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Expert Q&A:
Is it OK to let my 10-week-old daughter sleep through the night in her infant chair?

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Suzanne Dixon
Answered by Suzanne Dixon M.D., M.P.H.
"There is nothing so amazing as the development of a child," says Suzanne Dixon, M.D., a behavioral and developmental pediatrician who was one of the founding members of the Pampers Parenting Network. "Every day is a new adventure when you have a child around you. I never get tired of learning from the children who have been a part of my life, professionally and personally."

Suzanne Dixon, M.D., M.P.H., was born and raised in Minnesota and graduated from the University of Minnesota, School of Medicine. She did her pediatric training at Massachusetts General Hospital in Boston and then completed a fellowship in Child Development at Boston's Children's Hospital. Dr. Dixon joined the faculty at the University of California, San Diego, and did patient care, teaching, and research for 20 years. She ran a large newborn service, performed research in early child development, and was involved in many community outreach activities in maternal child health. Throughout her entire professional life she has maintained an interest in cross-cultural activities, living and working in many parts of the world, including Mexico, India, Kenya, Indonesia, and several countries from the former U.S.S.R.

Dr. Dixon is the author of numerous research articles, review articles, and textbook chapters in pediatrics, child and family development, and public health. Her textbook, written with Dr. Martin Stein, Encounters With Children: Pediatric Behavior and Development, has become a classic in child health education and is in its fourth edition. She is Editor in Chief of the Journal of Developmental and Behavioral Pediatrics, an international journal of high standing in the professional world. She also has served as an associate editor for Infant Mental Health and currently reviews for several major pediatric journals.

Dr. Dixon is a fellow of the American Academy of Pediatrics and served in national positions in that organization. She is a member of the Society for Pediatric Research, the Society for Research in Child Development, the American Public Health Association, and the Executive Council of the Society for Developmental and Behavioral Pediatrics. She serves as consultant to several national and international organizations and has received an award from Healthy Mothers, Healthy Babies.

Dr. Dixon continues to lecture and consult worldwide on aspects of maternal, child, and family health. She practices behavioral and developmental pediatrics in Montana and works with local advocacy groups on education and women's health. Dr. Dixon has been married for over 30 years and has three sons. She and her husband travel frequently, are outdoor enthusiasts, and enjoy being amateur anthropologists
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Question


My daughter is 10 weeks old and since about 4 weeks has slept most comfortably in her infant carrier seat. She sleeps pretty much through the night or gets up only once, then falls right back asleep. We recently tried putting her in her crib to sleep. She now gets up about every hour or two and has difficulty getting back to sleep. Is it medically unwise to allow her to sleep in the infant carrier seat?

Answer


It is fine for her to sleep in a semi-upright position, but she will soon outgrow the seat. She'll be big enough to tip it over, roll out of it, or wiggle and get tangled up in the straps. So it's probably wise to solve the problem in another way. She most likely responded well to the snuggly, contained feeling of the seat while the more open crib allows her too much wiggle. Swaddle her in a light receiving blanket with her hands up by her face. Put her at one end of the crib next to well-attached bumper pads. Be sure she is on her back, on firm bedding, with no pillows or fluffy bedding around. Another part of this "problem" may be that she is now at the stage of brain development when her sleep is more easily interrupted; earlier her sleep was more determined by her own internal regulation. So she may be going through a change that has nothing to do with where she sleeps. With your support, she'll get into a new, more mature sleep pattern.

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