In most children sleep disorders are intermittent or temporary and usually require no treatment. Normal sleep Most children sleep after the age of 3 months at night at least 5 hours by then then experience but in the first years repeatedly periods with frequent nocturnal awakening, often associated with a disease. With increasing maturity, the number of periods of sleep increased with Rapid-Eye-Movement (REM sleep) with increasing complexity of transitions between sleep stages. In most people, at the beginning of the night of sleep without REM (NREM sleep) predominates while during the night increases REM sleep. In this way, NREM phenomena occur in the early night, while the REM-related phenomena occur later in the night. A distinction between phenomena that occur in actual sleep (REM or NREM) and behaviors that occur during the wax phases can be important for treatment. It is important to find out whether the parents see the co-sleeping with the child as a problem or not, because there are big cultural differences in sleep habits. Nightmares nightmares are afraid that occur during REM sleep-making dreams. A child with a nightmare can awaken fully and vividly recall many details in the dream. Nightmares are not a cause for alarm, unless they are very common. They may occur more frequently during times of stress or even if the child has seen a movie or TV show with frightening events. If nightmares occur frequently, parents can create a diary to see if they can determine the cause. Night terrors and sleepwalking night fears are NREM episodes of incomplete awakening, coupled with extreme anxiety shortly after falling asleep. Most commonly, those night fears are aged between 3 and 8 years. The child cries and seems frightened, it has a racing heart and rapid breathing. The child does not seem to notice that the parents are there, and can bash around and can not be calmed. The child can speak, but is unable to answer questions. Usually the child is asleep after a few minutes again. Unlike nightmares, the child can not remember these episodes themselves. Night terrors are dramatic because the child is crying and is inconsolable during the episodes. About a third of children with night terrors are sleepwalkers – that is, they stand up from the bed and run around while they sleep obvious. This is also called somnambulism. About 15% of children between the ages of 5 and 12 have at least one episode of sleepwalking. Night terrors and sleepwalking almost always stop by itself, although occasional episodes may occur for years to come. Usually no treatment is necessary, but if these incidents persist in adolescence or adulthood and are severe, treatment is necessary. For children who need treatment, night terrors can sometimes be mitigated by a sedative or certain antidepressants. There is some evidence that disturbed sleep is associated with periodic leg movements, which can be treated well with iron supplements, even if no anemia present. When children snore and to fight, obstructive sleep apnea should be considered. Refusal to go to bed children do not go to bed between the ages of 1 and 2 years, they often have separation anxiety, while to go refuse to bed older children, rather to expand their control over the environment something. Small children often cry when they are left alone in bed, or get out and look for their parents. Another common cause for problems of this kind is a shift bedtime. This happens when children are allowed to stay up late for a certain number of days and get up later than usual, so that their internal clock shifts and sleep time is correspondingly later than before. It can be difficult to move the bed to an earlier time, but a short course of an OTC antihistamine or melatonin can help children to reset their body clock back. Refusing to go to bed is more effectively not want the parents to stay a long time in space, calm for a long time, or they can get out of bed. In fact, these behaviors reinforce one night waking, because the kids want to repeat the same conditions as during the Zubettbringens. To avoid these problems, a parent can stay a while within sight of the child quiet in the hallway sit and ensure that the child stays in bed. The child then established a sleep behavior that does not require the presence of parents, and he learns that there is no point in getting out of the bed. The child also learns that the parents are there but are not available for more stories and games. Over time, the child calmed down and falls asleep. It is often helpful to place the child with a stuffed animal to bed that likes it. A little night light, so-called “white noise” or both can also be comforting. If the child is accustomed to fall asleep in physical contact with a parent, the first step for a new Einschlafsituation is the gradual weaning of this contact, initially the whole body up to a hand that touches the child fall asleep while the parent next to the bed sitting. Once the child falls asleep on a regular basis, if a parent sitting next to the bed, the parent can get out of bed for a longer and longer period. Wake up during the night Everyone wakes up several times at night. but most people usually sleep easily again. Children experience repeated nighttime awakenings often after moving house, following an illness or other stressful event. Sleep problems may get worse when children make long naps in the late afternoon or overstimulated by playing directly before bedtime. Permission to sleep because of nighttime waking up in bed with parents amplifies the problem. Also counterproductive are nocturnal games, Feeding, Scolding or even blows. The child with simple soothing words return to bed, is more promising. An evening ritual, such as with reading or telling a short story, offering a cuddly toy or a favorite doll and a small night light (in children> 3 years) is often helpful. To avoid excitement, it is important that the conditions under which the child wakes up at night are the same as those under which the child is asleep. Parents and other caregivers should try to repeat the evening ritual every day, so that the child learns what can wait. When children are physically healthy, you can let children cry a few minutes in bed. Thus enabling them to calm themselves, which reduces the frequency of the next union awakening. However, severe crying is counterproductive, because the parents can feel then caused to return to a ritual of close physical contact. Gentle reassurance is while the child is in bed, is usually effective.

Health Life Media Team

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