The back sleep position is recommended for each sleep period for all infants to reduce the risk of sudden infant death syndrome (SIDS Sudden Infant Death Syndrome (SIDS)). Stomach or side sleeping positions put infants from high-risk for SIDS, especially for those who are laid on its side and found on his stomach.
Sleep behavior is culturally determined, so that problems are defined as behaviors that deviate from the prevailing customs and norms. In cultures where the children in the same house, but sleep separately from their parents, including sleep problems among the most common concerns with which parents and children have to deal with. The back sleep position is recommended for each sleep period for all infants to reduce the risk of sudden infant death syndrome (SIDS Sudden Infant Death Syndrome (SIDS)). Stomach or side sleeping positions put infants from high-risk for SIDS, especially for those who are laid on its side and found on his stomach. The “co-sleeping” sleep parents and infants close to each other (on the same surface or different surfaces) so that they see each other, hear and / or touch. Sleeping arrangements for “co-sleeping” can set up sharing a bed (the infant sleeps on the same surface as the parents) or the room (the infant sleeping in the same room as their parents nearby) include. A shared bed for parents and infants is common but controversial. Often there are cultural and personal reasons that parents choose to share a bed, including convenience for feeding, binding, the belief that their own vigilance is the only way to protect her child, and faith, that allows them a shared bed, even to be vigilant in their sleep. been However, the parts of a bed is associated with an increased risk of SIDS, as well as injury or death of the infant resulting from suffocation, strangulation and obstruction, associated. Sharing a room without a shared bed allows for close proximity to the infant and to facilitate the feeding, sedation and monitoring; it is more secure than a shared bed or sleeping alone (the child sleeps in a separate room) and is associated with a decreased risk of SIDS. For these reasons, the parts of a room without a shared bed sleeping the recommended design for parents and infants in the first months of life. Babies fit in a day-night rhythm usually at the age of 4-6 months. Sleep problems beyond this age are very different, these include: difficulty falling asleep, frequent awakenings during the night, unusual sleep a day, depending on the need to be fed or held to fall asleep. These problems are related to the expectations of the parents, the temperament and the biorhythm of the child and the parent-child interaction. Factors that can affect sleep patterns are different depending on age. For infants innate biological patterns are of central importance. An age of 9 months and then again at the age of 18 months sleep disorders are common because separation anxiety occurs independent movement of the child and the discovery of control over the environment Long sleeping late afternoon overstimulation playing before bedtime nightmares are more common in young children and older children are more important emotional conditions and established habits. Stressful events (eg. As relocation, disease) can cause acute insomnia in older children. Clarification history The history focuses on the sleeping environment, solid processes and times in relation to the bedtime and the expectations of parents. A detailed description of the child’s activities during an average day can be helpful. The discussion should explore whether there is in the child’s life special stress factors such as school problems confronting inadequate, disturbing TV shows or consumption of caffeinated beverages (eg. As caffeinated soft drinks). Reports of irregular bedtimes, a troubled and chaotic sleep environment or frequent attempts of the child to use the sleep patterns as a tool to manipulate the parents can seem sensible lifestyle changes. Extreme frustration of parents points to tensions within the family, or upon parents who have difficulty to be consistent and adequate in severity. A sleep diary for several days can help to unusual sleep patterns and sleep disorders (such as sleep walking, night terrors sleep. Night terrors and sleepwalking) reveal. A careful survey of older children and adolescents about school, friends, anxiety, depressive symptoms and their general condition is often the cause of sleep problems seen lassen.Körperliche examination and tests examinations and tests provide generally any useful information. Treatment The role of the physician is to give the parents declarations and recommendations, what changes appear reasonable for the child to come to an acceptable sleep patterns. The procedure depends on the age and situation. Infants can often be soothed by wrapping, surrounding noise and movement. However, constant weighing, leads to falling asleep that the child does not learn to fall asleep on their own, but this is an important development. As a substitute for weighing a parent can quiet, sitting next to the crib until the child falls asleep, and ultimately the child learns comforted by feel and fall asleep without being held. All children wake up during the night, but those who have learned to sleep alone, also find their sleep normally. If children can not go back to sleep, parents can check on them, to make sure that everything is OK and to reassure them, children should then, however, be given the opportunity to find alone to sleep. In older children, facilitates time spent with quiet activities such as reading, falling asleep. A fixed bedtime is important; a fixed ritual can be useful for young children. Nightmares and night waking can be prevented by letting tell what is going on during the day experienced everything to an already-speaking child. Also encouraging physical activity during the day and avoiding scary movies can also help to reduce sleep problems as the clear rule that bedtime is non-negotiable. When stressful events are the cause, help reassurance and encouragement very much. To be allowed to sleep in these situations in the bed of parents to allow children the problem is almost always extended rather than shorten it.