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Published on: September 22, 2023
Frequency of bed sharing and its relationship to breastfeeding
Rosha Champion McCoy1, Carl E Hunt, Samuel M Lesko
1Department of Pediatrics, Medical College of Ohio/Mercy Children's Hospital, Toledo, Ohio, USA. rmccoy@mco.edu
Insights
Bed sharing, while potentially aiding breastfeeding, is associated with infant sleep risks. Race/ethnicity and breastfeeding practices significantly influence bed sharing prevalence, requiring careful risk-benefit consideration.
Area of Science:
- Pediatrics
- Public Health
- Sociology
Background:
- Bed sharing is promoted for breastfeeding support.
- Concerns exist regarding increased risks of sudden, unexpected infant deaths associated with bed sharing.
Purpose of the Study:
- To determine the prevalence of adult and infant bed sharing.
- To investigate the association between bed sharing and maternal/infant characteristics.
Main Methods:
- Prospective cohort study of 10,355 infant-mother pairs.
- Data collected at birth and at 1, 3, and 6 months via questionnaires.
- Logistic regression models used to analyze associations, adjusting for confounding variables.
Main Results:
- Bed sharing prevalence was 22% at 1 month, 14% at 3 months, and 13% at 6 months.
- Multivariate analysis indicated race/ethnicity and breastfeeding as strongly associated with bed sharing.
- Odds ratios and 95% confidence intervals were calculated.
Conclusions:
- Race/ethnicity and breastfeeding are key factors associated with bed sharing.
- These factors must be considered in comprehensive risk-benefit analyses of bed sharing practices.
Abstract:
Bed sharing has been promoted as facilitating breastfeeding but also may increase risks for sudden, unexpected infant deaths. This prospective cohort study was performed to determine the prevalence of adult and infant bed sharing and its association with maternal and infant characteristics. Demographic data were collected from 10,355 infant-mother pairs at birth hospitals in Eastern Massachusetts and Northwest Ohio, and follow-up data were collected at 1, 3, and 6 months by questionnaire. Associations with bed sharing were estimated using odds ratios and 95% confidence intervals from multiple logistic regression models while adjusting for confounding variables. At 1, 3, and 6 months, 22%, 14%, and 13% of infant-mother pairs shared a bed, respectively. On multivariate analysis, race/ethnicity and breastfeeding seemed to have the strongest association with bed sharing. These factors need to be considered in any comprehensive risk to benefit analysis of bed sharing.
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