Hi
Just reading and really not much to add in terms of pinpointing culprits. I have experienced similar nightmare bedtimes with my DS (recently a 4h giddy-turned-screaming fest) where he just can't settle. The culprits for my experiences I narrowed down to:
* teething pain. He cuts teeth 4 at a time. Currently waiting on the 2y molars (he's 17m old) now and NWs have started again, so guess they've started moving under the gum. If I suspect teething, I give him pain meds so that I can rule it out if his nighttime behaviour doesn't change with the meds
* needing a number 2. Madness it may sound but it's happened a couple of times with us. He just won't settle, is giddy, won't lie still, constantly up and down, tossing and turning, then gets really upset because he literally is past the point where he can sleep at all. When I notice things aren't moving daily, I intervene with an orange based smoothie or juice box around lunchtime as this usually gets us results by bedtime. Currants / raisins also work well for us. We had 2 terrible nights a few months ago - bedtime took 3hours, was a nightmare. Had to hold him to sleep in his bed through all the jolts eventually. After 2 days, tried juices etc just in case it was the problem. DH saw his face during a 'movement'; he screwed his face up, tensed, cried out, was shivering. Then absolutely fine!!
* way way OT. Pretty much as Skatty posted. So OT they can't cope; they just don't know what to do with themselves. In my experience, intervening and fussing is the worst thing to do here. Too much involvement from me just makes the hell last longer (i.e. the 4h bedtime saga). My fussing is just more stimulation. I have learnt to either leave the room and just walk away and give him some time, before going back to the door and reassuring from there. If that fails, DH goes in and will stroke his head - but it's rare. Rocking, touching, talking, stroking, anything by me seems to make the situation worse. The 4h saga was resolved by my giving up, taking DS downstairs with me and sitting him with me in the sofa, cuddled up watching dull tv for 20 mins til he had calmed down and was 'zoned'. Then I took him upstairs, lay him in his cot, kissed and said 'time to sleep now' as I usually would. He cried out when he couldn't settle, and I sat next to him for a few jolts (saying and doing nothing). On other occasions, I've had to get into his cot and hold him in my arms or BF to sleep (really really last resort for me).
* thirsty / too warm / too cold. I think as my DS has got older, I've forgotten to watch out for this simple thing. So for NWs etc, I will still offer water. Recently he's started NWs (urghhh) and I've been thinking teeth... but it could be the sudden dip in temperature too. So I've started taking action so I can / cannot rule it out. If that makes sense.
* noise / light / reassurance. Sometimes, when my DH has had time off and been around alot, I notice that in the days after my DS needs a little more reassurance that I am there. For example, when he stirs in his sleep he seems more likely to wake etc. So I reassure and make sure that he knows I am there and everything is normal, then leave; no fuss from me. Once I noticed this, I started to try and preempt it a little; I'll leave a bedroom light on upstairs and leave his door more ajar than normal so that there is a little more light that usual, or make sure that he can hear 'sounds' of the house.
* Gradual Withdrawl. With the rough bedtimes and NWs with us, I've found that my fussing or intervening too much does not help. A while back, I managed to make myself his sleep prop again within just a couple of days of 'reasurring him' by staying with him while he went to sleep. So now whenever we hit the rough patches I am hard with myself. I'll AP once, twice at best to get him to sleep if the OT is madness (waking with every jolt etc so I will keep my hand on him til he's through that) BUT then it's back to old school GW for us. I move away from the cot at first, so sitting half way between his cot and the door. I just sit, occasionally repeat the 'time to sleep now' mantra we have, gradually moving towards sitting (curled over so no face visible) by the door. Then I open the door a little, and move to the other side, lying in the doorway so he can see I am there, see my head. Again, repeat mantra now and then, tell him what a good boy he is when he lies down and tries to settle. Reasurrance not converstation. Then I move my head, gradually, out of view but repeat the mantra. Quiet, wait. If he's settled down, I'll whisper good boy, mantra. And wait. I stay quiet as much as possible. I stay by his door out of view til he's asleep. If he wakes later, I go straight there and reassure, then return to the door (other side) and as before, reassure with voice.
Don't know if any of that helps. I think that how you respond to the NWs and EWs can set the behaviour. If you react in a way that tells your babe you've rescued them (taking them to bed or feeding), to me, it affirms that they were right to cry out and not settle themselves. I know it isn't easy. For GW I spent a long time sleeping on a hardwood floor in my son's room, before graduating to the carpet in the hall (hurrah!!). It is tough. But right now, it's tough on both of you. Babes need sleep. A good night's sleep. They all deserve that and so do Mamas. Sometimes it's rough getting that sleep, but unbroken sleep for both of you needs to be the goal, IM
Waffled. Sorry.
Charlotte (a waffler)