Infant Sleeping Arrangements and Practices During the First Year of Life

Hauck, Fern R.; Signore, Caroline; Fein, Sara B.; Raju, Tonse N.K.

doi:10.1542/peds.2008-1315o

Cited by 99 publications

(98 citation statements)

References 22 publications

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“…Our data are similar to those by Hauck et al 27 who reported that 85% of their infants slept in the same room as their mother, but at 12 months the rate was 29%; in our study it remained high, at around 54%. We found that co-sleeping was present in approximately 10% of infants at 3-6 months with a gradual increase to 18% at 9 and 12 months.…”

Section: Sleeping Arrangementssupporting

confidence: 92%

Longitudinal Study of Sleep Behavior in Normal Infants during the First Year of Life

Bruni

Baumgartner

Sette

et al. 2014

Journal of Clinical Sleep Medicine

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Study Objectives: To longitudinally examine sleep patterns, habits, and parent-reported sleep problems during the fi rst year of life. Methods: Seven hundred four parent/child pairs participated in a longitudinal cohort study. Structured interview recording general demographic data, feeding habits, intercurrent diseases, family history, sleep habits, and parental evaluation of the infant's sleep carried out at 1, 3, 6, 9, and 12 months Results: Nocturnal, daytime, and total sleep duration showed a high inter-individual variability in the fi rst year of life associated with changes in the fi rst 6 months and stability from 6 to 12 months. Bedtime was at around 22:00 and remained stable at 6, 9, and 12 months of age. Approximately 20% of the infants had more than 2 awakenings and slept more often in the parent bed. Nearly 10% of the infants were considered as having a problematic sleep by parents and this signifi cantly correlated with nocturnal awakenings and diffi culties falling asleep. Conclusions: Sleep patterns change during the fi rst year of life but most sleep variables (i.e., sleep latency and duration) show little variation from 6 to 12 months. Our data provide a context for clinicians to discuss sleep issues with parents and suggest that prevention efforts should focus to the fi rst 3-6 months, since sleep patterns show stability from that time point to 12 months. S C I E N T I F I C I N V E S T I G A T I O N SS leep patterns and sleep structure show signifi cant changes during the fi rst year of life; the circadian rhythm is not established in the fi rst months, and sleep is distributed throughout the day and night with a basic rest/activity cycle, similar to that of fetal life. At 1-2 weeks of age the fetal circadian rhythms starts to fade away and, at 1-2 months, the circadian activity rhythm develops with colic as the fi rst sign of circadian rhythmicity; at 3-4 months of age, infants are entrained to the 24-h cycle and melatonin production is stable. At 6-9 months, wakefulness increases, daytime naps are established, and fi nally, at 12 months 70% to 80% of infants sleep mostly at night. 2 demonstrated that daytime sleep is mostly determined by maturation (age), whereas nocturnal sleep is better predicted by ecological factors. More specifi cally, studies of infant sleep correlates showed that intense parental involvement and reduced self-soothing skills may interfere with nighttime sleep consolidation.2,3 Not only major developmental steps are determined by the interaction between maturational processes and ecological factors; sleep-wake patterns are also heavily infl uenced by biological and cultural factors, and therefore the concept of "normal sleep" varies according to cultural BRIEF SUMMARYCurrent Knowledge/Study Rationale: To our knowledge, most of the data on the sleep pattern development in the previous reports were derived from longitudinal studies designed to collect different information but not exclusively intended to assess sleep structure and ecology. Our study represents the fi r...

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Section: Sleeping Arrangementssupporting

confidence: 92%

Longitudinal Study of Sleep Behavior in Normal Infants during the First Year of Life

Bruni

Baumgartner

Sette

et al. 2014

Journal of Clinical Sleep Medicine

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“…17 In addition, infant comfort, which includes longer sleep duration, is a priority for many parents, and this goal often results in prone and side positioning 18 -26 and sharing of sleep surfaces. 27,28 Health care providers should be aware of these influences on parental decisionmaking so that appropriate guidance can be given.…”

Section: Discussionmentioning

confidence: 99%

Nocturnal Video Assessment of Infant Sleep Environments

et al. 2016

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“…142,252,253 Breastfeeding is a common reason given by mothers for bed-sharing with their infants. 254 Studies have found an association between bed-sharing and longer duration of breastfeeding, but their data cannot determine a temporal relationship (ie, it is not known whether bed-sharing promotes breastfeeding or if breastfeeding promotes bed-sharing, or if women who prefer 1 practice are also likely to prefer the other). 255 Although bed-sharing may facilitate breastfeeding, it is not essential for successful breastfeeding.…”

Section: If a Breastfeeding Mother Brings The Infant Into The Adult Bmentioning

confidence: 99%

SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment

Moon¹

2011

Pediatrics

217

115

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Despite a major decrease in the incidence of sudden infant death syndrome (SIDS) since the American Academy of Pediatrics (AAP) released its recommendation in 1992 that infants be placed for sleep in a nonprone position, this decline has plateaued in recent years. Concurrently, other causes of sudden unexpected infant death occurring during sleep (sleep-related deaths), including suffocation, asphyxia, and entrapment, and ill-defined or unspecified causes of death have increased in incidence, particularly since the AAP published its last statement on SIDS in 2005. It has become increasingly important to address these other causes of sleep-related infant death. Many of the modifiable and nonmodifiable risk factors for SIDS and suffocation are strikingly similar. The AAP, therefore, is expanding its recommendations from being only SIDS-focused to focusing on a safe sleep environment that can reduce the risk of all sleep-related infant deaths including SIDS. The recommendations described in this report include supine positioning, use of a firm sleep surface, breastfeeding, room-sharing without bed-sharing, routine immunization, consideration of a pacifier, and avoidance of soft bedding, overheating, and exposure to tobacco smoke, alcohol, and illicit drugs. The rationale for these recommendations is discussed in detail in this technical report. The recommendations are published in the accompanying “Policy Statement—Sudden Infant Death Syndrome and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment,” which is included in this issue (www.pediatrics.org/cgi/doi/10.1542/peds.2011-2220).

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Infant Sleeping Arrangements and Practices During the First Year of Life

Cited by 99 publications

References 22 publications

Longitudinal Study of Sleep Behavior in Normal Infants during the First Year of Life

Longitudinal Study of Sleep Behavior in Normal Infants during the First Year of Life

Nocturnal Video Assessment of Infant Sleep Environments

SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment

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