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Bedsharing promotes breastfeeding

J J McKenna1, S S Mosko, C A Richard

  • 1University of Notre Dame, Notre Dame, Indiana, USA.

Pediatrics
|August 1, 1997
PubMed
Summary
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Mother-infant bedsharing significantly increases nighttime breastfeeding duration and frequency. This practice may offer protection against sudden infant death syndrome (SIDS) by promoting breastfeeding.

Area of Science:

  • Pediatrics
  • Public Health
  • Maternal-Child Health

Background:

  • Breastfeeding is associated with reduced risk of sudden infant death syndrome (SIDS).
  • Environmental and childcare factors influencing breastfeeding warrant investigation for SIDS prevention strategies.

Purpose of the Study:

  • To examine the effect of mother-infant bedsharing on nocturnal breastfeeding behavior.
  • To compare breastfeeding patterns in bedsharing versus solitary sleeping arrangements.

Main Methods:

  • Study involved 35 Latino mother-infant pairs (20 bedsharing, 15 solitary sleeping) at 3-4 months of age.
  • All infants were exclusively breastfeeding at night.
  • Nocturnal breastfeeding was assessed using all-night laboratory polysomnography and videotaping.

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Main Results:

  • Routinely bedsharing infants breastfed approximately three times longer per night compared to solitary sleepers.
  • Bedsharing infants had a two-fold increase in breastfeeding episodes and 39% longer episodes.
  • Even within bedsharing pairs, bedsharing nights showed significantly more and longer breastfeeding episodes than solitary nights.

Conclusions:

  • Mother-infant bedsharing may protect against SIDS by enhancing nocturnal breastfeeding.
  • Increased nursing frequency due to bedsharing could impact maternal reproductive physiology.
  • This study provides the first direct measurement of nocturnal breastfeeding behavior in any cultural group.