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“In the first 6 months, babies can wake up to suck 1-3 times at night, but immediately fall asleep again. Approximately 85% of one-year-old babies sleep quietly and regularly during the night. However, it is reported that 10% have waking problems every night. ”
How often do sleep problems occur?
Children and Adolescents Sleep problems are experienced in 20% to 30%. The role of the physician is to know normal sleep physiology, to educate families in terms of sleep hygiene, to prevent the development of behavior-based sleep problems. The leading causes of sleep disorders are physical or emotional.
the Family lack of attitude and behavior or as a result of behaviors such as excessive overcoming the problem of sleep is becoming serious. It is important that parents are guided in order to relieve the family and to regain the basic sleeping habits of the child.
What is Normal Sleep Pattern and Physiology?
One newborn typically 30 minutes to 4 hours sleeps between. As the baby's age increases, sleep begins to concentrate.Newborn Babies in the Day 17-18 hours, once a month 16-17 hours, 3-4 months old 15 hours sleep up. In a four-month-old baby, two-thirds of sleep occurs at night. Sixth month sleep phase Up to 7 hours It may take.
Many babies wake up again during sleep and may fall asleep again.
Parents most of them say that their babies sleep up to 10-12 hours, but waking is not taken into account. Nobody can wake up at regular intervals, even if they don't.
By the age of two, the daily sleep time goes down to 12 hours and they may have a short night's sleep. As the baby's age increases, the duration of daytime sleep decreases. They usually stop sleeping after day 3.
In the first 6 months, babies can wake up to suck 1-3 times at night, but they immediately fall asleep again. Approximately 85% of one-year-old babies sleep quietly and regularly during the night. However, 10% have been reported to have waking up almost every night.
Sleep consists of two different periods called non-REM (Rapid eye movement) and REM. Non-Rem is the deepest period of sleep, the night Between 1st and 3rd hours children and this period is longer than adults.
In this period, it is very difficult to wake up from sleep, sleepwalking and sleep fears are in this period. REM sleep is like a combination of heavy sleep and light sleep. Most of the dreams During REM It is seen, the duration is shorter than in adults.
The longest REM periods are in the morning, nightmares especially in the second half of the night. Another part of sleep is awake periods. These short periods of alertness occur five or seven times per night and the children quickly fall back to sleep.
What are the most common causes of sleep disorders?
Factors such as prematurity, those with difficult temperament (mismatches) and night feeding are just some of the many causes that can lead to sleep problems in infants and children.
Besides gastroesophageal reflux, ear infections, recurrent urinary tract infections and teething causes must be evaluated by the pediatrician. After the medical reasons have been eliminated, the main causes should be investigated. For most young children, the main reason for waking up at night is sleep.
One baby If it is shaken before sleeping or nursed and nursed, it awakens at night and expects the same behavior to be repeated and becomes restless when not done.
Infants and young children, especially those who do not see their parents during the day or who are separated from their parents for some reason, may experience sleep problems due to separation anxiety. Stress in the family, depression in the mother and similar mental problems may cause problems such as waking up frequently.
Do Children Have Nightmare?
Nightmare, usually night's sleep towards the end, waking up with fearful dreams. It is quite common in children and most commonly occurs between 5 and 6 years of age. Night may occur during daytime sleep. The child can describe the nightmare in detail when he wakes up from sleep, or may remember having nightmares when he wakes up in the morning.
It is more common in people who experience an exciting or frightening event during the day, but can be seen during a febrile illness, in the case of anxiety, post-traumatic stress disorder.
What is Night Terror?
Fear in sleep (night terror) is a severe panic attack that usually occurs 2-3 hours after falling asleep. The child sits or gets up screaming, is in fear, makes impulsive movements, such as throwing away or throwing pillows.
Shouts, speaks meaningless, does not understand what is said, can not answer questions, does not recognize the mother and father. Soon he calms down and falls asleep again. When he wakes up, he never remembers that seizure. Despite this dramatic picture, it was not associated with a psychiatric disorder.
Uyurgezerlikl to It is known to have a close relationship with. Both are considered to be arousal disorders at the beginning of the non-REM stage of sleep.
Is Sleep Apnea Seen in Children?
Obstructive sleep apnea is a respiratory disease caused by repetitive obstruction of the upper respiratory tract during sleep. sleep disease.
Dividing sleep, daytime insomnia and hyperactivity causes. It can be seen at any age, but peaks between the ages of 2 and 6 and accompanies the period when nasal flesh and tonsil growths are common.
How to Treat Sleep Problems?
Children sleep disorders The first step in the evaluation is to obtain a good sleep history. Sleep and wakefulness periods should be reviewed. Drugs used, diet and amount of meals, caffeinated beverages (such as family drinking tea in the evening), bedtime, sleep rituals should be questioned.
The time taken to fall asleep during the night, behavior during the night and periods of waking during the night should be examined. Morning waking time, insomnia and initial behavior should be reviewed.
Night fears, sleepwalking, frequent waking conditions, breathing problems (snoring, sleep apnea) should be reviewed in abnormal situations such as seizures and incontinence.
Especially during the day anxiety and depression The presence of symptoms, school success, social cohesion, questioning the status of the family is very important.
The second step in the evaluation is to keep sleep logs. Sleep diary time to sleep during two weeks, sleep time, number and duration of wakes, morning waking time, total sleep timeshould include the number and duration of the shortcuts.
The sleep diary should also include family responses to the child's sleep state. This will draw attention to incorrect attitudes and recommend replacement.