Lori Feldman-Winter, MD, Rowan University, Camden, NJ. Couches and armchairs put infants at a high risk of sleep-related death through suffocation or being trapped between seat cushions. But they should share a bedroom. Appearing in Issue #09. It found that when babies slept alone rather than skin-to-skin with their mothers, their heart rate increased, indicating it was stressful for them. The percentage of babies sharing a sleep surface rose from 6.5% in 1993 to 13.5% in 2010. Room sharing involves putting the baby on its own safe surface, like a crib or bassinet, that is separate from an adult’s bed but near it so a parent can hear if a child is in distress during the night or needs to be fed or changed. Before that, they may not be able to move their head to breathe while on their stomach. “An awake adult holding a sleeping baby on their chest should be OK, although the preferred position for sleep is supine” (lying on the back), Feldman-Winter says. Culturally there is a lot of disapproval for the practice of co sleeping or bed sharing among western or industrialized societies, to the extent that there is a significant proportion of parents […] There are two kinds of bed-sharing: the first being one of negligence and or irresponsibility (falling asleep with baby after drinking or with a smoking mother) and the second being co-sleeping: that conscious decision made by highly attentive parents, When sofa sleeping and wedging dangers are also removed, the family bed shines as safest. M. WIllinger, Archives of Pediatrics & Adolescent Medicine. Sensational headlines such as: “Bed Sharing Increases the Risk of SIDS” and warnings from the Consumer Product Safety Commission, such as, “Don’t sleep with your baby or put the baby down to sleep in an adult bed. 2. © 2005 - 2019 WebMD LLC. There is a tenfold increase risk of SIDS from solitary sleep for an entire year,” says Lori Feldman-Winter, MD, a pediatrician who was on the task force that wrote the AAP’s safe sleeping guidelines. When other studies removed this behavior, they found the remaining infants enjoyed a greatly lower rate of SIDS for co-sleeping versus isolated crib sleeping. Cosleeping is practiced in a variety of ways around the world. That’s like saying you didn’t use a car seat and didn’t get in an accident,” he says. But Hanke argues that those who think co-sleeping is safe have just been lucky. That’s because … Co-sleeping means sleeping in close proximity to your baby, sometimes in the same bed and sometimes nearby in the same room (room-sharing). Pathways to Family Wellness magazine, Issue #9. The researchers go on: “the prevalence of internalizing problems increased from 7.0 percent to 9.3 percent, 11.5 percent, and 15.0 percent, respectively among non bed-sharers, late-onset, early-only and persistent bed-sharers; whereas prevalence of externalizing problems was 3.1 percent, 3.7 percent, 5.6 percent, and 4.5 percent, respectively.” “Anyone who has had kids and been up at 3 a.m. and can’t get their babies to sleep knows the challenge of doing this. CDC, National Vital Statistics Reports, June 29, 2011. Backers of co-sleeping point to a small 2011 study out of South Africa that counters the AAP recommendations. Top Treatment Tips, Alanis Morissette Works on Her Night Moves, Baby Cribs, Bassinets, Cradles, Co-sleepers, and More. But it’s not a healthy practice: The American Academy of Pediatrics (AAP) warns against bed-sharing because it increases a baby’s risk for SIDS. Use wearable blankets to keep babies warm. These households should not be confused with those homes of families making informed decisions for their families’ wellness. In just 10 minutes, these 54 sleep statistics will make it clear to you that sleeping disorders and deprivation are NO JOKE, and we should all take our sleep more seriously. Babies should always be placed on their back to sleep up to 1 year of age. Colvin and his colleagues started looking into co-sleeping in an effort to explain some sad statistics. But she also stresses that for babies under 4 months of age, there is a fivefold increase in SIDS from bed sharing. Co-Sleeping With Infants: Science, Public Policy, and Parents Civil Rights, with James McKenna, PhD. WebMD does not provide medical advice, diagnosis or treatment. The first 6 months of a child’s life is the most critical time to follow this practice, since that is when rates of sleep-related deaths are the highest. … especially after… In their case, it also spurred Sam, a pediatric cardiologist, and Maura, a kindergarten teacher, into action. Recently, co-sleeping deaths have also led to criminal charges when alcohol or drugs have been involved. They quickly settled into life with the healthy newborn and loved the joys and challenges that came with realizing their dream of becoming parents. Studies suggest the mother’s sleep becomes more in sync with her infant’s sleep. New York Post: "Young mom charged in baby's co-sleeping death," Jan. 10, 2018. Epidemiological research in the ‘70s and ‘80s identified factors that co-occurred with SIDS, especially stomach sleeping and sleeping with adults. How Long Should a Woman Feel Comfortable Going Overdue? What Happens To Kids Who Never Get Adjusted? SIDS risk generally goes away at 12 months. “All we can do is our best to implement as many safe sleep strategies as possible to reduce the risk the baby will succumb to SIDS or other sleep-related death.”. Find a Pathways Connect group in your area. * based on data published in The World Factbook. Many parents who sleep with their children report that children usually want their own beds by the age of 2-3 years. Parents who co-sleep are being criticized and other parents who are looking into the benefits of co-sleeping may be led to erroneous conclusions and, therefore, choose not to initiate the safe and beneficial practice of sleeping with their newborn. Nor did it choose to emphasize the study’s findings that breastfeeding infants have one fifth the rate of SIDS. “I would do everything in my power to have another day with him.”. Nearly all … Never leave a baby sleeping on a bed, sofa, armchair, or sitting devices. “We have to share our story -- even if it hurts -- because it is so hard to hear when others lose their babies. Risk of having the baby rolled off of the bed. The American Academy of Pediatrics took their cue, and all pediatricians recommended that babies be put to sleep on their backs, separately from adults. U.S. Consumer Product Safety Commission: “Injuries and deaths associated with nursery products in children younger than age five,” December 2017. Terms of Use and Privacy Policy. A recent study in Pediatrics, the official Journal of the American Academy of Pediatrics (AAP) has raised controversy about sleeping with infants. The implication is that these are co-sleeping deaths, but many of these infants are sleeping alone in adult beds. Charlie was a victim of an unsafe sleep environment. Co-sleeping research conducted in the U.S. (where co-sleeping is widely regarded as odd, if not dangerous) is heavily influenced by the relatively high value Americans place on independence, technology, consumerism, and parents’ needs for time and privacy. SIDS is not 100% preventable, but the American Academy of Pediatrics (AAP) says a safe sleep environment can cut the chance of getting it. When crib deaths were much higher than they are now, the decision was to make the crib safer, not to throw out the crib. The highest percentages were in the southeastern United States and in states along the Appalachian Mountains. SIDS (Sudden Infant Death Syndrome) and Its Possible Link with the Baby’s Sleeping Situation. Co-sleeping causes 133 accidental deaths among babies every year. It also helps prevent suffocation, strangulation, or entrapment that can happen when babies are sleeping in bed with adults. It also says there isn’t enough data for it to take a position on baby boxes that are getting more popular -- cardboard boxes with a firm mattress. In other words, bed-sharing is one way of co-sleeping. The percentage varies considerably by state, from <30% in Colorado, South Dakota, and Minnesota to ≥40% in Kentucky and Hawaii. The co sleeping debate is being hottest controversial topic for many years, but I would say that it indeed have harms but the simple way to ease the dangers of co sleeping is to use cosleeper in the bed, which will make co sleeping with baby, a safe and secure affair and off … A South Carolina woman, who local media say had drugs in her system, was charged in last month in connection with the co-sleeping death of her 7-week-old son. Despite the recommendations, the new analysis said that bed sharing or co-sleeping is on the rise. In a survey, parents were asked to describe their family’s sleep habits—particularly regarding co-sleeping—when their children were ages 1, 2, … B -- On their back. The U.S. Census Bureau reports that the average American household has 2.8 residents. 100,000 deaths occur each year in US hospitals due to medical errors and sleep deprivation have been shown to make a significant contribution. Pacifiers should not be hung around a child’s neck or attached to their clothing while they sleep. January 2003. The numerous benefits are well documented, although not well known by most parents and certainly practiced by far too few parents. Finally, a problem could come up if parents want their child to sleep in a separate bed before the child wants to move. You certainly would not. Find a Pathways Connect group in your area, The International Chiropractic Pediatric Association, Bed sharing not being the accustomed sleep arrangement, Unsafe space between mattress and headboard or wall, Sleeping with sibling (for tiny infants) or non-interested adult, Sleeping without protective parent in room. Most of the improvement in the crib death rate occurred from the “Back to Sleep” campaign. That means slats on a crib should be spaced less than 2 3/8 inches apart, and cribs shouldn’t have drop sides. While this is very old data (from January 1990 to December 1997), it still shows that the risk is real. One night when he was 3 weeks old, Charlie was fussier than normal and was up late into the night, struggling to sleep. A Message from our Editor: The Chiropractic Family Wellness Lifestyle, Breastfeeding & Bedsharing: Still Useful (And Important) After All These Years, Guidelines: Shared Sleep and Safe Sleeping, Questions Parents Frequently Ask About Children and Chiropractic. The Cons of Co Sleeping. Sleep deprivation is similar to alcohol intoxication, and it may be helpful to think of it that way. ■ around half of SIDS babies die while co-sleeping. These disadvantages may include the following: 1. Young infants brought to bed to be breastfed should be returned to a crib when finished.” The AAP recommendation is consistent with this conclusion, yet does not offer any statements of differentiation between irresponsible bed-sharing and conscious co-sleeping. Are co-sleeping statistics are lies? In Latin America, the Philippines, and Vietnam, some parents sleep with their baby in a hammock next to the bed. When other studies removed this behavior, they found the remaining infants enjoyed a greatly lower rate of SIDS for co-sleeping … Don’t forget to pin these sleep … Place babies to sleep on their backs and remove all soft bedding and pillow-like items from the crib,” tend to initiate waves of fear and doubt about co-sleeping rather than present the facts so parents can make informed, safe choices for their babies. All rights reserved. Co-sleeping mothers often awaken just before their babies start to cry for a feeding and can nurse them back to sleep … However, 90% of these babies died in hazardous situations which are largely preventable.#,8 A guide for health professionals babies are born each year in England and Wales1 Order A Copy Today, There are those who remain ignorantly adverse to the practice of co-sleeping and their efforts to discredit it— even announce it as dangerous cause parents to form, fear based judgments, and erroneous conclusions about it. Even with some advantages, co sleeping also draws several disadvantages. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter, Pregnant With Allergies? Free community gatherings of like- minded parents.Free Pathways magazines. A large percentage of babies who die of SIDS are found with bedding covering their head, so no bedding should be in a bed while a baby is in it. Meanwhile, in Iraq, that number is 7.7. Bed-Sharing and Co-Sleeping: Research Overview Dr. Sears Addresses Recent Co-Sleeping Concerns Co-Sleeping Safety Share this:TwitterFacebookLike this:LikeBe the first to like this post. About 3,500 infants die every year in the U.S. from sleep-related deaths. So, would you go to work intoxicated by alcohol? Offer a pacifier once breastfeeding is established. Do not put anything else in the crib while the baby is sleeping there, including bumpers, bedding, blankets, pillows, stuffed animals, or toys. E. Colson, JAMA Pediatrics, November 2013. “When I woke up, he was gone,” Hanke said. Sleep positioning devices aren’t recommended because they can pose a danger to children if they roll out of them. Co-sleeping deaths in Texas reached at least 182 in the 2013-2014 fiscal year, which ends on August 31, compared to 169 in the 2012-2013 period. “Many think it’s OK because they did it and nothing happened. Figure 1 shows the age-adjusted percentage of adults who reported short sleep duration (less than 7 hours of sleep per 24-hour period), by state in the United States in 2014. What the study actually revealed was that many of the mothers were not co-sleeping because of conscious choice, but rather because of lack of bed space in their homes. “The evidence doesn’t allow us to say that bed sharing is safe at this time.”. It also says there is no evidence that swaddling makes SIDS less likely and some evidence that it may raise the risk because it leads to a deeper sleep, Feldman-Winter says, “There is no one be-all, end-all piece of advice that will eliminate the risk. They are: A -- Alone. Babies can sleep supine in adult beds as well, although there’s no evidence that side sleeping with mother, as may occur after nursing, is a risk. Since Maura was breastfeeding, Sam offered to hold him so his wife could get some rest. They also recommend against napping with your baby on your chest. The foundation provides resources for new parents, educates families, and promotes dialogue about safe sleep practices. C -- In a crib or bassinet that meets current safety standards. In Japan, many parents sleep next to their baby on bamboo or straw mats, or on futons. “If this is more than a quick nap, the infant should be placed supine in a crib, Pack 'n Play, or other safe surface.”. Co-sleeping (often spelled cosleeping, and also known as bed sharing or having a family bed) is the practice of having your infant in your bed with you during sleep.Co-sleeping promotes breastfeeding and bonding, and it is safer than crib/cot sleeping when practiced correctly. Previous UK data suggests: ■ around half of SIDS babies die while sleeping in a cot or Moses basket. Copyright © This entry was posted in Attachment Parenting and tagged attachment parenting, bed time, bed-sharing, breastfeeding, challenging, co-sleeping, sleep. Sharing a bed can also make breastfeeding more convenient. Adjustments should be considered for the space between headboard and mattress, especially for “creepers.” Some parents simply put mattresses on the floor, eliminating entrapment concerns. Co-Sleeping Is Never Safe. The group says that parents often fall asleep while feeding babies. The new father sat down on the couch to watch television and fell asleep with Charlie lying on his chest. Mom Charged with Involuntary Manslaughter After Baby Suffocates While Sleeping with Her in Bed,” Sept. 19, 2017. But while the number of babies that die from sudden infant death syndrome (SIDS) has been falling, the number of babies dying from accidental suffocation and strangulation in bed skyrocketed 184% from 1999 to 2015, according to new statistics released Monday by the American Academy of Pediatrics. Studies have shown that pacifiers have a protective effect on SIDS, although it’s not understood why. The SIDS rates began to decline. Many new parents say they co-sleep with their children because it’s practical and easier for breastfeeding and to deal with nighttime waking. 2004-document.write(new Date().getFullYear()); ICPA Inc. 40% of 40-59 year-olds report short sleep duration. Avoid exposing your baby to smoke, alcohol, and illicit drugs. This would be a much more appropriate service for the Consumer Product Safety Commission to provide, rather than their thoughtless suggestion against co-sleeping. They'll Be Better Behaved In School. Authorities say she drank alcohol and slept in the same bed as her 6-month-old baby, who suffocated when he got stuck between the bed and the wall. The SIDS/Suffocation Risk Factors for Co-Sleeping: Clearly co-sleeping and adult beds can be made to be safer. American Academy of Pediatrics: “Safe Sleep.”, Charlie’sKids.org: “About Us,” “Help your baby sleep safe and snug.”. People often cite the ABCs of safe sleep to remember what makes up a safe sleeping environment for infants. Others place their baby in a wicker basket in the bed, between the two parents. The answer is not to tell parents they shouldn’t sleep with their baby, but rather to educate them on how to practice safe co-sleeping with their infants. “You never get over the loss of a child. Risk of rolling on top of the child and suffocating, or otherwise leaving the baby injured. The chance of sudden death goes up if a parent smokes, has drunk alcohol or taken drugs or is very tired, experts say. Many doctors in the U.S. say the practice puts an infant at risk of sleep-related death. We don’t know that we can prevent SIDS altogether,” Feldman-Winter says. Co-sleeping makes it easier to soothe an infant back to sleep in the middle of the night. The study referred to as the “Chicago Infant Mortality Study” and the recent AAP recommendation (Fall 2005) based on this study has raised significant discussion about this issue. Breastfeed for at least 6 months when possible since it is associated with a lower chance of SIDS. The Hankes now have two other children and say they stress to parents that following these recommendations may not always be easy, but the alternative is unbearable. Whatever the reasons, bed sharing (also called co-sleeping) is on the rise. Simply defined, this practice is consciously choosing to sleep with your infant to provide him or her with the essential physical, emotional, nutritional, neurological, and nurturing benefits of continued contact from womb and throughout infancy. A close look at the research reveals a different picture. Co-sleeping or bed sharing is when parents put the baby in their adult bed with them to sleep. Pathways is published by The International Chiropractic Pediatric Association. This article was useful in two ways: for statistics on SIDS prevalence as well as background information about the “Back to Sleep” campaign by the AAP and a glimpse of their bias against cosleeping when discussing their findings. Having our other children helped heal some wounds, but it is also a constant reminder of what we lost as they develop and grow in ways we never got to see Charlie do.”. It is important when reading the sensational headlines, we as parents look deeper into the research to determine the reality of the situation. The AAP says evidence shows sleeping in the parents’ room on a separate, safe surface lowers the chance of SIDS by as much as 50%. Experts say that even includes naps on the couch or accidentally falling asleep after nursing. The older a child gets, the safer co-sleeping becomes. This can be prevented, and spreading that message is what keeps us motivated.”. And a Michigan mom was charged with involuntary manslaughter and child abuse in 2017. So the group says that if you bring a baby into bed to feed them, you should put them back in their crib or bassinet to sleep. All rights reserved. One year later, on what would have been their son’s first birthday, the couple founded a nonprofit they called Charlie’s Kids Foundation to raise awareness of pediatric sleep-related deaths. “We have made it a mission of ours to try and do everything we can to make sure other families don’t suffer that loss,” Sam Hanke says. Co-sleeping statistics suggest the majority of sleep-related fatalities in babies can be chalked up to bed-sharing: A 2014 study found that 69 percent … Co-sleeping might be a problem if there’s a lack of agreement or tension between partners about co-sleeping. Co-sleeping is a controversial childrearing subject, particularly in western cultures which generally advocate sleeping areas for babies that are separate from their parents. 3. Pin it for later! People magazine: “Mich. Safe sleep is hard, but your baby is worth it,” Hanke says. How to stop co-sleeping with your newborn to 18-month-old The good news is your baby’s sleep habits are still highly adaptable at this age, but to train your infant to be comfortable in their own bassinet or crib, you’ll need to be consistent about making sure that all sleep happens in that space. Why did they forget to mention that safe cosleeping actually reduces bed deaths? Going back to the U.S. Consumer Product Safety Commission, they’ve collated data that showed that 515 infants under the age of 2 died because of co-sleeping . Evidence shows that is less hazardous when it happens in an adult bed, compared with a sofa or armchair. The authors of the Chicago study concluded, “It seems prudent to discourage bed-sharing among all infants <3 months old. According to Dr. Sears, children who co-sleep are often better … In our Western societies, more and more parents are choosing to return to the natural practice of co-sleeping. Experts say parents and caregivers need to be very cautious and make sure they are awake when feeding children on these pieces of furniture. Probably the greatest misrepresentation about co-sleeping has been the charge that it causes SIDS (Sudden Infant Death Syndrome). “Just because it didn’t happen to you doesn’t mean it is OK.”. Other AAP recommendations for safe infant sleep include: The Hankes say the death of a child tests your faith to its core and forever leaves you with a broken heart. The Chicago study reported a nearly doubled SIDS rate for co-sleeping, but this study did not remove the powerful effect of smoking parents from their statistic. The only safe place for babies is in a crib that meets current safety standards and has a firm, tight-fitting mattress. Co-sleepers and side-beds that attach firmly to the mattress are good options to preventing falling out, suffocation, and entrapment, whether baby is in the co-sleeper or in the adult bed. Remember…we rank #1 in medical intervention. This article appeared in Pathways to Family Wellness magazine, Issue #09. 1 in 10 Americans suffer from chronic insomnia. The AAP says there isn’t evidence to say whether bed-sharing devices like in-bed sleepers are safe. Why does the United States rank only 43rd in infant survival* in the industrialized world (some non-reporting nations are thought to rank better than us as well)? The number of people per household also contributes to the typicality of certain sleep arrangements. About 1 in 5 mothers (21.6 percent) reported placing their baby to sleep on their side or stomach, more than half of mothers (61.4 percent) reported any bed sharing with their baby, and 2 in 5 mothers (38.5 percent) reported using any soft bedding in the baby’s sleep area “It is dangerous to put babies in another room. The Chicago study reported a nearly doubled SIDS rate for co-sleeping, but this study did not remove the powerful effect of smoking parents from their statistic. The AAP recommends infants sleep in the parents’ room, close to the parents’ bed but on a separate, firm surface designed for infants -- ideally until the age of 1, but at least for the first 6 months. Things You Can Do to Avoid an Unnecessary Cesarean, Nursing Discreetly: Breastfeeding in Public (Part 1). The lowest … Also, clearly, responsible parents consciously creating a safe co-sleeping environment are safely providing the best of all worlds for their baby. Feb. 12, 2018 -- Sam and Maura Hanke were over the moon when they welcomed their first child, Charlie, into the world in 2010. The group’s latest safe sleep recommendations -- issued in 2016 -- say parents should not share a bed with their babies. The Crib Industry wants you to know that 60 “accidental” infant deaths have occurred in the United States per year, in adult beds, for age birth to 2 years. Our difference from the best-ranking nations is a high predominance of formula feeding, isolated sleep, and medical intervention. If you are holding a baby, doctors say, you need to be awake. 35.3% adults report <7 hours of sleep during a typical 24-hour period. But in recent years, co-sleeping has gained popularity because of the benefits it has for not only the baby, but also the relationship between mother … Keep the baby’s sleep area free of hazardous materials like dangling cords, electric wires, or parts of window coverings. Despite the recommendations, the new analysis said that bed sharing or co-sleeping is on the rise. Most of the mothers did not breastfeed and a photo of one victim’s mother’s bed showed a sloppy, unkempt room with soda cans lined up along side of the bed—another clear indicator that there was not a high level of conscious health awareness in that household. Sleep Deprivation Statistics: 37% of 20-39 year-olds report short sleep duration. Professor James J. McKenna’s Mother-Baby Behavioral Sleep Laboratory studies how sleeping environments reflect and respond to family needs—in particular how they affect mothers, breastfeeding, and infants’ physiological and psychological well-being and development. The highest co-sleeping/breastfeeding nations rank with little more than half our overall infant death rate (and negligible SIDS rates). Now the U.S. Consumer Product Safety Commission and the Juvenile Products Manufacturer’s Association are launching a campaign based on research data from 1999, 2000 and 2001. NJ Bergman, Biological Psychiatry, November 2011. Author // Linda Folden Palmer, DC, and Jeanne Ohm, DC. When someone researches the facts on both sides of this issue, and compares the facts to the slanted media reporting, it is hard not to wonder if the AAP, baby product industry, and media want you to hear only the sensationalized incomplete findings. Who’s more likely to have the luxury of individual rooms, mattresses and other personal sleeping paraphernalia? Dialogue about safe sleep practices materials like dangling cords, electric wires or., bed-sharing, breastfeeding, challenging, co-sleeping deaths have also led to criminal charges when alcohol or drugs been... Asleep while feeding babies backers of co-sleeping for breastfeeding and to deal with nighttime.! Co-Sleeping with infants: Science, Public Policy, and parents Civil,! Adult bed, compared with a lower chance of SIDS be awake, he was gone, ” says. Of formula feeding, isolated sleep, and promotes dialogue about safe practices... 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