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della Monica C, et al. (2018). What makes a good night’s sleep? The external and internal factors that influence a good night’s sleep. If you are not sure, but think you could be pregnant, why not try the Clearblue® Early Digital Pregnancy Test or the Clearblue® Early Detection Pregnancy Test, which allows you to test 6 days before your missed period (5 days before your expected period), so you don’t have to wait to miss a period to be sure. This is all news to Jayne. Elise was quiet with the iPad and TV, she says: “I thought it was calming her down.” She has come to rely on that time to do the housework – a rare moment to herself. “I wouldn’t have thought that just having the television on, even if she wasn’t looking at it, would affect her sleep. That’s the first thing I do when I come in: put the telly on.” You’ll find answers to some common questions about sleep below. Does your need for sleep change with age? The waiting area at Wheatley children’s centre is filled with mothers with grey faces and hollow eyes. Many of them have spent vast amounts of time and money trying to get their children to sleep. They have tried books, online parents’ forums, white noise, scented oils, vibrating teddies, light shows that project on to the bedroom ceiling. Some have put furniture up for sale to try to meet the cost of private help.
Kang EK, Kim SS. Behavioral insomnia in infants and young children. Clin Exp Pediatr. 2021;64(3):111-116. doi:10.3345/cep.2020.00052 Pulling all-nighters, or working the graveyard shift and then sleeping in the day, may contribute to some negative health effects, including increased risk for cardiovascular disease and type 2 diabetes. Changing lifestyles in older age, including an irregular schedule, may lead to more time spent in bed. O’Brien, L. M. (2013). Neurocognitive implications. In A. R. Wolfson & H. Montgomery-Downs (Eds.), The Oxford handbook of infant, child, and adolescent sleep: Development and behavior (pp. 414-428). Oxford University Press. Mindell, J. A., Kuhn, B., Lewin, D. S., Meltzer, L. J., & Sadeh, A. (2006). Behavioral treatment of bedtime problems and night wakings in infants and young children. Sleep, 29(10), 1263-1276. PMID: 17068979.Friman, P. C., Hoff, K. E., Schnoes, C., Freeman, K. A., Woods, D. W., & Blum, N. (1999). The bedtime pass: An approach to bedtime crying and leaving the room. Archives of Pediatric and Adolescent Medicine, 153(10), 1027--1029. https://doi.org/10.1001/archpedi.153.10.1027 . Kuhn, B. R., LaBrot, Z. C., Ford, R., & BRoane, B. M. (2019). Promoting independent sleep onset in young children: Examination of the Excuse Me Drill. Behavioral Sleep Medicine. https://doi.org/10.1080/15402002.2019.1674852. Again, in terms of sheer global celebrity, Terry Wogan is wildly outpaced by subsequent hosts. But good God, that voice. That twinkle. That fully present engagement. Wogan was born to read bedtime stories for children. For all the hoopla about the A listers lining up to take part, this is proof that you don’t need star power to be an A lister to be truly charismatic. 8. Ryan Reynolds – Where the Wild Things Are Jayne Hill has an appointment with sleep practitioner Claire Earley, who asks her about Elise’s nightly routine. She explains that Elise has never been a child to go to sleep at seven, but they are aiming for her to be in bed by 8.30pm. Their work schedules mean the family doesn’t have dinner at the same time every day. Elise stays up so they can all sit at the table together. Then she plays on the iPad. The longest time recorded is just over 11 consecutive days (264 Hours). What is the healthiest sleep position?
Bedtime resistance comes up time and time again as one of the most common sleep issue families face. One recent study found that approximately 50% of babies between the ages of one and two regularly resist bedtime. I share this statistic not to depress you but to reassure you that you are not alone! From two-year-olds to 14-year-olds, every case Earley and her fellow sleep adviser Carol Batchelor advise on that day involves a child who uses a smartphone or tablet before bedtime. According to a recent survey by consultancy Censuswide, over 80% of children in the UK now have their own phone by the age of 12. By 10, 58% have their own tablet, and two-thirds of teenagers say they use these devices in the hour before bedtime. Mayne SL, Morales KH, Williamson AA, Grant SFA, Fiks AG, Basner M, Dinges DF, Zemel BS, Mitchell JA. Associations of the residential built environment with adolescent sleep outcomes. Sleep. 2021;44(6):zsaa276. doi:10.1093/sleep/zsaa276
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Earley gives Jayne a plan: all screens must be off by 7.30pm, then Elise should play with her train set or Play-Doh: games that require hand-eye coordination and help the brain wind down. Then a bath, and bed at 8.30pm. Watson NF, Badr MS, Belenky G, et al. Recommended amount of sleep for a healthy adult: a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep. 2015;38(6):843-844. doi:10.5665/sleep.4716 Sleep patterns are different for each person. For example, some people need 7 or 8 hours of sleep; others may function less and still feel rested in the morning without any side effects like drowsiness during daytime activities. The condition is called Short sleeper syndrome (SSS) because most adults who suffer from it require fewer than six hours of sleep per night. What is the bare minimum amount of sleep? The families coming to see them often want a panacea or pill that will make their child’s problem vanish immediately. The behavioural approach they recommend instead takes time, but is very effective: 92% of the 167 families who used the clinic over the past year reported that their child’s sleep issues were successfully resolved within six months. And in the cases where they can’t help, the charity refers families to Sheffield children’s hospital for overnight observation. Consider whether bathtime is relaxing. If it isn’t, separate it from the bedtime routine. If it is, have the bath 30 minutes before bedtime to allow the body temperature to rise and then drop again – this helps us feel sleepy.
Implantation bleeding (light spotting that happens when a fertilized egg implants into the uterus). Aidman E, et al. (2018). Effects of sleep deprivation on executive functioning, cognitive abilities, metacognitive confidence, and decision making. Eshbaugh, B., Martin, W., Cunningham, K., & Luiselli, J.K. (2004). Evaluation of a bedtime medication regimen on daytime sleep and challenging behaviors of an adult with intellectual disabilities. Mental Health Aspects of Developmental Disabilities, 7, 21-25. Switch off electronics at least 30 minutes before bedtime. The light from these devices can stimulate your brain and make it harder to fall asleep. When you fall asleep, your brain and body go through several cycles of sleep. Each cycle includes four distinct stages.Hale L, et al. (2018). Youth screen media habits and sleep: sleep-friendly screen-behavior recommendations for clinicians, educators, and parents. An overnight stay in the Sheffield children’s hospital lab showed no signs of Ellie having sleep apnoea. (This occurs when excess weight makes the airway collapse during sleep, causing sufferers to struggle to breathe; in the most serious cases, children have to sleep with a ventilator.) This was a relief for the family, but also the first time they had heard there was a link between sleep deprivation and weight gain. When the nurses explained the connection, it rang true for Ellie. Research has found evidence to suggest that sleep deprivation negatively affects functions associated with the brain’s frontal lobe, including:
Sleep is a biological necessity vital to maintaining your health and wellness, but why do we need it? To understand what happens during deep sleep, you must first differentiate between two different types: active (REM) and quiet wakefulness. During periods of light or deep phases, there are many changes in brain activity, including blood flow which leads scientists to believe these stages have something important going on for us beyond just resting our muscles from exertion like with REM sleep. Lying down with your eyes closed may not seem like sleeping at all; however, studies show that being inactive frees up energy. Can you sleep 4 hours twice a day?Control the Attention: If seeking caregiver attention is a contributing factor, the parent can initiate consistent bedtime routines, followed by a consistent bedtime and then the parent can return to the child’s bedroom at fixed intervals to give attention until the child falls asleep (O’Reilly et al. 2004). It is also possible that many parents don’t recognise their child isn’t sleeping enough: most of the teenagers who participated in a recent survey for the Children’s Sleep Charity said they had problems falling asleep and difficulty getting up; but 80% of their parents said they didn’t think their child had an issue at all.
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