Pediatricians, moms and authors, Laura A. Jana, MD, FAAP and Jennifer Shu, MD, FAAP offer a wealth of “parent-tested, pediatrician-approved” advice in Heading Home With Your Newborn: From Birth to Reality, Second Edition (American Academy of Pediatrics, September 2010). Available on the American Academy of Pediatrics official Web site for parents, HealthyChildren.org. Also available in bookstores nationwide.
The following are excerpts to help you navigate those first crucial weeks of parenthood and caring for a newborn:
“Sleeping like a baby” can mean different things to different people–usually depending on whether they’ve ever had or taken care of one before. For just about all newborns it fairly predictably means having the ability to sleep at any time and in any place, while at the same time being completely unwilling to entertain any “suggestions” as to how, when, or where to put such talent into practice. You may come across those who have ventured down the path of parenthood before you who simply shake their heads sympathetically and wish you luck in getting your newborn to wake up when you want/need him to, and even better luck getting him to go to sleep when you want. Because we’re committed to helping you set appropriate expectations for yourself and your baby, we’re going to approach the whole subject of sleep by first helping you get into the right frame of mind. We decided to start out by providing you with some basic sleep-related milestones.
Daily sleep. The average newborn spends at least 16 hours a day sleeping, but there can be big differences from one newborn to the next. The total amount of sleep babies need in any given 24-hour day gradually decreases over time, but still totals just over 14 hours at 6 months of age and just under 14 hours at 1 year.
Naps. Sure, many newborns nap in 1- to 2-hour spurts, but before you go planning your schedule around any preconceived idea of nap time, let us add that the length of most newborns’ naps are also very variable and tend to be scattered throughout the day (and night) in a completely random and therefore unpredictable manner. The 3-nap-a-day schedule with which you may be familiar should be considered a sleep pattern you should aspire to down the road, because most newborns don’t settle into this type of nap routine for at least a month or two. Even then, it can take a few additional weeks or months before you can count on a morning, early afternoon, and early evening nap.
Night versus day. During the first few days and weeks of parenthood, you are likely to find that there’s not going to be a whole lot that distinguishes your days from your nights. More often than not, they just seem to blend together into one big sleep-deprived blur. That’s because it will be almost completely up to your newborn when he chooses to be awake and when he chooses to sleep. Most newborns spend equal amounts of time sleeping during the day and night–a tendency that can be quite challenging for those of us accustomed to more of an awake-by-day, asleep-by-night approach. By the end of their first month, most newborns do manage to figure out how to consolidate their sleep into longer stretches and start to get at least one extended stretch of sleep each 24-hour day. So with any luck, you’ll be blessed with a baby who decides to choose nighttime as the right time to do so. And for the real light at the end of the tunnel: By 3 months of age, many babies get approximately two-thirds of their total daily sleep during the night.
The Heading Home with Your Newborn excerpts are sponsored by the Role Mommy Writer’s Network.book reviews