Book review “The rabbit who wants to fall asleep - a new way of getting children to sleep”

Picture from the Facebook page of The Rabbit Who Wants to Fall Asleep

Picture from the Facebook page of The Rabbit Who Wants to Fall Asleep

          I recently read an article about this book and it intrigued me to the point that I felt I needed to actually read it. The article mentioned that this book was a #1 best seller on Amazon.  As a baby sleep consultant/early childhood educator/child development expert/parents educator, it was great to see that parents took baby’s sleep seriously but at the same time, it was a bit scary to think that there are so many children that are suffering from sleep deprivation. Having said this, I was very excited to read this book and checked my mail box every day (multiple times a day, in fact) anticipating its arrival.

          When I had the book in my hand, I was a bit disappointed because I thought I had ordered a hard covered copy but I actually received a paperback book instead (Don’t ever ask your husband to do something without double checking!). I personally like using hard cover books with children because they are more durable. The first page describes how to use this book. Bold texts indicate that you need to emphasize these specific words, Italic texts indicate that you need to use your calm and slow voice, and also, some parts require you to  act out and say your child’s name in sentences. It also explains that the constructed sentences and the choice of words can be unusual because they were chosen for a psychological purpose by the author, Carl-Johan who has an extensive psychology background.

          This book is about a little rabbit named Roger who cannot sleep. His mother asked him put all his thoughts into a box and they left the house to see Uncle Yawn. On the way to his home, they met a Sleepy Snail who asked him slow down their tempo - walk slow, think slow, breathe slow, etc. Also, he met a Heavy Eyed Owl who asked him to relax his body - lay down, relax your feet, legs, your upper body, arms, head, eyelids, and allow your whole body to be heavy in order to fall asleep. Finally, they arrived at Uncle Yawn’s house and Uncle Yawn read a powerful spell that would make him fall asleep. On the way back, Roger felt more and more tired and when he finally arrived at home, he fall asleep in his bed.

          As I assumed before, the book is for older children (not for infants) but you can always shorten the story for your younger child based on his/her comprehension level, attention span, etc. You can even change some of the difficult words into some easier words that he/she already knows but it is still a good idea to keep a few new important words. We all know bedtime story time is beneficial in terms of cognitive development, language development, emotional well-being, etc. As one of the processes of a bed time ritual, story time can provide children with a calm and quiet moment which is crucial in making children ready to sleep. This is especially the case for children whose lives are filled with different activities as well as different gadgets such as smart phones, ipads, computers, etc. Our modern society can be overly stimulated during the daytime so it is important for them to have this period of calmness. One of the best features of the book is that it actively asks children to be more relaxed.  Through the use of its characters, this book uses many relaxation techniques and describes exactly what to do, step by step. It also tries to plant seeds of thought that your child is tired by proclaiming “you are tired now” or by using a yawning action. Many children who are overly stimulated don’t realize they are tired and need to rest. It is important to remind them that they are tired by encouraging them to concentrate on what they feel such as heavy eyelids, drowsy feelings, etc. From my experience, once a child starts feeling tired and enjoys the feeling of relaxing his/her body, most non medical sleep issues can be solved easily with the use of a developmentally appropriated schedule and parents’ consistency when responding to their sleep issues (e.g. sleep training).

          I would recommend this book for parents who try are trying to teach their children how to relax before going to bed. However, I can also recommend that you can even make a similar book for your child if you include these two main lessons from this book:

1. Help make your child feel relaxed by describing what to do exactly by using a step by step method (e.g. relax your legs, relax your arms and close your eyes). These small steps are easy to follow for even younger children. You can even gently touch or softly and quickly massage body parts while giving directions since skin to skin touch should allow them to relax even more.  

2. Let them know that they are tired. As I mentioned earlier, it is important for them to focus on feeling their bodies. Many overly stimulated children forget or cannot realize they are tired. Along with the relaxation, you can remind them that they are tired and drowsy so it’s time to go to sleep.

          Some other key points for having a successful story time before bed include thinking about your child’s level, contents of the book, your tone of voice and effort. Pick the appropriate lengths and levels of words based on your child’s level (or you can edit the story). Avoid reading scary, violent, or overly exciting stories before bed. Watch your tone of voice as well. Use a quiet voice that includes whispering. Provide undivided attention to your child during this time and enjoy the close proximity to your child. Another important consideration is setting up a proper sleep environment. In other words,  dim the lights, proper sleep temperature (18 ˚C -21˚C), noise control (e.g. turn on the white noise machine), safe and proper bedding, stop using TV or other electric devices, etc. All of these should be performed before a sleep ritual actually starts. Bedtime stories are some of the most memorable childhood shared experiences for both you and your child.

If you need more help for getting your child to sleep, please contact me via cdababysolutions@gmail.com

For all you parents that are sleep deprived, check out the book below and have a good laugh. This children’s book for adults was the #1 best seller on Amazon a few years ago. It captures the frustration of parents who try to get their little one’s to sleep in a humorous way.

Is it time to go back to work?

          Your maternity leave is almost over and it’s time to think about how this will affect your baby. If you’re lucky, you have already reserved a spot in group child care. If you’re even luckier, your extended family will be taking care of your little one.

          I would love to offer you some tips that will help your baby adapt to this new environment. The following tips are for parents who will send their little one to a group child care setting (since I am an Early Childhood Educator), however, you can also use these for other cases as well.

          I’m sure that even if you’re hiring a nanny or using group child care, that you did your best to find a best fit for your baby. Each baby is unique, but I can tell you your baby’s development can depend greatly on the type of care they receive. Therefore, finding the best care giver is very important. I’m not implying that you need to have a care giver who has a Ph.D or that you need to find a luxurious child care centre with gourmet meals. Simply, experience and education of care givers can make a difference.

          There are a few steps that need to be considered before this new beginning for your child. The first step is for you as a parent, to get ready. I have seen many parents who are actually more anxious than their babies. Most likely, this anxiety comes from the unknown. To combat this, you can talk to other parents who are already attending the child care centre your baby will attend. This will give you some idea on what you can expect. Also, most child care centres will provide some type of orientation. Before you have this meeting with the early childhood educators, you can make a list of questions you may want to ask. The more you know about you and your baby’s new life, the more you will feel at ease. Moreover, use this orientation session to provide information about your baby to the early childhood educators. The more the educators know about your baby the more they will be able to best accommodate your baby. Remember, communication is the key between you and the early childhood educators. This open conversation should continue even after your baby has started at the centre.

          The next step is to set a schedule for your baby. I know it may seem impossible to have a rigid schedule with your little one. However, at the very least, you can create some patterns. For example, your baby wakes up, you feed him/her followed by play time and a morning nap. Once your baby wakes up, has his lunch, stroller ride, and then his/her afternoon nap. When your baby wakes up, has a snack, play, and afternoon nap. Your little one wakes up, has dinner, bath, and goes to sleep. You can create this while keeping in mind your drop off/pick up time and the child care centre’s sample schedule. The easier your baby gets used to this new schedule, the easier his/her transition will be. 

          If you are a mother who has been breast feeding your baby and wants to keep doing this, it is probably time to introduce the bottle to your baby. This will allow you to still use your breast milk. If you feel that your baby feels calmer and more satisfied after he/she has had your milk, it is good idea to continue sending your milk to the child care centre. Some babies transition to bottles without issue. If there is milk they can drink, they will take it. Others need more practice. When you introduce a bottle, start with the first morning feeding when your baby is most hungry. Your little one will resist the transition the least at that point of the day. Also, when other care givers are around, such as your husband or your mother, they can even try. For your baby, You=breasts. So, he may protest if you are trying to do it. In other words, “Hey, I see your breasts and smell them. Why do I need to take this rubber nipple?” You may also need to try several different types of bottles in order to find one that your baby likes. This can take time, but it is better to find one that your baby likes now instead of sitting at your work desk worrying about whether he is being fed properly.

          The last and most important step before going back to work is to finish sleep training! Most babies don’t like change. Sleep training and starting group child care can be an eye opening experience especially if your baby has never been taken care of by someone other than you. As you probably know, expect a few tears and time to adjust. New experiences are always an adventure that can increase stress levels. To help your baby overcome this difficult time, allow them to experience change gradually, one by one, instead of all together. I advise you to finish sleep training at least 2 to 3 months before child care starts. Keep in mind, a lack of restorative sleep can cause emotional and behavioural problems, which can greatly impact the process of adaptation to a new environment for your little one. Also, it is really hard for early childhood educators to help your baby develop good sleep habits when they can only help with naps at the centre. Good naps are usually followed by a good night sleep and vice versa. Without addressing night time sleep, developing generally good sleep habits take much longer. Moreover, they have other babies to take care of and most likely your baby will sleep in the same room with other babies. Even if your baby is crying a lot, sometimes educators needs to decide whose nap needs to given up on by taking one baby out of the nap room. In other words, your baby vs other babies.

          In closing, good sleep habits will help your baby to enjoy their day at the centre and give them more energy to learn, the reason you are sending them to child care. Remember, starting in a group child care setting can disrupt your baby’s sleep temporarily but if they develop good sleep habits early, it is easy to get back on the right path again once your baby adapts to the new environment.


Please contact us if you decide starting sleep train your baby via cdababysolutions@gmail.com

Do we need help from a baby sleep professional? - A screen tool

          This morning, I had a phone consultation with a loving mother. She told me she wasn’t sure if her little one was having sleep issues or if his sleep difficulties were part of his normal development. I feel as though there are many parents who are uncertain if they need to seek the help of a baby sleep professional and may have felt overwhelmed because of using those countless on-line self screening tools for their little ones’ sleep. If this describes your situation with your baby, the sleep tool below can help you determine if baby needs help. Remember, this is a self-screening tool which indicates if your child needs further help. It is not for diagnosing purposes. 

 

Vancouver Polar-BEARS screening tool

Bedtime problems
- Any problems falling asleep or refusing to go to bed?
- How often/ how frequent/ how severe? When did it begin?

Excessive daytime behaviours
- Naps or falling asleep during boring activities (e.g. car rides)?
- “Hyperactivity”?
- How often/ how frequent?
- Does your childhave any difficulties waking up in the morning?
- How often/ how frequent/ how severe? When did it begin?

Awakenings during the night
- Wake up frequently during the night? Any complains /signs of discomfort?
- Any sleep walking, shouting out in sleep, nightmares/terrors, teeth grinding?
- How often/ how frequent/ how severe?

Regularity of sleep/wake cycles
- Does your child have a regular and wake time?
- Getting enough sleep over the night? How many hours?
- Differences between weekdays/ weekends/ holidays?
 - How often/ how frequent/ how severe?

Snoring and other symptoms of breathing difficulties during sleep
- Snoring or witnessed breathing gaps, mouth breathing, dry mouth or sore throat, sweating during the night, restless sleep, problems getting up/ grumpy in the morning/ headache upon waking.

- How often/ how frequent/ how severe?

 

Well-being scale

(for the child & caregivers)
- How does your child’s sleep problem affect your child/ your wellbeing?
   Your child’s wellbeing (low) 1 2 3 4 5 6 7 8 9 10 (high)
   Your wellbeing (low) 1 2 3 4 5 6 7 8 9 10 (high)
- Would you expect any change in your child’s/ your wellbeing if the sleep problems could be solved? 
   Change in your child’s wellbeing (low) 1 2 3 4 5 6 7 8 9 10 (high)
   Change in your wellbeing (low) 1 2 3 4 5 6 7 8 9 10 (high)
 


Seek for help : Advocate 
(for your child & yourself! Key clinical questions to help orient you)
- Is the sleep of your child restorative or not?
  IF NOT, can the non-restorative sleep be improved with Sleep Health measures [e.g. changing lifestyle]?
- Are sleep associated situations stressful (e.g. going to bed)?
  IF YES, can they be improved with focus on Seep Health measures
  [e.g. changing routines]?
- Imagine best & worst case scenarios & speak with your therapist, support worker and/or physician about these.

* This screening concept is based on the BEARS concept, a tool for screening the most common sleep problems in children and adults. BEARS does not aim to diagnose, but instead structures an exploration and facilitates self-reflection for concerned families and helps them to develop and set goals. It was developed by Owens and Dalzell in 2005 (Sleep Med. 2005 Jan;6(1):63-9) and adapted by UBC research team (Ipsiroglu et al. NOFAS-UK: Fetal Alcohol Forum, 2012).

If you think your little one has sleep issues and you want to address these, please contact Minnie via cdababysolutions@gmail.com