Hi. I’m Kim West, the Sleep Lady, and in this video I’m going to answer Brandy’s question. Her daughter cries herself sick when she puts her to bed. She posted this on my Facebook page.
Here’s what she wrote:
My 15 month-old has always slept in her own bed and has gone down fairly easily. She got very sick and I was paranoid and started letting her sleep with us a few months ago. Now, I can’t get her to sleep in her own bed without her getting so upset she makes herself physically sick. How can I get her back to sleeping in her own bed and have it not be such a stressful thing for her?
Sleep Regression Is Common
It is stressful when our toddlers throw up! The good news is that she knows how to put herself to sleep and back to sleep. She just needs to remember how. This is a perfect example of the power of intermittent reinforcement. When she got sick you regressed in what it took for her to get to sleep, and then you stayed there.
Brandy, this is very common and parents like you will often end up being there for months — if not years — sleeping with their child.
Sleep Coaching Is the Answer
Since the current situation is not working for you and you want to change it, you’re going to have to sleep coach her and put her back into her crib. I’m not saying this will be easy. (I will talk about the vomiting in a minute.)
Start On A Good Day of Naps
I would start sleep coaching at bedtime after a great day of naps.
She’s either on two naps or one. The average age to transition from two naps to one is 15 to 18 months, but because she’s probably not well rested. She might still need a small 45-minute nap in the morning, and then an afternoon nap so that she can make it to bed without being overtired. Then, once she starts largely sleeping through the night, she might easily transition to one afternoon nap.
Adjust Her Intake Before Bed, If Needed
Are you giving her a bottle or cup before bed, which would mean that she has lots of liquid to throw up? If that’s the case, I would try to move that bottle earlier in the routine. You could put that last feeding before the bath, or if that seems too drastic just reduce the amount of ounces in the bottle before bed, and make sure she really is awake at bedtime.
Again, the reason why I like to move the milk earlier and reduce it is that it’s just less liquid to throw up. I would also check with her doctor as to whether your toddler needs a bottle at bedtime and whether she’s eating enough and drinking enough during the day to wean the bottle all together.
Prepare the Crib
Then, I would use some ultimate crib sheets or a set of Quickzip sheets.. The Ultimate Crib Sheets you can stack two on top in the crib so that, if she were to throw up in the bed, you can easily unsnap them and take them off and throw them in the washer. There’s a nice clean one underneath so that you don’t have to take the whole bed apart. With the Quickzip you can unzip the sheet and zip on a new one quickly.
What To Do If She Cries Herself Sick
Now we’ve got to talk about vomit here for a minute. If there’s only a little bit on her, just take a diaper wipe and wipe it off her and wipe her face. Try not to make it a big production, turning on all the lights and putting her in the bath. You can do a more thorough cleaning tomorrow.
If she tends to throw up outside of the crib, I would put a sheet on the floor ahead of time. That way, if she does throw up, you can just scoop up the sheet and put it in the washroom.
You will want to soothe her after any episode of vomit. But don’t give her another milk bottle. Maybe give her a little sippy cup of water to rinse out her mouth a bit. Try to calm her down — but do not hold her till she goes to sleep — and then back into the crib.
Unfortunately, you have to do this every, single time. Be careful again, that you make it as short and sweet as possible in terms of the cleanup and getting her back back in the bed.
Remember that the intensity of the crying might be a little bit worse because you have been inconsistent in your response to her more recently. She used to know how to put herself to sleep, and now she wants you to go back to that other routine of sleeping with you. So, of course, she’s going to be upset.
Stay With Her
You just need to stay with her, being calm and offering her reassurance. Before you know it, she’ll be back to sleeping in her crib.