Bed‐sharing by breastfeeding mothers: who bed‐shares and what is the relationship with breastfeeding duration?

Ball, Helen L.; Howel, Denise; Bryant, Andrew; Best, Elspeth; Russell, Charlotte K.; Platt, Martin Ward

doi:10.1111/apa.13354

Cited by 67 publications

(64 citation statements)

References 25 publications

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“…As expected, bed sharing was significantly associated with breastfeeding, which has been found in several other studies 13, 19. Bed sharing facilitates breastfeeding, which makes it an attractive option for women who want to breastfeed.…”

Section: Discussionsupporting

confidence: 87%

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Area‐based study shows most parents follow advice to reduce risk of sudden infant death syndrome

et al. 2017

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AimGuidance on reducing the risk of sudden infant death syndrome (SIDS) was successfully introduced to a number of countries in the early 1990s. The most important recommendations were supine sleeping for infants and non‐smoking for mothers. This 2012–2014 study examined adherence to the national Swedish SIDS advice.MethodsWe asked 1000 parents with infants registered at child healthcare centres in western Sweden to complete a questionnaire on infant care from birth to 12 months of age.ResultsWe analysed 710 responses and found that, in the first three months, 1.3% of the infants were placed in the prone sleeping position and 14.3% were placed on their side. By three to five months, this had risen to 5.6% and 23.6%. In the first three months, 83.1% were breastfed, 84.1% used a pacifier and 44.2% shared their parents' bed, while 5.8% slept in another room. Bed sharing was more likely if infants were breastfed and less likely if they used pacifiers. During pregnancy, 2.8% of the mothers smoked and the mothers who had smoked during pregnancy were less likely to bed share.ConclusionOverall adherence to the SIDS advice was good, but both prone and side sleeping practices should be targeted.

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Section: Discussionsupporting

confidence: 87%

“…In view of the current discussions concerning the possible hazards associated with bed sharing 19, 20, 21, 22, 23, 24, we need to obtain more detailed knowledge on how families bed share and to what extent methods for the so‐called safe bed sharing, or safer bed sharing 24, 25, are used.…”

Section: Discussionmentioning

confidence: 99%

Area‐based study shows most parents follow advice to reduce risk of sudden infant death syndrome

et al. 2017

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“…204 Although bed-sharing may facilitate breastfeeding, 175 there are other factors, such as intent, that influence successful breastfeeding. 205 Furthermore, 1 case-control study found that the risk of SIDS while bedsharing was similar among infants in the first 4 months of life, regardless of breastfeeding status, implying that the benefits of breastfeeding do not outweigh the increased risk associated with bed-sharing for younger infants. 194 The risk of bed-sharing is higher the longer the duration of bed-sharing during the night, 91 especially when associated with other risks.…”

Section: Figurementioning

confidence: 99%

SIDS and Other Sleep-Related Infant Deaths: Evidence Base for 2016 Updated Recommendations for a Safe Infant Sleeping Environment

Moon¹

2016

Pediatrics

482

446

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Approximately 3500 infants die annually in the United States from sleep-related infant deaths, including sudden infant death syndrome (SIDS), ill-defined deaths, and accidental suffocation and strangulation in bed. After an initial decrease in the 1990s, the overall sleep-related infant death rate has not declined in more recent years. Many of the modifiable and nonmodifiable risk factors for SIDS and other sleep-related infant deaths are strikingly similar. The American Academy of Pediatrics recommends a safe sleep environment that can reduce the risk of all sleep-related infant deaths. Recommendations for a safe sleep environment include supine positioning, use of a firm sleep surface, room-sharing without bed-sharing, and avoidance of soft bedding and overheating. Additional recommendations for SIDS risk reduction include avoidance of exposure to smoke, alcohol, and illicit drugs; breastfeeding; routine immunization; and use of a pacifier. New evidence and rationale for recommendations are presented for skin-to-skin care for newborn infants, bedside and in-bed sleepers, sleeping on couches/armchairs and in sitting devices, and use of soft bedding after 4 months of age. In addition, expanded recommendations for infant sleep location are included. The recommendations and strength of evidence for each recommendation are published in the accompanying policy statement, “SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment,” which is included in this issue.

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“…Blacks, American Indians/Alaskan Natives (AIs/ANs), New Zealand Māori, Australian Aborigines, indigenous Canadians, and low‐income British people (see below). In this paper, we draw on anthropological and social epidemiological insights to argue that instead of this individualistic approach, we need to consider the social origins, clustering or co‐occurrence, and interplay of known risk factors (Ball et al, ; Singer, Bulled, Ostrach, & Mendenhall, ) in order to make progress in reducing infant deaths in high‐risk populations.…”

Section: Introductionmentioning

confidence: 99%

“…Sofa sharing poses far greater risk than sleeping next to an infant in an adult bed (Moon & Task Force On Sudden Infant Death, ). Because bedsharing facilitates breastfeeding and is associated with greater breastfeeding duration (Ball et al, ; Huang et al, ; J. McKenna, Mosko, & Richard, ), advice against bedsharing also has profound implications for the health of both women and children (Bartick et al, ; Victora et al, ). In response to a systematic assessment of the evidence, the United Kingdom has issued guidance that emphasizes the risks of smoking and sofa sharing, prioritizes room sharing, and encourages a contextual, informed choice approach about bedsharing (Ball, ).…”

Section: Introductionmentioning

confidence: 99%

Sudden infant death and social justice: A syndemics approach

Bartick

Tomori

2018

Maternal & Child Nutrition

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Sudden unexpected infant death (SUID) and sudden infant death syndrome (SIDS) prevention has focused on modifying individual behavioural risk factors, especially bedsharing. Yet these deaths are most common among poor and marginalized people in wealthy countries, including U.S. Blacks, American Indians/Alaskan Natives, New Zealand Māori, Australian Aborigines, indigenous Canadians, and low-income British people. The United States now has the world's highest prevalence of SUID/SIDS, where even Whites' SIDS prevalence now approaches that of the Māori. Using public databases and the literature, we examine SUID/SIDS prevalence and the following risk factors in selected world populations: maternal smoking, preterm birth, alcohol use, poor prenatal care, sleep position, bedsharing, and formula feeding. Our findings suggest that risk factors cluster in high-prevalence populations, many are linked to poverty and discrimination and have independent effects on perinatal outcomes. Moreover, populations with the world's lowest rates of SUID/SIDS have low-income inequality or high relative wealth, yet have high to moderate rates of bedsharing. Employing syndemics theory, we suggest that disproportionately high prevalence of SUID/SIDS is primarily the result of socially driven, co-occurring epidemics that may act synergistically to amplify risk. SUID must be examined through the lens of structural inequity and the legacy of historical trauma. Emphasis on bedsharing may divert attention from risk reduction from structural interventions, breastfeeding, prenatal care, and tobacco cessation. Medical organizations play an important role in advocating for policies that address the root causes of infant mortality via poverty and discrimination interventions, tobacco control, and culturally appropriate support to families.

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Bed‐sharing by breastfeeding mothers: who bed‐shares and what is the relationship with breastfeeding duration?

Cited by 67 publications

References 25 publications

Area‐based study shows most parents follow advice to reduce risk of sudden infant death syndrome

Area‐based study shows most parents follow advice to reduce risk of sudden infant death syndrome

SIDS and Other Sleep-Related Infant Deaths: Evidence Base for 2016 Updated Recommendations for a Safe Infant Sleeping Environment

Sudden infant death and social justice: A syndemics approach

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