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Lillian M. Beard, M.D, a Fellow of the American
Academy of Pediatrics, is an associate clinical
professor at the George Washington University School
of Medicine and Health Sciences in Washington, D.C.
She is a frequent guest expert and spokesperson on national
television programs, discussing issues related to children's health.
Dr. Beard practices pediatrics in Washington, D.C.
Q: My six-week-old wakes up to eat every two to three hours during the night, but sleeps four to five hours during the day. What can I do to help him sleep for longer periods at night?
A: Babies manage to have their own day and night sleep cycles which frequently conflict with other family members' schedules. Feeding demands are more determined by baby's ever changing stomach capacity and emptying time. However, do not despair! It is possible (with patience), to gradually change his sleep/wake
schedule.
In my practice, I encourage anxious parents to try a routine. With a soothing, pleasant voice, I suggest that you attempt to gently awaken your baby after no more than two hours of continuous sleep during daytime hours. These shortened sleep spurts allow just enough time for his "batteries" to be recharged. Beware, it's a unique challenge to awaken a peacefully sleeping infant. Cool hands on the soles of his feet or a cool moist cloth across his forehead should awaken him. Keep him awake and stimulated by talking, cooing, and picking him up. While it's hard work to keep him entertained and awake, the pay off to you will be his sleeping more restfully at night and for longer periods. Do not expect it to happen instantly. Allow at least two weeks for a change in his sleeping pattern to take effect.
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