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 CAUSES
- Most of children present some difficulty to initiate the sleep. Many use a toy of plush or some source of light to be able to initiate the sleep. Even there it is normal.
- The experiences that more influence that the child presents disorders of the sleep are:
- To sleep in bed of the parents.
- Accidents or illness of the child.
- Separation or absence of the mother (labor, trip, etc).
- Maternal depression.
- Ambivalent or contradictory maternal attitude in the upbringing of the child.
- The children can think that the hour of sleeping is a moment in which they are removed from the love and care of his parents (anxiety of separation)
- The biggest children can present fear or anxiety of the presence in the night of noises, thieves, etc. not always they express it openly, but sometimes they use tactics to be postponing the hour of initiating the sleep.
- The anxiety of separation and the fear to initiate the sleep often they break loose when the child has initiated his stay in a nursery school, and more an if there exist conjugal conflicts, death of a relative, etc.
- 5 % of the children older than 5 years presents nightmares. It is more frequent in girls.
TREATMENT
The essential thing there is the support of the parents, the affective stimulus and the motivation to be able to overcome this situation. There exists a series of general norms and others that depend on the age of the child.
General norms
- To support, at all costs, a schedule of beginning of the sleep that must be fulfilled irreversibly allowing him few modifications.
- The parents must prevent the child from sleeping in their bed. They can do the authorization of which he sleeps, momentáneamnete, in the bed of one of his brothers, for example.
- There must be avoided at all costs the television programs that present algn violence grade.
- It is possible to offer a night bath, a weak light or a moment previous to conversation before initiating the sleep. In some children it works initiating the reading of a story. It is possible to be accepted, momentarily, that he sleeps with a burning light or with the open door.
- Only the pediatrician can authorize the use of calming medicines in some few cases.
Newborn baby
- Do not leave that his baby sleeps any more than three consecutive hours during the morning. Wake up it tenderly. This way he will sleep more at night.
- Not to give milk or feeding-bottle whenever it cries. Not always it will cry for famine. If one feeds the baby constantly in the daytime, also he will ask constantly at night.
- Do not allow the baby to sleep with you. Once it is conciente of this privilege it will be very difficult to make it change. It can have it in a cradle or "cradle" close to his bed.
- If it has cradle, coloquélo in her when it is sleepy but awake. His ltimo I remember awake debit to be the cradle and he does not attend it of the parents or the food. He must learn to fall asleep only.
Two to four months
- The cradle goes on to a separated quarter.
- Diminish as soon as possible the captures nmero during the night.
- Never wake up the child in the night to feed it. Hope that he should request his food.
Six meses/font>
- Give to the child a plush toy.
- Accent opened the door of the quarter of the baby.
- During the day drink fond to the child when it shows fear for the separation.
One year
- Establish a pleasant routine for the child: an agreeable story, etc.
- As soon as it was placed the child in his bed must remain there. It is necessary to ignore the protests or tantrums, and always to support a firm attitude.
The child must be spent from a cradle to a bed between the two and three years of age. It can move forward this step if the child has already learned earlier to climb over the bars of his cradle.
WHAT DOCTOR CAN TREAT ME?
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YOU CAUSE 
