Monday, July 4, 2011

The ABC Cure for Accidental Parenting

Exceperted from The Secrets of the Baby Whisperer
Three-day magic: The ABC cure for Accidental Parenting (inc. Troubleshooter)
« on: July 04, 2006, 03:09:15 PM »


“We Have No Life”

When parents don’t start as they mean to go on, they may end up doing what I call accidental parenting.

I get calls from parents who didn’t start as they meant to go on. They make comments such as “He won’t let me put him down” or “She only eats for ten minutes at a time”, as if the baby is deliberately resisting what’s best. What really has happened is that the parents unintentionally reinforced a negative behaviour.

My purpose in this chapter is not to make you feel bad but to teach you how to turn back the clock and undo the unwanted con-sequences of accidental parenting. And believe me, if your baby does something that upsets your household, disrupts your sleep, or prevents you from having a normal everyday life, there is always something that you can do about it. However, we must start with these three basic premises.

1 . Your baby isn‘t doing anything willful or spiteful. Parents are often unaware of the impact they have on their children, and that, for better or for worse, they shape their babies’ expectations.

2.   You can untrain your baby. By analyzing your own behaviour— what you do to encourage your baby—you’ll be able to figure out how to change whatever bad habits you’ve unwittingly encouraged.

3.   Changing habits takes time. If your baby is under three months old, it usually takes three days, or even less. But if your baby is older and a particular pattern has persisted, you will have to make changes in steps. It will take more time—usually each step takes three days—and require a fair amount of patience on your part to “fade out” whatever behaviour it is you’re trying to change, whether it’s resistance to nap time or feeding difficulties. You have to be consistent, though. If you give up too soon, or if you are in¬consistent, trying one strategy one day and another the next, you’ll end up encouraging the very behaviour you’re trying to change.




The ABCs of Changing Bad Habits


Often, parents who find themselves in situations and feel desperate. They don’t know where to begin. Therefore, I’ve devised a strategy to enable parents to analyse their part in the problem and, in doing so, help them figure out how they can change a difficult pattern. It’s a simple ABC technique.

“A” stands for the antecedent: what came first. What were you doing at the time? What did you do for your baby—or not do? What else was going on in his environment?

“B” stands for the behaviour: your baby’s part in what’s happening. Is she crying? Does she look and sound angry? Scared? Hungry? Is what she’s doing something that she usually does?

“C’, stands for the consequenses - what kind of pattern has been es¬tablished as a result of A and B. Accidental parents, unaware of how they may be reinforcing a pattern, keep doing what they al¬ways did—for example, rocking the baby to sleep or thrusting a breast in his mouth. The action may stop the present behaviour for a few minutes, but it will strengthen the habit in the long run. The key to changing the consequence, therefore, is to do something different - introduce a new behaviour in order to allow the old one to fade out..




Taking It One Baby Step at a Time


I had to help parents retrace what was actually a series of antecedents that contributed to their LO’s behaviour, and then break down the solution into steps. In other words, we worked backward to undo what had been done. Let me take you through the process.

  • Observe and figure out a strategy.
  • Do each step slowly—you can ‘t rush the process.
  • Solve one problem at a time.
  • Expect some regression, since old habits die hard; you must commit yourself to the plan.





The Secret to this Three-Day Magic


I employ my ABC strategy to analyze precisely what kind of three-day magic I’ll need. Often, it comes down to one or two techniques, all of which involve encouraging the old behaviour to fade out. In three-day increments, you withdraw whatever it was you favour of something that builds your child’s independence and resourcefulness. The older babies get, of course, the harder it will be to discourage the old behaviour. In fact, most of my calls for help come from parents with babies five months or older.

In the “Troubleshooting Guide” on pages 272—274, I offer a quick review of the most common bad habits I’m asked to help change. However, in each case there are common threads.



The ABCs of Change


Remember: Whatever bad habit you’re trying to break is a consequence (C) c what you’ve done—the antecedent (A) - which has inadvertently caused the behaviour (B) you now want to eliminate. If you keep doing the same thing, it will only reinforce the same consequence. Only by doing something different—by changing what you do—can you break habit.



Troubleshooting Guide


The following is not meant to be an exhaustive list of every problem you might encounter, but these are the kinds of long-term difficulties I’m often asked to interpret and correct. If your baby has more than one, remember that you have to take one at a time. As a guide, ask yourself, “What do I want to change?” and “What do I want in its place?” When both feeding and sleeping issues are involved, the two are often interrelated, but it is impossible to work on either one, for example, if your baby is frightened about being in his own crib. When trying to figure out what to do first, use your common sense—the solution is often more obvious than you think.


Taken from The Secrets of the Baby Whisperer
Specific case studies can be found in chapter nine




Note - the troubleshooting guides that were attached to this post have been lost, but as mentioned above, they can be found on p. 272-274 of The Secrets of the Babywhisperer.

Start as You Mean to Go on

"Start as you mean to go on".  That is a favorite phrase from Tracy Hogg of The Baby Whisperer.  That is, imagine what you want your family to look like, and begin that way when your baby comes home from the hospital. 

So Tracy says is you want to embrace her idea of whole-family parenting, use her E.A.S.Y. method (or insert whatever method you are choosing).  If you choose another approach, that's your perogative.  But parents often don't realize they are making the choice and get into what she calls "accidental parenting".  They don't start as they mean to go on.  Tracy gives a great example of this.  She recommend to parents who carry their infants around in order to get them to sleep that they try doing that for half an hour with a twenty-pound sack of potatoes.  Is that what you what you want in a few months from now? Most likely not:)

So try to make yourself more conscious of habits you might be setting up.

Tracy says that despite the fact that infants come in with their own unique temperament, parents' actions do make a difference.
(From Secrets of the Babywhisper, pages 48-50
 
***On a side note, I do think that in those first newborn months, sometimes you just need to make sure that they do get rest and not in an overtired cycle.  The ultimate goal is a baby who is well-rested and is learning self-soothing skills.  But it may take some time to develop.  So you may need to "assist" and help you baby in those first months and I don't think it is necessarily habitforming.  I was so nervous about creating "sleep props" but I do think if you set the foundation for good sleep fundamentals, it will fall into place and you won't have any habits.  So yes, you may use the swing on occassion, or yes you may take a walk in the stroller when they are newborns so they get a great nap, but you are not doing it continuously and they will learn.  I remember with my first she would nap so well in the carseat (not even in the car, or stroller, just in the carseat) and I'm not sure if it was because of the incline, if she felt more cozy and secure strapped in there or what.  And she also napped well in her bouncy chair (I did not have the vibrator on). But she slept in her crib at night fine.  So I made sure to have 1 nap a day in her crib (and would just resettle or try to resettle if she woke early, usually at the 45 min "intruder" mark) and let her have her other naps in the other places as she slept so well there.  Then as she got older (around 10 weeks), she started to nap not well in those, especially her bouncy chair, and much better in her crib, so we transitioned all to the crib.  By 3 months naps were down really good and she had worked out many issues.  So early on I learned you may need to go what works to get baby to take good naps and as they mature it seems to resolve anyways. (And I did this for daytime sleeping, not night).  It is important that they do not get so overtired that they cannot stay asleep.  So that is why you may need to help them get rested in those first few weeks and months BUT it should not continue endlessly. 



Growth Spurts

« on: July 05, 2006, 02:45:30 AM »

Has your baby been on a great routine and suddenly wants to feed around the clock?  Has your lo been sleeping through the night for weeks and is suddenly waking up ravenous?

  **If yes then you could very well be dealing with a Growth Spurt

Growth spurts are most common around 7-10 days, 2-3 weeks, 4-6 weeks, 3 months, 4 months, 6 months and 9 months (more or less). They usually last from 2-5 daysl.  The increased demand for the breast is usually the signal that Baby's growing body is in need of more food.

If you baby has been sleeping through the night or for long stretches (5-6 hours) and is suddenly waking after 2-3 hours or waking erratically throughout the night it is most likely a hunger issue.  In BWSAYP, Tracey recommends "upping calories during the day rather than feeding in the night" to avoid any long term accidental parenting.


The prescription for a growth spurt is always the same: increase food during the day and, if you haven’t already started doing so, add a dreamfeed at night. With bottle-fed babies, we increase by 25 ml (one ounce) the amount of formula you give during the day. With breast-fed babies, it’s a little trickier, because you increase the feed time rather than the amount. 
So if your baby is on a three-hour routine, bump it up a hit to every 2 ½  hours. With an older baby Who’s on a “4/4” routine (page 33), you have to go back to feeding every three or 3 ½ hours. Some moms find this advice confusing, like Joanie, a mother in Florida, who told me, “That feels like we’re going backward. I finally got him on a four hour routine. I explained that this is just a temporary measure. By feeding more often, she was letting her body know that it had to manufacture more milk for four—month—old Matthew, and in a few days, she would be producing enough milk to satisfy his new needs.


***(OR here is some alternative options explained from her site):
As a breastfeeding mother this can be tricky because it is not simply a matter of pouring more milk into a bottle.  Instead you have to send a message to your body to manufacture more milk. 
Tracey recommends:

"For three days, you have to take steps to increase your milk supply.  There are 2 ways to do this:"

1)  Pump one hour after each feed.  You may only get an ounce or two but you can store the extra breast milk and use it to top off you baby at her next feed.  Do this for three days and by the third day your body will be producing the extra milk it requires for your baby.

2)  At each feed, have your baby empty one breast and then put him on the other breast.  When the second breast is emptied, switch back to the first breast.  Although it will feel empty to you, the body always produces milk in response to a baby's suckling.  After three days you will notice a boost in your milk production.

Growth Spurts can happen unexpectedly as the timings are not identical for every baby. Some breastfeeding mothers also choose not to pump and it is possible to ensure your baby's needs are met by just using some flexibility during those few days. Some BW mothers use an EAEASY structure so they are responding to their baby's hunger cues and allowing their baby to build up their supply. Those few days don't last long and your baby will return to their normal feeding pattern once things have settled down. If you are getting clear hungry signs from your baby during that time, don't try and stretch them to the next feed unhappily - they are doing you the service of building up your milk supply for the next few weeks and months! Mother Nature is very clever.

How to Stop the Dream Feed

A lot of babies have a late night feeding that is sometimes called a "dream feed".  That is because this feeding is supposed to be ideally when the baby is sleeping and you are just helping them fill up so they'll stretch longer in the night.  This is a feeding where it should be dark and no talking, no eye contact, just feeding and straight to bed (A hint here: I found when I would change my babies diapers they would wake up.  So I made sure to do this at the START of the dream feed rather than the end.  So they would wake up but fall back asleep when eating and then I just quickly laid them down.  You usually don't even have to worry about burps,etc as they are eating so slow because they are so relaxed they usually don't have gas).  This feeding for me was around 10 PM.  
Now some moms find that the dream feed interferes with their baby's sleep (meaning that they will actually sleep longer stretched at night without it) and that is fine.  For those moms I do think it is normal that it will take longer to reach a 7 AM start time (or whatever time they start).  A lot of babies do well on the dreamfeed until they get to a certain age and it then starts to interfere with sleep.  That was the case for me.  It was around 4.5 months and that is a notorious phase of sleep interruptions/poor naps.  My daughter was upset at having been stirred at night (even though I tried my best not to) and she wasn't drinking but several ounces.  And many nights she would eat so slowly as she was sleeping so soundly and it just took forever just to get her to eat (like 30-45 minutes!) We had introduced solids and were comfortable she was getting her calories.  We were decreasing that amount (and added it basically to her daytime bottles) and  just stopped it one night.  My second daughter had silent reflux and the dreamfeed was causing reflux issues so we pretty much dropped that cold-turkey around that age and she was fine.  So there are many approaches to take.  I do think the bottom line is that you view it not as dropping a feeding but more as rearranging the calories.  So they tend to just eat more at other times (like during the day) or even introducing solids, and they are getting adequate calories to compensate.

--------------------------

 Here is some ideas on how to stop the dream feed…from Tracy’s Book “The Baby Whisperer Solves All of Your Problems”.

The process of cutting out the dream feed – usually around 7 months – is to be done in 3-day increments, to insure that your baby makes up during the day what you’re taking away at night.

Day 1: Add one ounce to the first feed of the day, and take away 1 ounce from the dream feed that night.  If you’re breastfeeding, go back to clustering so that you get more calories in.  Give the dream feed (now 1 ounce less) half an hour earlier, at 10:30 instead of 11.

Day 4:  Add one ounce to the first feed, one to the second, and take away two ounces from the dream feed.  Give the dream feed (two ounces less) at 10.

Day 7:  Add once ounce to the first feed, once to the second, one to the third, take away three ounces from the dream feed, and give it at 9:30.

Days 10 (dream feed at 9pm), 14 ( 8 :30) 17 (8:00 ) and 20 (7:30):  By continuing every 3 days to add ounces during the day and take away the same amount from the dream feed, you will end up doing a feed at 7:30 with only a few ounces.


Note:  If your little one doesn’t take that extra ounce(s) that is offered during the day, that is ok….they might not take to drinking more right away during the day, but it is there if they want it.

I suggest cutting out the dream feed at around seven months, as your baby starts to get solid food in him. If you continue to give it, you’re working against the introduction of solid food, because for every 25 5Th/Ounce of extra liquid your baby takes, he won’t be hungry for 25 gram/an ounce of solid food. However, as the box indicates, when you cut out the dream feed, you have to add the same number of ml or grams or ounces to the day feed. If you don’t, your baby will wake up at night.

Also...the above is taken from Tracy's book "SAYP - p123".  Every baby is different though so there may be variations of the above "how to" that work - including dropping it cold turkey

Tips for darkening the bedroom

A lot of babies sleep better in a very dark room.  Scientifically light interferes with melatonin levels, which is why often you wake when the sun starts to come up and it is getting lighter.  So an easy fix for early morning wakings is to make sure the room is pitch black.  (Some people even believe things like nightlights can interfere with melatonin so I don't even have nightlights).  

Our nursery had 3 bay windows and they were floor to ceiling in length.  And in the middle there was a half-moon windo.  The nursery was so cute with sage green chiffon swag valances and ivory miniblinds.  BUT I realized how extremely bright it was! It was very bright in the day for naps.  And even the night didn't get that dark, plus the issue of the early morning light.  So I sacrificed aesthetics for functionality and got some room darkening curtains.  I had trouble finding 3 of the same color and originally had ivory but noticed that the dark brown cut the light a lot more.  An added bonus was it really helped keep the room cooler in the hot Texas summers!  Someone said that Target sells room darkening liners that you can put under any curtains and I would think that would allow you to have a real cute looking nursery and functionality.  I just learned about this so I will look into it for my third.  I missed the original look of the nursery but the benefits definitely outweighed the cons.

So here are some tips from moms on how they darkened their rooms:
  • Tin foil taped to the inside of the window works very well.  It may look a bit odd to the neighbors, but they will get over it.  Wink  And probably copy the idea for their own kids.
  • Tagboard or cardboard can do the same thing.  A bonus: Have your older kids decorate both sides with crayons/markers.  Or have a colouring party with your spouse.
  • You can buy special blackout shades and curtains. Some brands are Eclipse (and I have found that the darker the color the better they filter out light).  Target has some liners that you can put under any curtain you have, which is a nice aesthetic option and still allows you to have a real cute looking nursery.
  • Hanging blankets or towels over the curtain rod, in front of the curtains.  Watch out for too much weight.  You don't want a middle of the night crash scaring the daylights out of everyone. 
  • Buy a twin or double flat sheet.  Cut it in half lengthwise and fasten to the inside of the curtains with safety pins.    
  • Black trashbags-this is a good temporary thing when you travel and need to quickly darken a room (One mom even clipped these on skirt hangers and hung on the window)
  • Black felt. (We are currently in a rental and I have this over the blinds now for a temporary fix...I just have then pinned up.  This is a quick cheap option and you can just go to a fabric store and buy several yards)
So here's to a dark room!:)

Growth Spurts (Six Weeks to Four Months)

Six Weeks to Four Months: Growth Spurts


Now many of the early feeding wrinkles are ironed out. Your baby is probably a bit more consistent, eating and sleeping better—unless of course she’s plagued by gastrointestinal problems or she’s very sensitive to her environment. In that case, hopefully you’ve learned to accept her temperament and are more tuned in to her cues by now. You also know the best way of feeding her and keeping her comfortable after meals, and you’re using your common sense to make life a little easier for her. At this stage, I get variations on the following two complaints:

     I can’t get my baby to sleep more than three or four hours during the night.

     My baby was sleeping for five or six hours during the night hut now she’s waking up more frequently, but always at different times.


Parents think they’re calling me about a sleeping issue, but to their surprise, both problems are related to food at this stage. By eight weeks, many babies—my babies—are sleeping at least five hours through the night, if not six. Naturally, it also depends on birth-weight and temperament, but after six weeks, we should at least be moving in that direction, encouraging them to sleep a good stretch at night. And with babies who have already started to sleep longer stretches, night—waking is commonly due to a growth spurt—a period, typically lasting a day or two, when your baby’s body demands more food. The ol’ Baby Whisperer has a few little tricks up her sleeve just for either situation.

If your baby is average-sized or heavier and has never been able to get to sleep more than three or four hours, I first ask, How many naps and for how long is your baby sleeping during the day? It could be that her daytime naps are robbing her nighttime sleep (an issue I cover on pages 177—178, where I advise you to never let your baby sleep for more than two) hours at a time during the day). But if her naps aren’t too long and she still can’t put more than three or four hours together at night, it probably means she needs to be eating more food during the day and to have a full tummy when you put her to bed. If you haven’t already done so, I would suggest tanking up (see page 93 and 195).

In the second situation, where a baby has been sleeping through for five or six hours and now starts waking at different times, it usually means that she’s going through a growth spurt. Growth spurts happen for the first time between six and eight weeks and recur thereafter about once a month or every six weeks. The one at five or six months is usually a signal that it’s time to introduce solid food.

Growth spurts can occur earlier in bigger babies, which can he confusing. A mum will call and say, “My baby is four months old, he’s 8.2 kg (eighteen pounds), and he’s eating 250 ml (eight ounces) at every feed, but he’s still waking up once or twice in the night. I’m not supposed to give him solid food in the night.” In that case, you have to use your judgment. You can’t give him more liquid and he obviously needs more to sustain him.

The question  that helps me determine whether a baby is having a growth spurt is: Does she wake at the same hour every night, or is her waking pattern erratic? If it’s erratic, it’s usually a growth spurt. This email illustrates a typical scenario: 

“I’ve just started my seven-week-old Olivia on E.A.S.Y., which she has taken to really well. But since we’ve started, her sleeping schedule at night has become more erratic. Before she would wake up at 2:45. But lately she seems to have no consistency despite her eating and sleeping at relatively the same time during the day. We have kept a log and we can’t really find anything that we are doing differently each night that would cause her to sometimes wake up at 1 and other times not until 4:30. Is there anything we can do to promote her to sleep until at least 2:45 like she used to?”

In a case like Olivia’s, I knew it was definitely a growth spurt, because she had been a pretty good eater and sleeper all along, and her parents seem to have instinctually had her on a routine. Another real tip-off was that although she usually woke at 2:45 A.M., her mum noted, “since we’ve started, her sleeping schedule at night has become more erratic [emphasis mine].” Because her waking happened to coincide with the parents’ putting Olivia on E.A.S.Y., they naturally assumed her sudden sleep distur¬bances had something to do with the new routine. But in reality, their baby is just hungry. And the reason Mum and Dad can’t figure out anything they are doing is that this is about what Olivia’s body is doing!

Let’s say that we’re talking about a baby who’s never slept well. She still wakes up twice a night. She, too, might be going through a growth spurt, but she also could be getting into a very bad sleep pattern, and Mum and Dad  reinforce it by feeding her when she wakes. So how do you know the difference? One clue is the waking pattern: Generally, habitual wakers get up at almost the same time every night—you can almost set a clock by them. Babies who wake erratically are usually hungry. But the best clue is food intake: When Mum tries to feed her, if she’s
having a growth spurt, she will take a full feed because her body needs the extra food. If she doesn’t take more than a few ounces, it’s pretty conclu¬sive evidence that we’re dealing with a bad sleeping pattern, not a hungry baby (see pages 191—192 for more on habitual waking).

The prescription for a growth spurt is always the same: increase food during the day and, if you haven’t already started doing so, add a dreamfeed (see Cluster & Dreamfeeding FAQ - http://www.babywhispererforums.com/index.php?action=post2;start=0;board=11 ) at night. With bottle-fed babies, we increase by 25 ml (one ounce) the amount of formula you give during the day. With breast-fed babies, it’s a little trickier, because you increase the feed time rather than the amount. 

So if your baby is on a three-hour routine, bump it up a hit to every 2 ½  hours. With an older baby Who’s on a “4/4” routine (page 33), you have to go back to feeding every three or 3 ½ hours. Some moms find this advice confusing, like Joanie, a mother in Florida, who told me, “That feels like we’re going backward. I finally got him on a four hour routine. I explained that this is just a temporary measure. By feeding more often, she was letting her body know that it had to manufacture more milk for four—month—old Matthew, and in a few days, she would be producing enough milk to satisfy his new needs.

Growth spurts can disrupt your baby’s routine at bedtime, during the middle of the night, or when you put them down for a nap. Even parents Who are aware that growth spurts periodically occur may not realise that the so-called sleep issue or a bad case of cot-phobia is really about food. One mother, whose son David was six weeks old, had been working with the EASY. method for three days. The first two days, she wrote, worked like a charm. We followed the routine, and I was so proud that he was able to fall asleep in the cot consistently (with the help of a dummy). However, today (the third day), he has been crying pretty hard from the moment we enter his bedroom and begin our routine before his nap. He has been eating more frequently since last night, and I suspect he’s in a growth spurt. Can this resistance to his bedroom he related to growth spurt?

Absolutely. Little David is saying (through his tears), “ I don’t want to go to sleep. I want more food. So feed me.” If he isn’t fed, he’ll start to associate hunger with his bedroom. Babies are primal creatures, but they also very quickly learn by association. If you were sent to your room before you finished your dinner, there’s a good chance you wouldn’t want to go to your room, either! You’d see it as a bad place.


taken from Secrets of the Baby Whisperer