新生婴儿与睡眠

读者: 8370    发布时间: 2008

原文: Newborn Babies and Sleep

Congratulations on the birth of your new baby. This is a glorious time in your life. Whether this is your first baby or your fifth, you will find this a time of recovery, adjustment, sometimes confusion and frustration, but " most wonderfully " of falling in love.

Babies younger than four months old have very different sleep needs than older babies. This article will help you understand your newborn baby's developing sleep patterns, and will help you develop reasonable expectations when it comes to your baby and sleep.

Read, Learn, and Beware of Bad Advice

Absolutely everyone has an opinion about how you should handle sleep issues with your new baby. The danger to a new parent is that these tidbits of misguided advice (no matter how well-intentioned) can truly have a negative effect on our parenting skills and, by extension, our babies, developmentSumif we are not aware of the facts. The more knowledge you have the less likely that other people will make you doubt your parenting decisions.

When you have your facts straight, and when you have a parenting plan, you will be able to respond with confidence to those who are well-meaning but offering contrary or incorrect advice. So, your first step is to get smart! Know what you are doing, and know why you are doing it.

 

The Biology of Newborn Sleep

During the early months of your baby's life, he sleeps when he is tired, it's really that simple. You can do very little to force a new baby to sleep when he doesn,t want to sleep, and conversely, you can do little to wake him up when he is sleeping soundly.

A very important point to understand about newborn babies is that they have very, very tiny tummies. New babies grow rapidly, their diet is liquid, and it digests quickly. Formula digests quickly and breast milk digests even more rapidly. Although it would be nice to lay your little bundle down at a predetermined bedtime and not hear a peep from him until morning, even the most naive among us know that this is not a realistic goal for a tiny baby. Newborns need to be fed every two to four hours ~ and sometimes more.

During those early months, your baby will have tremendous growth spurts that affect not only daytime, but also nighttime feeding as well, sometimes pushing that two- to four-hour schedule to a one- to two-hour schedule around the clock.

 

Sleeping "through the night"

You have probably heard that babies should start "sleeping through the night" at about two to four months of age. What you must understand is that, for a new baby, a five-hour stretch is a full night. Many (but nowhere near all) babies at this age can sleep uninterrupted from midnight to 5 a.m. (Not that they always do.) A far cry from what you may have thought "sleeping through the night" meant!

Here we pause while the shock sinks in for those of you who have a baby who sleeps through the night but didn,t know it.

What's more, while the scientific definition of ,sleeping through the night0/00 is five hours, most of us wouldn,t consider that anywhere near a full night,s sleep for ourselves. Also, some of these sleep-through-the-nighters will suddenly begin waking more frequently, and it,s often a full year or even two until your little one will settle into a mature, all-night, every night sleep pattern.

 

Falling Asleep at the Breast or Bottle

It is very natural for a newborn to fall asleep while sucking at the breast, a bottle, or a pacifier. When a baby always falls asleep this way, he learns to associate sucking with falling asleep; over time, he cannot fall asleep any other way. I have heard a number of sleep experts refer to this as a ,negative sleep association.0/00 I certainly disagree, and so would my baby. It is probably the most positive, natural, pleasant sleep association a baby can have. However, a large percentage of parents who are struggling with older babies who cannot fall asleep or stay asleep are fighting this natural and powerful sucking-to-sleep association.

Therefore, if you want your baby to be able to fall asleep without your help, it is essential that you sometimes let your newborn baby suck until he is sleepy, but not totally asleep. When you can, remove the breast, bottle, or pacifier from his mouth and let him finish falling asleep without something in his mouth. When you do this, your baby may resist, root, and fuss to regain the nipple. It,s perfectly okay to give him back the breast, bottle, or pacifier and start over a few minutes later. If you do this often enough, he will eventually learn how to fall asleep without sucking.

 

Waking for Night Feedings

Many pediatricians recommend that parents shouldn't let a newborn sleep longer than three or four hours without feeding, and the vast majority of babies wake far more frequently than that. (There are a few exceptional babies who can go longer.) No matter what, your baby will wake up during the night. The key is to learn when you should pick her up for a night feeding and when you can let her go back to sleep on her own.

This is a time when you need to focus your instincts and intuition. This is when you should try very hard to learn how to read your baby's signals. Here,s a tip that is critically important for you to know. Babies make many sleeping sounds, from grunts to whimpers to outright cries, and these noises don,t always signal awakening. These are what I call sleeping noises, and your baby is nearly or even totally asleep during these episodes. I remember when my first baby, Angela, was a newborn. Her cry awakened me many times, yet she was asleep in my arms before I even made it from cradle to rocking chair. She was making sleeping noises. In my desire to respond to my baby's every cry, I actually taught her to wake up more often!

You need to listen and watch your baby carefully. Learn to differentiate between these sleeping sounds and awake and hungry sounds. If she is awake and hungry, you,ll want to feed her as quickly as possible. If you respond immediately when she is hungry, she will most likely go back to sleep quickly. But, if you let her cry escalate, she will wake herself up totally, and it will be harder and take longer for her to go back to sleep. Not to mention that you will then be wide awake, too!

 

Help Your Baby Distinguish Day from Night

A newborn baby sleeps about sixteen to eighteen hours per day, and this sleep is distributed evenly over six to seven brief sleep periods. You can help your baby distinguish between nighttime sleep and daytime sleep, and thus help him sleep longer periods at night.

Begin by having your baby take his daytime naps in a lit room where he can hear the noises of the day, perhaps a bassinet or cradle located in the main area of your home. Make nighttime sleep dark and quiet. You can also help your baby differentiate day naps from night sleep by using a nightly bath and a change into sleeping pajamas to signal the difference between the two.

 

Watch for Signs of Tiredness

One way to encourage good sleep is to get familiar with your baby's sleepy signals and put her down to sleep as soon as she seems tired. A baby cannot put herself to sleep, nor can she understand her own sleepy signs. Yet a baby who is encouraged to stay awake when her body is craving sleep is typically an unhappy baby. Over time, this pattern develops into sleep deprivation, which further complicates your baby's developing sleep maturity. Learn to read your baby's sleepy signs and put her to bed when that window of opportunity presents itself.

 

Make Yourself Comfortable

I've yet to hear a parent tell me that she or he loves getting up throughout the night to tend to a baby's needs. As much as we adore our little bundles, it,s tough when you,re woken up over and over again, night after night. Since it,s a fact that your baby will be waking you up, you may as well make yourself as comfortable as possible. The first step is to learn to relax about night wakings right now. Being stressed or frustrated about having to get up won,t change a thing. The situation will improve day by day; and before you know it, your little newborn won,t be so little anymore ~ she,ll be walking and talking and getting into everything in sightSumduring the day, and sleeping peacefully all night long.

译文: 新生婴儿与睡眠

祝贺你宝宝的诞生。这将是你生活中一个非常有趣的时期。无论这是你的第一个还是第五个宝宝,你会发现在这个时间内你的身心会得到恢复、调整。当然生活有时也会有慌乱和不知所措的时候,但"最令人称心"的是你将学会如何去爱你的孩子。

婴儿年龄小于4个月的有着与大龄婴儿非常不同的睡眠需求。这篇文章将帮助你了解你的初生婴儿睡眠模式的发展变化,当你的宝宝或者是他的睡眠出现问题时也可以使你有一个合理的应对之策。

读懂,学会,并提防别人提出的误导性意见
几乎每个人在教你应如何处理新生婴儿的睡眠问题上有着自己的观点。对刚做父母的人来说有些误导性的建议(不管出于什么样善意)可能对我们为人父母的技巧产生负面的影响,并推而广之,就会影响我们婴儿的发展, 如果我们对此不辩真伪的话。你了解的育儿知识越多他人左右你的育儿决策的可能性就愈小。
 
当你有你了可靠的育儿知识,当你有一个具体的育儿计划,你就能够满怀信心的应对那些出于好意但提供相反或不正确意见。所以,你的第一步就是明智点!知道自己正在做的事情,并且知道你这样做的原因。 

新生婴儿睡眠的生物机律
在宝宝出生的最初几个月中,疲倦的时候就会睡觉,就那么简单。当他不想睡觉的时候你只要略施方法就可以使他入睡,反过来说,你也可以很容易地使他从睡梦中苏醒过来。

非常重要而且需要了解的一点是,新生婴儿他们的食量非常非常的小 。新生婴儿成长很快,他们的饮食是流质物品消化快。用牛奶配制的婴儿食品消化更快。虽然在预定的就寝时间把你的宝宝放下来让他睡觉并且直到第二天早晨没有听到他有任何的嘀咕声看似很好,但即便是最年幼无知的人也知道这并不是一个现实的培育婴儿的目标。新生儿需要每隔2至4小时〜有时甚至更多给他喂食。

在宝宝出生的最初几个月,不仅白天的喂食会让你的宝宝身体有快速的成长而且晚间的喂食也起着同样的作用,有时一天内会把原来每隔两到四小时给予喂食的时间推前一到两小时左右。 

一觉睡到天亮
也许你已经听说过婴儿在两至四个月大的时候应该可以开始一觉睡到天亮" 。但你必须明白的是:对一个新生的婴儿来说5个小时的睡眠时间就是一整夜。许多(但不是所有)的婴儿在这个年龄段可以从晚上的12点一直睡到第二天早上的五点(不是说他们经常这样) 。也许这与你想像的"睡一整夜"的意思有很大的差距.

在这里我们稍停一下让那些已有婴儿且他们的宝宝可以一觉睡到天亮但是他们并不知道它的人好好的理解一下。

而且,虽然在科学上将睡一整夜的时间定义为五个小时,但是我们大多数人并不认同这种说法。另外,在这些可以睡一整夜的婴儿中也有一些人常常会突然醒来,满一岁甚至两岁的宝宝也常常会这样,直到你的宝宝能在晚上有一个好的睡眠模式。 

宝宝常会在给他喂乳或吸奶时入睡
非常自然的一个现象是:新生儿常在你给他喂乳与喝奶及吸橡皮奶头时会睡着。当宝宝总是以这种方式入睡的话,这样,他就会将吸乳与睡觉联系在一起;随着时间的推移,其他任何的方式他都可能无法入睡。我听到许多的睡眠专家将这称为消极的睡眠方式。我当然不同意,我想我的宝宝也是。这也许对婴儿来说是一种最积极、自然、与舒适的睡眠方式。然而,许多因他们的大龄婴儿不能入睡或长时间的睡而感到烦恼的家长们抵制这种自然而强效的吸吮睡眠方式。

因此,如果你想你的宝宝在没有你的帮助下能够安然入睡,那么不时的给你孩子喂乳直到他睡着但并没有完全入睡就非常的重要。当你可以的时候把乳头,奶瓶,橡皮奶头从他的口中移开不要让他嘴里含有东西入睡。当你这样做的时侯,您的宝宝可能会抗拒,表示出不愿意的情绪并嚷嚷着要继续喝奶。最好就给他喂乳,奶瓶,或橡皮奶头并在随后的几分钟后试着继续将它们从他的嘴里移开。如果你这样做的次数够多的话,他最终就会学会在没有吸吮的情况下如何入睡。 

在宝宝晚上醒来的时候给他喂食
许多儿科医师建议:父母不应在没有给让新生婴儿喂食的情况下让他连续睡眠时间超过三,四个小时,而且绝大多数的婴儿在这个时间内会不断醒来。 (也有少数的婴儿可以睡的更久一 点 )但是无论怎样,你的宝宝在夜间会有醒来的时候。关键就是要了解在晚上什么时候你要把你的宝宝抱起来给他喂食以及什么时候让他自己再继续睡。

这是一个你需要集中你直觉与精力的时候。这个时候也需要你尽可能的去解读你的宝宝发出信号。下面这一则提示对你来说极为重要你需要知道。婴儿在睡觉的时候会发出许多的声音,从哼哼声到呜咽直至放声大哭,但这并不上他醒来时的信号。这些声音就是我称之的睡眠噪音,而在这个时候你的宝宝几乎还处在睡眠的状态。我记得当我第一个宝宝,安吉拉出生的时候她的哭声常常在以为里将我弄醒很多次,然而她在我的怀里睡着甚至在我将她从作从摇篮放到摇椅之前她还在睡着。她正在发出睡眠的噪音。由于我过于期待回应我宝宝的每一个哭声,竟然经常将她从睡梦中叫醒。

你需要仔细倾听与观看你的宝宝。学会去识别他们在沉睡与苏醒和饥饿时发出的声音。如果她以醒来饥饿的话,你就应该尽快给他喂食。如果你在他饿的时候回应及时的话,她就有可能会很快继续睡去。但是,如果你让听任她哭的话,她就会完全醒来,这时再让他睡着的话就会很难。更不用说随后你的睡意定会全无。 

帮助您的宝宝区别白天与黑夜
新生婴儿每天的睡眠时间大约是在16至18个小时,而且它被均匀地分布成6至7个短暂的睡眠时间。你可以帮助你的宝宝区分白天与夜间的,从而帮助他在晚上的时候可以睡得更久。
 
首先将你的宝宝放在一个能听到外面杂音明亮的房间里睡觉,不妨就把她放在你家主要区域的是摇篮或童车里。在晚上睡觉的时候就把他放在一个关线暗淡宁静的房间。您也可以在晚上的时候通过给你的宝宝洗澡与换上睡衣来帮助他区分白天与黑夜的睡眠及二者的不同。 

观察你宝宝发出的困倦信号
使你的宝宝有一个良好的睡眠方法是熟悉你的宝宝发出的睡眠信号,在她困倦的时候立马将她放下来让她睡觉。婴儿不能使自己入睡,也不能明白她自己发出的睡眠信号。然而在一婴儿渴望睡觉的时候让她处于苏醒的状态对她来说是非常不幸的。随着时间的推移,这种格局发展成为睡眠缺乏症,从而将进一步使你的宝宝的睡眠状况恶化。学会解读你的宝宝的睡眠信息在她要睡觉的时候就让她睡。 

放松自己
有一个家长告诉我:她或他常在夜里的时候起床来照料宝宝的需要。尽管我们非常喜欢我们的小宝宝,但在晚上不时的醒来、长此以往的话就会使自己很累,既然在夜里你会被你的宝宝弄醒,不妨尽可能的放松自己。第一步就是从现在起要学着在夜间的时候放松自己。使自己处于压抑与慌乱的状态并不能改变实质性的问题因此需要抛开它。情况会一天天地好转,在你知道之前你的小宝宝可能就不再那么小了〜她将学会走路和说话并明白一些事情,在晚上有一个很好的睡眠。