Bed Sharing and the Risk of Sudden Infant Death Syndrome: Can We Resolve the Debate?
ABSTRACT To conduct a meta-analysis on the relationship between bed sharing and sudden infant death syndrome (SIDS) risk.
Data from PubMed and Medline were searched for studies published after Jan 1, 1970. The search strategy included articles with the terms "sudden infant death syndrome," "sudden unexpected death," and "cot death" with "bed sharing" or "co-sleeping." To further specify the potential risk of bed sharing and SIDS, subgroup analyses were performed.
Eleven studies met inclusion criteria and were included in the final meta-analysis. The combined OR for SIDS in all bed sharing versus non-bed sharing infants was 2.89 (95% CI, 1.99-4.18). The risk was highest for infants of smoking mothers (OR, 6.27; 95% CI, 3.94-9.99), and infants <12 weeks old (OR, 10.37; 95% CI, 4.44-24.21).
Bed sharing is a risk factor for SIDS and is especially enhanced in smoking parents and in very young infants.
- SourceAvailable from: Peter John Fleming
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- "In their conclusions Vennemann et al acknowledge there is emerging evidence of a significant interaction between bed sharing and parental use of alcohol and drugs as well as an excess of SIDS bed sharing deaths on sofas that their meta-analysis could not examine . Carpenter and colleagues reflected many of the same findings  when pooling data from a portion of these case control studies. "
ABSTRACT: For much of human history infant survival has been largely predicated by close and continuous contact between the infant and the primary carer–almost always the mother.Many factors in post-industrial human society - notably tobacco smoking, alcohol intake and the use of recreational drugs–have been associated with increased risk to infants sleeping in close proximity to their mothers. This is particularly true for mothers who choose not to breastfeed.The question of the risks and possible benefits of bed-sharing for mothers who plan to breastfeed, do not smoke, do not drink alcohol or take recreational drugs, and are aware of how to ensure a safe infant sleep environment need to be quantified.In this paper we review the evidence from several epidemiological studies and identify the factors that make bedsharing more or less hazardous for the infant. This analysis is important in allowing us to give parents accurate and unbiased information on which to make their own choices about optimal night time care of their infants without demonising normal parental behaviour or practices.Paediatric respiratory reviews 11/2014; DOI:10.1016/j.prrv.2014.10.008 · 2.22 Impact Factor
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- "In modern societies, the practice is less common due to a mixture of cultural factors (e.g., parents' and professionals' beliefs that bed-sharing compromises partner intimacy and early childhood autonomy   ), and medical recommendations (e.g., based on epidemiologic studies showing potential links between bed-sharing and sudden infant death syndrome ). The primary research focus continues to be on exploring potential risks for bed-sharing  , with a narrower and parallel focus on normative descriptions of bed-sharing through observational and laboratory studies    . "
ABSTRACT: To date few studies have examined how multiple layers of influences shape the emergence of bed-sharing practices in the first 2years postpartum. In our report, we examined bed-sharing in a large multiethnic sample, exploring the influences of three broad classes of influence on bed-sharing at single time points and across time: (1) sociodemographic and (2) contextual factors such as breastfeeding, maternal mental health and stress, and (3) child temperament and sleep habits. Frequencies of bed-sharing were assessed at two time points, 2 and 24months, in a population-based multiethnic (Dutch, Turkish or Moroccan, and Caribbean) sample of 6309 children born in the Netherlands. In Dutch mothers, the majority of mothers did not share their beds with their child, and bed-sharing rates decreased from 2 to 24months. Other ethnic groups showed higher bed-sharing rates, typified by both increases in bed-sharing (the Turkish and Moroccan group) and persistence of bed-sharing over time (the Caribbean group). There were few family and child characteristics associated with bed-sharing in the non-Dutch ethnic groups. In contrast, bed-sharing in Dutch mothers was associated with child temperament and sleeping problems, maternal depression, and sociodemographic variables like crowding and maternal education. Our results suggest that mothers with a Turkish and Moroccan or Caribbean background were more influenced by cultural values, whereas bed-sharing practices were more reactive in the Dutch group.Sleep Medicine 08/2013; 14(11). DOI:10.1016/j.sleep.2013.04.019 · 3.10 Impact Factor
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