COSLEEPING/BED SHARING AND BREASTFEEDING (ADVICE ONLY) (BABY, EARLY)

Keyword(s):  
SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A250-A250
Author(s):  
Solbi Kang ◽  
Seockhoon Chung ◽  
Sooyeon Suh

Abstract Introduction Asian cultures, including Korea, are known to have a higher proportion of parent-child co-sleeping than Western cultures. While recent studies have shown that bed-sharing increases the mother’s depression and causes sleep problems for children, there has never been a study in Asia on the sleep problems of parents and children caused by co-sleeping. Therefore, we aim to investigate the types of sleep problems in children and their mothers’ insomnia severity due to co-sleeping. Methods This study was conducted in 79 mothers (mean age 33.65 ±3.98 years) who reported having insomnia due to their children. All participants had children between 6 to 36 months old. Participants were asked to answer the survey includes demographics, sleep environment, child’s sleep problems, child’s health status items and the mother’s insomnia (measured by the Insomnia Severity Index; ISI). Children’s age was divided into 5 age groups (6 – 11, 12 - 17, 18 - 23, 24 - 29, and 30 to 36 months). Frequency analysis and independent t-test were conducted. Results Of the total respondents, 72.2% (n=57) reported co-sleeping with their children. The most reported sleep problem in children was waking up in the middle of the night 51.9% (n=41), followed by difficulty in sleep initiation 12.7% (n=10), looking for mother or an attachment object 12.7% (n=10), sleep-limiting problems 7.5% (n=6), multiple problems 12.7% (n=10), and none 2.5% (n=2). An independent t-test results for determining whether co-sleeping caused a difference in the severity of maternal insomnia was significant in the 6 to 11 months group only (t=-2.336, p<.05). The co-sleeping mother’s ISI average score (M=18.28) was significantly higher than mother who slept separate from her child (M=14.31). Conclusion Co-sleeping in Asian cultures is prevalent, and may require attention and intervention for mothers who report having insomnia due to their children’s sleep disturbance. Support (if any):


2016 ◽  
Vol 105 (6) ◽  
pp. 628-634 ◽  
Author(s):  
Helen L. Ball ◽  
Denise Howel ◽  
Andy Bryant ◽  
Elspeth Best ◽  
Charlotte Russell ◽  
...  

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A211-A212
Author(s):  
Émilie M Lannes ◽  
Samantha Kenny ◽  
Rebecca Burdayron ◽  
Karine Dubois-Comtois ◽  
Marie-Julie Beliveau ◽  
...  

Abstract Introduction Studies suggest that feeling pressure about parenting practices is related to higher levels of stress. However, little is known about the pressure mothers feel about infant sleep-related parenting practices. This is surprising, considering that mothers are often exposed to contradictory information about infant sleep. This exploratory study aimed to 1) identify the proportion of mothers of 6-month-old infants who report feeling pressure about their sleep-related parenting practices and 2) assess the relationships between demographic factors and perceived pressure, and between parenting practices and perceived pressure. Methods Fifty-four mothers of 6-month-old infants completed a demographic questionnaire and the Sleep Practices Questionnaire (SPQ). Mothers were asked, “Have you ever felt pressure about your parenting choices and practices related to your child’s sleep?”. Responses ranged from never to always. Linear regressions were conducted to assess the concurrent associations between demographic factors (maternal age, maternal education, parity) and perceived pressure, and between sleep-related parenting practices (feeding method, frequency of bed-sharing, picking up or not picking up the infant when he/she cries at night) and perceived pressure. Results Analyses revealed that 5.6% of mothers reported feeling pressure constantly, 20.4% reported feeling pressure quite often, 46.3% reported feeling pressure sometimes, and about a quarter (27.7%) reported feeling pressure rarely or never. Lower maternal education and breastfeeding were associated with feeling more pressure about sleep-related parenting practices (p < .05). Furthermore, mothers reporting that they (or their partner) pick up their infant when he/she cries at night were more likely to report feeling pressure (p < .01). Maternal age, parity, and frequency of bed-sharing were not associated with feeling pressure (p > .05). Conclusion The majority of mothers (72.3%) in our sample reported feeling pressure about their sleep-related parenting practices at least sometimes, suggesting that this experience is quite common. Lower maternal education, breastfeeding, and picking up the infant to comfort him/her during the night were associated with higher perceived pressure. Future studies should examine feelings of pressure about sleep-related parenting practices in larger samples of mothers and investigate whether fathers share similar concerns. Moreover, identifying the potential sources of these feelings would represent an interesting clinical avenue. Support (if any) SSHRC, FRQS


2003 ◽  
Vol 7 (2) ◽  
pp. 109
Author(s):  
Carolyn Davis Cockey
Keyword(s):  

2021 ◽  
pp. 136749352110448
Author(s):  
Barbara Dorjulus ◽  
Concha Prieto ◽  
Rafaella S Elger ◽  
Igbagbosanmi Oredein ◽  
Vidya Chandran ◽  
...  

Sleep-related deaths are a leading cause of infant mortality in Florida. The American Academy of Pediatrics recommends placing infants to sleep on their back, alone, and without soft bedding. Compliance with these guidelines varies among parents. This evaluation examined the rates of safe infant sleep practices and associated factors among 1985 participants enrolled in Florida Maternal, Infant, and Early Childhood Home Visiting (FL MIECHV) programs during 2017–2019. Participant- and program-level variables were examined in relation to three sleep practices: infant position, bedding, and bed-sharing at 2–3 months to determine which factors were associated with high rates of safe sleep outcomes. Analyses included univariate descriptive statistics, bivariate statistics, and multivariable logistic regression. Most caregivers (70%) reported always placing their babies to sleep on their back, alone, and without soft bedding. Factors such as primary language, race, education, housing situation, and year the Safe Baby™ curriculum implemented were significantly associated with safe infant sleep practices. Bearing this in mind, FL MIECHV can tailor safe sleep education, messaging, and strategies to support participants at highest risk. Recent adoption of the Safe Baby™ curriculum, and associated staff training, was an important factor influencing parents’ infant sleep practices.


2019 ◽  
Vol 43 ◽  
pp. 106-117 ◽  
Author(s):  
Sally A. Baddock ◽  
Melissa T. Purnell ◽  
Peter S. Blair ◽  
Anna S. Pease ◽  
Dawn E. Elder ◽  
...  

1998 ◽  
Vol 84 (4) ◽  
pp. 1374-1380 ◽  
Author(s):  
Christopher A. Richard ◽  
Sarah S. Mosko ◽  
James J. McKenna

Mother-infant bed sharing, compared with the solitary sleeping condition, has recently been associated with several physiological and behavioral effects. Because the physiological effects of bed sharing may also include respiratory changes, we compared the incidence of central and obstructive apneas and periodic breathing in bed-sharing and solitary sleeping infants. Twenty routinely bed-sharing mother-infant pairs and fifteen routinely solitary sleeping pairs slept for 3 nights in a sleep laboratory. After an initial adaptation night, each pair spent 1 night bed sharing and 1 night in solitary sleep in random order. Apnea and periodic breathing were scored from polysomnographic recordings. The frequency of central apnea was significantly increased on the bed-sharing night, compared with the solitary night, regardless of routine sleeping arrangement. There were significantly fewer obstructive apneas on the bed-sharing night than on the solitary night, but only in routinely solitary sleeping infants. In both groups, there was a significantly higher frequency of periodic breathing events on the bed-sharing night than on the solitary night. These findings demonstrate that the bed-sharing environment can have a significant impact on respiratory control in the infant. Evidence is also presented to suggest that routine bed sharing may result in subtle neurophysiological and/or developmental differences in infants.


2014 ◽  
Vol 2014 ◽  
pp. 1-16 ◽  
Author(s):  
Rashmi Ranjan Das ◽  
M. Jeeva Sankar ◽  
Ramesh Agarwal ◽  
Vinod Kumar Paul

Background. There is conflicting evidence regarding the safety and efficacy of bed sharing during infancy—while it has been shown to facilitate breastfeeding and provide protection against hypothermia, it has been identified as a risk factor for SIDS.Methods. A systematic search of major databases was conducted. Eligible studies were observational studies that enrolled infants in the first 4 weeks of life and followed them up for a variable period of time thereafter.Results. A total of 21 studies were included. Though the quality of evidence was low, bed sharing was found to be associated with higher breastfeeding rates at 4 weeks of age (75.5% versus 50%, OR 3.09 (95% CI 2.67 to 3.58),P=0.043) and an increased risk of SIDS (23.3% versus 11.2%, OR 2.36 (95% CI 1.97 to 2.83),P=0.025). Majority of the studies were from developed countries, and the effect was almost consistent across the studies.Conclusion. There is low quality evidence that bed sharing is associated with higher breast feeding rates at 4 weeks of age and an increased risk of SIDS. We need more studies that look at bed sharing, breast feeding, and hazardous circumstance that put babies at risk.


PEDIATRICS ◽  
2003 ◽  
Vol 111 (Supplement_1) ◽  
pp. 1207-1214 ◽  
Author(s):  
Fern R. Hauck ◽  
Stanislaw M. Herman ◽  
Mark Donovan ◽  
Solomon Iyasu ◽  
Cathryn Merrick Moore ◽  
...  

Objective. To examine risk factors for sudden infant death syndrome (SIDS) with the goal of reducing SIDS mortality among blacks, which continues to affect this group at twice the rate of whites. Methods. We analyzed data from a population-based case-control study of 260 SIDS deaths that occurred in Chicago between 1993 and 1996 and an equal number of matched living controls to determine the association between SIDS and factors in the sleep environment and other variables related to infant care. Results. The racial/ethnic composition of the study groups was 75.0% black; 13.1% Hispanic white; and 11.9% non-Hispanic white. Several factors related to the sleep environment during last sleep were associated with higher risk of SIDS: placement in the prone position (unadjusted odds ratio [OR]: 2.4; 95% confidence interval [CI]: 1.7–3.4), soft surface (OR: 5.1; 95% CI: 3.1–8.3), pillow use (OR: 2.5; 95% CI: 1.5–4.2), face and/or head covered with bedding (OR: 2.5; 95% CI: 1.3–4.6), bed sharing overall (OR: 2.7; 95% CI: 1.8–4.2), bed sharing with parent(s) alone (OR: 1.9; 95% CI: 1.2–3.1), and bed sharing in other combinations (OR: 5.4; 95% CI: 2.8–10.2). Pacifier use was associated with decreased risk (unadjusted OR: 0.3; 95% CI: 0.2–0.5), as was breastfeeding either ever (OR: 0.2; 95% CI: 0.1–0.3) or currently (OR: 0.2; 95% CI: 0.1–0.4). In a multivariate model, several factors remained significant: prone sleep position, soft surface, pillow use, bed sharing other than with parent(s) alone, and not using a pacifier. Conclusions. To lower further the SIDS rate among black and other racial/ethnic groups, prone sleeping, the use of soft bedding and pillows, and some types of bed sharing should be reduced.


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