Thursday, 22 November 2018

Go-to baby sleep strategies for newborns to 3months



Help your baby to enjoy sleep.
They are NOT the same as adults or children and the their rhythms are frequently misunderstood.

You don't need to teach your baby to sleep of course, they've been doing it for months already, inside the womb, but being separate from you will be the biggest challenge they'll have to face in the beginning. Transitioning to the outside world can be scary for many.

Sleep training is not recommended for babies under 6mo but that's not to say you can't train yourselves in the meantime and so try to avoid the need to sleep train your baby at all. Use those early weeks and months to learn about your baby's daily patterns and sleep needs. Work with these rhythms instead of ending up annoyed that they won't comply with yours. This way you'll be able to recognise those early signs of tiredness, understand that sleep becomes more difficult for babies the longer they are awake, predict when your baby will need extra cuddles in order to sleep and understand when to take a step back and discover if nodding off solo might be their preferred option.

With gentle understanding of your baby's daily rhythms, it need not be the energy sapping, exhausting right of passage that that many new parents are warned to expect. 

If you're keen to understand your baby's daily sleep rhythms, but not sure how to get started, check out my 6 Simple Strategies for newborn to 3 months and hopefully things will soon start to make a bit more sense.

Katie

Saturday, 9 June 2018

Newborn not sleeping? 3 simple tips








Let me guess. Does your newborn seem to cry, or feed all day long?

Does he wake repeatedly, even when he's only had 10 minutes sleep?

Are friends and relatives telling you he has reflux?

Over tiredness is a common reason for unsettled behaviour in newborns.
If your baby is struggling to sleep then check out these:

3 simple tips

1. Limit awake time
A newborn (first 8 weeks) can usually only stay awake happily for a maximum of 45mins. The longer he stays awake beyond this, the harder it will be to settle him to sleep and frequent wakings will be more likely. Try and get him back to bed well within this time frame and start from the very first nap of the day.

2. Create womb like conditions
Newborns become over stimulated very easily as they get used to the sensations of life outside the womb. Try and recreate womb like conditions at sleep time by swaddling baby securely and by lying him still. If your baby needs a little extra help, then white noise will block out other distracting sounds. Womb noises are thought to sound as loud as a vacuum cleaner so make sure the volume is up. Newborns LOVE IT!!

3. Resettle
If your baby wakes after 10 mins  (very common in an overtired baby), and you want him to sleep in the cot,  try and resettle without picking him up . Repeatedly picking him up will only overstimulate him further and may interrupt his ability to fall back asleep. 2 firm hands on either side of his body with a gentle pat or rock, is often all it takes to reassure a  new baby.

Babies are born knowing how to sleep. They've already been doing it on and off for months, so it's not something we need to teach them. Just keep them clean, fed and comfy, reduce stimulation and they'll usually figure out the rest, in their own good time.

Love Katie
Midwife, Sleep Consultant & Postpartum Doula
www.katiesbabies.com.au




Monday, 28 May 2018

Is your toddler calling all the shots?? 4 tips you need to try!!



During the course of my workday (and night!), I come into contact with lots of different families. While dynamics and parenting styles differ from case to case, lately I have noticed a trend that appears to be tipping the scales of balance and harmony within many of our homes. Forget the screen time debate, plastic vs wooden toys, or if you should go for the third child; all these things pale in comparison when it comes to the importance of being able to decide on one simple factor: Are you willing to say “NO” to your child?

To foster their development into successful adults, childhood is where the magic happens. No one will ever love your child the way that you do. Fact. Wouldn’t you rather their lessons be served up by a loving adult (you), rather than by a resentful teacher or irritated peer, not so far down the track?
Not convinced? Consider this:
Tom is a toddler. Tom challenges his parents by only agreeing to eat chocolate for dinner. This means his moods are erratic, his health is compromised and the other kids are starting to demand choccy for tea, too! His sensible and assertive parents decide to rid the house of the sugary treats and serve up vegies and an array of other delicious and healthy foods for dinner instead. It takes a few nights but eventually Tom gets it. He eats his dinner, his moods return to normal and life goes on.

Now take a look at this example:
Jessie is a toddler. She challenges her parents by refusing to go to sleep until midnight every night. This means her moods are erratic, her health is compromised, and her siblings are starting to play up at bedtime too. Her guilt-ridden parents decide that in order to avoid the conflict, mum must sit up with her, watching TV until she doses off at 11pm, every night. It takes a few months but eventually mum and dad get it. Jessie is in charge. 

JESSIE SHOULD NOT BE IN CHARGE!

What’s the difference in these examples? Saying no to chocolate for dinner is non-negotiable. It’s obvious that a poor diet is bad for kids. Yet, astonishingly, when it comes to setting boundaries for sleep, so many parents are terrified of upsetting their children, even when poor sleeping habits have a similar impact on health and behaviour.

If Jessie's folks could work out a way to take charge of bed time, they might find more time to enjoy their evenings together, and extra sleep for everyone, would likely result in more pleasant family dynamics.  Most importantly,  rather than the usual frustration & resentment, they would experience more loving feelings towards Jessie at bedtime and less stress and disruption for the other kids too.  Win! win!

Is it time to take a look at your life and ask yourself: “Is a toddler really the best person to be controlling my family?” If the answer is, "No", you may find the following tips, helpful.

1.     Be assertive. Instead of asking “Is it time for bed now?” Simply state “It’s bed time!” and proceed with your routine. No shouting required, you’re calm and confident because you ARE the leader.  Good leaders ALWAYS maintain a balanced energy, so if you don’t feel confident, FAKE IT!


2.     Give choices, but make sure they are choices of your own choosing, first.  For example, if your toddler refuses to brush their teeth, give them the impression that they have some control over the situation, although we all know who’s really in charge, here!  Either they can go to bed with dirty unhealthy teeth or they can go with nice fresh teeth. Bear with me on this, but if they choose the first option then go with it (for one night at least), it’s highly likely he or she is stalling bedtime and calling your bluff. Two can play at that game and it means they just end up in bed even quicker, so it’s highly likely they won’t refuse, two nights in a row!


3.    Give them things to look forward to. Avoid getting trapped in a stand off,with your toddler by keeping the  process moving. Think ahead and always try and have a way to encourage your toddler onto the next stage of the routine. For example,  tooth brushing games, or having a race with your child to bed, are always fun.  Another effective tactic is to have stories in the bedroom rather than on the couch, as this will be something for them to look forward to, only when they have jumped into bed. However, when choosing the books, state how many and do not allow them to negotiate more than that. 2 or 3 is plenty.


4.    Model self-worth. You are not being selfish wanting time for yourself. Having clear boundaries is a good way for your children to learn about respect; for the needs of others and themselves.  

While I am not advocating living in a dictatorship, I am suggesting that as an adult, you are in the strongest position to make healthy choices for your family. Someone needs to take the lead and it cannot be the baby or toddler! Being in charge means that sometimes you are going to have to face the wrath of your family’s youngest members. I am here to tell you that in the case of setting clear boundaries, tantrums, tears and terrorism are part of the package - and that is completely fine!

After all, everyone gets annoyed with their boss, sometimes!


Love Katie

Katie Cortes
Registered midwife

Katie's Babies Sleep Solutions & Newborn Support, Melbourne, Australia
www.katiesbabies.com.au

Tuesday, 8 May 2018

Rethinking Mother's Day




 Mention Mother’s Day and women the country over let out a collective groan. Unless our partners fulfil very specific requirements including, but not limited to, breakfast in bed, a sleep in, flowers, hand drawn cards and a sentimental (but never tacky) gift then we feel let down and take to online forums to vent our frustrations. “Why can’t I just have ONE DAY that’s about me?” we bemoan “Was he such a dickhead when I married him?” we cry.


When your expectations are set to the standards dictated by marketing campaigns and carefully curated Instagram feeds then it is no surprise we respond like this. We are being served the biggest load of bullshit about motherhood everywhere we turn! But reframe the bigger picture (no, not the family portrait your husband has had printed on canvas for you, in your imagination) and you can not only enjoy this Mother’s Day, you can make every day feel like Mother’s Day.  

Want to spend the day quietly seething that the kids climbed on your head at 6am and eating lunch with your mother-in-law at an overpriced restaurant where the best you can hope for is a glass of House Red and a wooden spoon from the Mother’s Day school stall? Or would you rather spend it doing something more meaningful, taking the opportunity to truly celebrate mothers in your community? Here’s a few suggestions to inspire you.…unless you choose the wooden spoon and the glass of red in which case, cheers!

1.       Invite your sisters, mums, in laws and besties to the Mother’s Day Classic in Melbourne

You’ll be raising money for breast cancer research and you’ll be so out of breath that when you ignore your in laws, you can just blame it on the exercise! Plus, you’ll be surrounded by other like-minded people and be inspired by just how awesome women truly are.

2.       Visit Emergency Services in your area

Do some baking with the kids and drop off yummy treats to all the mums giving up Mother’s Day to spend it working in Emergency Departments and Police Stations. Supporting women who are the backbone of these sectors is a nod to female empowerment. Better still, research services in your area that support families of kids who are in hospital. Put together some care packages and brighten a mum’s day who really needs it.

3.       Spend the day with a double-parent

Know someone who is doing the work of both parents on their own? Make them breakfast in bed and give them a sleep in. Bloody hell, make them the hand drawn card and a non-tacky sentimental gift. If there is one group of women who deserve to be celebrated on Mother’s Day, surely mums who are doing it solo are it!

Now that we have the day itself covered it’s time to address the age-old, socially complex question of why women suffer life overwhelm. Luckily, the answer is simple: It’s our own fault! Before you punch your computer in the face, stick with me and I’ll tell you why this is good news.

If we’ve painted ourselves into a corner by never setting boundaries, we can quickly and easily put some in place and suddenly, we will have the time and the space we crave each Mother’s Day on the daily. Want an extra hour every day to spend doing something you love? Hint: no one will set and maintain your boundaries for you. This is work you have to do yourself, for yourself. Here’s a few ideas of areas that may need some attention:

·         Boundaries at work. If you are replying to emails at 9pm or listening to your boss vent about her love life during your lunch break then it’s time to insert the crossed arms lady emoji and stop that nonsense.

·         Boundaries on your social media. Connection is constructive, time wasting is not. Download an app that will limit the time you spend down the Facebook rabbit hole and reclaim your evenings for hobbies and passions.

·         Boundaries with your partner. If you cancel your own plans every time he has to work late or has a conflicting schedule then the implicit message is that your time is less valuable. Pay a babysitter the first few times it happens and watch how quickly your time is suddenly treated differently.

·         Boundaries with the kids. How would your life change if everyone slept in their own bed and actually stayed there all night? Only one way to find out! ( I can help you with this one.)

Let’s give ourselves what we need every day of the year instead of waiting for that second Sunday in May to do it. After all, an investment in yourself is an investment in your family. Happy Every Day, mums. xo 

Wednesday, 31 January 2018

7 things to consider before 'Sleep-Training' your baby.






If you're reading this, you may well be at the point of thinking that you have no other option but to sleep train your baby. Perhaps you are exhausted from weeks without proper rest, emotionally drained and seriously questioning your abilities as a parent??  This is by no means an uncommon situation for parents with young children and although 'Sleep School' or hiring a sleep consultant may seem like the quick fix solution, there are a few things I'd like you to consider, before going down this particular route.


#1. Are you sure Sleep Training is the only answer?

Babies change at all ages and stages so you need to research reasonable expectations for babies of your child's age. Be kind to yourself. If you and your baby are well and happy, then you probably need not change a thing.  However, if your current routine is negatively impacting you and perhaps the whole family, or you are starting to feel angry, frustrated or resentful, then it is likely that some changes to routine would be beneficial.
Be warned however, sleep training is not for the faint hearted so you may like to consider some simple alternatives, first. Perhaps you could use some extra practical support? A trusted carer to take the baby while you sleep or a cleaner to help you stay on top of the housework, for a while? At the very least, this may help to take the pressure off you, as you take time to consider your situation. 


#2. Is your baby ready for a structured approach?

Most sleep training routines are designed for babies over 6 months of age. Below this age, parent training is much more appropriate! Learning how to recognise early tired signs and make modifications to routines, will allow you to provide your baby with the optimal opportunities and conditions for good sleep. Your Maternal Child Health Nurse or a midwife would be able to help with this.


#3. Do you have enough mental headspace and focus?

Is your diary free of holidays and big events, over the next couple of months? Disruptive situations are never helpful when planning changes on this level and the same is true regarding emotional disruptions. Most parents will experience relationship issues at some point in their parenting journey, particularly when they are sleep deprived. Be aware of your relationship challenges before you embark on sleep training your little one. It may be a stressful few weeks and mutual support and understanding is vital to your success. While the return of sleep may make the world of difference to your relationship, it is certainly going to require effort on both parts, in order for you to achieve your desired goals. 


#4. Do you know which method is most appropriate for you and your baby?

The answer to this question is, the method you are most likely to stick to! There are at least half a dozen popular sleep-training options, ranging from "cry it out" to 'gentle no-cry' methods. None have been proven more effective than the others so pick something that feels right for you. Go with a method that seems to match your parenting style in general. Ultimately, you have to live with your parenting choices and you know your baby better than anyone.



#5. Are you well supported?

Do you have family or friends who can lend a hand or at least an ear? Are they supportive of your choices? The decision to sleep train is rarely made lightly and certainly requires commitment. You will have thought long and hard about your options, so choose your support team wisely. If you are unsure how best to proceed, lack confidence or are confused about the most appropriate method for your style of parenting, then seek professional help. Calm confidence is the key and a professional can guide you every step of the way.




#6. This is the big one!
      Are you aware that sleep training may well make things worse, before they get better? 

Babies often, already have certain sleep associations when parents decide their only remaining course of action is to sleep train. Losing those associations may involve anything from a slight disruption to routine, to outright rebellion on the part of your baby or toddler. As a result your child may sleep less or wake more frequently before she settles into a new routine, so try not to be discouraged or lose sight of your reasons for change. This is quite normal.


#7. Did you know that teaching your baby to sleep, is not a one-off deal? 

Like many other lessons of childhood, such as eating healthily or cleaning teeth, learning to sleep well can often be an on going battle. Frustrating as it may be for exhausted parents, with consistent, loving repetition your child will eventually come to accept the inevitability of bedtime and most little ones eventually thrive on it's cosy predictability. However, even after your child learns to sleep through the night, sleep complications can still occur at any age. With each stage of development your child will naturally test boundaries and exercise resistance.  This is normal but it's always worth having a maintenance plan in mind, to ensure that your previous hard work and dedication, don't go to waste.


Just a few things to consider and discuss, before you decide to make that call.
I hope it helps you decide on the best course of action, for you and your family.



Katie Cortes
( Registered Midwife )
www.katiesbabies.com.au

Sunday, 31 December 2017

7 simple steps, when your baby struggles with sleep.




These may seem like some obvious strategies, here, but you'd be surprised how many parents I meet who have either not thought to try them, tried a few once with little effect or just simply don't believe they will work. With very over tired babies it will be a struggle, initially, with whatever you try so it is worth some consistency over a couple of days.
These are my initial go-to strategies with most of the little people I meet and very often, only one or two of these suggestions can make all the difference to their sleep.
Give them a go. It may be this simple.


1.  Swaddle  
If your baby is not yet rolling, then a firm swaddle at sleep time may be the answer to your problems. Babies often experience involuntary startle reflexes and frantic arm and leg movements when they become tired, and so often prefer to settle while being held. As this is not always possible, consider the swaddle as a substitute for a supportive hug, rather than something restrictive.  It's easier to understand the benefits.

2.  Bring naps forward
Even if you only manage this with the first nap of the day. Babies who become overtired are usually building a sleep debt across the day and this is often because they are awake too long between naps.
Grizzling and eye rubbing are the tired cues that many parents wait for, when deciding on nap times. Unfortunately, these are often the later signs your baby may give, and it could be easier to settle him, if you can catch him beforehand. Babies often start to show jerky movements and become more vocal on the run-up to naptime and so once familiar with your baby's natural awake interval, you can learn to spot the early warning signs and act promptly, so that you don't miss that all important, window of opportunity.
     
3.  Put an extra layer on 
Make sure your baby is warm enough. If she gets cold, it is likely she will wake and be unable to resettle. Perhaps this is why some babies can only fall asleep or resettle while they're being cuddled? It's worth considering. Even in the summer, babies usually require at least one more layer than you do.

4.  Use White Noise 
Don't spend money on it.  You can get free apps for this.  White noise, for example radio static, rain or washing machine sounds, are effective for babies with noisy siblings or barking dogs in the family. If played loudly enough (like the volume of a vacuum cleaner), it will prevent outside noise from being a disturbance and is often immediately soothing to very young babies, possibly due to the loud and constant sounds they hear, during their time in the womb. White noise can be taken anywhere with you and once you think it’s time to wean Bubs off it, then you simply reduce the volume over a few days. Easy!

5.  Black-out the bedroom
If you're struggling to get your little one to sleep in the day, a very dark room may help. Worried about day/night confusion? The worst thing that will happen is that you may have to wake her if she's sleeping too long!! How fantastic would that be?!

6.  Feed before sleep
This may seem quite a controversial approach as many, well known 'Sleep strategies' will guide you to avoid this at all costs for fear of creating an 'association'. However, nature has perfectly primed your baby to be calm and sleepy at the end of a feed, so why try and reinvent the wheel? If your baby is still under 6mo and struggles to relax at sleep time, then I would strongly advise going back to basics. If your baby settles and sleeps well after cosy feed, in a darkened room, with no over stimulation, then just go with the flow. There's still plenty of time to teach your baby more independent sleep routines as their maturity develops.

7.  Seek Support
If you have consistently tried all the above methods for a week or more, and things still don’t feel right, then don’t be afraid to seek professional guidance.  As with health, finances, fitness or emotional wellbeing, we all need advice from time to time. Unfortunately, people often assume someone will come and force baby to sleep with unthinkable ‘Cry it out’ techniques.  Thankfully sleep consultancy has marched on from the old fashioned ‘One size, fits all’ approach.  There are now many consultants, committed to the use of more gentle techniques, which can be tailored to your own family’s needs.

Katie Cortes

Registered Midwife


Sunday, 5 November 2017

Parent or Best Friend? Who are you today?






Our babies seem to enter the world with a magnificent innocence and intense newborn wisdom. Ethereal beings, who's faces seem to communicate a knowledge of universal secrets beyond our reach. Is it little wonder that most parents want to connect with them on the deepest of levels? It's hard not to feel as though this new little person has always been part of you and finally your souls have been reunited, with an understanding and a connection deeper than you have ever known, before.


Then...fast forward 3 days, when the drugs and endorphins have worn off, your baby realises what hunger feels like, you realise what a postnatal, exhausted body feels like and suddenly your souls don't seem quite so aligned!!

Shortly after this, parents often find themselves at a cross roads confused about whether to allow their babies instinctive wisdom to run the show or whether they should take the reins themselves. Of course, everyone will be willing to share their opinion on this, from relatives, to neighbours, to the woman in the post office! Just in case that's not enough, I'll now share my thoughts on the subject with you, as well!

There's no doubt that babies are born with natural survival instincts and an attraction to the things that feel and taste good. Beyond that, however, life is a whole new experience for them, as is the human body they arrive in. Surely its our responsibility as parents to guide and support them through the inevitable physical discomforts and emotions of life?

The advantages of having caring parents could be described as something akin to having instructions for your new flat-pack furniture or even having a local tour guide when you visit a foreign city. No matter how friendly your guide is though, what use is he if he lets you lead the way without volunteering any of his insight? Okay, so he has yet to get to know you and your interests, but his knowledge may priceless, in just the same way that a parent's insight into human physical needs is essential to the comfort of a new baby.

Yes babies have instincts but so too, do parents and they are equally, if not more significant to the survival of their young. In every David Attenborough documentary you've ever watched, you'll notice that the safety of baby mammals is always dictated by the parents, not the offspring.  Even activities such as when to feed, when to sleep & when to play.  Interestingly, the minute a human female gives birth to her first baby, she also gives life to an enduring counter-force called mother-guilt, which becomes easily influenced by the media or well-meaning friends, when trying to tap-in to her own natural instincts. Why are we so very different? Are we fearful that our babies will stop liking us and won't want to be our best friends anymore??

It's always a shock to discover how quickly your quiet little newborn suddenly becomes a strong impulsive toddler. It's then that the desire to be our child's best friend is really put to the test and we find it harder to understand, let alone identify with  their choices. However, with experience comes the realisation that many of their choices are not consciously made and many are far from rational. Their reactions are often driven by frustration or physical discomforts, that they are years away from being able to fathom. We've all encountered the young child who freaks out when his mum says it's time to leave the party. But is it helping them by permitting these outbursts to dictate the choices we make for them, or are we reinforcing this as an acceptable and valid means of communication?  Most parents quickly learn to recognise such triggering situations and so develop the graceful art of avoidance. To many, in fact, this may be preferable to admitting that our little soul mates and buddies will eventually need boundaries and dare I say the word, ...'discipline'!!!!

I came up with the idea for this post when noticing how many of my clients struggle with making clear rules around bedtime, a situation of course, that's impossible to avoid and that many young children and babies learn to resist. In households all across the world this is often one of the first situations that a baby gets to encounter house rules! Among most families, night time sleeping is a non negotiable fact of life, although many of us feel guilty enforcing it as though we are being selfish and considering our needs above those of our babies even though they actually need twice the amount of sleep that we do!! So, is there an alternative for those who prefer the avoidance method in this instance? Sure! A baby who is left to decide bedtime on his own! I do know of families who consciously embrace this particular freedom but I doubt the approach will ever catch on!!

Babies and children take time in getting to grips with the human sensations and emotions that parents are already familiar with and often become confused, frightened or overwhelmed while learning to recognise them. In failing to notice this, some parents miss the opportunity to model the confident energy that they want their children to develop over time, and instead react with frustration or anxiety, often making the child even more unsettled as is often the case when an over tired child won't sleep. 

A confident parent, who acknowledges their child's feelings and responds with love and respect, needs make no apologies, even if it they have had to lay down some guide lines and simple family expectations in the process. These ought to be as clear cut as the rules we make about not playing with matches or crossing the road.  No guilt and no second guessing. Confusion and hesitation will only teach children to feel anxious themselves or perhaps even push them to take on a leadership role in the family, instead. Either of those outcomes seems like an exhausting prospect for the child and certainly a challenge for any parent who is trying to be best friends with them!!


This year I reached my first decade as a parent and have learnt that the relationships I have with all my children, are constantly evolving and just as the their needs change over time so do my own. Eventually we'll come full circle and I'll get my chance to be annoyingly dependant and probably a bit confused too. But today, my job is to be their parent.  Flat-pack instructions or a tour-guide when necessary, and I will not feel guilty for insisting on the things that I know will keep them safe and healthy and for teaching them about love and mutual respect. Like all other parents, I'm still learning on the job but if I do get it right, then maybe, just maybe, one day I'll be lucky enough to find friendships with some amazing adults who also happen to have been my babies, once upon a time, long, long ago.


Katie Cortes
Registered Midwife

Go-to baby sleep strategies for newborns to 3months

Help your baby to enjoy sleep. They are NOT the same as adults or children and the their rhythms are frequently misunderstood. ...