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Helping Toddlers with Sleep Challenges

18-Month Sleep Regression

As your child reaches 18 months old, you may notice some changes in their sleep patterns. Don’t worry; this is a normal phase in their development, often referred to as the 18-month sleep regression, and there are ways to help them through it. Here are some common issues and practical solutions to make bedtime smoother for everyone.

Sleep Challenges

Shorter Naps
As your toddler becomes more active and engaged with their surroundings, they may find it challenging to settle down for longer naps during the day. The excitement of exploring and discovering the world can lead to shorter and sometimes inconsistent nap times. This can affect their overall sleep duration and impact their mood and behaviour while they are awake.
This regression can last from a few weeks to several, depending on how you address it.
Fighting Bedtime
Toddlers at this age may resist when it’s time to go to bed. They might display reluctance or protest by crying, fussing, or using delay tactics to avoid sleep. Their growing independence can also lead to a desire to stay up and continue engaging, resulting in bedtime battles.
More Night Wakings:
During the 18-month sleep regression, it’s not uncommon for toddlers to experience more frequent night wakings. These wakings can be due to various factors, such as discomfort from teething, dreams, or separation anxiety. When toddlers wake up during the night, they may need reassurance or comforting to help them fall back asleep.
Early Mornings:
Some toddlers may start waking up earlier than usual during this phase. A combination of shorter naps, increased physical activity, and disrupted sleep patterns can contribute to early waking. As a result, both the toddler and parents may not be getting enough rest.

Causes

Physical Milestones:
Children from 12-18 months may experience a burst of physical development, learning to stand, climb, crawl and walk. With these newfound skills, they become more active during the day, exploring their environment, and using their energy. However, this increased physical activity can lead to overstimulation, making it challenging for them to settle down at bedtime or stay asleep at night.
Cognitive and Emotional Development:
At 18 months, toddlers undergo significant cognitive and emotional growth. They become more curious about the world and want to be more independent. As a result, they may test boundaries and seek control over their surroundings. This newfound independence can sometimes manifest as resisting bedtime or protesting when it’s time to go to sleep.
Sleep Amount Changes:
Around 15-18 months, many toddlers transition from two naps to one (the 2-to-1 phase). This transition can disrupt their sleep routine, and they may need time to adjust to a new sleep schedule. However, while naps may decrease in frequency, toddlers still require 11 to 14 hours of sleep every day to support their growth and development.
Teething and Illness:
Teething can be a source of discomfort for toddlers, as molars and canines start to break through. This discomfort can interfere with their ability to fall asleep or stay asleep. Additionally, illness, such as ear infections, sore throats, or fevers are common with teething and can disrupt sleep patterns, making it harder for children to get the rest they need.
Life Changes:
Significant life changes can also impact a toddler’s sleep. Potty training, transitioning to a big bed, welcoming a new sibling, or starting at a new childcare can lead to nighttime restlessness. These changes can create feelings of uncertainty or anxiety, which may be expressed through sleep disturbances.
Fears and Environment:
As toddlers’ thought processes become more sophisticated, they may start to develop fears and anxieties about certain things, such as noises outside, an open cupboard door, or the dark. These fears can cause bedtime resistance and difficulty falling asleep.
Environmental Factors:
Ensuring your child’s sleep environment is comfortable is essential. Being too cold or too hot can disturb their sleep and lead to nighttime wakings. Dress your child appropriately for the temperature of their room and consider using breathable bedding. It’s important to remember that not every toddler will experience every regression or sleep challenge mentioned above. Children are individuals, and their sleep patterns may vary based on their unique personalities and experiences. As a parent, observing your child’s behaviour and patterns can help you identify potential causes and address them with patience and understanding. Implementing appropriate sleep strategies and creating a consistent and nurturing sleep environment can support your child through this phase of development.

Practical Solutions

Reassurance:
When your child wakes up at night, it’s essential to provide gentle reassurance without overstimulating them. Instead of rushing to their side immediately, give them a moment to self-settle. If they self-settle, make your way into the room calmly and quietly. If they do not self-settle, use soothing sounds like “shh” and gentle touches, such as a rub on the back, to let them know you are there and that everything is okay. Avoid picking them up or engaging in lengthy conversations, as this may make it harder for them to go back to sleep.
Consistency:
Consistency is key to creating a sense of security and predictability for your toddler. Set clear expectations around bedtime routines and keep them consistent each night. Avoid sudden changes that may disrupt their sleep patterns. A structured and predictable routine helps signal to your child that it’s time to wind down and prepares their body for sleep.
Bedtime Routine:
Establishing a simple bedtime routine can be incredibly beneficial. Reading a bedtime story or singing a soothing song before turning off the lights can help signal that sleep time is approaching. Ensure the routine has a firm ending, such as singing one specific song or reading one final story. Visual aids like drawings or photographs of the routine, displayed near their bed, can also help your child understand the sequence of events.
Address Separation Anxiety:
If your toddler is experiencing separation anxiety, you may choose to stay in their room while they fall asleep. This can provide them with a sense of security and comfort. Over time, gradually decrease your presence, popping in and out while they are falling asleep. Let them know you’ll be back and reassure them that they are safe. This gradual approach can help them learn to self-soothe and become more confident in sleeping independently.
Quality Time:
Spending extra quality time with your child in the evening can make a significant difference in their sleep routine. Avoid rushing bedtime and allow for a relaxed and enjoyable wind-down period. Engage in activities that promote relaxation and bonding, such as reading together, talking about their day, or cuddling. Being fully present and attentive during this time helps your child feel secure and loved, setting a positive tone for bedtime.
Comforter:
Introducing a comforter can provide your child with a sense of security and familiarity during sleep. A soft blanket, stuffed animal, or favourite soft toy can become a comforting sleep aid for them. Be sure to choose a safe and age-appropriate comforter and avoid items that may pose a suffocation risk. Remember, every child is unique, and finding the right solutions may require some trial and error. Be patient and consistent as you work with your child to create a peaceful and restful sleep routine. With time and loving support, your toddler will gradually adjust to these changes and sleep more soundly throughout the night.

Seeking Help and Support in Western Australia:

If you’re looking for help with your toddler’s sleep, there are several resources available in Western Australia. Here are some options:

This website provides information and advice on baby and toddler sleep concerns. You can also find contact details for early parenting centers around Australia

This organization provides support for parents, families, carers, children, and young people in WA. Their services start before pregnancy and continue through the school years and up to young adulthood

This free program is for parents and carers of babies aged 6 to 12 months who are experiencing issues with settling and sleep. The program covers establishing good sleep patterns, realistic expectations of sleep, and sleep and sleep-settling strategies

This service offers personalized sleep plans and one-on-one support for parents of babies and toddlers. They also provide in-home visits in Perth

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