When We Need to Investigate Beyond Sleep
If you follow my work on social media, you know that I talk about ruling out underlying sleep problems often. While most children do not have any medical issue related to sleep, I believe it’s important to rule out possible causes of poor sleep that need to be addressed before moving forward with any realistic sleep changes you wish to put in place. If you suspect something is not quite right with your maternal instincts, make sure you record an audio or video to show your health care provider ASAP.
When babies are waking hourly for more than two weeks, that's when I believe it is important to investigate the root cause instead of hiper focusing on "fixing sleep". The idea is not to pathologize normal infant sleep but to identify any possible aspects that require specialized support from a pediatric dentist, ENT, IBCLC, OT, Speech and Myofascial therapists and/or Doctors that specialize in airways and tongue ties. Although tongue ties are a controversial topic, I experienced myself the pain and the anxiety of feeding a baby who was not gaining weight due to a Tongue and Lip tie. As soon as he was born, the latch didn't feel right for me as I had breastfed before, but I kept being brushed of by every single person (doctors, pediatricians and IBCLCs). We left the hospital with a baby who was loosing more weight than expected in a 24 hours period after birth, a diagnose of jaundice and a mom who was desperate to help her little one feed properly. The advice I got during the hospital stay was "Breastfeed often because it helps improving bilirubin levels!"
After two days of being discharged from the hospital, we saw an IBCLC who again said ties weren't a big deal because he wasn't making a loud "clicking sound likely wouldn't have speech issues", which obviously made me feel unseen.
After sharing my concerns with my sister-in-law, who is a dentist herself, she recommended the Breathe Institute. I instantaneously felt a huge relief knowing I would see someone who understood what my gut feeling was telling me, and that was exactly what happened. Dr. Chelsea Pinto is our angel!
Ps. My role as a Sleep Specialist is to identify aspects that need further investigation, not to diagnose.
I identified some itens above. What do I do next?
I highly recommend that you visit the Little Bird Pediatric Dentist Website and take their quiz. You can also find tons of information about airways, if that's the case, on the the Breathe Institute website and discuss your concerns with the pediatrician/health care practitioner.
I truly hope this helps before you jump on the "Sleep Fixing Train" and if you did not find anything that requires medical attention and you are ready for some sleep changes, check my offerings! It doesn't have to be wait-it-out OR cry-it-out, there's a lot we can do in between.