Friday, 31 August 2012

Sleep Training an 8 month Old

I know sleep training isn't for everyone, and the way we do it might make some people raise their eyebrows but there we have it. When you spend a proportion of your night in tears because the baby's awake for the 6th time, or because you've spent half an hour sitting up with her until she falls dead asleep only for her eyes to spring open and the wailing start again the minute you try to transfer her to bed, well, something has to change. So now the month long hammering of cold-development splurge-teething we've had which has totally kicked our sleep patterns is over, we've decided to go for sleep training again.

We've previously tried a softly-softly approach to sleep training. Back when she was younger I had to get her to adjust to going to nap on her own without being fed to sleep and we also used the core night method with some success overnight (as we knew she could go longer than she was at the time without feeding in the night). Because of this, we knew that the more gentle approaches to sleep training such as pick up-put down,   or the gentle withdrawal didn't work - our returning presence made things worse (we found this with Pixie too).

We know from past experience that Pops won't settle back to sleep in the same room as us; she knows we're there and she's damn well going to keep going til she gets that cuddle and feed. Which is why last night found me and my husband on an airbed in the front room. Glamping! At the 11th hour (literally! We'd just turned the lights off to go to sleep) we decided that as well as letting her learn to self-settle again we'd take the opportunity to night wean as well. We had 4 glorious nights of no waking from 7pm-6am either side of our camping trip a month ago and she eats 3 meals a day plus snacks (as well as nursing) so we're confident she's getting enough day time calories. Almost as soon as we decided that, she woke up. We let her cry for 10 minutes, then her daddy went up to give her a cuddle. She cried for another 10 minutes after he put her back to bed so I went in for a cuddle. And then, joy of joys, she went to sleep about 5 minutes later! I was totally expecting it to carry on for about 3 hours.

She woke a lot in the night. At least 6, although I was too bleary to count. But each time she cried for less than 10 minutes. I got up to feed her at 6.50am because frankly my boobs would have exploded if I hadn't! First morning she's not been up and at 'em at 5am, WOOP! (My husband is probably wooping louder tbh, as it's him that's got up at that ridiculous time. Hurrah for him!)

I reckon there's going to be a few more nights on the airbed ahead of us, but early indicators seem favourable. Click for continued success please, as our sanity depends on it!
This is an interesting article about salicylic acid intolerance in children.

Monday, 13 August 2012

This is an interesting post about discipling your children, and one that hit a slight nerve today as I battle over a week's worth of camping/poorly baby/insomnia/child with nightmares/annoying dog sleeplessness.

I think most people recognise that smacking isn't a helpful child discipline tool, don't they? Yet shouting at children is seen as an ok thing to do, whether you're a parent or other caregiver. But would you shout at anyone else who was annoying you? I'm pretty sure you wouldn't get away with that with your partner, your boss or subordinates or your friends. So why do we do it with kids?

Thursday, 19 July 2012

NCT Newsletter

I've written an article for the NCT newsletter, whose subject is 'communication' this time round. The NCT, by the way, have had the pleasure of me volunteering (no, I don't know what I was thinking either!) to assist the co-ordination of the nearly new sale and various other things. 

Anyway, I've just sent it across and it's here:

Pixie was always a physically advanced baby and toddler, so in a sense I was expecting him to be a slower talker (I’d heard the adage ‘a baby’s a walker or a talker but not both’!), so when his peers picked up words slightly faster than him I wasn’t bothered and assumed he’d get there in his own time.

Just before Christmas 2011 (when he was two and a half) his dad and I started to notice that Pixie was stuttering. At that point he was having a huge burst of vocabulary so we put it down to his mouth catching up with his brain and didn’t really think much more about it. It happened again, and again, and in about February we realised that what he was doing was above and beyond ‘normal’ childhood development and in the realms of having a speech problem.

His stutter has presented perfectly typically. He’s 3 (most stutters present between 3-5 years), he’s male (approximately 3/5 stutterers are male), he has parents with slight speech issues (there appears to be a familial link between stutterers, although the exact cause is unknown) and he’s had a great deal of stressful change in a short period of time (new sibling and a change of childcare provider) – I’m not sure he could be more of a classic presentation! Unfortunately knowing that he’s ‘typical’ hasn’t assuaged the sadness I feel watching him struggle to get his words out.

I’ve mentioned my concerns to other people who come into contact with Pixie. Their assurances that “he’s not that bad” do little to ease my worries. Either they’re wrong and it is that bad or I – the very person who’s meant to know him best – can’t understand him. I’ve been told that there are reasons for his stutter to present worse in front of parents but even that does little to alleviate the worry – parenthood is one long mass of guilt and worry, isn’t it? 

Although Pixie is only just vaguely becoming aware that he has a stutter (he’s very recently started to stop himself in the middle of sentences and drift off for a moment before starting afresh), he’s becoming increasingly aware and frustrated by people’s inability to understand him. Worse, he’s started to realise when people are pretending to understand and he’s been in tears several times because of it. Having to translate what he’s saying to people feels like I’m undermining him and removing his voice, yet if I don’t then he doesn’t get to say what he wants to say. 

I’ve recently completed the first stage of speech therapy, which is parent-only group sessions aimed at giving caregivers the techniques necessary to assist the stutterer in talking. The key points are to limit questions and only ask necessary ones (which seems counterintuitive when your child is still learning to talk!); make fewer demands on their speech (no more “tell daddy what you did at nursery today!”); slow your own speech down to model a better speech pattern; remove environmental distractions so speech can be concentrated on; remove any competition in speech so they’re not fighting to be heard in family life. 

Some of what we’ve been asked to do feels very much as though a step back is being taken – simplifying language seems wrong when as a parent your job is to help teach your child an expansive and diverse vocabulary. We worried that we’d never get a proper conversation out of Pixie again if we didn’t ask him questions, but surprisingly giving him space to talk (or not, as he prefers) has probably resulted in better conversation because he’s telling us what he wants us to know rather than what we’re asking him to tell us. Remembering that it’s ok for children not to want to talk all the time, and that we as adults don’t need to know the ins and outs of their day away from us. After three group sessions the feeling that we’re going backwards has started to abate and we feel as though we’re better equipped to handle Pixie's problem. Changing the way we speak is hard, and we often find ourselves stalling halfway through a sentence as we realise we’re about to end it with a question. But as Pixie is learning to get through the stutter, we’re also learning how to best assist him. 

The next stage in his therapy is an assessment through play, which is scheduled for a couple of weeks’ time. From there we’ll know exactly what problems we’re dealing with and the speech therapist will be able to review his progress over time. With any luck Pixie will be one of the children who outgrow their stutter – only 1% of children carry it through into adulthood. If he’s not then I’m hopeful that an early intervention will give him and us the tools to adapt in the wider world.

Thursday, 12 July 2012

Can't Do Carrots

I'm working on the next speech post (I am, I am, honest! Definitely not watching repeats of The Bill) but there's been an interesting development on the salicylate front.

Yesterday Pix had one and a half carrot batons. I mentioned in my last post that he's not a fan of low salicylate vegetables (although I've had some good ideas to try out for that, which is awesome, thanks to folks for that. Apart from Katherine who suggested he try kale, MY MOST HATED VEGETABLE EVER) so we figured just to get some nutrients in him we'd let him have a little bit of carrot, which has medium levels of salicylic acid in which we thought would be ok in moderation. Well. Today his eyes have become more and more red underneath and itchy; his face and arm skin has been itching him all day; his cough has got more and more frequent during the course of the day and his stutter has been awful.

The fact that they've all got worse together confirms (in my opinion) that they're all related. It would be far too much of a coincidence for them to completely autonomously of each other get bad over the course of the same day. Surely? But, it has been a better weathered day today so it's possible it may be a pollen allergy, I suppose. Do pollen allergies cause stutters? Or maybe something else. But possibly for the first time on this venture I feel slightly confident that I'm not displaying vast Münchhausen by proxy symptoms and I am barking up the right tree.

Wednesday, 11 July 2012

Vegemite Vege-won't

We're coming to the end of day five on a lower salicylate diet for Pixie and I have to say it's not been as soul crushingly hard as I was expecting. We've been super pleased with his nursery as the P's daddy called them to let them know what we were up to, expecting to be asked to take in a pack up for Pix, but they've accommodated us entirely. The only problems we're finding are that he now has a very limited diet, especially in the fruit and veg department. Luckily he likes bananas, pears and golden delicious apples so he eats two of those a day. Unfortunately all the low salicylate veg are ones he doesn't like, like cabbage and peas. Bummer for him. I'm trying to get him to eat them but it's hard going - if anyone has any bright ideas on how to get kids to eat certain vegetables that'd be handy! The other problem is the range of food he can have while we're out. Partly this is because I'm being particularly cautious while I'm getting to grips with the diet, but partly there's plain crisps and, er, that's about it. He's still being so good about it all.

His symptoms may have seen a very, very mild improvement. It's hard to say with a lot of them as they wax and wane anyway, but his eyes are less red and angry looking; I've not heard him cough much in the last day or two; there's no eczema patches; I've not heard much whining about being huuuuuuuuuuuungrrrrrrrrrrrrrry; I've not noticed him bash his head a million times. His speech is going through a relatively 'good' patch at the minute but he's definitely still stammering, although the coherence of his words is quite good. So yeah, there's certainly not been a decline since we started this and if I squint a bit there may even be improvements!

Sunday, 8 July 2012

Those Silly Salicylates

I mentioned in my last post that one of the things I was considering was a salicylate intolerance in Pixie. The list of symptoms associated with it are varied and numerous and a salicylate free diet is mooted by some to have positive affects on people with ADHD.

There are a number of things on the list that Pixie has. Obviously it may well be that he just 'happens' to have a multitude of unrelated, low-level health issues but equally there may be an all-encompassing reason for them. Having fibromyalgia myself, I know that a myriad of seemingly unrelated issues can (eventually!) be tracked back to an umbrella condition. With that in mind, we decided that cutting down on salicylates certainly wouldn't hurt.

The list of symptoms we're concerned about may be a mix of unrelated issues and the fact that Pixie is, y'know, three, , so I thought I'd track his progress here. The symptoms we think are related are these:

  • eczema (mild, but we can never quite get rid of it)
  • persistent cough
  • slightly darker and slightly paler patches on his forearms, as though the skin pigmentation is going awry
  • itchy, dry skin around his eyes, with red circles round them, that cream doesn't seem to get rid of
  • constant hunger
  • accident prone (honestly, I'm surprised he doesn't have brain damage by now, the amount of times he's walked into the same pieces of furniture!)
  • hearing without comprehension
  • slurred speech
  • stammering
Obviously if the salicylate intolerance isn't the cause then the symptoms won't get better over time. However, even if he is intolerant I'm expecting the symptoms to wax and wane before going completely, especially while we get to grips with what is and isn't 'acceptable' under the new regime. So I'm going to track the progress here.

We're currently at the end of day two and he's being surprisingly agreeable about the entire situation. He's started asking if he's allowed to have something before he eats it (which is brilliant!). The worst part is limiting his fruit and veg as he's a big fruit fan and we obviously want to keep him having a fresh, healthy diet! Because he goes to nursery for 3 half days a week he has 6 meals a week outside the home. I don't want to mess about with what he eats there on what's unsubstantiated theory at the moment so we're not going to ask the nursery to alter his food in any way yet. However, we'll keep an eye on any reactions he has on those days and take steps if necessary. I'm slightly concerned about the website I linked to earlier saying that caution needs to be exercised on reintroducing salicylates as anaphylactic shock may occur....I don't think that they'll be removed so completely (we're not currently changing his toiletries, for example) that him eating 'normally' at nursery will result in that though! Um, if anyone thinks they know different please get in touch before Tuesday morning!

I wasn't expecting to see any results this quickly but what is a little bit galling is that this afternoon his eyes got really bad and red again and his behaviour deteriorated pretty quickly. How much of this is because we slipped up somewhere and how much is because the weekend was spent with his grandparents having attention lavished on him I don't know, but there were definitely tears before bedtime!

Tomorrow is another day, and one that we'll hopefully start to see signs of change.