Thanks for the reply! Yes, that early morning nap was an anomaly for sure and was just needed that day though it did throw us off the whole day. Some background info: he was 2 months premature due to preeclampsia. He is fairly "caught up" with milestones but still acts very babyish in some ways, including sleep. Due to reflux, he has always slept in a rock n play until about a month and a half ago. When we would put him in the rock n play and swaddle him, he would often sleep all night long (the real deal, not just 5-6 hours) or wake for a bottle and go right back to sleep. Naps weren't always long but weren't so short either. Maybe hour naps or 1.5 hours at times.
Feeding issues: He had a feeding tube in the NICU, as most preemies do. Preemie moms believe this causes reflux and sometimes other feeding issues. He learned the suck, swallow, breathe early at around 34 weeks gestation and started drinking from a bottle. Came home at 36 weeks drinking fully from a bottle. But due to being a preemie, he was weighed and monitored weekly by a home health nurse. There was just a lot of pressure on forcing every ml of the bottle down him. In hindsight, the pressure of making him drink probably caused more problems, but when you have a 2 lb 15 oz baby at birth, home at 4 lbs, you do everything you can to pack on the weight! Then, he wouldn't start nursing well. I pumped for awhile but noticed his reflux was 100x worse with my milk so I stopped. Zantac helped with his spit up and pain. I took him off zantac about 2 months ago and he hasn't had any spit up issues since then. I still feel pressure to feed him the whole amount that I think he should have, but I try to be more relaxed about it since his weight is between 25-50% for his actual age! above 50% for his adjusted age. He's on solids and goes back and forth with this. He loves food and eats well, but then when teeth come in he refuses them, then starts being a pig again, etc.
With all of that said.... Here's the schedule we've been following and tweaking the past few days. First nap still needs work but yesterday his 2nd nap was 2.5 hours long!!! This mama didn't know what to do with herself!
Wake: 7:30am
E: 8:00am - 6 oz bottle
A: 8:30-9:30am - played on floor, nibbled on my breakfast with me (full awake time 2 hours)
S: 9:30am - read a book, sang a song, put in crib and fell straight to sleep at 9:30am
Wake: 10:15am, so 45 min nap
A: 10:15-11:30am - played
E: 11:30am - ate oatmeal and fruit with milk in sippy cup, then 3 oz bottle
A: 12:00-12:30pm (full awake time 2.25 hours)
S: 12:30pm
Wake: 3:00pm, 2.5 hour nap!!!!!
E: 3:00pm - 5 oz bottle
A: 3:30-7:30pm - played, bought groceries, etc. Usually I will give him a catnap just because we haven't figured out naps yet and this is too long for him to be awake before bedtime, but we had friends over for dinner, so he just fought sleep and stayed up with us. He ate a really good dinner of solids at 6:30pm.
E: 7:30pm - 6 oz bottle, then I read him a book and held him upright to let bottle settle. He fell asleep in my arms and was put in crib around 8:00pm
What would you tweak to make this better, especially first nap?
Night times are bad the past few days, but his top tooth is bulging and showing through a little, so I'm sure that's why. Typically he wakes at 10:30pm and screams like he's in pain and starving. Then at 3-4am he wakes happy, drinks a bottle and goes back to sleep.
Also, we have our 9 month check up today and I will ask about the possibility of silent reflux and the need to restart zantac. I don't want to but definitely will if he still needs it!