My 1 Year Old Preemie Won't Sleep...

Updated on May 28, 2008
A.K. asks from Plattsburgh, NY
7 answers

I have a 3 year old and a 15 mo old preemie (adjusted age of 11 mo). My 15 mo old preemie just won't sleep. She had been on a semi normal sleeping schedule with 2 short naps each day and about 6 hours of sleep at night. Now she is waking up 3 or more times each night and will only nap for about 10-30 minutes, once in the afternoon. She has a few lingering health problems with her digestive system that are being worked out and she sees various specialists due to her prematurity and her extremely small size. I'm not sure what to do to help her out at this point. I know that it could be a teething issue but she seems to have been teething since she came home from the NICU despite no teeth breaking through ~ she has been seen about this and they don't worry until closer to the age of 2. Tylenol does not seem to comfort her. She also has reflux and her Zantac is not calming her either. She vomits 3 to 4 times per day (her GI DR and the Nutritionist are aware of this and are having special tests performed to figure out why).

I just can't seem to figure out why she doesn't want to sleep anymore!

She is also much more clingy than usual. If I am not holding her, she is crying. The clingy behavior and lack of sleep have been ongoing for about a month now and I'm exhausted! I have a nasty infection myself and need rest. There is no one available to help me get that rest and so I really need to find a way to help my baby sleep. Even just 6 straight hours a night and a one hour nap in the afternoon would be such a help to me!

My first was so easy. Slept through the night early on, slept long and took at least one nap per day. She was also great about snuggling with me or playing quietly in a play pen if I needed a little rest. She had times where she struggled to sleep, but was certainly not like this at a similar age.

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A.C.

answers from Boston on

Hi A. -

You can try a couple of things but I would check with your baby's MD first due to some of the complications she has.
-Try to put your baby to sleep in a swing. The swaying may help soothe her and the incline position may help with reflux/GI issues. You could also try the carseat but I think the swing works the best.
-Try Motrin instead of Tylenol. It is an anti-inflammatory vs. just a pain reliever and it lasts longer than Tylenol for teething.
-Ask your pedi if she should be on a proton pump inhibitor such as Protonix or Prilosec vs.Zantac for GI issues.
-Also you could try Orajel/Anbusol to try numbing her gums.
-Is your baby's room dark enough? If not try hanging a dark towel or sheet in front of the window. Make sure her room is cool, and you could try some soothing music or white noise.

I hope this helps Good Luck!

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L.G.

answers from Boston on

My daughter has reflux and I find that she sleeps better if she is propped up. We co-sleep (because I wouldn't get ANY sleep if we didn't) and I put pillows under the head of our mattress so that her head is elevated. It really has made a big difference. Good luck!

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R.F.

answers from Boston on

Hi A.!
So sorry to hear that you're dealing with so much right now. Taking care of children is exhausting and being exhausted yourself while you're trying to do it just doesn't work.

One piece of advice I would add to the others would be to get yourself (or have someone else get for you) is a baby sling. If she's not feeling well she's going to want comfort from Mom. A sling is a great way for her to get her contact and you to have your hands free to get things done if you need to. Maybe then she'll settle down and sleep better. It's also possible that as far as the sleeping goes she'll feel better sleeping in a more upright position to reduce the reflux but I'm sure your dr's have told you that already. Good luck.

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A.B.

answers from Boston on

A., I had a preemie too- she's eight now- and for a very long time she would only nap if she was laying on my chest. I know it breaks all the rules, but sometimes they have to be broken for everyones sanity!!! You may try napping with if you can get her down when the other is resting, or try snuggling her at night. It will be a habit to break later, but it may be worth it. The Dr's are not in your shoes, so you have to do what works in your house. Preemies have so many sensory issues, especially as early as she was, perhaps she needs white noise, or complete silence and total darkness. Maybe you can try a few different sleep condition. If she has reflux, it may help to tilt her mattress so she's not completely flat. I know it's been a difficult start for you both. I pray this will resolve soon!

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L.P.

answers from Boston on

Preemies sometimes have a hard time sleeping if the house is to quiet. White noise helps. also you might want to join ____@____.com proud mom of a 26 weeker now 8

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C.F.

answers from Pittsfield on

Hi A.,
I know what it's like to need rest and not be able to get any. I would guess that possibly your daughter's health issues are keeping her awake. The physical stuff she's going thru sounds like it could be uncomfortable enough to keep her awake. I'm a mom of 7 and we've been thru some digestive type issues that affected sleep, too. If you don't already have the sleep book "Healthy Sleep Habits, Happy Child," I would recommend getting it and trying some of his suggestion for establishing some good sleep habits. It's hard to know whether at this point it's just that she's off schedule because of health issues, or just because of age -- you just have to go with your gut on that one. But I know that even after our baby's health issues were resolved, we had to retrain him to sleep again. Also, the more over tired they get, the harder it is for them to then sleep well. I would try earlier bedtime at night, and also maybe an earlier nap time in the morning and afternoon, trying to catch her before she gets too overtired. But also, if you can't afford to hire someone to help, seek out a homeschooling group in your area, and see if you can get a teenager to come help you out. As a homeschooler myself, I know that many times, we have flexible schedules and can do stuff during the day. And many Christian homeschoolers would be willing to provide this type of help on a volunteer basis. I'm not sure where you are located, but I'd look into that, because you've got to take care of yourself in order to function as a mom. Believe me, I know -- not that I've always been able to do it either! Good luck.

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R.K.

answers from Springfield on

I feel your pain. I have an awful time getting my 15 14 month old to sleep. I really think that its anxiety. I try to let him cry it out and as soon as I walk into his room he stops lays down and will fall asleep if I stay in the room. It could be just a phase so try to hang in there.

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