There are only three studies to date that look at sleep training and cortisol: 21945361 - The Middlemiss study that got it all started. Baseline cortisol at start of study before sleep training was 0.453, and after third night of sleep training, it was 0.412. A

Stitch with the amazing drewdirksen. Usually in the circumstance, I’d recommend increased quantity or assessment of quality of sleep. But drewdirksen and britthertz just had a baby (congrats!), so that likely explains it. Drew and Britt, do you want a Lullabee crib mattress?

My favorite “doctoring” pic. To all my patient families that follow me, it’s a privilege and honor to take care of your children. *Shared with permission* Photo Credit: Duke University media office

The FORBIDDEN zone of sleep. #Sleep #sleepadvice #sleeptips #insomnia #docsofinstagram #pediatrics #pediatrician #parenting #parent #millenialparent #healthysleep #sleepandhealth #sleepwell #sleepfacts #momlife #dadlife #newparent #newparents #newmama #newdad

When you get your first imposter account. Thanks drjenicka for letting me know.

Sleep training week starts next week. Buckle up.

So lonely.

Sleep Training Week starts tomorrow. And get my book for free to get a head start. #Sleep #sleepadvice #sleeptips #insomnia #docsofinstagram #pediatrics #pediatrician #parenting #parent #millenialparent #healthysleep #sleepandhealth #sleepwell #sleepfacts #momlife #dadlife

Reference: Iglowstein I, Jenni OG, Molinari L, Largo RH. Sleep duration from infancy to adolescence: reference values and generational trends. Pediatrics. 2003. PMID: 12563055.

Infant sleep cycles

Sleep between zero and six weeks. Here are some actual items: 1. Safe sleep is crucial. Google “AAP safe sleep recommendations” 2. Breast milk and melatonin can help set day/night cycles 3. Start a nighttime routine. 4. Please seek help if you’re concerned about postpartum

Infant sleep 6 weeks to 4 months Three actionable items for 3 month olds 1. Put down to sleep drowsy (if possible) 2. Keep up the nighttime routine 3. Last wake window should be around 2hr (but will vary based in individual child’s sleep need). Reference: Sleep and sleep

Sleep training

Sleep training method 1: graduated extinction Not medical advice.

Sleep training technique 2: Camping Out *not medical advice*

Sleep training method 3: Extinction *not medical advice*

Here are some additional details of this study: PMID: 20974775 Study participants: 75 typically developing infants whose parents volunteered. Sleep metric use: sleep diaries reported by parents, with quality assurance from intermittent video correlation with sleep diaries.

Nuff said.

My opinion on Sleep Consultants

Sleep debt and sleep drive and caffeine, oh my