile shows that the advice given out there worked. Babies and toddlers – and their mothers – were able to sleep better as a result.

The Customized Sleep Profile has a database of sleep information stored in its memory. The information is separated into categories based on a child’s age. When a mom accesses the online program, she fills out a series of questions about her child and her child’s sleep habits. The program analyzes mom’s answers and finds comparable examples in its database.

Suggestions for improving the child’s sleep are based on these examples. The suggestions include things like following a regular bedtime routine, stopping night feedings, and answering fewer cries in the night.

The Customized Sleep Profile is available for free from Johnson & Johnson at http://www.johnsonsbaby.com/sleep .

To test the effectiveness of the Customized Sleep Profile, researchers sent surveys to 264 mothers who were using the online program. After three weeks, 90 percent of the moms said the Customized Sleep Profile was helpful and that they planned to continue using it. Their children were sleeping longer and waking up fewer times during the night, the moms said.

The moms also reported less tension, depression, fatigue and confusion because their babies were sleeping better.

A year later, researchers followed up with 171 of the moms still using the program. Their study was published in the Oct. 15 edition of the Journal of Clinical Sleep Medicine. The results show that the Customized Sleep Profile continued to be a valuable resource.

Read more about this study, or additional blog posts about infants and toddlers. The AASM has more about children’s sleep needs on the Your Sleep website.


Photo By: David Clow

Nighttime Sleep Essential for Mental Development in Young Children

Good nighttime sleep at a very early age may help kick-start cognitive development and give kids a leg-up in school. The amount of nighttime sleep – not daytime naps – is the key component to advanced executive function in children, a study included in the November/December issue of Child Development reports.

Executive function is another name for a specific group of mental skill areas essential for success in the classroom. Skills include attentiveness, self-discipline, organization, memorization and the abilities to plan, think and work with others. Executive function develops rapidly across the first six years of life. Little is known about why some children are more successful at developing those skills than their peers.

The study followed 60 Canadian children between their 12 and 26 months of age. At the 12 and 18 month mark, each parent completed sleep diaries by recording when their child slept and for what length. Researchers tested the children’s executive function at 18 and 26 months of age.

Results show children who slept mostly at night did better at most executive function-related tests, especially the tasks involving impulse control. The number of times the children woke per night did not impact test results. The findings held true even after the authors adjusted for factors such as socio-economic class, parents’ education level and children’s general cognitive skills.

The authors of the study note that infant sleep later sets in motion the development of more advanced executive skills. This may help flesh out recent findings that linked earlier bedtimes to higher test scores in school-aged children.

The AASM recommends infants get a minimum of 14 hours of sleep per day for healthy development. Toddlers should sleep 12 to 14 hours per night. Start your child’s health habits out on the right foot and make their sleep a priority.

Photo by doriana_s

Sleep Parenting Across Cultures

Last week a Salon article addressed the controversial topic of sleep parenting. Ada Calhoun shared how she and her husband grappled with conflicting advice about what was best for their newborn.

“Cry it out” sleep training. Attachment parenting. Baby management. New parents can become overwhelmed by all of the advice offered by parenting books.

Now Calhoun is joining the debate with her own book. Instinctive Parenting advises parents to “find what works for you and your family and ditch the anxiety and judgment.”



But sleep parenting can vary widely across cultures. A recent study compared countries that are mostly Caucasian with those that are primarily Asian.

The study involved parents of 29,287 infants and toddlers. Seventeen countries were represented. Parents completed a questionnaire on the Internet.

Results published in March show that young children in Asian countries went to bed later and slept less. Bed sharing and room sharing also were more common in their homes.

Bedtimes ranged from 7:27 p.m. in New Zealand to 10:17 p.m. in Hong Kong. Total sleep time ranged from 11.6 hours in Japan to 13.3 hours in New Zealand.

In New Zealand only 5.8 percent of parents reported sharing a bed with their infant or toddler. In contrast bed sharing was reported by 83.2 percent of parents in Vietnam.

The initial results of the study were presented at SLEEP 2008. Another report based on the research will be published in April.

It shows that 57 percent of parents in Caucasian countries reported that their child falls asleep independently in his or her own crib or bed. This was reported by just four percent of parents in primarily Asian regions.

In 2006 the AASM published practice parameters for bedtime problems and night wakings in young children and infants. A task force of experts reviewed all of the current research on this topic.

The report recommends sleep training to help infants and toddlers learn to fall asleep on their own. You can read a summary of the report on SleepEducation.com.

Discuss any ongoing sleep problems with your child’s doctor. He or she may refer you to an AASM-accredited sleep center for help.

Read more about sleep and children.

Infant Sleep: SIDS & Crib Safety

A new study examined trends and factors associated with infant sleeping position.

The study analyzed telephone surveys from 1993 through 2007. Each year’s survey involved nighttime caregivers of infants born within the last seven months. They were asked, “Do you have a position you usually place your baby in?”

Results show that the proportion of babies placed to sleep on their backs steadily increased between 1993 and 2001. But there was no change after 2001.

Maternal concerns about infant comfort and choking reduced the rate that infants were placed to sleep on their backs. Caregivers were more likely to put infants to sleep on their backs if they were advised to do so by a doctor.

“Placing infants on their backs for sleep remains the single most effective means we know to reduce the risk of sudden infant death syndrome," Marian Willinger, PhD, said in a NIH news release. She is the special assistant for SIDS research at the Eunice Kennedy Shriver National Institute of Child Health and Human Development. The NICHD funded the analysis.

In 1994 the NICHD launched the “Back to Sleep” campaign. It urges parents and caregivers to place infants to sleep on their backs.

The NICHD reports that the rate of infant back sleeping has increased from roughly 25 percent to about 70 percent. At the same time, the SIDS rate has decreased by more than 50 percent.

Last month the U.S. Consumer Product Safety Commission announced the voluntary recall of more than 2.1 million drop-side cribs made by Stork Craft. This included about 147,000 cribs with the Fisher-Price logo. The cribs were sold at major retailers such as Sears and Wal-Mart.



There have been 110 reported incidents of drop-side detachment in the U.S. and Canada. These included 15 entrapments and 20 falls from the crib. Four of the entrapments resulted in suffocation. Fall injuries ranged from concussion to bumps and bruises.

Consumers can contact Stork Craft to receive a free repair kit. It allows you to convert the drop-side on these cribs to a fixed side. Parents and caregivers are urged to stop using the recalled cribs until the repair is made.

Contact Stork Craft toll-free at (877) 274-0277 anytime to order the free repair kit. You also can go online to www.storkcraft.com. For more information on Crib Safety, visit the CPSC's Crib Information Center.

Earlier this year the Sleep Education Blog reported that babies should never be put to sleep in a car safety seat. Learn more about sleep and infants & toddlers.

Sleep Around the World: What about Children?

As the Sleep Education Blog reported, the OECD recently compared the sleep times of people in 18 countries. It found that people in Korea and Japan get the least sleep; people in the U.S. have the second-highest daily sleep time. The U.S. time use survey involved people who were 15 years of age and older.

But what about children? Are there differences around the world in how long children normally sleep?

A study abstract presented last June at SLEEP 2008 provided some insights. It focused on 17 countries that were primarily Asian or Caucasian.

The study involved parents of more than 21,000 infants and toddlers; the age range of the children was from newborn to three years of age. The parents completed a questionnaire about their child’s sleep.

The study found a pattern that is similar to the OECD report. Results suggest that young children in Asian countries get less sleep each day than young children in Caucasian countries. Asian children also have later bedtimes. There were no differences in night wakings or napping behaviors.

Hong Kong children are up the latest with an average bedtime of 10:10 p.m. Children in Indonesia, Taiwan and Korea also go to bed after 10 p.m. Children in New Zealand go to bed the earliest; their average bedtime is 7:16 p.m. Children in Australia and the U.K. also go to bed before 8 p.m. U.S. children have the seventh-earliest bedtime of 8:52 p.m.

An early bedtime helps New Zealand children get the most sleep; they sleep for an average of 13.3 hours per day. This total combines nightly sleep and daytime naps. Children in Australia and the U.K. also get more than 13 hours of daily sleep. U.S. children rank fifth with an average of 12.9 hours of total sleep time per day. Japanese children have the lowest total sleep time of 11.6 hours per day. Children in Indonesia and Korea also get less than 12 hours of sleep per day.

The AASM reports that newborns up to three months of age need about 16 to 20 hours of total sleep time per day. Infants between three months and 12 months of age need about 14 to 15 hours of sleep per day. Toddlers between the ages of one year and four years need about 12 to 14 hours of total sleep time.

Image by Fui

Help Your Infant or Toddler Sleep with This Simple Bedtime Routine

The solution to your child’s sleep problems might be a bedtime routine. A new study in the journal Sleep shows that a nightly routine helps young children sleep better.

What was the routine? The first step was for mothers to give their child a bath. The second step was to give a massage to infants or apply lotion to toddlers. The third step was to engage their child in quiet activities. This might involve cuddling or singing a lullaby. Finally the mothers turned out the lights within 30 minutes of the end of the bath.

This simple, nightly routine made a big difference. Children fell asleep faster, and they had fewer and shorter night wakings. Toddlers were less likely to call out to their parents or get out of their crib or bed.

The study involved 405 children between 7 months and 3 years of age. Mothers completed a daily sleep diary that included details of their child’s sleep patterns.

Go to SleepEducation.com to get more details about how this routine helped children sleep – and improved the mood of mothers.