If your child is struggling physcially, then focusing on sleep bahviors won't help or could be extra difficult for your child. Below is a list of different indicators that I look at before working with any clients.
Tongue/Lip Tie: While most tongue and lip ties are associated with trouble breastfeeding, they can also hurt sleep and eating solids. Some babies can breast or bottle feed just fine but ties can still influence these other areas now or in the future. Essentially the tie can create a problem with breathing which can prevent your child from being able to get into a deep state of sleep, which can cause multiple and frequent wakeups. Before sleep training it is suggested your baby or toddler be examined for a tongue and lip tie. If you know your child has one, I would seek advice from a pediatric dentist to get it corrected before sleep training. Another great option is Vivos Sleep therapy. They have offices around the country and specialize in correcting breathing issues realted to sleep.
Snoring: Regular and consistent snoring in a baby or toddler can also be a sign of trouble breathing while sleeping. There could be a few different reasons that a baby or toddler could regularly snore while sleeping. Again, I recommend either a pediatric dentist or Vivos Sleep Therapy.
Open Mouth Breathing While Sleeping: We are meant to sleep with our mouth closed. This helps our tongue rest at the top of our mouth and help form the mouth porperly. If your baby or toddler is sleeping with their mouth open regularly there may be something wrong. It might be a tongue/lip tie or something else. Regardless it is time to see a pediatric dentists or seek out a Vivos Sleep Therapy office in your area.
Gaining Weight: I recommend talking directly with your pediatrician to confirm that your child is a good candidate for sleep trianing. When you are sleep training you can still feed your baby at night. However, if your child is struggling to gain weight or maintain weight it may not be the right time to sleep train. Confirm with your pediatrician that your baby is ready to sleep train and how long your baby can go at night without feedings.
Colic, torticollis, preferring one breats over the other, or limited in head mobility: All of these can impact the ability to sleep. If your baby or child has dealt with any of these, past or present, I would encourage you to get evaluated from a pediatric chiropractor or pediatric physical therapist to ensure your child is a good candidate to sleep train now.
Illness: I have a great blog post that describes how I handle sleep when my children have minor illnesses. If your child is struggle with a chronic illness or disorder I recommend discussing sleep training with your pediatrician before you begin. There are times when crying must be limited, or when we want to monitor our children more closely. If these situations apply to you I would either wait until the illness passes or check out my Custom Packages. I can help you create a sleep plan around the limitations you are dealing with and help get everyone sleeping better.
Insecure Attachement: All most all parents will have a secure attachment, developed from 0-16 weeks of age. But if you are a foster parent or recently adopted your child you may want to consider waiting to begin sleep training, or check out my custom packages!
Sensory Processing or other Disorders: If your little one is struggle with sensory process or another disorder these plans may not be the best option for you. This does not mean you have to kiss the thought of a good night's sleep goodbye, but it does mean I would recommend a custom package so we can take your little dreamer's specific situation into account!