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Expert Q&A:
How can I help my 5-week-old, who fights sleep for hours every night?

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Angela Rosas
Answered by Angela Rosas M.D.
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"The most enjoyable thing for me in practicing general pediatrics is to use my professional training and my experiences as a mother to help families to improve the health of their children," says Angela Rosas. "It is a wondrous feeling to watch children heal and develop into healthy young adults, knowing that you played a small role in the process."

Angela Rosas M.D., graduated from Stanford University with a degree in human biology. She attended medical school and completed her residency in pediatrics at the University of California at San Diego. She has been a fellow in the American Academy of Pediatrics since 1991. Dr. Rosas has practiced general pediatrics for eight years in community clinics, private practice, and university hospitals. She is currently Assistant Professor of Pediatrics at the University of California at Davis Medical Center in Sacramento, California. Her clinical and research interests are breastfeeding, asthma, adolescent care, children with disabilities, child abuse and neglect, and accident prevention. Dr. Rosas has published several articles in peer-reviewed journals and contributed to various pediatric textbooks. She frequently lectures on pediatrics issues at medical conferences and for community agencies. Dr. Rosas is married to another pediatrician and has three young daughters.
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Question


How can I help my 5-week-old, who fights sleep for hours every night?

Answer


The sleeping habits of a newborn are very different from those of an older infant. You should cuddle and soothe your newborn whenever he cries, even at night, until about 3 or 4 months of age. However, you can do several things to encourage him to sleep more at night. Don't let him sleep more than three hours at a time during the day, and try to stretch out the time between feeds to at least two hours. At night, keep the bedroom dark, quiet, and at a comfortable temperature. At bedtime, put him to sleep when he is drowsy, rather than when he is asleep, crying, or playful. When he wakes up in the night, take care of his needs with the least stimulation possible—no playing or talking.
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