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.

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