A comparison of the sleep-wake patterns of cosleeping and solitary-sleeping infants

Amy Mao1, Melissa M Burnham, Beth L Goodlin-Jones

  • 1George Washington University, USA.

Insights

Cosleeping infants experienced more nighttime awakenings than solitary-sleeping infants, but their awake periods were shorter. Cosleeping babies spent 40% of the night in face-to-face contact with their mothers.

Area of Science:

  • Pediatric Sleep Medicine
  • Infant Development
  • Behavioral Sleep Studies

Background:

  • Cosleeping is a common infant sleep practice with debated effects on sleep architecture and maternal-infant interaction.
  • Previous research suggested cosleeping infants spend most of the night in face-to-face contact with mothers.

Purpose of the Study:

  • To compare sleep patterns, specifically active/quiet sleep duration and nighttime awakenings, between cosleeping and solitary-sleeping infants.
  • To quantify the face-to-face sleeping duration between mothers and infants in a cosleeping arrangement.

Main Methods:

  • Matched comparison study involving 9 cosleeping and 9 solitary-sleeping infants (3-15 months old).
  • Infants were matched for age, gender, ethnicity, maternal age, and socioeconomic status.
  • Nighttime sleep was recorded via video to analyze sleep states (active, quiet, awake), number of awakenings, and maternal-infant face-to-face time.

Main Results:

  • Cosleeping infants exhibited a significantly higher number of nighttime awakenings (mean 5.8) compared to solitary-sleeping infants (mean 3.2).
  • The total percentage of nighttime spent awake did not differ between the groups, indicating shorter awakenings in cosleepers.
  • Cosleeping infants spent approximately 40% of the night in face-to-face contact with their mothers.

Conclusions:

  • Cosleeping is associated with more frequent but shorter nighttime awakenings in infants.
  • Infants in cosleeping arrangements maintain significant face-to-face proximity with their mothers throughout the night.
  • Findings suggest that cosleeping may facilitate shorter, more frequent arousals rather than prolonged wakefulness.

Related Concept Videos

Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Understanding Sleep01:11

Understanding Sleep

Sleep, an essential biological state, involves significant reductions in physical activity, sensory awareness, and interaction with the environment. This complex physiological process is primarily regulated by specific brain regions, notably the hypothalamus and pons, which govern the sleep-wake cycle or circadian rhythm.
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
Insufficient Sleep and Sleep Deprivation01:13

Insufficient Sleep and Sleep Deprivation

Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Stages of Sleep01:22

Stages of Sleep

Sleep progresses through distinct stages, each characterized by specific brain wave patterns and physiological responses ranging from wakefulness to stages of non-rapid eye movement, known as non-REM, to rapid eye movement, referred to as REM. Understanding these stages helps in recognizing how sleep supports various bodily and cognitive functions.
Before sleep begins, in wakefulness, the brain exhibits primarily beta waves, which are high in frequency and low in amplitude, indicating alertness...
Sleepwalking and Sleep Talking01:17

Sleepwalking and Sleep Talking

Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...