The prevalence of cobedding and SIDS-related child care practices in twins

Hutchison, Barbara; Stewart, Alistair; Mitchell, Edwin A.

doi:10.1007/s00431-010-1246-z

Cited by 12 publications

(17 citation statements)

References 31 publications

(31 reference statements)

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“…174 However, the benefits of cobedding twins and higher-order multiples have not been established. [175][176][177] Twins and higher-order multiples are often born prematurely and with low birth weight, so they are at increased risk of SIDS.…”

Section: It Is Prudent To Provide Separate Sleep Areas and Avoid Cobementioning

confidence: 99%

“…176 Most cobedded twins are placed on their sides rather than supine. 174 Finally, cobedding of twins and higher-order multiples in the hospital setting might encourage parents to continue this practice at home. 176 Because the evidence for the benefits of cobedding twins and higher-order multiples is not compelling and because of the increased risk of SIDS and suffocation, the AAP believes that it is prudent to provide separate sleep areas for these infants to decrease the risk of SIDS and accidental suffocation.…”

Section: It Is Prudent To Provide Separate Sleep Areas and Avoid Cobementioning

confidence: 99%

See 1 more Smart Citation

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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Section: It Is Prudent To Provide Separate Sleep Areas and Avoid Cobementioning

confidence: 99%

Section: It Is Prudent To Provide Separate Sleep Areas and Avoid Cobementioning

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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“…218 However, the benefits of cobedding twins and higher-order multiples have not been established. 219 -221 Twins and higher-order multiples are often born preterm and with low birth weights, so they are at increased risk of SIDS.…”

Section: Couches and Armchairs Are Extremely Dangerous Places For Infmentioning

confidence: 99%

“…220 Most cobedded twins are placed on the side rather than supine. 218 Finally, cobedding of twins and higher-order multiples in the hospital setting may encourage parents to continue this practice at home. 220 Because the evidence for the benefits of cobedding twins and higher-order multiples is not compelling and because of the increased risk of SIDS and suffocation, the AAP believes that it is prudent to provide separate sleep areas for these infants to decrease the risk of SIDS and unintentional suffocation.…”

Section: Couches and Armchairs Are Extremely Dangerous Places For Infmentioning

confidence: 99%

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

Moon¹

2016

Pediatrics

481

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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“…With a few notable exceptions (1–3) investigations of sleeping arrangements for twins have largely been restricted to the practice of cobedding of hospitalized multiples (i.e. crib-sharing between multiple birth infants).…”

mentioning

confidence: 99%

Sleeping Arrangements in Families With Twins

Damato

Brubaker

2012

Newborn and Infant Nursing Reviews

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This paper describes home sleeping arrangements used by parents of twins and investigates whether room sharing (twins in the same room as parents) or cobedding (crib-sharing between twins) influences parental night time sleep duration or sleep quality. A secondary analysis of data obtained from a longitudinal study of sleep in 104 families with twins was undertaken. Over 65% of twins were cobedded at 4 weeks; this decreased to approximately 42% by 13 weeks of age. Approximately 64% of families practiced room sharing at 4 weeks, this decreased to approximately 40% by 13 weeks of age. Mothers and fathers who both room shared and cobedded their twins at 9 weeks of age were most likely to experience restricted sleep duration when compared to other sleeping arrangements. Results suggest that parents of twins may not be following the most recent AAP recommendations regarding safe infant sleep for multiple birth infants.

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The prevalence of cobedding and SIDS-related child care practices in twins

Abstract: Despite a lack of evidence of the risks or benefits of cobedding, this practice was very popular, especially in the younger infants. More research is needed to establish the safety of cobedding in relation to the risk of SIDS.

Cited by 12 publications

References 31 publications

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

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

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

Sleeping Arrangements in Families With Twins

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