Is Room Sharing in Infancy Necessary for Safe Sleep in 2023?
Craig Canapari, MD
by Craig Canapari
1w ago
Room sharing but not bed sharing is recommend in the first six months of life for safe sleep and avoiding accidental death in infants. However, for some parents, this may result in unsafe sleep practices. Here’s what you need to know. In June of 2022, the American Academy of Pediatrics (AAP) updated their safe sleep recommendations . This statement reinforced much of what we already knew about how babies should sleep to reduce the risk of sudden infant death syndrome(SIDS) and addressed other causes of death in infancy— specifically accidental suffocation. According to the AAP, The best way f ..read more
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Want to Stop Co-sleeping? Here’s How
Craig Canapari, MD
by Craig Canapari
6M ago
Crawling into bed with your child after a long day can be comforting. But this habit might interfere with her ability to sleep alone. Learn how to transition a child out of your bed and stop co-sleeping for good, even if your child has always slept with you. In an earlier post, I reviewed reasons why you might want to avoid co-sleeping, because of SIDS risk in infancy, and the fact that it can be associated with poor sleep as children get older. What is Co-sleeping? Co-sleeping is simply sharing a bed with your child. Some would argue that it is imprecise, and that “bedsharing ..read more
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Melatonin Overdoses Are On The Rise: Why Parents Should Worry
Craig Canapari, MD
by Craig Canapari
8M ago
A recent study shows that melatonin overdoses have risen a whopping 530% in the last ten years, with a more rapid rise since the COVID-19 pandemic began. As a parent and a sleep physician, this is concerning to me. Parent who give their children melatonin need to be aware of the risks. Here’s what parents need to know. The study: The study, Pediatric Melatonin Ingestions— United States, 2012-2021 (Lelak, K., 2022. Pediatric Melatonin Ingestions — United States, 2012–2021. MMWR Morb Mortal Wkly Rep 71. https://doi.org/10.15585/mmwr.mm7122a1) was published 6/3/2022. In it, the authors reviewed p ..read more
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Why Permanent Daylight Saving Time is a Terrible Idea for Kids
Craig Canapari, MD
by Craig Canapari
9M ago
As a sleep doctor and parent, I think that permanent daylight saving is a terrible idea for kids. Here’s some information on why this is event being considered.  Several months ago, in a rare bipartisan move, the Senate has passed a bill, with little warning or debate, called the Sunshine Protection Act. It’s notable that this was put forward by Vern Buchanan, a Florida representative. It’s worth noting that Florida is a state where people can actually spend outside on evening in the winter if the sun is out. What is the argument for changing to permanent DST? It’s pretty clear that ..read more
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Want to succeed at sleep training? Know your WHY
Craig Canapari, MD
by Craig Canapari
1y ago
Many people decide to sleep train their child when they are really struggling– I know because I see the traffic on my website, especially in January. Parents who succeed at sleep training often know exactly why they are doing it. Here’s how to figure out your reasons, so you can stay motivated when the going gets tough. I’ve seen many families struggle with sleep training over the years. And if there’s one thing I’ve learned is that often parents make a decision to sleep train a little bit half cocked. They have a really bad night and they say, you know what? We’re just going to go for this ..read more
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Why You Fall Asleep Part 2: Understanding Your Circadian Rhythm
Craig Canapari, MD
by Craig Canapari
1y ago
On the surface of it, the timing of falling asleep seems fairly easy to understand. Once you have been awake for a certain period of time, you become tired and eventually go to sleep. The technical term for increasing sleepiness over time is the homeostatic sleep drive, as I explained in a previous post. However, there is another system in the body which helps to regulate sleep and wake timing. This is referred to as the body clock, which governs your circadian rhythm. The body clock regulated multiple systems in the body even down to the functioning of individual cells.  The Two Process ..read more
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Why You Fall Asleep Part 1: Harnessing Sleep Drive in Children for a Better Bedtime
Craig Canapari, MD
by Craig Canapari
1y ago
When I see children or teenagers with sleep difficulties, the first questions in my mind are, “What is bedtime like? What time is it? How long does it take to fall asleep?”  Often, one of the best treatments for insomnia is adjusting the timing of bedtime at night. It does not entail any prescriptions or side effects, just a recalibration in the schedule of the child and the family. The goal of adjusting bedtime is to use the natural need for sleep to address sleep problems. Why Do You Fall Asleep? In sleep medicine, we talk about two systems in the body which help people to fall asl ..read more
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Lack of Sleep is A Cause of Childhood Obesity
Craig Canapari, MD
by Craig Canapari MD
1y ago
Childhood obesity is common and has become even more of a problem during the COVID-19 pandemic. So has short sleep and sleep difficulties. Interestingly, lack of sleep is a cause of childhood obesity, from infancy through adolescence. So are problems with sleep timing and poor sleep quality. It’s pretty clear to any parent that getting enough sleep is critical for children in terms of behavior. Delaying bedtime by an hour can have some major league consequences: tantrums, acting out, etc. What is becoming more and more clear is that not getting enough sleep on a regular basis has been associat ..read more
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Strollercoaster Podcast: Can We Get Some Sleep
Craig Canapari, MD
by Craig Canapari
1y ago
I had the pleasure of being a guest on the phenomenal Strollercoaster podcast.  Hosted by Faith Salie, who is an author, actress, and comedian, this is perhaps my favorite parenting podcast given it’s mix of humor and insight. Working with Faith and her team was an absolute pleasure, and we had a wide ranging conversation of the importance of sleep for everyone in the family, the reasons why bedtime can be sucky sometimes, and the fact that sleep difficulties don’t just occur in infancy. I’m a huge fan of the show and it was an honor to be a guest. You can listen to it here  (Apple p ..read more
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Toddler Night Wakings: What Causes Them and How to Fix them
Craig Canapari, MD
by Craig Canapari MD
1y ago
 Toddler night wakings are especially painful as they can cry longer than infants, and are harder to reassure than older children.  One of the most common causes of night wakings in infants, toddlers, and even older children is inappropriate sleep onset associations. This is a disorder which will respond to behavioral management (or sleep training).For more information, here’s my comprehensive review of sleep training methods. The first step to successfully sleep training your child is correctly identifying that your child has a behavioral problem. If your child has a disorder such a ..read more
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