Детский сон: Простые решения для родителей

by Harvey Karp, Харви Карп

Сон — важнейшее условие правильного развития ребенка. Однако похвастаться идеальным сном своего малыша могут единицы. Известный во всем мире педиатр Харви Карп готов помочь вам решить проблемы со сном всего лишь за неделю. И это самая хорошая новость из всех возможных! На каждый важный период развития, от рождения до пяти лет, у доктора есть простые и при этом удивительно эффективные советы, сочетающие мудрость древних с новейшими достижениями науки. Эта книга — бесценное руководство для тех, кто хочет решить проблемы со сном быстро и без лишних усилий; для всех, кто хочет видеть своего малыша самым счастливым на свете.

Genres: Parenting, Nonfiction, Childrens, Family, Adult, Self Help, Reference

515 pages, Kindle Edition

First published June 12, 2012

About the author

Dr. Harvey Karp is a nationally renowned pediatrician and child development specialist. He is an Assistant Professor of Pediatrics at the UCLA School of Medicine. Over the past 30 years, he has taught thousands of parents, from working moms to superstars like Madonna, Michelle Pfeiffer and Pierce Brosnan his secrets for making children happy.

Dr. Karp has committed his full-time efforts to writing, lecturing and education. He now travels extensively across America and around the world lecturing the medical community and the public about how to use his innovative discoveries to help parents successfully meet the needs of their young children.

Reviews

[Tova · Rating 1 out of 5]

This book teaches parents to ignore their children's cues from infancy through toddlerhood and try to force babies to sleep all night before they are developmentally ready for it.
It should be subtitled, "How to Ruin Your Milk Supply." Following the tactics in this book will most likely sabotage breastfeeding relationships and make parents wonder why they don't know what their babies need...after learning to ignore all their cues and teaching the babies to shut down, not calm down, from being shaken and scared by loud noises. Here's a great review of Dr. Karp's methods:
http://www.regardingbaby.org/2012/05/...

Karp even says, from pages 88-89: "When you place her in the crib--swaddled and with the [white noise at the intensity of a shower] playing--jiggle her to wake her up a tiny bit. [....] However, if she starts crying when you wake her, pat her back (like a tom-tom drum) or give the crib a fast, one-inch jiggle for thirty seconds to reset the calming reflex. If she keeps fussing, pick her up to calm her...but be sure to wake her again when you put her back down. I know you're probably thinking, Are you out of your mind? There's no way I'm going to wake my sleeping baby! [bold emphasis mine, throughout the review] But this is one of the most important tips I can teach you! These few seconds of drowsy waking are essential for teaching your baby how to self-soothe. Practice this now and I promise you that within a few weeks, you'll get a huge reward: your little friend will become much better at getting herself back to sleep (as long as she's not hungry or uncomfortable."

How will that teach her to sleep? I wouldn't want to be woken up every time I fall asleep with my parents, and then shaken like a martini or patted like a drum!

Page 187 talks about the "longer and longer" approach. "You might worry that showing your face will only make your infant cry more. But the goal is to teach her that you love her and care about her feelings, but that you've made a clear decision not to come in and relent to her unreasonable demand. Resist the temptation to stay too long. [...]Expect the first night to be rough. You'll have to toughen your heart a little." And then, because he cares more for your neighbors than your "little friend," he says, "Warn your neighbors about your plans, so they don't get worried and call the police! (Offer to loan your neighbors a white noise CD to help them sleep through the crying.)"


Karp claims 30-40% of parents who cosleep have a problem, which means 60%-70% DON'T have a problem. And if so many people are cosleeping without a problem, then isn't that normal sleep? Page 137: "Another study found that while many families loved bed-sharing, 30-40% felt it was a problem for their child and family. They got into the habit only because they didn't know how else to settle their infant. And the same study found that parents who bed-shared were three times more likely to say they had significant stress in their marriage. So feel free to make the decision that is right for your family, but please do it safely."

Swaddling is also not good for babies. http://www.nancymohrbacher.com/blog/2...

For more baby-friendly, toddler-friendly and breastfeeding-supportive information about sleep, please check out these resources and find your local La Leche League group (by clicking “resources” on www.LLLi.org)!
http://kellymom.com/parenting/nightti...
http://kellymom.com/parenting/nightti...
http://www.uppitysciencechick.com/nig...
http://cosleeping.nd.edu/safe-co-slee...
http://www.ibfan.org/art/bb53.pdf by Helen Ball of ISIS & Durham U Parent Infant Sleep Lab
http://www.kellymom.com/store/handout...
http://www.kellymom.com/parenting/sle...
http://kellymom.com/parenting/nightti...
http://www.bestforbabes.org/booby-tra...
http://www.cdph.ca.gov/programs/wicwo...
http://kellymom.com/parenting/parenti...
http://kellymom.com/bf/normal/frequen...

[Wick Welker · Rating 5 out of 5]

Simple measures for better sleep.

I most definitely moved this up my tbr because I have an adorable baby girl who is having trouble sleeping which makes it so I have trouble sleeping so I may have picked this up entirely out of self interest. This is a great read. Dr. Karp gives very pragmatic, evidence-based advice while performing some decent myth-busting. This book is useful for all ages and he gives you tricks that you can implement right away. Has anything started to work for me?-->Nope. But that doesn't mean it's not good advice. You'll also learn a lot of good lessons about child psychology in general about how to interact with your child during different developmental stages. Good read, recommend.

[Leanna · Rating 3 out of 5]

I'm very fond of Dr. Karp - his suggestions in The Happiest Baby on the Block worked like magic for getting our little newborn calmed down and asleep. So I was pretty excited to learn he also has a sleep book - because when your four month old suddenly decides to sleep like a newborn again, you need all the magic you can get!

And, well, this isn't magic. I'm beginning to think there is no magic. At all. Anywhere. Ever. But maybe that's the sleep deprivation talking.

At any rate, this book is fine - a lot of the suggestions are the same as those found in other sleep books. And, although Dr. Karp is pretty adamantly against CIO, he didn't strike me as too overly opinionated or judgmental which, in the world of parenting advice books, gets him at least three stars from me. Don't make me feel bad about my parenting and I'll at least "like" you. The bar is low people.

UPDATE for 15 months: we came back to this during another bout of sleep regression and I must say, Dr. Karp does provide a myriad of ideas to try. Don't know if any of them are going to work but it feels nice to at least have a plan to try!

[Jenna · Rating 3 out of 5]

The part explaining about the logistics of sleep is informative but this author drove me a little crazy. He really liked adding the word super to any word as a prefix when it should have been an adjective or adverb, which was superannoying. Don't get me started on his "Owie technique" (which involves band aids on your jammie shirt to tell baby he can't nurse?) oops, I got started.... But seriously!. My five month old doesn't recognize a band aid and even if she did she wouldn't notice it in the pitch black of 3 a.m. Kind of weird. Did I give it three stars? I must be feeling supergenerous this morning.

[Jen · Rating 3 out of 5]

OK, in a nutshell you have to wake your baby up a little after feeding so he can learn to put himself to sleep. But what if your baby ALWAYS moves around and wakes himself up once you wake him up for that split second? What then, Doctor Smartypants?

[Oksana Zhuravel · Rating 4 out of 5]

Поначалу его советы показались бредом, но оказалось, что пеленание и белый шум реально работают. Много воды в книге, можно пролистать до важного.

[Benjamin Booker · Rating 2 out of 5]

There were some good pieces of information in here that are backed by the literature, but overall, this was largely a disappointment. I have a strong reservation when reading books where the author is comfortable including swoths of information and "factual" statements without discussing the evidence in better detail, especially when there is so much written about baby sleep out there. Why would I trust your recommendations over someone else's conflicting information. I loved his book the happiest baby about calming infants from crying because it was easy to implement and evaluate if it works and it does! But to try methods that are likely to have long term impacts without providing more information is too risky. The author does not always do this, but It bothers me to no end when he, or, anyone for that matter, would write something like, "the research shows..." And then does not site or elaborate on a study. Or, equally as bad, makes a statement like "newborns don't have a circadian rhythm..." without elaboration on where or how we know this. Additionally a lot of the information in this book seems like a repeat from his other book, the happiest baby on the block, which seems like he just copied his idea to sell another book when he should have just included an additional 3-4 chapters of sleep in his other book. I would reccomend happiest baby on the block, I would skip this one about sleep and read other books like John Medinas Brain rules for babies, which includes better information on sleep.

[Kristīne Butlere Peslaka · Rating 4 out of 5]

Šī grāmata patika labāk nekā Džīnas Fordas AM dienas ritms. Autors pats ir bērnu ārsts un iesaka galvenokārt tīšanu autiños un baltā trokšna izmantošanu zīdaiñu midzināšanai (spilgtāk atmiñā palikušie līdzekli no 5 solu ieteikuma) un laicīgu gatavošanos gulētiešanai ar apgaismojuma, dažādu traucēklu kā TV vai saldumi izslēgšanu un vēl dažus knifiñus lielāku bērnu saldāka miega veicināšanai.

[Berls · Rating 3 out of 5]

Meh. I feel like if you watch the video from Harvey Karp on the 5 S's you've gotten the best parts of this. In terms of sleep, I've gotten much better tips and advice from Taking Cara Babies. She does reference him and his 5 S's but her courses helped me much more than this book. I think I could have skipped it.

[Jessica · Rating 2 out of 5]

A less useful repeat of Happiest Baby on the Block, with the addition of broadly applicable statements inapplicable to my baby and unwelcome and non-evidence-based judgments about various things being “delicious” or “the sweetest time”, avoiding caffeine, etc.

[Melanie Grant · Rating 5 out of 5]

Figuring out my newborn has been a definite learning curve. I have implemented some strategies and already seen positive results. Hopefully, I can continue to see a positive change in sleep habits as the year progresses. I'm sure I'll have to refer back to more strategies.

[Liz Thys · Rating 5 out of 5]

Super helpful tips. Will keep coming back to this one

[Book Hoarder · Rating 3 out of 5]

This book is great as a starting point but if you already know a thing or two, skip it and find something else. He harps on about white noise, which I'm a little skeptical about, but we added it all the same. It didn't work for us.

He advises letting babies sleep in their swings which I was confused by as this is a definite no-no in current research. There were some other ideas if you get desperate but I'll pass.

I was looking for a gentle approach as my 2nd baby is a party animal, whereas my first was a sleeper, but I didn't find this overly helpful.

I felt that although he was thorough (aka repetitive) there were tips that were glossed over and the example routines he kept alluding to were tiny diagrams at the back of the book. I needed chapters such as: "You worked so hard to get your child to sleep but they woke up after 20mins, what to do now" and "Reflux: sleep's worst enemy" or "Overtired even though you got them into bed at the right time" or even perhaps "Cocktail recipes for when everything has failed and you're driven to drink".

In saying that, I gave it 3 stars because if your child is an average sleeper then all of these things will probably work. Or, if you're like my husband, and need a starting point this isn't the worst thing out there.

[Elvira · Rating 2 out of 5]

The book covers sleeping techniques to help your baby form good sleep habits. I found this book had some good techniques, though they were the same ones that the nurses at the hospital kept saying. Though it was nice to get a better understanding on what the techniques are mimicking and why they worked. I did feel the books is very redundant, continually refereeing back to the same 5 techniques to found in dvd by this author and probably anything else the author has written. So, do you need to read the whole book, probably not. A quick skim will give you all you need. And no, you do not need to by the author's CD of ambient noises, even though they rant against white noise machines, my little doesn't seem to hear any difference. My advice, is take this and any other baby parenting books with a grain of salt, or treat it as you do all the other advice given by your friends and family. Try it if you think it may work, but in the end do what works for your baby and yourself.

[Tracy · Rating 3 out of 5]

This book's techniques might not work great for every parent, but we took a lot from it. We learned about our baby's sleep needs, from napping to nighttime. We used swaddling, shushing / white noise, and sucking. We started putting the baby down drowsy-but-awake around 4.5 months. And you know what, it worked for us. Our baby started reliably sleeping through the night (8pm-7am) by 9 months.

And sure, Dr. Karp is a bit of a charlatan. He convinces you need all these things using his doctor title, and then he just so happens he sells an exorbitantly expensive device on his website to help you with the process. So don't fall for that piece of it and waste your money. But there's still some value in the book itself.

For what it's worth, I also heartily recommend "Sleeping Through the Night" by Dr. Jodi Mindell for even more helpful information: https://www.goodreads.com/book/show/1...

[Libby Ramsey · Rating 2 out of 5]

Like most self-help type books information is repeated A LOT. And for the first part the goal seemed to get you to buy his white noise CDs and DVDs, hahhaa. While there are some great tips in here, I feel like I had to take some of the stuff with a grain of salt. It seemed a bit outdated or contrary to what my doctor has advised. Probably could have gotten the same information in a better format. Did take away some good bedtime routine/sleeping tips though. I read through the infant stage and stopped at the 1-5 yr section bc no way I'll remember any tidbits from this a year from now.

[Lena · Rating 2 out of 5]

All the useful information about babies dream from this book would fit a 12-page brochure. However author succeed to make a volume on it's base just by repeating same things again and again and promoting his another book in every chapter. Except of some simple sleep-related advices the book contains several pedagogical techniques (which could be helpful) and several very-very debatable medical recommendations (for example to put mother's milk into child's nose). The whole impression is rather untrustful.

[Angela Elmer · Rating 5 out of 5]

Just started using the suggestions in this book. My 9mth old was getting up every hour to nurse back to sleep and we were Co sleeping. I wanted to get him in his crib and get him sleeping thur the night. So far so good, it's only been three days but he went from every hour waking and needing to be rocked or nursed back to sleep to only needing a pat on the back twice in the night. That is pretty amazing we'll see how long it will take to get him sleeping all night

[Becky · Rating 3 out of 5]

I would actually give this book a 2.5 star rating, but decided to round up. About half of the book is very good, and the other half is mediocre at the best.

The first chapter is titled "The Science of Sleep." In it, Karp discusses sleep in general and specifically in adults in order to give background as to how infants and small children sleep. I found this chapter to be very interesting. The next eight chapters focused on sleep from birth to twelve months, splitting it into two sections; birth to three months and three months to twelve months. Reading these chapters were a good reminder to me as to what helps a baby sleep and the fact that they are essentially going through a fourth trimester after they are born and need the imitations of the womb to help them sleep better. However, there was a lot of repetition in these chapters.

The last two parts of the book, I did not think were helpful at all. Karp appears not to be a christian; he refers to your child as reverting to being "a little caveman" and alludes to humans as having millions of years for their sleep to evolve. With this in mind, his advice for teaching your child how to go to bed and go down for naps seemed to lack Christian and Biblical values. He offered a lot of suggestions for bargaining with your child. With the advice he gave, I could see there being disciplinary issues in the home in other areas of life if your child is only willing to do what you say because you have bargained with him and offered a bribe. We have never had trouble with our children fighting their bedtimes or nap times and have sought to lovingly be in authority over them because that is what God commands and not to be sneaky in how we get them to obey. Karp was also very repetitive. This book is likely intended for the parent to read the section of the book they need help with and so if they have not read the entire book, they may not find the last two parts repetitive.

If you are having trouble knowing how to sooth your baby, I would recommend reading Karp's book, "The Happiest Baby on the Block." However, if you are having trouble with your toddler, I would recommend that you go elsewhere for advice. There are lots of good Christian books on parenting.

[Jami · Rating 5 out of 5]

These tried techniques have helped my children's sleep habits immensely. I agree with each of the five S techniques and have seen first-hand what happens with other children whose parents approach sleeping differently...night wakening and sleep deprivation for years (even those well out of toddler years). Sleeping is a *learned* skill that needs support and practice. Parents who truly implement these techniques will see for themselves the wonderful result: SLEEP!

I have breastfed each of my children for a year despite not co-sleeping, so I'm confused by other reviews that claim these techniques will negatively impact breastfeeding. On the contrary! More rest for momma=greater milk supply, more patience, and a happier family.

My children have learned to sleep for longer stretches at night and breastfeed more during the day. At 6 weeks, these techniques trained them to sleep for 6-8 hour stretches at night! Of course, I was up pumping milk until my supply regulated, but that's a small issue to foster sleep independence at such a young age. And no, I was not simply blessed unicorn children. Our son had his days and nights reversed initially and had tummy troubles, but these techniques helped so much that after only a few weeks of life, he was sleeping for many more hours at night than the day.

When sleep is improved SO much, you'd better believe that book deserves 5 stars despite the author's propensity to make his own words up with *super* as the prefix 😉

[Jerzy · Rating 3 out of 5]

Haven't read the whole book, just skimmed it looking for advice on (1) ways to fix sleep-onset associations that aren't "cry it out" variants, and (2) encouraging a toddler to stay in his bed now that he's too big for a crib to hold him.
I like Karp's tone and advice generally, although like his other books, this one seems too repetitive on the stuff I don't need, and too skimpy on the specific details I *do* need.

Pages 258-261 (and elsewhere) describe toddler-specific ideas: longer-and-longer cry-it-out (Ferberizing), and pick-up/put-down (or Karp's variant with a cringe-worthy name, "twinkle interruptus," on p.255 and p.275).

But what we ended up doing was closer to his p.283 advice on weaning away from bed-sharing. Start by staying next to the child's bed until they fall asleep. Then every few nights, move farther away at bedtime, until you're outside the door as they fall asleep. This seems to be working so far. He does actually fall asleep in his own bed now---we'd tried Ferber / cry-it-out before, and he'd just fall asleep by the door, blocking it (so we couldn't even try to move him into his bed without waking him). And he doesn't *always* self-soothe in the middle of the night, but it's happening much more often than it used to.

[Amanda Watkin · Rating 3 out of 5]

This book is broken into parts based on baby's age. The newborn part is interesting but you can easily get the relevant information by watching a YouTube video on the 5 'S' of sleep.

If you want to sleep train your baby - then I believe the methods laid out are likely to work. Because the parts are written so you can read them in isolation - I wouldn't recommend reading the whole book as it is repetitive.

I felt it was written in a non-judgemental way and appreciated he also thought the phrase "put your baby down drowsy but awake" is vague and unhelpful. It is also easy to read and if you're sleep-deprived, that is essential. If you have read/learnt anything else about sleep training then this may not provide anything new - except techniques to use during the day to build on techniques you use at night such as rewards. It is a practical book - perhaps just a little long.

[Oliver Bateman · Rating 5 out of 5]

We read several sections of this book and also benefited from a few 1 on 1 conversations with Dr. Karp. The early sections helped with newborn soothing, erratic newborn sleep patterns, and so forth (we also had a Snoo, Karp's patented bassinet, about which I've written here: https://www.fatherly.com/gear/snoo-sm...). Karp's contention that the newborn stage, particularly the first four months of newborn life, equals a "fourth trimester" outside the womb is spot-on.

A later conversation with Karp reinforced the need to create and then maintain a rigid sleep schedule, and (mainly thanks to my wife's tireless efforts) our daughter began to fall asleep at specified nap and bedtimes. She still wakes up a little earlier than we'd like, but she has no issues falling asleep and gets plenty of rest.

[Ellyn · Rating 4 out of 5]

I read this book when my daughter was an infant, and I thought it had good information on sleep and good tips to try. Some of them worked, some of them didn’t, which is not surprising—if I’ve learned anything about sleep, it’s that there’s no magic approach or philosophy that works 100% for every child or every family. We are each on our own journey and need to find what feels comfortable to us. I was already familiar with the 5 S’s but appreciated the overview and found that they did work pretty well to calm my daughter. I need to come back to some of the toddler tips now that my daughter is older and still has a hard time sleeping—they didn’t apply at the time, but they probably would now!

[Culori · Rating 1 out of 5]

I consider this a book of very strong personal opinions that may or may not work for your baby. It is not endoresed by any studies.

I disagree with many advices given in this book, for example the author recommemds diluting breast milk with water and giving it in a bottle to the baby so that baby gets used with a bottle and then with a pacifier.. why? What are the studies and official recommendations of aap, who, nhs, nice? To breasfeed exclusively for 6 months not to dilule breast milk.

The comparison of human babies with the baby calf is taken to extreme, ok I see it as an anecdote to share over beer with friends, really it does not need that many pages and a whole theory of 4th trimester.

It was a waste of time to even try to finish this book.

[Kate Jenner · Rating 4 out of 5]

I found this really useful in the first 3 months from birth as it gave really practical easy to follow advice that is fairly balanced between earth mum and Gina Ford. The aim of the 5 S's is to help your baby to sleep without relying on props and I really feel it worked for us on the whole. This makes the further transitions in sleep a little easier. It meant I felt I had some control over what was going on (limited as it may have been) without trying to strictly follow a routine that would make me feel more stressed if I was unable to achieve it. I would recommend this book in combination with a couple of others like the Baby Whisperer.

[Tanya · Rating 3 out of 5]

I don't know how I feel about this book as I probably should've read it AGAIN before my babes were born. However there was some good information in here about getting them to self soothe, which is something I've been working on...but it seems I've been doing what I need to so I'm a happy girl. I don't know how much of this really works for me as I have twins and having twins always puts a spin on things. What works for one baby doesn't always work for two...

Regardless, it was a good read. Possibly more helpful to a parent to be.

[Casey DeMarco · Rating 3 out of 5]

I think I wanted this to be more helpful, but probably also want a magic, instant cure to baby sleep.
Having read The Happiest Baby before, and doing other research on sleep, I didn't find this read to be incredibly helpful, and I started to doubt some of the techniques and guides, it just wasn't lining up with everything else I've learned. And not in a "this is revolutionary, I need to try this!" way. In a "this is all outdated ideas" way.
So mildly disappointing, but it would be a good starting point for others.

[Lucy · Rating 3 out of 5]

“Special time” - 5 min of undivided attention to do anything together. “Toddler-ese” - mirror their emotion as first response. Patient stretching at 1 year, the “wait one second” exercise. “Magic breathing” followed by something nice until she copies you. Whisper praise to a stuffed animal but let her overhear, “gossiping”. Star sticker charts for kids 2+, or have her design her own system. Review what she did to earn the stars at the end of the day. Make a beddy-bye book and read together so she becomes an expert at her bedtime routine. Put boxes under the bed so no monster can fit there.

[Cloud · Rating 2 out of 5]

This book had some ok ideas, but as a sleep-deprived parent, it took a long time to get to the actionable points. I don't know if I would necessarily recommend this book to new parents, it's easy to sum up some of the key points. And really who has enough time to read a full book these days?

To be honest, however, I didn't finish this book and probably will not pick it up again. I think I stopped by the 3 month age bracket.