Samiksha Choithani

Dr Aliraza Khunt

Palak Vyas

Sleep walking is common in kids; Most kids outgrow it by they reach their teens. Sleep walking usually lasts between five to fifteen minutes. The child would not remember a thing they did while sleepwalking. If your child is sleep walking, never try to wake them in the middle of the movement as it can aggravate the situation. Just gently get them back on bed with guided instructions or holding their hand to get them back. Causes of sleepwalking:<ul><li>Lack of sleep or the child is too tired</li><li>If the child has irregular sleep schedules</li><li>In case of fever or other illness</li><li>It may occur due to some medication</li><li>Stress could also cause sleepwalking</li><li>Inheritance (family history)</li></ul> What happens during sleep walking:<ul><li>They are sleep talking.</li><li>They seem dazed.</li><li>They look confused.</li><li>They won’t respond to you.</li><li>They might keep rubbing their eyes or fussing with clothes.</li><li>Their eyes are open but they don’t see things the same way they do when they are awake.</li></ul> If your child is sleep walking, you can prevent it by following these simple tips:<ul><li>Do not give sugar or coffee before sleeping.</li><li>Have a cool atmosphere in the room – preferably 25 degrees.</li><li>Avoid giving water or fluids before bed time and make sure they go to toilet (empty their bladder) before going to bed.</li><li>Bed room should be dark, quiet and comfortable for a perfect sleep.</li><li>Sleep on same time daily.</li></ul> Apart from these precautions, it is also advisable to take safety measures if your child sleep walks:<ul><li>Lock the doors and windows at night.</li><li>Keep alarms on doors and windows.</li><li>Keeping hazardous things out of reach.</li><li>Sleep walker should not sleep on bunk bed.</li><li>Install safety gates on staircase.</li></ul> Risk levels of Sleepwalking:<ol><li>Harmless- like sitting up</li><li>Potentially dangerous- like wandering outside</li><li>Inappropriate- like opening a closet door and peeing in it.</li></ol> Severity of this condition:It is not harmful but hazardous as they might run into doors or walk down the stairs, fall and hurt themselves. There is nothing wrong with your child’s emotional or psychological well-being. It does not cause any emotional harm. When to see a doctor:<ul><li>When this becomes a regular episode.</li><li>When your child stays sleepy all day.</li><li>When he or she either harms him/herself or others in sleep.</li><li>Consult a psychologist in extreme behavioural pattern to check whether there is any specific brain activity responsible for this.</li></ul>

Sleep walking is common in kids; Most kids outgrow it by they reach their teens.

Managing Sleep Walking Habit in Children

As a parent you can follow following steps to successfully wean off your child of pacifiers: <ul><li>Step 1: Start by not having a pacifier handy throughout the day when they want one, it could be a little hard in the beginning but continue your efforts. Let others in the house as well as caregivers know that you are trying to wean off your child of pacifiers so they can support you.</li></ul> <ul><li>Step 2: Offer a comforting substitute such as a special toy, stuffed animal or blanket. At bed time, begin emphasising the need for the substituted object over the pacifier. For example: Where is your Bunny? Let’s get him to sleep with us.</li></ul> <ul><li>Step 3: Once they have successfully reduced the use of pacifier, introduce the idea to your child that now they are a big boy/girl. They don’t need a pacifier anymore and let’s give them to someone who needs- some little baby around or say some squirrel or birdie.</li></ul> <ul><li>Step 4: Use positive reinforcement, that is, by praising your child when he / she has successfully gone without pacifier.</li></ul> FUN FACT: Sucking is an instinct and sometimes occurs even before birth.

Pacifiers and milk bottles if not weaned off at the right age, can last up to many years.

Weaning off pacifiers and milk bottles

Points to keep in mind while buying and using the stroller: <ol><li>Buy a stroller that is specifically designed for your child’s age, height and weight. Newborn babies should be able to lie down fully in the stroller.</li><li>Five-point harness: Shoulder straps, a strap between the legs and waist belts that connect together.</li><li>If the stroller has a hand-rest at the front of the seat, ensure that the opening between the hand-rest and the seat can be closed when the stroller is used in the reclined position. This means the hand-rest needs to be an adjustable one.</li><li>Check for strollers that have brakes which are easy to use and works as per required.</li><li>Ensure it doesn’t have any parts that pinch your child’s fingers or is some kind of a choking hazard.</li><li>A stroller should be stable. The wheelbase should be wide and the seat should be low in the frame.</li><li>It should not tip backwards while in resting position.</li><li>The leg openings should be appropriately designed so that the child’s legs don’t slip off.</li><li>The handlebars should be at your waist level or maybe lower than that.</li><li>Never leave a child unattended in a stroller.</li><li>Always use the safety harness while using the stroller.</li><li>Ensure to put on brakes when the stroller is not in use.</li></ol>

A stroller is a wheeled vehicle to transport children generally in a sitting up or semi-reclined position by a person pushing on a handle attached to the stroller

Selecting a stroller for your baby

Dr Ajab Primuswala

<ul><li>When you say that your child is lying, there are two aspects to it. Whether the child is lying to save himself/herself or whether the child is lying for fun sake.</li><li>If the child is lying to get away from punishment for something which they did, it is their defence.</li><li>Make it a point to make them realise that their behaviour is unaccepted. You can do this by telling them, “Irrespective of whatever you have lied, I know the things you have done. You can’t hide it from me.”</li><li>If they are lying for fun, make them realise that there are consequences for this lying habit.</li><li>Lying is something which they are using as a defence mechanism or as a method of manipulating and altering the truth.</li><li>Here, being calm is the most important requirement for the parent because as parents we feel, “Oh! How can my child lie to me?”</li><li>You have to be very sure that your child is lying to you. You will have to talk to them and give them a solid proof that you know they were lying.</li><li>You have to be sure and be thorough with the facts because children are very smart. If you just say, “You are lying and I know”, they will not agree to it. So keep your facts ready and then confront them.</li><li>Confronting your child has to be an immediate action after the episode. If you know that your child has lied to you today, then confront him/her there and then. Do not keep it hanging.</li><li>Lying tendency also comes with the concept of fear. Maybe your child is too scared of sharing his or her stuff with you and that's the reason they might be lying to you.</li><li>Here, what you can do is, try and gain that trust and develop a rapport with your child where the child doesn’t want to lie to you. It is just that they are scared of your behaviour towards them and this is motivating them to lie.</li><li>So first check for yourself that whether you are the reason behind your child’s lying. If yes, you can rectify yourself and go ahead and reassure them that they can share anything and everything with you. Tell them, “It’s okay, I will handle it and you can trust me completely, you don’t need to lie to me”.</li></ul>

Children lie when they feel they actions will not be accepted by their parents. Assure your child that you will be there to support them when things go downhill.

Dealing with child's habit of lying

Juhi Mishra

Choosing a caretaker or nanny for your child can be a little tricky thing. You are looking for your own substitute. You want someone to take care of your child as well as you do because you are putting your child in their care when you cannot. Here are some tips to select nanny on the basis of must have qualities you look for in an ideal nanny:<ul><li>She should love company of children.</li><li>She must have a basic understanding of child development.</li><li>Must be energetic.</li><li>Patience is the key with children. She should not easily get angry.</li><li>She must be safety conscious.</li><li>Should have good communication skills.</li><li>Should be flexible to adapt situations she faces.</li><li>Should be highly responsible.</li><li>Should be reliable and trustworthy.</li><li>Should be respectful of both the parents and the child.</li><li>Should have sound judgement, so as to take proper decision in the absence of parent and in emergency.</li><li>Should be organised.</li><li>Must be self motivated and have strong morals.</li><li>Should have no&nbsp;criminal record.</li><li>She should be someone who can bring positive difference in the lives of children under his/her care.</li><li>She should be trained to be a nanny.</li><li>Nanny, who is mentally healthy and has no serious or communicable disease. In short, she should be mentally, physically, emotionally stable and healthy.</li><li>Above all, she should be willing to want to be a nanny. She should love her work.</li></ul>

Choosing the right caretaker for your child is difficult but not impossible.

Choosing a nanny for your child

Nikita Thacker

WHO (World Health Organisation) developed growth charts for babies which is followed by health professionals and is recommended by the Indian Academy of Paediatrics as well. Baby’s growth can be referred approximately with these charts. Boys and girls have separate growth patterns as boys are generally slightly heavier and taller than girls. Baby Girl Growth Chart 0-5 Years <img src="https://bee-assets-production.s3.amazonaws.com/image/image_1591441772_hw_g_pn.png"> Baby Boy Growth Chart 0-5 Years <img src="https://bee-assets-production.s3.amazonaws.com/image/image_1591441856_hw_b_pn.png"> However, many factors like genetics and nutritional status can affect a child’s growth pattern. Please check with your child's paediatrician to be completely sure about your child's growth parameters.

WHO (World Health Organisation) developed growth charts for babies which is followed by health professionals and is recommended by the Indian Academy of Paediatrics as well.

Height and Weight parameters

Mustafa Lokhandwala

Permissive parenting has very few rules and expectations of children. Most times, the parents are loving and express caring about their children, but they don’t see their children as mature or capable enough to carry out certain tasks or responsibilities that require self-control. This style has also been linked to riskier behaviours in older children, like heavy drinking in adolescents and alcohol-related problems as young adults. These parents do not expect mature behaviour from their children and often seem more like a friend than a parental figure. Ask their children's opinions on major decisions. Emphasize their children's freedom rather than responsibility. Have few rules or standards of behaviour, any rules they do have are inconsistent. May use bribery such as toys, gifts, and food as a means to get a child to behave. Characteristics Permissive parents are highly responsive to their children’s needs and nurture their talents and personality. But they are least demanding because they have low expectations on discipline and self-regulation from their children. <ol><li>Responsive and demanding –&nbsp;Permissive parents are warm and responsive, and that's a good thing. Parents show affectionate which create a secure attachment in relationships. It protects a child from stress and anxiety.</li><li>Friendly behaviour -&nbsp;The parenting style is characterized by parents having a very friendly attitude towards their children. The parents behave more like friends with their kids.</li><li>Loving and Nurturing –&nbsp;Parent often loves and adores their children. The parent will respond to the child’s emotional needs, whether truly necessary or not. They typically do not lack in this department. If a child is not being affectionate, a permissive mom or dad will often try to buy their child’s love and affection with gifts and bribery.</li><li>Self-control –&nbsp;In this style parent behaviour towards their child leads to bad habits in terms of nutrition, screen time, poor sleep schedule and many other aspects of life. A child is not able to understand the long-term effects of these poor choices.</li><li>Child freedom -&nbsp;Permissive parents allow their children to do as they please. These types of parents may even be afraid to set limits. With free roam, a child will over-indulge in unwanted things. In the parent’s eyes, this allows the child to be “true to their nature.”&nbsp;</li><li>Uses gifts and bribery -&nbsp;When a child acts up, permissive parents are often afraid to discipline their child. Instead, they will use bribes (candy, money, electronics, etc.) to persuade the child to do what they want.</li></ol> Effects on Children Children may love the permissive parenting style as it gives them the maximum freedom without any strings attached. But it could be problematic in the long-run. <ul><li>Struggle&nbsp;to learn good problem-solving and decision-making skills.</li><li>Display&nbsp;low academic achievement.</li><li>They may be&nbsp;demanding and have difficulty sharing.</li><li>Lack of boundaries results in&nbsp;insecurity in a child(ren).</li><li>May not take responsibility for their behaviour.</li><li>Show&nbsp;more aggression&nbsp;and&nbsp;less emotional&nbsp;understanding.</li><li>Unable to manage&nbsp;their habits and behaviour.</li><li>More likely to be&nbsp;overweight.</li></ul> Pros of Permissive Parenting As this parenting style focuses on being a friend to a child rather than a parent, the parents understand their children better, and communication becomes easy as they grow old. Here are some more benefits of permissive parenting: Self-assurance -&nbsp;When children are encouraged to express themselves freely, they will become more confident and willing to try new things, regardless of the consequences. Unconditional love is the key to raising a child who values him or herself.Exploration&nbsp;- Permissive parenting allows children to have more freedom, thus inspiring them to undertake new adventures with a greater sense of confidence.Creativity&nbsp;– Parents allow freedom and not limit their children; Hence they experiment with all sorts of passions and hobbies creative and imaginative play children can grow emotionally, socially, intellectually, and even physically. Cons of Permissive Parenting Giving excessive leniency may have significant negative consequences. Let’s see what the drawbacks of permissive parenting are: A conflict between needs and wants -&nbsp;As children grow older, they might demand a lot of things and have unrealistic and unreasonable expectations. They need guidance and limit-setting from their parents. Since parents do not want to upset their children, they give their children everything they ask for. The child does not learn the difference between needs and wants.Lack of time management -&nbsp;In the absence of rules and behaviour at home, these children may not learn the value of time. They might spend too much time watching television or playing online games.Lack of parental control -&nbsp;In permissive parenting, the child may come to feel that they are in charge rather than their parents, and experience that can generate significant anxiety.Emotional imbalance -&nbsp;Children who do not have limits set on their behaviour can have difficulty regulating their emotions, especially when their needs are not met.

Permissive parents usually take on more of a friend role than a parent role. They often encourage their children to talk with them about their problems, but they usually don't put much effort into discouraging poor choices or bad behavior.

Permissive Parenting

Parenting is indeed a tough job and we always thrive to learn skills that can make us a better parent. Parenting is a natural relationship that goes stronger with every passing day with your child. While we may ensure we do not commit any mistakes that can hurt our child, here are some of them we should totally avoid: <ol><li>Neglecting child: Hectic work schedules and domestic responsibilities may keep us busy but avoiding our children will make them feel disinterested in society and people around them. Remember, giving them a substitute (games or smart phones) is not the solution; a child feels happy and empowered only with a parent’s attention.</li><li>Disrespecting the child: Never insult them; they are too young and tend to make many mistakes. Even if the mistake is in front of guests or a large crowd, it is always better to explain it to the child when alone. Shaming will undermine a child’s confidence.</li><li>Comparing hurts: Although it may not be intentional, comparison will lead to jealousy. Also it lowers the self confidence. The child starts liking himself/herself lesser. Hence, avoid comparing your child’s behaviour or work with their friends or siblings.</li><li>Fighting in front of children: Research shows that children who grow up observing their parents fight at home are more likely to bully others. It is difficult to avoid arguments but make sure the disagreements do not turn into a fight (in front of children). One of the parents can decide to discuss it when the child is asleep or is in school.</li><li>Protecting your child more than required: Let them face situations and experience difficulties in solving problems. It is difficult to resist but try it, the child will be independent and will avoid making same the mistakes again. Do not solve problems for your child on a regular basis.</li><li>Scolding the child excessively: If you constantly scold your child for their mistakes, (s)he might either go completely silent or will behave recklessly in the future. Try to understand their viewpoint and let them know that it’s only human to make any mistakes and that it’s okay to make mistakes as long as we learn from them.</li><li>Disciplining the child in front of everyone: If you keep on scolding/yelling at your child to be disciplined in front of others, it scraps them off of their self-confidence.</li><li>Not showing affection.</li><li>Lack of support.</li><li>Not praising them for their achievements.</li><li>Not talking about their feelings.</li><li>Not giving them a choice.</li><li>Not spending time.</li><li>Lack of trust.</li><li>Hitting your child.</li><li>Threaten to leave your kids behind.</li><li>Lie to your child.</li></ol> These are very basic pointers but parents unintentionally tend to overlook them. From time to time, take a break and reflect on your parenting and you will be good to go.

Parenting is indeed a tough job and we always thrive to learn skills that can make us a better parent.

Avoiding Negative Parenting Practices

What should you look for and what points to keep in mind while using it: <ol><li>Ensure that it meets the safety standards of the consumer products safety commission.</li><li>Look for sturdy construction and safe mesh.</li><li>Ensure the sides are at least 20 inches high from the floor of the playpen.</li><li>The holes in the mesh should be no larger than 0.6 cm so that the baby’s fingers don’t get stuck.</li><li>Check whether the mesh is securely attached.</li><li>If there are slats, see that the slat distance is not more than 5.08 cm in width.</li><li>There has to be proper padding on the top and corner rails.</li><li>Do not leave baby unattended. Keep your child under supervision all the time.</li><li>Never place playpen near windows or on beds for safety purposes.</li><li>One should stop using the playpen when the baby reaches a height of 34 inches and its weight is more than 14 kg.</li><li>Hinges and supports should always be protected.</li><li>Do not put any kind of toys or blocks, using which the baby can try to climb out.</li></ol>

A playpen is a high sided, enclosed play area specifically designed for babies to play so they won’t wander off.

thumb sucking parenting concerns

Parenting issues are a part of the everyday parenting journey. Following article(s) might help you with your concern(s).