by Louise la PuericultricePiece by Piece together we willFIND SLEEP

Your child's needs change as they grow, and at each stage of development new needs emerge. Each need must be fully met before the next can be met too. If basic needs are not solidly fullfiled, it will be difficult to meet more advanced needs. We cannot help you child stop waking up at night, without following the progression of his needs from the most basic to the most complex. So what to start with ? First of all, you need to ensure your child's in health, by checking that there are no underlying pathologies. Then, it is important to meet their sensory needs, by creating a soothing and suitable environment. Then, you need to establish the conditions necessary for the expression of sleep biology. Then, you can start working on meeting the needs for connection and attachment, It will come together with the needs for exploration and autonomy. Finally, we can take into account psycho-cognitive and social needs for harmonious and serene development. By meeting basic needs first, you create the conditions for addressing more complex needs. Sleep and Development Ladder The Importance of Meeting the Child's Needs in the Right OrderLouise Garnier - Londres +33(0)7 84 15 32 27 babysleep.bylouise www.louiselapuericultrice.co.uk

Remember that every new skills your baby gets are here to work for you, not against you. Every new needs flourishing lead them to a deeper sleep with longer stretches, only if we know how to use theses needs. 1 month Health 1 year Sensory 4 month Sleep Biology 6 month Balance Attachement - Exploration Cognitive Sensitivity/Emotion (feeling understood) Flexibility Boundnaries Feeling accepted Belonging to this family Cooperate Feeling effective (self-esteem) Social If your child's sleep is not always linear, it is because at each stage, with each new need that blossoms, he must find his balance again, find his marks again. Sleep and Development Ladder The Importance of Meeting the Child's Needs in the Right OrderLouise Garnier - Londres +33(0)7 84 15 32 27 babysleep.bylouise www.louiselapuericultrice.co.uk

BIRTH Vaginal Birth Spontaneous rupture of membranes Labour with no assistance Labour with drugs assistance Induction Caesarean Section planned Particularly fast birth Extended long pushing stage Manual rupture of membranes Emergency Caesarean Section Pre-eclampsia Forceps or Vaccum Breech position Malpositioned delivery (nuchal hands, etc) Wrapped or knotted umbilical cord Fetal distress (a slow heart rate) Initial delay in breathing Anticipated cord clamping Delayed discharge (jaundice, infection risks, etc) IN CASE OF BREAST FEEDING Lipstick-shape nipples Blistered or cut nipples Pain during nursing Decreasing milk supply Plugged ducts/ engorgement /mastitis Nipple thrush Using a nipple shield Baby prefers one side over other FAMILY ANAMNESIS Maternal low iron in pregnancy Anemia or any mineral carentia Head-hach and migraines Hyper - Hypothyroidie CMA or Intolerances Restless leg syndrome Asthma Eczema / Atopy Child’s name : _____________________________________________ Date of birth : _____ / _____ / _____ Term of Birth : _________ Birth weight : ___________ (percentil) ___________ ❏ Breastfeeding ❏ Breastmilk ❏ Formula ❏ Smooth purée ❏ Minced - Lumpy ❏ Chopped Reason(s) for consultation: ________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Symptoms Check-up Family and Birth Anamnesis ⎯ Symptoms AssessmentLouise Garnier - Londres +33(0)7 84 15 32 27 babysleep.bylouise www.louiselapuericultrice.co.uk

GAS AND BURP DISTURBANCE Spit up / Reflux Difficulty burping Gassy Bloating tummy / Rock Tummy Tummy pain Constipation Explosive, smelly and frequent stools Tendency for Nappy Rash Reflux/Vomiting (with loosing weight) HYPERTENSIONS Often fussy / Easy and highly irritability Short sleeping and waking often and easily Baby moves a lot in sleep/kicks/restless sleep Needs motion to calm down Tummy Time difficult Swaddle is not possible Side or stomach position doesn’t work Pacifiers falls out easily or won’t stay in Prolonged pacifier sucking Baby Seems always hungry and not full Taking extended amount of time Hipcupps often Baby is frustrated at the breast or bottle Slides or pops on/off the nipple/bottle Falls asleep in the middle feed FEEDING DISTURBANCE Overuse of cheeks/jaw Lip curls under when nursing/bottle Gumming or chewing the nipple Clicking or smacking noises when eating Gagging, choking, coughing when eating Milk leaks out of the mouth when feeding Sleep with head at extended angle (odd position) Nose sound congested often Snoring, or mouth breathing at night Mouth open during the day Torticollis - Strong side preference Strong head control / Very “strong” neck Tucked legs (diaper changes difficult) Rolling over early Shallow latch / Not deep latch Short bursts of sucking without adequate pauses Symptoms Check-up Please tick ✔ the symptoms that was part of your postpartum and circle those that are still a challenge in your today’s life(Uncoordinated Suck/Swallow/Breath Sequence)Louise Garnier - Londres +33(0)7 84 15 32 27 babysleep.bylouise www.louiselapuericultrice.co.uk

the Sleep Journal Understand better what is going on and what we can do to support your child’s sleep The sleep journal is a precious piece to have about your child. It gives us to step back and put our eye on the big picture and see: You don’t need to write things down to the exact minute. It’s more about having a clear overall view. And if it helps, you can split each hour into three 20-minute slots, which gives us a better look through details. ➛ Ideally, you fill it in for 10 days in a row (7 days is okay too, but the very minimum). After that, we’ll go over it together. • How your child needs interacts and lives within the rhythm of family life. • How their biological rhythm is settling, (ruling out sleep deprivation) • and How we can analyze the patterns and draw out possible solutions.Louise Garnier - Londres +33(0)7 84 15 32 27 babysleep.bylouise www.louiselapuericultrice.co.uk

Sleep or Rest(blank)AwakeCryingJournal Keys Entry :↓ Put Down↑ Pick UpDate20h21h22h23h24h1h2h3h4h5h6h7h8h9h10h11h12h13h14h15h16h17h18h19hQNQJNotesName of your child : _____________________________________________Date of Birth : _____ / _____ / _____Notes (time, duration, comments) about these (during the period of time the journal covers) Outdoor time Social interaction Meal or snackthe Sleep JournalLouise Garnier - Londres +33(0)7 84 15 32 27 babysleep.bylouise www.louiselapuericultrice.co.uk

the Sleep Journal the whole picture under our eyes and sleep deprivation check pointTotal Sleep hoursThe actual number of hours of sleep (not estimated) over a 24-hour periodLength of BedtimeThe pattern and the latency period between bedtime and falling asleepNight awakening & Sleep LatencyThe time and latency of nighttime awakenings and the overall pattern at night.Awakening moodHow your child’s overall behavior and mood when waking up, from 0 to 10Morning wake-upThe regularity (or not) of his start-of-the-day wake-up timeDaytime Mood & DevelopmentQuality of the day according to your child’s mood, from 0 to 10 HOW TO FILL YOUR BABY SLEEP JOURNAL All these elements give us precious clues about what might be in the way of your child finding sleep and help us identify the solutions. But because the number of night awakenings, resistance at bedtime, or the time your child goes to sleep are not signs of sleep deprivation, To make sure your child is not in Sleep Deprivation and is getting the rest they need for their development, the 4 starred items are what we are gonna have a close look at first.Louise Garnier - Londres +33(0)7 84 15 32 27 babysleep.bylouise www.louiselapuericultrice.co.uk

What’s next? Guiding you through that whole repertoire we’re gonna build to help family sleep! Open “the Presence” and access more tools Explore the RepertoireRepertoireBONUS The content that is gonna wrap up our Preparation

Parental Well- Being & Team Making (Support)Find Cooperation at BedtimeReduce nighttime Parental interventionsMaking strategies SustainableUnderstanding what causes DistressCreate a Predictable SleepReduce Night awakeningsReduce the Intensity of distressReduce the Duration of distressFind Calmer BedtimesCreating a Bedtimes that works Decode your Baby’s needs Sleep Biology, Wake-ups, & Sensory Bridge as the Learning of Autonomy progress Find Baby Calm With their Sensory Profile Expectations Sleeping through the night & The truth about Bedtime (Routine) Help baby sleep in a 10 Steps-Journey Whether it is to establish the foundations for good sleep from the arrival of your child or to get sleep back on track after a disruption, each of these 10 steps builds on the knowledge and skills acquired in the previous one. In this way, you and your child can fully move on to the next step only once the current one is mastered. For example, you won’t be able to reduce night wakings without first learning how to soothe the crises and find calm. Dad, Mum, and every caregiver will move through these 10 steps in their own way and at their own pace.Louise Garnier - Londres +33(0)7 84 15 32 27 babysleep.bylouise www.louiselapuericultrice.co.uk Breakdown subtle evolution to map out your progress

Explore more A whole eco-sytem gravitating around your family, ready to support you! Click to open Open the RepertoireRepertoire