Desperate Advice Needed for 19-Month Old Sleep Training

Updated on July 22, 2011
H.G. asks from Dayton, OH
6 answers

First time parents with 19-month old girl. She has been pretty good with sleeping in her crib until about 4 weeks ago, when she refused with screaming and tears to go into her crib one night. We used to be able to put her down in her crib awake at her bedtime 8:30pm and walk out of the room, and she would fall asleep. Starting that fateful night last month, she'd get herself so worked up that she would vomit all over herself and in the crib and on the floor outside the crib. We would otherwise have let her cry it out except for the consistent vomiting. Either my husband or I would end up sleeping in her bedroom the whole night. Last week, we decided to put a mattress on the floor with side rails up to see if she wanted a big-girl bed. She is able to fall asleep in the bed with us in the room. Once a sound sleeper through the night, she now frequently wakes up 6-8 times a night (almost every 60-90 minutes), looking for us in the room, and if we're not there, she would bawl and cry for so long and hard that she has thrown up while on the floor mattress. She has not tried climbing off the floor mattress yet, though. The past couple nights, I've had to sleep on the floor in her room, comforting her each time she'd wake up. Horrible sleep for both her and me, and I am exhausted during my work day. What to do???

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So What Happened?

So...after reading all your helpful posts and experiences, my husband and I decided to do a combination of letting our 19-year-old headstrong toddler cry it out with intermittent comforting after we put her to sleep on the floor mattress. I stayed in the room for 30 minutes the first night, sitting away from her mattress on the nearby rocking chair, with our toddler crying hysterically and screaming at me to "Lie down, Mommy" while patting her pillow, but surprisingly she did not attempt to crawl off the floor mattress and did not puke (but came close to it with 2 large gassy burps). I left the room, let her cry for 5 minutes, went back to comfort, and left again. She then cried a total of 13 minutes calling for "Mommy" and "Daddy" (we were about to run in after every minute with our hearts breaking, but held firm) and she fell asleep the rest of the night. The second night, I stayed in the room 20 minutes after our bedtime routine, first lying with her on her mattress and slowly moving to the rocking chair with her awake, left the room, and she cried for 7 minutes and slept through the night. Last night, I stayed in the room 15 minutes and she cried for less than a minute after I left. By the time I got to the bottom of the stairs and looked at the baby monitor, she was curled up and falling asleep with her stuffed animals, and she slept through the night. I hope the trend continues! I guess at 19 months she was ready to be out of her crib. We go on a family vacation in a couple weeks, so hopefully that will not mess up her sleep training. Thanks again to everyone for their ideas!

More Answers

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L.M.

answers from Norfolk on

My first step would be to take her to the pediatrician. They can examine her for things like spider bites and investigate whether there is some sort of physical issue at hand. Perhaps she's developed reflux and needs to have her last feeding earlier. Does she have a fever at all? Journal her diet. Has she had any major changes in her diet that could be causing some excess gas. That can be very painful and little children don't yet know techniques for easing the pressure like we adults do. Your pediatrician will be able to guide you through the process of eliminating physical causes and techniques for overcoming this temporary issue.

2 moms found this helpful

M.L.

answers from Houston on

This sounds absolutely awful. Once anything medical is ruled out and a good/soothing bedtime routine is established, I honestly think I would just let her throw up. It's common for children to have stages of sleep schedule upset as they go through certain developmental milestones. If she does throw up, clean it some to make sure she's not swimming in it or choking, then go back to your bedroom. Make sure you have a sheet protector over the mattress so any throw up isn't seeping through.

Does she have a nightlight in the room or something she can snuggle with? Try lightly perfuming a tshirt or slip or something of yours and giving it to her use as a lovey.

Dr. Sears is an expert in this area and has some good advice here:
http://www.askdrsears.com/topics/sleep-problems

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J.S.

answers from New York on

I understand your frustration totally as we went through the same thing w/our DD who is also 19 mo's now. Slept straight through the night for many months fine, then all of a sudden out of the blue- refused to sleep in her crib, screaming and waking up to 6 X's a night.

Let me start off by saying that it will pass. Just as fast as it came on, she went back to sleeping straight through the night again after about 4 mo's. I know this is a long time to be exhausted so here's some advice i hope will help and what we did.

First we made sure nothing else was wrong with her medically, got her checked out. When she was first born she had GERD so we wanted to make sure she wasn't having any stomach or digestion issues that may have felt worse when laying down. Once we ruled that out, we would make sure of all the basics things- was she hungry? diaper, room at right temp? , etc. etc. When all these issues were ruled out, we did a very gentle method of sleep training making sure that we started only at a time when nothing major was going on, no new transitions that may cause her stress, no illness, etc.

We put her in her crib after normal bedtime routine of bath, then bottle, brush teeth. She would be very sleepy but not asleep. Of course she would cry. I'd leave the room and close the door and listen on monitor. I'd time it for every 5 mins at the most- go back in - not picking her up out of the crib- soothe and rub her back (she would stand up) and I'd gently put her back down and put her blanket on her. We did this for upwards of about 30 mins at the most and after 3 days - it got much better. Instead of waking 6 X's it was maybe 2-3 times. Also - we didn't think of it too much but her fave animal in the world is a duck. someone got us a pillow pet duck and we put it in her crib- that same night, she slept through the night for the first time in months!

During this period of non-sleep - if it was the middle of the night- we would also bring her in bed with us to sleep, that worked out b/c we could all sleep for longer stretches of time. We didn't do this a lot but occasionally we would. She wasn't confused by us doing a very gentle sleep training combined with bringing her into our bed occasionally. It really worked and now she sleeps fine.

I also believe that TEETHING was a big part of the problem. They can feel the discomfort even before you can visibly see that they are cutting teeth. We kept a frozen teething ring in the freezer and during the night wakings would let her suck on it for as long as she wanted to get some relief.

Sorry you are going through this- I know how hard it is.

2 moms found this helpful

M.M.

answers from Chicago on

Ahhhhh, I have a friend with a "puker". :)
He could do exactly what you're describing. When she was preggo with her 2nd, she realized that something had to give.
Up until that point, she'd be in there cleaning up puke 3-4x every night. Basically, the toddler was winning. He could puke on command after awhile.

One night she hit her breaking point, and left him in his puke. He eventually gave up and fell asleep. And he also got the message that that "game" was done. He sleep like a champ again now.

So it's gross, I know, but I'd leave her in her own vomit for a night or two. She'll get the message.

1 mom found this helpful

C.O.

answers from Washington DC on

Sounds like she had a traumatic experience and now is having a hard time getting over it....

can she express herself in words yet? if so - ask simple questions....and listen for her answers...did she get bit by a spider or bug? I know my BFs daughter got bit by a spider in her crib - she still has the scar on her back and was terrified to sleep in her crib/bed for months. they ended up taking EVERYTHING out of the room, cleaning everything in front of her and changing her room around.

I'm truly sorry this is happening...I bet it's hard not getting sleep!!! I wish I had better advice for you.

1 mom found this helpful
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M.H.

answers from Dallas on

This may sound strange to some, but I'm gonna put this out there. My oldest child has had sleep issues off and on throughout her life. One of the issues with her, is that she HAS to have enough hours of sleep, whether it is napping or going to bed early. So, that is my first suggestion, try to increase hours of sleep...go to bed at 7:30? Secondly, my mom suggested praying a specific prayer for her to prevent her night terrors. This actually worked, she was so scared and tired when she would scream out, I really think that there was a spiritual element. Lastly, hard as it is, go back to your regular routine. Side rails up, to bed alone, maybe a quick comfort, then leave. She is smart, and knows what she wants...you and Dad there with her! Hopefully only a few days of crying/vomiting and she'll be over it? Good luck, this is HARD!

1 mom found this helpful
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