Childcare

Journal Studies

Regardless of the quality of non-parental child care, children from low-quality home environments had more behavioral problems and children from high-quality homes had fewer behavioral problems.

While high-quality child care was predictive of greater pre-academic skills, children who spent more time in non-parental child care, especially in center-type care, tended to have more behavior problems that continued into adolescence.

High-quality parenting was predictive of greater academic and social skills for all children, but particularly children with a difficult temperament. In addition, high-quality non-parental child care predicted fewer behavioral problems in children with difficult temperaments.

Infants with night-wakings were more likely to be boys, be breastfed, have a difficult temperament, come from a large family, have a depressed mother, be in a single-parent home, and/or attend fewer hours of non-parental child care; however, this tendency for more night-wakings tended to resolve by 18 months.

Child sleep problems are based more on culturally-influenced parental perceptions than actual biological reasons, and nighttime sleep issues tended to be perceived more problematic than daytime naps.

More research is needed to identify normal sleep patterns in breastfed versus bottle-fed infants, in toddlers, on weekdays versus weekends, and as related to gender and ethnic differences. What is known is that children sleep longer at night and experience fewer night-wakings and daytime naps as they develop.

Exclusively breastfed infants had less colic and fussiness, and slept longer. Melatonin, which promotes sleep, available only in breastmilk, showed a clear relationship to infant sleep patterns.

More research is needed to identify what is normal when it comes to child sleep. Some of what is known is that children need longer nighttime sleep until about 9 years old. By school age, most children sleep through the night, but children up to 3 1/2 years old continue to wake at least once. Low birth-weight and pre-term infants sleep more. Infants of younger mother sleep more. All infants sleep longer at night, wake multiple times at night, and sleep longer daytime naps than young children who mostly stop taking naps by 5 years old. Girls sleep longer than boys. Children with siblings sleep less.

As infants grew older, mothers provided less nurturing touch, patting and stroking but more tickling and static touch.

Touch is needed for social-emotional and physical development and well-being. In addition, there are therapeutic benefits of massage.