Saying Bye to Bottles: Transition Tips for Toddlers A Parents GuideWhen to Ditch the Bottle: A Guide for Parents. As a Certified Pediatric Sleep Consultant, one of the most common questions I receive from parents is about when to transition their child from a bottle to a cup. This milestone can be both exciting and challenging. Understanding the right age and reasons for making this change can help ensure a smooth transition for your child and support their overall health and development. The Recommended Age The American Academy of Pediatrics (AAP) recommends that parents start the transition from bottle to cup at around 12 months of age. By 16 months, most children should be fully weaned off the bottle. This timeframe is not only ideal for encouraging developmental milestones but also for preventing potential health issues associated with prolonged bottle use. Why Make the Switch? Dental Health Prolonged bottle use, especially with milk or sugary drinks, can lead to tooth decay. According to a study published in the Journal of Pediatrics, toddlers who use a bottle beyond 12 months are at a higher risk for developing cavities. The sugar in milk and juice can pool around the teeth, creating an environment for bacteria to thrive. Oral Development Extended bottle use can affect the development of a child’s oral muscles and palate. The sucking motion required for bottle feeding is different from that used for drinking from a cup. A study from the American Dental Association highlights that long-term bottle use can contribute to issues such as misaligned teeth and improper jaw development. Encouraging Independence Transitioning to a cup is a significant step towards independence for your child. It encourages the development of fine motor skills and hand-eye coordination. Using a cup requires different muscle movements, which are crucial for speech development and overall motor skills. Nutritional Balance Children who rely heavily on bottle feeding might consume excessive amounts of milk, which can lead to iron deficiency anemia. A Journal of Pediatric Gastroenterology and Nutrition study found that toddlers drinking more than 24 ounces of milk daily are at a higher risk of iron deficiency anemia. By transitioning to a cup, you can help ensure your child is receiving a balanced diet with a variety of nutrients. Bottle as a Sleep Prop Many parents use bottles as part of the bedtime routine, which can turn the bottle into a sleep prop. This dependency can interfere with the development of independent sleep skills. Eliminating the bedtime bottle encourages healthier sleep habits and self-soothing techniques. How to Transition Start Gradually Begin by introducing a sippy cup with water during meals. Allow your child to explore and play with the cup to become familiar with it. Reduce Bottle Use Gradually decrease the number of bottles offered, starting with daytime bottles. Replace them with cups during meals and snacks. Offer Positive Reinforcement Praise and encourage your child when they use the cup. Positive reinforcement can make the transition smoother and more enjoyable. Consistency is Key Be consistent with the transition. If you decide to eliminate the bedtime bottle, stick to it. Offer comfort in other ways, such as through bedtime stories or cuddles. Lead by Example Children often mimic their parents. Drink from a cup in front of your child to show them it’s the normal way to consume beverages. References
AuthorErin Neri - Certified Pediatric Sleep Consultant and Owner of To The Moon and Back Sleep Consulting since 2016. Understanding Co-regulation Between a Child and Caregiver Co-regulation refers to the process where an adult helps a child manage and understand their emotions and behaviours. This is especially crucial in young children who are still developing self-regulation skills. By providing a calming presence and demonstrating healthy emotional responses, adults can guide children in managing their own emotions. Importance in Managing Bedtime Anxiety Bedtime can be a source of heightened anxiety for many young children. Fears of the dark, separation from parents, or simply the transition from day to night can be overwhelming. Co-regulation provides a structured and comforting presence that can alleviate these anxieties. How to Implement Co-regulation With Your Child
Conclusion Co-regulation is not only about managing a child’s immediate anxiety; it's also about teaching them lifelong skills in emotional regulation. By practicing these techniques, parents and caregivers can provide a supportive environment that helps young children navigate their anxieties, especially at bedtime, leading to more peaceful nights and a stronger emotional foundation. AuthorErin Neri - Certified Pediatric Sleep Consultant and Owner of To The Moon and Back Sleep Consulting since 2016. It’s common knowledge that sleep deprivation is part of the new-parent package. Everyone teases new parents about the myth that they’ll never sleep again. Many people have come to accept feeling tired day after day as just one of the burdens of parenthood, but did you know that lack of sleep can impact your cognitive functions, including emotional processing and perception? Today, we will delve into some scientific findings that underline the importance of adequate sleep and how it can transform your parenting experience.
Research has established a link between sleep deprivation and emotional processing, particularly how we perceive and respond to negative emotional stimuli. While no studies specifically focus on the effects of sleep deprivation on parents’ reactions to a child’s cries, extrapolating from current research offers some interesting insights. In 2007, a study conducted by Yoo et al. revealed that sleep deprivation results in the amygdala—the area of the brain involved in processing emotions—reacting more to negative emotional stimuli. What does this mean for you as a new parent? With the sleep deprivation that often accompanies this phase of life, your emotional responses could be heightened, potentially causing you to perceive your baby’s cries as more distressing than they might be under-rested conditions. Further emphasizing the effect of sleep deprivation on emotional regulation, a study by van der Helm et al. in 2010 showed that sleep deprivation could impair emotional regulation by disrupting the connectivity between the amygdala and the prefrontal cortex. The prefrontal cortex plays an essential role in controlling emotional responses, implying that sleep deprivation might exacerbate negative or distressing perceptions, such as the sound of your baby crying. These studies suggest that sleep deprivation might lead to amplified emotional reactivity and altered perception of emotionally taxing stimuli. In a nutshell, you may be overreacting. This is where my role as a Sleep Sense Consultant comes into play. I am here to help ensure your family transitions smoothly into this new phase of life, with everyone achieving healthier, more restful sleep. By implementing tailored, gentle strategies, we can work together to help your baby (and you!) get the sleep needed to thrive. But why does this matter? A well-rested parent is more likely to have balanced emotional reactions, making it easier to respond to your child’s needs effectively. Adequate sleep not only aids in maintaining emotional balance but also helps to improve overall mental and physical health. The result? A more serene and enjoyable parenting experience. Sleep deprivation is not an inevitable part of parenthood. With the proper guidance and a little patience, you can enjoy these precious early days with your newborn without the burden of chronic fatigue. As a Sleep Sense Consultant, my mission is to support you in this journey, using evidence-based techniques to promote healthy sleep habits for your whole family. References: Yoo, S. S., Gujar, N., Hu, P., Jolesz, F. A., & Walker, M. P. (2007). The human emotional brain without sleep — a prefrontal amygdala disconnect. Current Biology, 17(20), R877–R878. https://doi.org/10.1016/j.cub.2007.08.007 van der Helm, E., Gujar, N., Congratulations, you! If you’re reading this, there’s a pretty good chance you’ve either just welcomed a new addition to your family or are planning on doing so pretty soon.
Welcoming a new baby into the family is an exciting time. Still, it can also bring about a mix of emotions for your older child, especially toddlers. It’s essential to navigate this transition with care and consideration to ensure a smooth adjustment for everyone involved, so today, let’s explore some strategies for introducing your new baby to your toddler and prepare you for some potential challenges that may lay in store. Embrace a Little Bit of Jealousy: Accepting that your toddler may experience feelings of jealousy is the first step toward fostering understanding and empathy. Don’t attempt to stifle or suppress these emotions. Acknowledge, validate, and reassure your toddler that their love and importance within your family unit haven’t diminished. Encourage open communication and be available to listen, really listen, to their concerns. Set Clear Expectations: Maintaining boundaries is essential during this transition period. Clearly communicate your expectations to your toddler, explaining the new dynamics and what is expected of them as an older sibling. Frame these expectations positively, emphasizing the importance of their role in welcoming and caring for the new baby. Encourage them to participate in age-appropriate activities, such as helping with diaper changes or selecting a toy for their sibling. Toddlers typically love the feeling of responsibility and maturity that comes from helping their parents with a new baby, so do what you can to nurture that older sibling relationship. Prepare for Regression: As your toddler adjusts to their new sibling, it’s common to witness some regression in sleep patterns, behaviour, and even potty training. Be patient and understanding during this phase, reinforce positive habits gently, and provide reassurance when setbacks occur, but remember, you set some expectations and communicated them to your toddler, so while it may be tempting to let them slide back into familiar routines, such as using diapers or sleeping in the crib, it’s important to maintain consistency and encourage growth. Uphold Boundaries: Consistency is key when it comes to maintaining boundaries. While it may be tempting to give in to your toddler’s demands during this time of change, it’s essential to stand firm. Resist reverting to previous practices, such as allowing them to sleep in the crib or returning to diapers. Upholding these boundaries reinforces their role as an older sibling and helps create a sense of stability and routine. Create Special One-on-One Time: I get it; free time isn’t exactly in abundance after you bring a new baby into the house. But it’s essential to carve out moments of individual attention for your toddler. Set aside a little time every day for your older child to engage in activities they enjoy, such as reading a book together, going for a walk, playing a game, or whatever makes them happy. These shared experiences will help strengthen the bond between you and your toddler, reaffirming their importance in your life and reassuring them that the new baby isn’t a replacement for them. This is probably the single most important tip I can give you for preventing feelings of jealousy and resentment, so again, I know you’re probably feeling a little overwhelmed, but make this a priority. Obviously, introducing a sibling is a significant milestone for your family, but it’s particularly uncharted waters for your older child. It will require patience, understanding, and a lot of conscious effort on your part. But by familiarizing yourself with potential challenges, setting clear boundaries, and nurturing a positive sibling relationship, you can create an environment that fosters love, support, and harmony within your growing family. Remember, with time, patience, and consistency, your toddler and new baby will forge a special bond that will last a lifetime. "Mothers are basically part of a science experiment to prove that sleep is not a crucial part of human life." - Unknown This meme is meant to be a joke, but it's actually not funny, in my opinion, because it speaks to a problem in our society that says it's ok to live in a chronic state of sleep deprivation. That it's an acceptable part of being a mother. But no one is giving out medals for the Most Sleep Deprived Mother! So while this seems to be true on so many levels, it doesn't have to stay this way when a mother is sleep-deprived due to a child lacking independent sleep skills. Science tells us that the levels of sleep deprivation that mothers & children face have dire consequences on our physical and mental health. Our children's development, cognition, immune systems, emotional regulation, & so much more are negatively impacted by nightly broken sleep & poor naps. When a child lacks control over their own sleep, when they lack independent sleep skills and are having frequent or prolonged night wakings, early morning wake-ups, short naps, or any other sleep difficulty, this means that they are carrying a sleep debt. They are sleep deprived. If this has been going on for more than a couple of days, they would be considered to have CHRONIC Sleep Deprivation. As mentioned above, this can cause a whole host of problems for our children. However, you might not realize that it could affect the attachment bonds between parent and child. Attachment Bonds Harming attachment bonds is one of the main things that parents are concerned about when considering sleep training; will the process damage those vital bonds? No, it does not; the way I teach it to families, sleep training can actually strengthen attachment bonds. Now let's consider the parent-child relationships when they both live in a state of chronic sleep deprivation. Parents are irritable, lack patience & can begin to detest bedtime & nap times, & even begin to resent their child. Parents get no space, no time for themselves, no time to keep up the house, no time with their spouse. They get little time to enjoy being a parent, because so much time is spent in a state of crankiness on both parts. There becomes a battle of wills between parent & child. The child can't regulate their emotions & goes into fight or flight for bedtime, nap time & any other time. Parents cannot parent how they want to & children can't thrive & grow as they are intended to. Chronic Sleep-Deprivation like this can be fixed. Bonds don't need to be damaged any further & can be repaired. I can help turn your family's sleep around & help you become a well-rested family. Book Your Free 20-Minute Sleep Evaluation to discover how my sleep programs can help your family take your sleep success to the moon and back. Life becomes more enjoyable when you're well rested! AuthorErin Neri - Certified Pediatric Sleep Consultant and Owner of To The Moon and Back Sleep Consulting since 2016. 5 reasons your kids need more sleepDid you know that March is National Sleep Awareness Month? Or is that something that sleep nerds like me only celebrate? Either way, the fact remains that this is an excellent opportunity to encourage you to prioritize your little ones’ sleep and take steps to improve their sleep habits. I’m going to tell you, in great detail, why that’s so important that it warrants an entire month dedicated to it! As parents, we tend to get complacent about sleep for our kids and ourselves. As soon as people announce that they have a baby on the way, we hear all of the “Hope you’re not a fan of sleeping!” jokes, and we tend to accept those sleepless nights as the price of having kids. So when Baby gets into the habit of waking up five times a night, we just try to shake it off and convince ourselves that it’ll pass eventually. We’ll get back to sleeping once they’ve grown up. But sleep, as I tell my clients so often, is not a luxury! Babies don’t fight sleep because their systems need less than their adult counterparts. But, on the contrary, they need a whole lot more! And today, I’d like to tell you exactly why. Brain Development Sleep is crucial for the development of a baby’s brain. During sleep, the brain processes and consolidates information, helping to create new neural connections and pathways, which leads to better retention of learned skills and abilities. This doesn’t just apply to nighttime sleep either. Babies who take regular daytime naps show an increased ability to recall language, develop skills, and think creatively over those who don’t. Physical Growth Not surprisingly, sleep is also essential for physical growth. During sleep, the body produces growth hormone (HGH), which stimulates tissue growth and repair. So even though the body appears relaxed when Baby sleeps, a lot is happening inside! Cells in the cartilage called chondrocytes and cells in bones called osteoblasts receive signals from hGH to increase replication. This is a fancy way of explaining how bones grow longer, thicker, and stronger. Emotional Well-being Sleep is critical for emotional well-being. For example, babies who don’t get enough sleep are more likely to experience mood swings and irritability and have difficulty regulating emotions. According to Dr. Dean Beebe, director of the neuropsychology program at Cincinnati Children’s Hospital Medical Center, “Inadequate sleep causes children to have problems regulating the ups and downs in their moods, leading to broader and more rapid reactions to relatively minor events. Children who don’t get enough sleep also don’t pay attention as well, are less likely to think before they act, and don’t seem able to solve problems as well.” Immune System Function Sleep helps boost the immune system, helping babies (and adults) fight off infections and illnesses. How? During sleep, your body produces and releases various types of immune cells, such as cytokines, T-cells, and natural killer (NK) cells. These cells identify and target pathogens, such as viruses and bacteria, and initiate an immune response to eliminate them. Adequate sleep ensures that your baby’s system is properly loaded with these essential immune cells to fight off infections. Better Parent-Child Relationships Finally, getting enough sleep can improve the quality of your relationship with your child. When your child regularly gets the sleep they need, they are more likely to be cooperative, cheerful, and responsive. In turn, you’ll experience less conflict and frustration with your little one. I don’t think I’m overstating the case when I say that a happier, more well-behaved child is something we’re all striving towards, am I right? So, how can you help your child get more sleep? Well, if you read my blog even semi-regularly, these won’t come as a surprise to you, but for the uninitiated among you, here are five of the biggest changes you can make tonight to start helping your little one get the sleep they need.
So happy Sleep Awareness Month, everyone! I know that most of you aren’t as obsessed with the subject as I am. Still, I’m grateful you’ve taken the time to learn more about what makes sleep so important and how you can help your little one get as much as they need. If I’ve helped you accomplish that, I feel like I’ve done my part to further the cause. AuthorErin Neri - Certified Pediatric Sleep Consultant and Owner of To The Moon and Back Sleep Consulting since 2016. Does This Sleep training Approach Affect Infant-Parent Attachment?Before discussing attachment theory and its influence, it is vitally important to define it. There has been significant confusion about the meaning of the term since the introduction of the “attachment parenting” philosophy, but they’re two completely different things. What is attachment Parenting? “Attachment parenting,” a term coined by Drs. William and Martha Sears which refers to a specific parenting approach advocating, among other things, baby-wearing, bed-sharing, and breastfeeding on demand. The popularity of Dr. Sears’ book has caused some confusion about the differences between this parenting style and the scientific notion of attachment theory1, and because of Sears’ adherence to co-sleeping, nursing on demand, and responding immediately to a baby when they’re fussing, it’s easy to see how some parents arrived at the conclusion that disregarding these tenets by helping their babies learn to sleep independently could damage the “attachment” between a baby and their caregiver. But again, attachment theory and attachment parenting are in no way related to each other in anything other than name. What is Attachment Theory? Alan Sroufe, a developmental psychologist at the Institute for Child Development at the University of Minnesota, defines attachment as “...a relationship in the service of a baby’s emotion regulations and exploration. It is the deep, abiding confidence a baby has in the availability and responsiveness of the caregiver.”2 At its origin, attachment theory was developed by British psychologist John Bowlby, and greatly expanded upon and tested by American psychologist Mary Ainsworth. In its current understanding, it states that there are four categories of attachment between a baby and their caregivers: secure, insecure-avoidant, insecure- resistant, and insecure-disorganized. Children with a secure attachment to their primary caregiver feel safe expressing distress or discomfort, and will explore unfamiliar areas around them confidently so long as the caregiver is nearby. They tend to become distressed when their caregiver leaves the vicinity, but respond positively when they return. Children with insecure attachments avoid their caregiver when distressed and minimize displays of negative emotion in their presence, presumably because the caregiver has responded to previous displays of distress and negative emotion in negative ways, such as ignoring, ridiculing, or becoming annoyed with the child. The infant learns quickly that displays of distress provoke negative emotions from the caregiver and therefore avoids exhibiting them. Studies from the Minnesota Longitudinal Study of Risk and Adaptation over a 35-year period found that infants who fit the “secure attachment” criteria were more independent later in life, had higher self-esteem, better relationships with their parents and siblings, and displayed greater coping skills, social skills, and leadership qualities than infants in the other three categories. (3) That’s not to say that attachment is the single most important factor influencing the parent-child relationship, but it’s certainly important. Allan Schore, a developmental neuroscientist in the Department of Psychiatry at the UCLA David Geffen School of Medicine defines attachment theory as, “essentially a theory of regulation.” “Insecure attachments aren’t created just by a caregiver’s inattention or missteps,” he says. “They also come from a failure to repair ruptures. Maybe the caregiver is coming in too fast and needs to back off, or maybe the caregiver hasn’t responded and needs to show the baby that she’s there. Either way, repair is possible, and it works. Stress is a part of life, and what we’re trying to do here is to set up a system by which the baby can learn how to cope with stress.” From this perspective, one could easily argue that the Sears method of responding immediately to a baby’s cries and keeping them nearby at all times could actually be detrimental to their development. Again, if attachment parenting is the approach parents feel most comfortable with, it’s absolutely their right to do so, but like any other parenting style, it has its potential disadvantages if adhered to too stringently without taking the individual baby’s needs and personality into account. On the other hand, given all of this information, it’s easy to see how parents could look at a traditional cry-it-out approach to sleep and see it as potentially damaging to the attachment their baby shares with them. However, I want to reassure you that I will never ask you to leave your baby for prolonged periods of time without offering support and comfort. If I was advocating leaving your child to cry regardless of the length of time or the severity of their crying, it would hardly be a service worth paying for. I greatly understand and respect your concern for your baby’s well-being, and I want to assure you that the approach we’ll be taking with your little one will allow to you stay close to them, offer comfort, reassure them of your presence, and respond to their needs while they gradually learn to fall asleep independently. I absolutely encourage you to remain present and responsive throughout the process, and will never ask you to do anything that could damage your relationship with your baby. That’s not to say that there won’t be any crying involved. There most likely will be, and I understand how difficult it can be to allow your baby to cry, even for short periods of time, and even if you’re nearby and offering comfort and support. When our babies cry, our natural instinct as parents is to prevent it as quickly and effectively as we’re able. This impulse to stop a baby’s crying can prompt parents to utilize whatever method of distraction or soothing has proven most effective, such as nursing, rocking, or offering a pacifier, and while that might stop baby from crying, it likely hasn’t addressed the issue that caused baby to start crying in the first place. As Magda Gerber, noted child expert and founder of Resources for Infant Educarers [sic] said, “An anxious and irritated parent will most likely do what brings the fastest relief – give the breast or bottle. The baby almost always accepts it, calms down and often falls asleep. Of course, this is the right solution if the baby is hungry. However, if the baby has other needs (for instance being tired or having pain), she will learn to expect food in response to these other needs, and grasp the breast or bottle even though she is not hungry.” So if and when baby cries, I wholeheartedly encourage you to respond. Check to make sure they’re fed and warm, and that all of their basic needs are met. Watch them to see if you can discern any other source of discomfort or a pressing need. If you feel confident that baby’s only reason for crying is that they’re having trouble getting to sleep, then you’re well on your way to solving this issue by helping them to learn how to fall asleep independently. Your baby’s attachment to you doesn’t rely on being next to them at all times, or rushing to their side every time they feel frustrated or challenged. It is a product of consistent, reliable parenting, loving reassurance, and confidence that you will keep them safe, secure, and protected. Opportunities to assure , comfort, and encourage your baby will present themselves several times every day, I guarantee you, and when everyone in the family is well-rested, we’re more patient, more engaged, and better able to provide the love and support that are the true foundation of a secure attachment with our children. I have studied the science behind my approach extensively, and if there was any evidence whatsoever that the coaching you’ll be providing your baby would, in any way, damage your relationship with your child, I would never recommend it. As Mary Ainsworth herself said in her 2004 study, “It is acceptable, from an attachment perspective, to use the Ferber method or another sleep method.” 4 In short, the only change you’ll see is how well your baby sleeps. What Does Secure Attachment Look Like?
0-3 months: ● In their quiet, alert state, the baby is interested in the faces and voices around them. 4-8 months: ● Attempts to soothe the baby usually work. (Caveat: An inability to soothe might indicate either insecurity or any of a host of other possible issues.) ● The baby and primary caregiver have pleasant back-and-forth interactions. ● The baby has calm periods of curiosity and explores and experiments as they are physically able. ● The baby begins to discriminate among people and show preferences. 9 months: ● The baby shows a clear preference for a primary caregiver and some wariness toward strangers. ● The baby is easily upset when separated from their primary caregiver. ● The baby is easily soothed after a separation and can resume exploration or play. 9 months–3 years: ● The child shows a clear emotional bond with a primary person. ● The child stays in close proximity to that person but forms close relationships with other people, too. |
To The Moon and Back Sleep ConsultingProviding families the tools & support they need to get their little ones sleeping through the night and napping like champs! Everyone has more fun when they are well rested! Visit Wollino - Discount Code: TOTHEMOONANDBACK10
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