Boy, my little post on the cry it out method ( CIO) and vomiting seems to be getting a lot of ( negative) attention. I thought I should try to explain the purpose of that post so people understand my intentions and correct any misconceptions about my stance. This is my second attempt at this. I already posted on babies and sleep rhythms to help people understand that I am NOT talking about infants. I think it was the clip art I found that created all this confusion. Alas - I am giving it one more kick at the can! Here is my opinion if you care to know it:
1) Parents should be aware of some basic human physiology: crying creates muscle contractions that can be forceful enough to bring stomach contents up the esophagus. Consider this fact when trying to rule out the flu or tummy upset in your child.
2) Children THRIVE on structure and routine. As children mature they must move from eating and sleeping "on demand" to joining the rhythms and patterns of the family. THAT is the beginning of training your child to be a cooperative member of your family. The child is expected to make the adaptations required to fit into the greater social order. This must be developmentally sensitive. Please note that as a general rule, parents underestimate their children's abilities.
3) Children can easily learn that tears bring results and they can potentially learn to make themselves upset, anxious or frightened if it serves to bring about their desired end result. Anxious children get to sleep with mom and dad. That is a good symptom to hold onto! This is preconscious, not manipulative. This makes for a tricky chicken-and- egg cycle, as mom and dad are rightfully justified in their conclusion that their child is indeed frightened or anxious.
4) If you follow Dr Weisbluth's advice ( which I recommend) you will see that research shows youngsters ( 9 months and older) are capable of sleeping through the night from a physiological perspective and that those with a hard to settle temperament actual respond best to the cry it out method of sleep training. It presents these children with a very clear boundary. Ferberizing, on the other hand, is a form of scheduled re-enforcement and this method seems to further agitate this group of tots, prolonging the development of healthy sleep habits.
So - with all of that said, if you decide to try the CIO method with this particular age and temperament child ( your choice) , AND if the child cries such that there is a coming up of stomach content ( so sorry!), I am recommending that parents make the most MINIMUM response as common sense dictates possible. The most minimum is to do nothing, and that is often possible. But you be the judge of that health risk. A bit of upchuck that lands mostly over the crib rails, and maybe a moist chin- hmmm? Should I go in so that my tot receives the accidental reinforcement for this behaviour? THAT is the decision you will have to weigh out for yourself. Sure you can go in and change them - but be aware that this can potentially lead to children working harder the next night to actually make themselves upchuck as they see it works to get them some extra face time with you and evade getting on with settling in for the night.
You make your own decisions - I just want you have your eyes open to the potential problems that could arise. So - no abandoned neglected babies left to rot in their own vomit here. I hope that is clear. If you have had to overcome some strange behaviour to get on with sleep training - please post your stories here.


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