Worried mother..?
Dr.
Chen, I apologize for bothering you, but I have a question.
My son is almost four months old, but I've noticed that during the night while he is sleeping, he often raises his arms and legs high and then drops them heavily, waking up those sleeping nearby.
However, upon closer inspection, he is still asleep, which makes me very worried.
Is there something wrong with my son, or is this behavior abnormal? Additionally, he really enjoys smiling at people and makes some sounds that seem like he is trying to talk.
Is this development happening too quickly? He is only almost four months old! I hope Dr.
Chen can patiently help me answer these two questions.
Thank you! (I am really worried, as a new mom.)
Xiao Hui, 30~39 year old female. Ask Date: 2006/09/29
Dr. Chen Rongtai reply Pediatrics
Hello, Ms.
Hsiao-Hui.
In your letter, you mentioned two concerns regarding your nearly four-month-old son.
Generally speaking, during the two to four-month stage, infants experience significant physical, mental, and emotional development.
A two-month-old baby typically begins to develop social smiles in response to familiar voices or faces.
At this age, infants are also very curious about their surroundings and can easily be attracted to external stimuli, which is why it is common for them to smile at people and make cooing sounds that resemble early speech.
You also mentioned that your son raises his hands and feet high in the middle of the night and then drops them heavily.
Is this a cause for concern? It would be helpful to know if this behavior has increased in frequency or if it is accompanied by changes in heart rate, breathing, or skin color.
Could it be related to abnormal brain waves causing seizures? Unfortunately, it is difficult to provide a definitive answer, and I would recommend further observation.
If you remain concerned, it would be advisable to consult a pediatric neurologist for an evaluation.
Reply Date: 2006/09/29
More Info
Dear New Mom,
First of all, it’s completely normal to have concerns about your infant’s sleep behaviors, especially as a new mother. Your observations about your son’s sleep patterns and his social interactions are quite common at this stage of development.
Regarding your son’s behavior of lifting his arms and legs while sleeping, this is often referred to as "sleep myoclonus" or "hypnic jerks." These involuntary muscle contractions can occur during the transition between wakefulness and sleep, and they are generally harmless. Infants, especially those around four months old, are still developing their motor skills and nervous system, which can lead to such movements during sleep. As long as he is not showing signs of distress or discomfort, this behavior is typically not a cause for concern.
It’s also important to note that infants often exhibit various sleep patterns, including periods of light sleep where they may move around or make noises. This is part of their natural sleep cycle, which includes both REM (Rapid Eye Movement) and non-REM sleep. During REM sleep, babies can experience dreams and may move more, which can sometimes wake those around them. If he is otherwise healthy, gaining weight appropriately, and meeting developmental milestones, there is likely no need for alarm.
Now, regarding your son’s social behavior, such as smiling and making sounds, this is a positive sign of his social and emotional development. At around four months, infants begin to engage more with their environment and the people around them. They start to recognize faces, respond to social interactions, and express their emotions through smiles and cooing sounds. These behaviors are crucial for their development and indicate that he is learning to communicate and bond with you and others.
As a new mom, it’s natural to worry about your child’s development, but it’s essential to remember that each baby develops at their own pace. If you have any concerns about his growth, development, or sleep patterns, it’s always a good idea to discuss them with your pediatrician. They can provide reassurance and guidance tailored to your child’s specific needs.
In summary, your son’s sleep behaviors and social interactions are typical for his age. The lifting of his limbs during sleep is likely a normal part of his development, and his smiling and vocalizations are positive signs of his growing social skills. Continue to observe him, and don’t hesitate to reach out to your healthcare provider if you have any further questions or concerns. Parenting is a journey filled with learning, and it’s okay to seek support along the way.
Wishing you and your little one all the best!
Warm regards.
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