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It found that any breastfeeding for at least two months was associated with half the risk of SIDS. Greater protection was seen with increased duration, both with exclusive and any breastfeeding. An Individual Participant Data Meta-analysis.
This study explored the link between breastfeeding duration and bed-sharing frequency among women reporting a prenatal intention to breastfeed.
It was found that women with strong motivation to breastfeed frequently bed-share. The authors note that, given the complex relationship between bed-sharing and sudden infant death syndrome SIDS , appropriate guidance balancing risk minimisation with support for breastfeeding mothers is crucial.
Bed-sharing by breastfeeding mothers: Comparative evolutionary studies indicate that human infants are poorly neurologically developed at birth, and thus require close physical contact for safety, physiological regulation and frequent feeding. The authors argue that species-specific sleep ecology involves close contact with a carer and frequent sleep arousals for the first 6 months of life.
The authors conclude that a more holistic view of infant sleep ecology is warranted, in order for clinicians to encourage parental proximity and responsive care, and educate parents about infant developmental needs. Evolution, Medicine and Public Health Researchers found that the incidence of co-sleeping among the SIDS infants was significantly higher than for the controls.
However when results were broken down to specific co-sleeping environments, it was found that co-sleeping on a sofa, or next to a parent who had drunk more than two units of alcohol carried a very high risk. Co-sleeping next to a smoker was significant for infants under three months, whilst the risk associated with bed-sharing in the absence of these factors was not significant overall, and was in the direction of protection for older infants over three months.
The authors argue that public health strategy should therefore focus on making parents aware of specific hazardous co-sleeping environments to avoid: An individual level analysis of five major case-control studies. The researchers report that South Asian infant care practices were more likely to protect infants from the most important SIDS risks such as smoking, alcohol consumption, sofa-sharing and solitary sleep. Paediatric and Perinatal Epidemiology.
A randomised trial of 1, pregnant women intending to breastfeed was carried out at the Royal Victoria Infirmary in Newcastle to determine whether the use of sidecar cribs on the postnatal wards affected breastfeeding duration. The authors conclude that the use of sidecar cribs does not affect breastfeeding duration or rates of exclusive breastfeeding or the frequency of bed-sharing once home.
Arch Dis Child, doi: Relationship between bed-sharing and breastfeeding: This study investigated nocturnal bed-sharing of 14, live births at 5 time points from birth to 4 years of age. Higher maternal educational achievement and higher social class were positively associated with early bed sharing, negatively associated with late bed sharing, and not associated with constant bed sharing.
The 3 bed-sharing patterns were related significantly to breastfeeding at 12 months. The prevalence of breastfeeding was significantly higher among the groups that shared beds constantly or early for each of the first 15 months after birth. The authors state it is difficult to be precise about the dominant direction of the relationship between bed-sharing and breastfeeding, whether mothers share beds because they are breastfeeding or whether bed-sharing makes breastfeeding more likely to be successful.
They conclude that risk reduction messages to prevent sudden infant deaths should be targeted more appropriately to unsafe infant care practices such as sleeping on sofas, bed-sharing after the use of alcohol or drugs, or bed-sharing by parents who smoke, and that advice on whether bed-sharing should be discouraged needs to take into account the important relationship with breastfeeding.
Relationship Between Bed Sharing and Breastfeeding: Blair, Jon Heron, and Peter J. These sedatives were found at much lower concentrations in milk expressed during the day. They found that many of the deaths in a co-sleeping environment could be explained by a significant interaction between co-sleeping and recent parental use of alcohol or drugs 31 per cent vs 3 per cent random controls and the increased proportion of SIDS infants who had co-slept on a sofa 17 per cent vs 1 per cent.
Parents need to be advised never to put themselves in a situation where they might fall asleep with a young infant on a sofa and that they should never co-sleep with an infant in any environment if they have consumed alcohol or taken drugs.
They highlight that the implication of their findings is that breastfeeding should be continued until the infant is six months of age as the risks of SIDS are low by that stage. They therefore recommend including the advice to breastfeed through six months of age in sudden infant death syndrome risk-reduction messages.
The evidence also suggests that bed sharing may be more strongly associated with SIDS for younger infants. The review identified a positive association between bed sharing and an increase in the rate and duration of breastfeeding.
It is interesting to note that the study defined bed sharing as the practice of sharing a sleep surface and did not therefore identify those cases when the baby was asleep with a parent on a sofa. Horsley T et al.
However, she said the box may be a good option for daytime naps if there is no alternative, and that it was "certainly a better alternative than sleeping a baby on a beanbag or a sofa". To ease her fears of leaving Brody alone, Dailey used a video monitor to keep tabs on him.
Arch Pediatr Adolecs Med; 3: A review of the evidence relating to the sleep practices of parents and infants over the last 20 years provides interesting reading and challenges normal wisdom related to infant sleep.
The authors examine the historical and evolutionary background to assess mother and infant shared sleep, especially with regard to the impact on breastfeeding and the reduction of SIDS.
McKenna JJ et al. American Journal of Physical Anthropology; Breastfeeding was strongly associated with bed-sharing, both at birth and at 3 months. The prevalence and characteristics associated with parent-infant bed-sharing in England. Arch Dis Child Parents with no previous intention to do so slept with their babies for a variety of reasons. Ninety-five per cent of the bed-sharing infants slept with both mother and father.
Breastfeeding was significantly associated with co-sleeping.
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