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Expert Q&A:
How can we help our newborn switch days and nights?

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Answered by Suzanne Dixon MD, MPH

"I love this job!" says Suzanne Dixon. "I believe I can bring the best of information to families by the thousands every day. I'm not shy about tapping my colleagues and friends all around the country so that we can get the latest, best, and most sensible advice on every issue."

Suzanne Dixon, MD, MPH, was born and raised in Minnesota and graduated from the University of Minnesota, School of Medicine. She did her paediatric training at Massachusetts General Hospital in Boston and then completed a fellowship in Child Development at Boston's Children's Hospital. Dr Dixon joined the faculty at the University of California, San Diego, and did patient care, teaching, and research for 20 years. She ran a large newborn service, performed research in early child development, and was involved in many community outreach activities in maternal child health. Throughout her entire professional life she has maintained an interest in cross-cultural activities, living and working in many parts of the world, including Mexico, India, Kenya, Indonesia, and several countries from the former USSR.

Dr. Dixon is the author of numerous research articles, review articles, and textbook chapters in paediatrics, child and family development, and public health. Her textbook, written with Dr. Martin Stein, Encounters With Children: Pediatric Behavior and Development, has become a classic in child health education andis just coming out in its third edition. She has served as an associate editor for Infant Mental Health and currently reviews for several major paediatric journals.

Dr Dixon is a fellow of the American Academy of Paediatrics and served in national positions in that organization. She is a member of the Society for Paediatric Research, the Society for Research in Child Development, the American Public Health Association, and the Society for Developmental and Behavioral Paediatrics.

Dr. Dixon continues to lecture and consult worldwide on aspects of maternal, child, and family health. She practices behavioral and developmental paediatrics in Montana and works with local advocacy groups on education and women's health. Dr Dixon has been married for 25 years and has three sons. She and her husband travel frequently and enjoy being amateur anthropologists.

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Question


My 2-month-old son seems to have his days and nights mixed up. How can we switch them?

Answer


This is a common complaint from parents desperate for a night's sleep. Try looking at it from your baby's perspective since he takes his cues from what's going on around him. If at night you wait until you go to him (leading him to cry more and rouse himself), lift him vigorously out of bed and give him an efficient nappy change - all accompanied by sprightly conversation and adoring glances - he may conclude it's playtime. On the other hand, if you feed him promptly and gently in a dimly lit room, keeping distractions to a minimum, he'll come to understand it's quiet time. Another thing to watch out for are long daytime naps: if you allow your baby to sleep more than three hours at a time, he'll be less inclined to move his longest sleep period to the night. If necessary, wake him up during the day and let him know that it's time to converse, eat, smile and learn about the world. It may be difficult to do if you're using his naps to suit your own schedule and needs, but worth it if you want to change the time he sleeps. It may be worthwhile examining the issues in your own family, too. In some cases, if mum or dad come home from work late, the parent and the baby might really want to spend that time together. In hectic, busy households, particularly those where a parent spends long periods away from the baby, parents may really like the undivided time they can give their infant during the evening hours. The only problem is that the baby will respond to this special time, "hibernating" during the day and keeping his peak alertness for the most important people - his parents - at night. It's time to work out what type of schedule is best for you and then give your son the prompts that he needs to reorganise. I have every confidence that he will accommodate you if given the right message.
 
 
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