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Tummy Time Baby’s Way

Natural, unassisted gross motor development means waiting for baby to choose tummy time. This is how it happens, or at least how it’s happening here…

One day before her 5 month birthday, R. turned onto her tummy all by herself. She was startled and didn’t like it much, and immediately let out a loud wail. After acknowledging what she had accomplished, “You turned onto your tummy!”,  I told her I was going to pick her up, and after a bit of cuddling, I placed her down in her play space on her back, where she contentedly continued to play for another hour.

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She chose not to return to the tummy position for almost a full month afterwards. She would play on her back, finding her toys,  bringing them to mid-line, and her mouth, and she also did quite a bit of playing while lying on her side, but she stopped short of turning onto her tummy.

Then one day, about a month later, she DID turn onto her tummy, and while it was clear to me that she was “ready” for this experience, as evidenced by the fact that she could lift her head and look around easily in this position, as well as support herself on her forearms, and reach and grab for toys, she was STILL clear she did not like it, and was uncomfortable.

I continued to put her on her back for play, and let her choose, and about two weeks ago, even though she never again turned onto her tummy during play time while awake, she started turning onto her tummy when she was in her crib, asleep. The change in position would inevitably wake her, and she’d cry out to me in distress.

I responded by going to her and acknowledging, “You turned onto your tummy, and you woke up. I am going to pick you up, and put you down on your back, so you can rest.” She would sigh and stretch out and go back to sleep, although I often didn’t! This cycle repeated itself 5 or 6 times a night.

For the past three nights, R. has continued to turn herself over in her sleep, and each time, she cries out briefly, but then immediately goes back to sleep on her own, still on her tummy. Here is how I find her when I go in to greet her in the morning:

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Today, one day shy of her 7 month birthday, she has been on a nap strike. She is clearly tired, and seems happy to be in her crib, but shortly after I leave the room, she cries out insistently, and when I respond, I find she is on her tummy, and often has moved a full 180 degrees from the position she was originally in.

She grins when she sees me, and I tell her (after a few minutes of observing her and talking with her), that I am going to pick her up, place her on her back, and let her rest. We have repeated this cycle about ten times so far today. In between NOT napping, I feed her and change her diaper, and we enjoy this slow, connected, time together, and then she plays contentedly on her back  for short periods in her play space.

R. has not yet figured out how to (or that she can) turn from her tummy to her back on her own, so she needs my support right now. I see my role as listening to her, acknowledging her, reassuring her, and re-positioning her when she tells me she is too uncomfortable, and doesn’t know how to turn back on her own. Most of all, I view my role as trusting her, trusting her process, trusting her timing, and trusting that she is going to figure this out for herself in her own time, if I just wait and offer her the right amount of support.

Is it easy for either of us? No. There is struggle. There is frustration. There is disruption in sleep. There is complaining (on both our parts). Would I do it any other way, or change anything if I could? Not a thing.

R. is learning to learn. She is learning that she is in charge of her own body and her own process. She is learning to trust herself. She is learning to trust me. I am learning to trust her. She is learning that SHE is in control, and that she can move one way, and then another way, if she is not comfortable. And she’s learning that she’s not alone in this, no matter how difficult or uncomfortable it may be for her right now. These are lessons that will serve her well throughout her life.

If you have no idea what I’m talking about and you are curious to learn more, or if you have an idea of what I’m talking about, and still want to learn more, I can do no better than to refer you to Janet Lansbury’s site, elevating childcare, for she (and Magda Gerber before her) has been my truest and most trusted guide, mentor, friend, and teacher.

 

 

What To Say Instead Of “NO!” – Six Ways To Gain Your Child’s Co-operation

Did you know? The average one year old hears the word “no” an unbelievable 400 times a day!

The problem with the word “No” is this: when it’s used too often, toddlers tend to tune it out after awhile.”No” alone doesn’t help your toddler learn what to do instead. Also, saying “No!” in a louder and louder voice (as you may be tempted to do when your toddler all but ignores you the first five times you say it), is not going to help him hear and heed your message any better. It may just lead to frustration for both of you. I advise saving “No” for emergencies, like when your child is in immediate danger. You can be sure your child will stop and notice when you use the word only in rare instances.

In “We Don’t Want To Spank,” Janet Lansbury emphasizes the importance of creating a safe play area within your home – a place just for your child, that has few restrictions, and is all about YES! The fact remains, when you are parenting a toddler, there are times when you will have to say “No.” So, what can you say instead, to get your point across and make it possible for your toddler to co-operate more readily with you?

Here are six ideas:

1) Rephrase your request in a positive way: Instead of  saying, “No, don’t run,”  try, “Please walk inside.”  Instead of  “No, don’t touch!” try, “You want to touch the lamp, but it might fall and break. Please just look with your eyes.” Instead of, “No, don’t touch the cat,” try, “Please remember to touch the cat gently.” (You may have to stay close to demonstrate gentle touches.)

2) Let your child know what he may do instead of  telling him what he can’t do: Instead of,  “No, you can’t have a cookie now,”  try saying, “You may have a cookie after dinner. If you are hungry now, you may have fruit or a piece of cheese.”  Instead of,  “No climbing on the furniture,” try, “The chair is for sitting in. If you’d like to climb, you may climb here (showing him). “Instead of , “No, we can’t go to the playground because it’s raining,” try saying, ” I know how much you love to play outside. We can go out as soon as the rain stops. Would you  like to read a story or build with your blocks while we wait for the rain to stop?” Instead of , “No! No throwing balls indoors,” try saying, “You can roll the ball indoors or take it outside and throw it. What’s your choice?”

3) Ask for your child’s help and thank him when he gets it right: Instead of, “No! I told you not to take your shoes off because we’re getting ready to go,”  try saying, “You need your shoes on to go outside. Please help me find them so we can get ready to go.” Instead of,  “No more playing for you. I’m not going to ask you to pick up your toys again,” try, “Thank you for helping me to clean up all the toys!”  Instead of,  “I said no yelling!” try lowering your own voice and saying, “Thank you for remembering to speak softly while your baby sister is sleeping.”

4) Explain the reason for your request, and  state what behavior you want to see instead: Instead of  saying, “No, don’t________ ,” try stating,  “I want you to_____________ because__________.“ “No, don’t throw the sand,” becomes, “I want you to keep the sand low in the sandbox, so it doesn’t get in anyone’s eyes, because that might hurt.” “No, don’t bang on the table,” becomes, “I want you to stop banging on the table because the sound it makes is loud, and it’s hurting my ears.”

5) Use “sportscasting”  to say what you see: Instead of saying, “No throwing food!” try saying, “You’re throwing your food. That tells me you’re done eating, so I am going to put the food away now.” Instead of “No splashing in the cat’s water bowl,” try saying, “You are playing in the cat’s water bowl, and splashing water all over the floor. That water is for the cat to drink. If you want to play in water, let’s fill the tub with water.”

6) If your child is hitting, kicking, or biting: Instead of saying, “No hitting/kicking/biting!” try saying, “Hitting/kicking/biting hurts! I won’t let you hit/kick/bite me. If you want to hit/kick/bite, you may hit the floor (or these pillows)/kick this ball/bite this teething ring.”

When you take the time to talk with your child in the respectful, positive ways above, explaining the reasons for your requests, offering choices, modeling the behavior that you want to teach, and bringing your child’s awareness to the impact his actions have on other people, you are including him in the learning process, and  guiding him to become self aware and self regulating in his behavior. This is the true goal of discipline; to help your child to become disciplined from within and learn to make good choices, instead of dependent on someone else to tell him what is right or wrong.

Tell me, have you found other ways to gain your toddler’s co-operation without resorting to saying no over and over? I’d love it if you’d share.

 

 

 

 

Myth Busting- Babies and Depression

Baby sad.

Today is  National Children’s Mental Health Awareness Day, so I thought it might be appropriate to do some myth-busting around babies and mental health issues:

Myth: Infants and Toddlers aren’t at risk for developing mental health problems such as depression.

Fact: In February of this year,  the American Psychological Association published research indicating that infants and toddlers can suffer serious mental health disorders, such as depression, yet they are unlikely to receive treatment that could prevent lasting problems.

Myth: Young children are naturally resilient, and usually grow out of behavioral problems and emotional difficulties.

Fact: According to Joy D. Osofsky, Ph.D., of Louisiana State University, and Alicia F. Lieberman, Ph.D., of the University of California, San Francisco, “Mental health risks to infants are magnified by the fact that “the youngest children, from birth to age 5, suffer disproportionately high rates of maltreatment with long-term consequences for mental and physical health, but pediatric health and child care providers seldom identify or refer children under 5 years old to mental health services.”

Myth: Infants cannot have mental health problems “because they lack a mental life.”

Fact: Even young infants can react to the meaning of others’ intentions and emotions because they have their own rudimentary intentions and motivating emotions, according to an article by Ed Tronick, Ph.D., of the University of Massachusetts, Boston,  and Marjorie Beeghly, Ph.D., of Wayne State University.

Myth: Trauma is the main cause of mental illness in babies and toddlers.

Fact: The everyday life and ongoing interactions between infants and parents or other caregivers, has a huge impact on the development of mental health issues in babies because,  “Infants make meaning about themselves and their relation to the world of people and things, and when that “meaning-making” goes wrong, it can lead to the development of mental health problems. Some infants may come to make meaning of themselves as helpless and hopeless and may become apathetic, depressed, and withdrawn. Others seem to feel threatened by the world and may become hyper-vigilant and anxious. Apparent sadness, anger, withdrawal, and disengagement can occur “when infants have difficulty gaining meaning in the context of relationships.” (Tronick and Beeghly)

 

In recent years, there has been a huge focus on understanding and optimizing the development of children, but often the emphasis is on developing their cognitive (thinking or reasoning) skills. While strong cognitive abilities are necessary for academic success, there is a growing awareness of how crucial it is for young children to develop social–emotional competence in order for them to thrive in school and in life.

Awareness and education are the keys to making a positive difference in the lives of all young children. It is imperative that both parents and caregivers be aware of the need, and learn strategies for fostering the nurturing adult–child relationships that lead to social competence, mental health, and resilience in young children.

Magda Gerber’s approach to child care nurtures the development of resilient, emotionally healthy babies, and their ability to develop social competence through mutual respect, trust, and acceptance. It is “like preventative medicine, and it’s therapeutic for both parent and child.”

This year, the 22 Annual RIE Infant/Toddler Conference to be held on Saturday, May 14, 2011, in Los Angeles, will feature a keynote address by Alicia F. Lieberman Ph.D., entitled “Helping Young Children Cope with Stress and Trauma.”

Please see Amy Webb’s post at The Thoughtful Parent for further information and reading about National Children’s Mental Health Awareness Day.

The best gift

NO Tummy Time Necessary

Allowing babies to move freely, according to their own inner schedules and dictates,  is a hallmark of Magda Gerber’s RIE philosophy. When babies are allowed to develop naturally, in their own time and their own way, they learn to move with ease and grace. They tend to have excellent body awareness and posture, and a good sense of where their bodies are in space.

Allowing a baby’s gross motor development to unfold naturally means avoiding placing babies into positions they can’t get into or out of on their own. Ideally, young babies are set on their backs not just for sleep, but for playtime as well, because this is the position that most supports their bodies, and in which they are most relaxed and free to move. What this means is no tummy time for babies until they spontaneously begin to roll first to their sides, and then unto their tummies. It means not pulling or propping a baby with pillows into a sitting position until he can move into this position on his own. It means avoiding all baby “containers” like bouncy seats, exersaucers, and baby swings, and using car seats judiciously. It means not lifting a toddler onto a piece of play equipment, like a slide, that she can’t yet scale herself.

There are many advantages for babies who are allowed to develop their ability to move on their own without adult assistance or interference. For instance, they are safer and less likely to fall from playground equipment and injure themselves, because they develop good judgment. As Magda Gerber said, “If they can climb up by themselves, we can trust that they can climb down safely.” (For an excellent description of how children learn to sense where their bodies are in space, see: Learning to “Sense” Space: Why Kids May Fall Out of Bed,  at Moving Smart.)

It turns out nature has a plan, and it’s a good one. All children develop gross motor skills in the same sequence, and all that varies is the timing. If children are given the opportunity to practice moving freely, they will be in tune with and strengthen their ability to listen to their innate body wisdom. At every stage, in every way, they will be doing exactly what they need to do to prepare themselves to achieve the next milestone. Their gross motor abilities will unfold before our eyes- no adult help or intervention is necessary. They will not attempt to use equipment or take risks they are not yet ready for.

When we place babies in positions that they are not yet able to achieve on their own, we may put them at risk of injury, of developing poor coordination and posture, and equally importantly, we risk cutting off their inner agenda, and their self-initiated exploration. There are recent studies that show that babies placed in baby walkers and exersaucers, actually develop their ability to walk at a later date than babies who have not been exposed to such devices.

Magda suggested that babies know best how to be babies, and there are just some things we should not rush. The message babies might get when we “help” them, by pulling them to sitting before they can do it on their own for instance, might be this one: “I don’t value and appreciate what you can do, but I expect you to do what you can not yet do.” Is this the message we want our babies to get? What implications do you think this has for a baby’s developing sense of self, his ability to learn, or her ability to trust herself?

Another thing to consider is that when we put babies into positions that they can’t yet achieve on their own, we make them dependent on us, because they have limited mobility, and are stuck until we come to rescue them.

Most young babies are very uncomfortable, and loudly protest when they are placed on their tummies to “play”. They can’t yet lift their heads or hold them up for very long, so they can’t see much. The ways in which they can move their arms and legs are limited. All they can do is learn to endure the discomfort they feel, or cry, and hope someone will come to move them into a more comfortable position.

I learned from infant specialist Magda Gerber, who learned from her friend and mentor, Hungarian pediatrician Emmi Pikler, who learned from carefully observing and documenting the development of hundreds of babies over many years.

And if seeing is believing, all you need to do is watch this short video montage of baby Liv, which follows her development throughout her first year. This four-minute video, produced by Irene Gutteridge, as part of a project called The Next 25 Years speaks volumes about how babies learn to move easefully and gracefully, from back to side, to tummy, and back again. Just look at Liv’s face when she achieves her goal of turning onto her tummy. Priceless!