Ear InfectionsDelivering a Healthy WA
Settling for older toddlers
Try leaving a soft light on, giving a
cuddly toy, giving him something of
yours to cuddle, e.g. an old T-shirt that
has ‘your smell’ on it.
Some children need you to stay near
while they go to sleep. If you decide
to do this, don’t sneak out without
telling your child. This may keep him
tense and on edge in case you do it
again. You can whisper that you are
going to another room and will be back
soon. Make sure you do return soon.
If your child copes with this you can
start taking a bit longer before coming
back, but make sure you always return
before he gets upset as this builds trust.
Even if he has fallen asleep, give him
a goodnight kiss and whisper ‘I came
back’.
When your child settles to bed, but
needs you nearby, this could become
your relaxation time. Take a book to
read or a CD and sit in a comfortable
chair near your child (you are present
but not doing anything that might
disturb your child). Over a few nights
you could gradually move your chair
nearer to the door. Eventually you will
be able to put it outside the door so
your child can hear you but not see you.
This way your child gradually learns to
settle when you are not there.
Look after yourself
Broken sleep makes everyone exhausted
and irritable.
Ask for help from family and friends.
Get some rest during the day.
Take a short break from parenting now
and then.
Try to get some regular exercise.
Some people may suggest that you let
your baby/toddler ‘cry it out’ or that you
use controlled crying/comforting. Your
baby/toddler needs you to respond
when he cries, to help him feel safe.
For more information contact:
Local community child health nurse
See inside your baby’s purple ‘All About
Me’ book, in the phone directory under
‘Child Health Centres’ or
www.health.wa.gov.au
Local family doctor
Ngala Helpline
8.00 am–8.00 pm 7 days a week
Telephone (08) 9368 9368
Outside metro area –
*Freecall 1800 111 546
www.ngala.com.au
Parenting WA Line
Telephone (08) 6279 1200 (24 hr service)
Outside metro area –
*Freecall 1800 654 432
*Calls made from a mobile may be charged
at a timed rate.
Sleep 6 months – 3 years
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6 months - 3 years
Delivering a Healthy WA
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visit www.health.wa.gov.au/ordering
© Children, Youth and Women's Health Service,
reproduced with permission. The South Australian
Government does not accept responsibility for the
accuracy of this reproduction. The original version is
published at http://www.cyh.com
Warning
This document is published as general information
only. You should always consult a healthcare
professional for diagnosis and treatment of any health
condition or symptoms.
Disclaimer
The advice and information contained herein is provided
in good faith as a public service. However, the accuracy
of any statements made is not guaranteed and it is the
responsibility of readers to make their own enquiries as
to the accuracy, currency and appropriateness of any
information or advice provided. Liability for any act or
omission occurring in reliance on this document, or for
any loss, damage or injury occurring as a consequence
of such act or omission, is expressly disclaimed.
This document can be made available
in alternative formats on request
for a person with a disability. Please contact
childcommunity@health.wa.gov.au
Produced by Child and Adolescent Health Service 2012
Babies may cry at night because they:
don’t know how to settle themselves
back to sleep without a feed, a cuddle or
a dummy
are hungry, unwell or uncomfortable,
teething, or have a cold or ear ache
are overtired, overexcited or stressed
are anxious about being separated from
their parents.
Help your baby to sleep
During the day:
Spend time with your baby playing,
walking, shopping or visiting. Babies
need attention and may wake for it at
night if they do not get enough during the
day. If your day is very hectic your baby
may not sleep as well.
Try a routine, for example: three
meals with some snacks, one or two
sleeps, and keep feeds separate from
sleeping by playing with your child after
feeds, before he goes down to sleep.
(Remember to watch for tired signs so he
does not get over tired.)
Don’t let your child become overtired.
Missing out on a day sleep does not
usually help the night sleep.
Encourage your baby to eat and drink
well during the day, so that he does not
need a night-time feed. If you cut down
night feeds, your baby’s daytime appetite
will increase.
At night:
Babies generally find comfort and security
in night - time rituals (special things you do
at bedtime).
Keep to a regular bedtime ritual, e.g. a
bath, quiet play or story, cuddle, soft toy,
dummy or other comforter, then bed.
Put your baby into the cot awake, to help
him to go to sleep there. Patting, rocking
and singing a monotonous song with a
few words like ‘bye bye baby, sleep tight
baby’ can help. Stop before your baby
goes to sleep.
Settling
Put your child into the cot awake; this will
help him go to sleep there.
Sing a little song (you may have made
one up) or put on some relaxing music.
Patting may still work at this age – a chair
by the side of the cot or bed may help
look after your back. Some babies and
toddlers may get used to this and cry as
soon as you stop, so change the timing
of the patting: slow it down and become
softer, finally resting your hand on his
body.
If your baby cries when you leave, it will
help him feel more secure if you stay
until he is calm. If you try to sneak out
it can make babies anxious and stay
awake longer.
At six months a lot of babies are still
waking for a night feed. By 12 months
night feeds are no longer necessary.
If your baby wakes for a night feed, try
giving a feed a little while before he
usually wakes, for example about
10.00 pm without fully waking him up.
If breastfeeding, lift him (without waking
him), and feed.
If bottle-feeding, feed him without
picking him up from the cot, but stay
with him while he is feeding.
Disturb him as little as possible.
Note: Babies under two have some
‘growing times’ when they are more fussy.
Baby sleep
By six months of age, babies are having
most of their sleep at night, but they still
need day sleeps. Expect two sleeps a day
until 12 to 15 months – then one is usually
enough.
Some babies and toddlers sleep through
because they can last longer between
feeds and hunger does not wake them.
Many still wake once or twice, or several
times at night. Many wake in the lighter
time of sleep, just as we wake (or almost
wake). They may, as most adults do, turn
over and go back to sleep, or they may cry
because they are uncomfortable, afraid
or unsettled in some other way, or in the
habit of waking up. By six months about
50 per cent of babies are ‘sleeping through
the night’ (i.e. sleeping about five hours or
more). Between the ages of two and three
years, 41 per cent of young children wake
once or twice a night, with a few still waking
more often.
Each family needs to respond to night
waking in the way that best suits their
family. Some parents like to have their
baby sleep in a safe cot next to them,
while others prefer their baby to sleep in a
separate room. Sleeping baby in a safe cot
next to the parents' bed for the first six to
twelve months reduces the risk of sudden
infant death, including SIDS, as long as the
room is smoke free. Many babies will sleep
better if they know that someone is close
by. If you are happy with the way things
are at the moment, do not feel pressured
to change.
Babies may cry at night because they:
don’t know how to settle themselves
back to sleep without a feed, a cuddle or
a dummy
are hungry, unwell or uncomfortable,
teething, or have a cold or ear ache
are overtired, overexcited or stressed
are anxious about being separated from
their parents.
Help your baby to sleep
During the day:
Spend time with your baby playing,
walking, shopping or visiting. Babies
need attention and may wake for it at
night if they do not get enough during the
day. If your day is very hectic your baby
may not sleep as well.
Try a routine, for example: three
meals with some snacks, one or two
sleeps, and keep feeds separate from
sleeping by playing with your child after
feeds, before he goes down to sleep.
(Remember to watch for tired signs so he
does not get over tired.)
Don’t let your child become overtired.
Missing out on a day sleep does not
usually help the night sleep.
Encourage your baby to eat and drink
well during the day, so that he does not
need a night-time feed. If you cut down
night feeds, your baby’s daytime appetite
will increase.
At night:
Babies generally find comfort and security
in night - time rituals (special things you do
at bedtime).
Keep to a regular bedtime ritual, e.g. a
bath, quiet play or story, cuddle, soft toy,
dummy or other comforter, then bed.
Put your baby into the cot awake, to help
him to go to sleep there. Patting, rocking
and singing a monotonous song with a
few words like ‘bye bye baby, sleep tight
baby’ can help. Stop before your baby
goes to sleep.
Settling
Put your child into the cot awake; this will
help him go to sleep there.
Sing a little song (you may have made
one up) or put on some relaxing music.
Patting may still work at this age – a chair
by the side of the cot or bed may help
look after your back. Some babies and
toddlers may get used to this and cry as
soon as you stop, so change the timing
of the patting: slow it down and become
softer, finally resting your hand on his
body.
If your baby cries when you leave, it will
help him feel more secure if you stay
until he is calm. If you try to sneak out
it can make babies anxious and stay
awake longer.
At six months a lot of babies are still
waking for a night feed. By 12 months
night feeds are no longer necessary.
If your baby wakes for a night feed, try
giving a feed a little while before he
usually wakes, for example about
10.00 pm without fully waking him up.
If breastfeeding, lift him (without waking
him), and feed.
If bottle-feeding, feed him without
picking him up from the cot, but stay
with him while he is feeding.
Disturb him as little as possible.
Note: Babies under two have some
‘growing times’ when they are more fussy.
Baby sleep
By six months of age, babies are having
most of their sleep at night, but they still
need day sleeps. Expect two sleeps a day
until 12 to 15 months – then one is usually
enough.
Some babies and toddlers sleep through
because they can last longer between
feeds and hunger does not wake them.
Many still wake once or twice, or several
times at night. Many wake in the lighter
time of sleep, just as we wake (or almost
wake). They may, as most adults do, turn
over and go back to sleep, or they may cry
because they are uncomfortable, afraid
or unsettled in some other way, or in the
habit of waking up. By six months about
50 per cent of babies are ‘sleeping through
the night’ (i.e. sleeping about five hours or
more). Between the ages of two and three
years, 41 per cent of young children wake
once or twice a night, with a few still waking
more often.
Each family needs to respond to night
waking in the way that best suits their
family. Some parents like to have their
baby sleep in a safe cot next to them,
while others prefer their baby to sleep in a
separate room. Sleeping baby in a safe cot
next to the parents' bed for the first six to
twelve months reduces the risk of sudden
infant death, including SIDS, as long as the
room is smoke free. Many babies will sleep
better if they know that someone is close
by. If you are happy with the way things
are at the moment, do not feel pressured
to change.
Babies may cry at night because they:
don’t know how to settle themselves
back to sleep without a feed, a cuddle or
a dummy
are hungry, unwell or uncomfortable,
teething, or have a cold or ear ache
are overtired, overexcited or stressed
are anxious about being separated from
their parents.
Help your baby to sleep
During the day:
Spend time with your baby playing,
walking, shopping or visiting. Babies
need attention and may wake for it at
night if they do not get enough during the
day. If your day is very hectic your baby
may not sleep as well.
Try a routine, for example: three
meals with some snacks, one or two
sleeps, and keep feeds separate from
sleeping by playing with your child after
feeds, before he goes down to sleep.
(Remember to watch for tired signs so he
does not get over tired.)
Don’t let your child become overtired.
Missing out on a day sleep does not
usually help the night sleep.
Encourage your baby to eat and drink
well during the day, so that he does not
need a night-time feed. If you cut down
night feeds, your baby’s daytime appetite
will increase.
At night:
Babies generally find comfort and security
in night - time rituals (special things you do
at bedtime).
Keep to a regular bedtime ritual, e.g. a
bath, quiet play or story, cuddle, soft toy,
dummy or other comforter, then bed.
Put your baby into the cot awake, to help
him to go to sleep there. Patting, rocking
and singing a monotonous song with a
few words like ‘bye bye baby, sleep tight
baby’ can help. Stop before your baby
goes to sleep.
Settling
Put your child into the cot awake; this will
help him go to sleep there.
Sing a little song (you may have made
one up) or put on some relaxing music.
Patting may still work at this age – a chair
by the side of the cot or bed may help
look after your back. Some babies and
toddlers may get used to this and cry as
soon as you stop, so change the timing
of the patting: slow it down and become
softer, finally resting your hand on his
body.
If your baby cries when you leave, it will
help him feel more secure if you stay
until he is calm. If you try to sneak out
it can make babies anxious and stay
awake longer.
At six months a lot of babies are still
waking for a night feed. By 12 months
night feeds are no longer necessary.
If your baby wakes for a night feed, try
giving a feed a little while before he
usually wakes, for example about
10.00 pm without fully waking him up.
If breastfeeding, lift him (without waking
him), and feed.
If bottle-feeding, feed him without
picking him up from the cot, but stay
with him while he is feeding.
Disturb him as little as possible.
Note: Babies under two have some
‘growing times’ when they are more fussy.
Baby sleep
By six months of age, babies are having
most of their sleep at night, but they still
need day sleeps. Expect two sleeps a day
until 12 to 15 months – then one is usually
enough.
Some babies and toddlers sleep through
because they can last longer between
feeds and hunger does not wake them.
Many still wake once or twice, or several
times at night. Many wake in the lighter
time of sleep, just as we wake (or almost
wake). They may, as most adults do, turn
over and go back to sleep, or they may cry
because they are uncomfortable, afraid
or unsettled in some other way, or in the
habit of waking up. By six months about
50 per cent of babies are ‘sleeping through
the night’ (i.e. sleeping about five hours or
more). Between the ages of two and three
years, 41 per cent of young children wake
once or twice a night, with a few still waking
more often.
Each family needs to respond to night
waking in the way that best suits their
family. Some parents like to have their
baby sleep in a safe cot next to them,
while others prefer their baby to sleep in a
separate room. Sleeping baby in a safe cot
next to the parents' bed for the first six to
twelve months reduces the risk of sudden
infant death, including SIDS, as long as the
room is smoke free. Many babies will sleep
better if they know that someone is close
by. If you are happy with the way things
are at the moment, do not feel pressured
to change.
Babies may cry at night because they:
don’t know how to settle themselves
back to sleep without a feed, a cuddle or
a dummy
are hungry, unwell or uncomfortable,
teething, or have a cold or ear ache
are overtired, overexcited or stressed
are anxious about being separated from
their parents.
Help your baby to sleep
During the day:
Spend time with your baby playing,
walking, shopping or visiting. Babies
need attention and may wake for it at
night if they do not get enough during the
day. If your day is very hectic your baby
may not sleep as well.
Try a routine, for example: three
meals with some snacks, one or two
sleeps, and keep feeds separate from
sleeping by playing with your child after
feeds, before he goes down to sleep.
(Remember to watch for tired signs so he
does not get over tired.)
Don’t let your child become overtired.
Missing out on a day sleep does not
usually help the night sleep.
Encourage your baby to eat and drink
well during the day, so that he does not
need a night-time feed. If you cut down
night feeds, your baby’s daytime appetite
will increase.
At night:
Babies generally find comfort and security
in night - time rituals (special things you do
at bedtime).
Keep to a regular bedtime ritual, e.g. a
bath, quiet play or story, cuddle, soft toy,
dummy or other comforter, then bed.
Put your baby into the cot awake, to help
him to go to sleep there. Patting, rocking
and singing a monotonous song with a
few words like ‘bye bye baby, sleep tight
baby’ can help. Stop before your baby
goes to sleep.
Settling
Put your child into the cot awake; this will
help him go to sleep there.
Sing a little song (you may have made
one up) or put on some relaxing music.
Patting may still work at this age – a chair
by the side of the cot or bed may help
look after your back. Some babies and
toddlers may get used to this and cry as
soon as you stop, so change the timing
of the patting: slow it down and become
softer, finally resting your hand on his
body.
If your baby cries when you leave, it will
help him feel more secure if you stay
until he is calm. If you try to sneak out
it can make babies anxious and stay
awake longer.
At six months a lot of babies are still
waking for a night feed. By 12 months
night feeds are no longer necessary.
If your baby wakes for a night feed, try
giving a feed a little while before he
usually wakes, for example about
10.00 pm without fully waking him up.
If breastfeeding, lift him (without waking
him), and feed.
If bottle-feeding, feed him without
picking him up from the cot, but stay
with him while he is feeding.
Disturb him as little as possible.
Note: Babies under two have some
‘growing times’ when they are more fussy.
Baby sleep
By six months of age, babies are having
most of their sleep at night, but they still
need day sleeps. Expect two sleeps a day
until 12 to 15 months – then one is usually
enough.
Some babies and toddlers sleep through
because they can last longer between
feeds and hunger does not wake them.
Many still wake once or twice, or several
times at night. Many wake in the lighter
time of sleep, just as we wake (or almost
wake). They may, as most adults do, turn
over and go back to sleep, or they may cry
because they are uncomfortable, afraid
or unsettled in some other way, or in the
habit of waking up. By six months about
50 per cent of babies are ‘sleeping through
the night’ (i.e. sleeping about five hours or
more). Between the ages of two and three
years, 41 per cent of young children wake
once or twice a night, with a