Andy Hall So this is where you come when nothing else has worked. Light, airy rooms; soothing pastel colours. You sleep on a comfortable fold-down couch. Your child sleeps next to you, in a hospital bed, attached to 20 leads and sensors. Next door, in the morning, technicians will analyse the data collected through the night: This is where people come when they have tried everything and their child is still not sleeping enough, or not well enough: An astonishing number of parents — about one in five — do not think their children are sleeping as they should.
We are talking, says the service's director, Professor Paul Gringras, about "a very general dissatisfaction". But it is a long way from that dissatisfaction to the beds of Hotel Sleep. First, what constitutes enough sleep — and normal sleep behaviour — covers a very wide range.
From the Avon longitudinal study, which has followed the health and development of 14, children in the Avon area since they were born in and , we know, for example, that the average one-year-old sleeps just more than 11 hours each night. They fall inside the bell curve, within what is expected.
There are short sleepers and long sleepers. But sleep is one of those areas where the line between normal and abnormal can blur. By which he means: The trouble is, not all parents have the determination and not all winds are favourable. That's not so easy.
Graham Turner for the Guardian Some of the strongest effects of sleep — or lack of it — are in learning and behaviour. Gringras cites a fascinating study by an Israeli clinical psychologist, Avi Sadeh, who took a class of 80 year-olds and measured how much, on average, each child slept at night. He then asked the parents of half the children to encourage them to go to bed an hour earlier than usual and the other half an hour later, for the next three days. The children did computer-based learning tasks — designed to reflect classroom-based behaviours, learning and achievement — before and after these small bedtime changes.
They are also large enough for your child to grow into over time, but not so big that they will become lost in it and not feel as secure and comforted as they should. Keep away from extremes of temperature such as windows, doors or radiators and strangling hazards such as blind cords.
The results were startling. Even more intriguingly, similar studies have shown that ADHD-type behaviour appears in many of such sleep-deprived groups. Unlike adults, Gringras says, children who are tired will not only never say so, but "will seek stimulation to stay awake.
They'll bounce off the walls, get labelled naughty.
We have been given a cot and mattress second-hand. Ours stretches just 15 metres and so, last weekend, it did not reach our table.
Some researchers believe a proportion of ADHD-like problems could be down to sleep issues. We are seeing an explosion in numbers of severely obese children. Although they may appear to sleep 10 hours a night, in the lab we see they actually wake up 50 times an hour. And so they are hungry. Sleep is part of a vicious cycle that drives obesity. The trouble with screens — TV, computers, consoles, mobile phones, tablets — is that our sleep patterns are governed by light and hormones.
When natural light starts to dim at the end of the day, our pineal gland produces a hormone called melatonin, which triggers the body clock to "open the gate that allows us to sleep," Gringras says. Unfortunately, exposure to bright light — which includes most screens, however small — will halt the natural production of melatonin and so prevent sleep.
Telly just before bedtime, half an hour on Facebook or similar, even a spot of under-the-bedsheets texting: A computer screen will do it if you sit close enough. Smartphones and tablets are just as bad: In cases like that, we can only say sorry, no can do," says Gringras.
It is not just the child who suffers as a result of inadequate sleep. A child not sleeping well can have an impact not just on the individual but on the whole family. Generally, families come to Gringras because their child is either not falling asleep, is behaving abnormally — waking up, suffering from night terrors, sleepwalking or talking — during the night or seems abnormally tired during the day.
But it can disrupt the whole family. Parents are less tired the next day: Good sleep can have an impact way beyond the individual.
The brain is not so sensitive to red light. Encourage "self-soothing" It is perfectly normal for a child to wake up four or five times in the night, but they should be able to "self-soothe" — go back to sleep on their own. Both parents should write down what they do when putting the child to bed each night, and when trying to get them back to sleep.
Simply writing it down will allow you to realise the patterns that have developed, and you will often be able to solve the problem.
If you're strong enough, simply leave your child to cry; Gringras describes sleep units in Australian hospitals where trained nurses are on hand specifically to help mothers not to go in to their crying babies.
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