It’s safest for your baby to share a room with you, sleeping in a cot next to your bed, for the first year of life or at least the first 6 months. Show
Co-sleeping: things to think aboutCo-sleeping is when parents sleep on the same surface as their babies – for example, when they bring their babies into bed with them to sleep. Co-sleeping is associated with an increased risk of sudden unexpected death in infancy (SUDI) including sudden infant death syndrome (SIDS) and fatal sleeping accidents in some circumstances. But parents choose to have their babies in bed with them for several reasons. For example, some parents who co-sleep with their babies believe that it helps their babies feel safe and secure. These parents like the close body contact, feel that it’s rewarding and satisfying, and believe it’s good for their relationships with their babies. Also, some parents co-sleep because they find it more practical. Breastfeeding and resettling during the night can be easier. Some parents feel that it helps with establishing breastfeeding. When a baby dies unexpectedly and for no obvious reason, it’s called sudden unexpected death in infancy (SUDI). This is a broad term that includes SIDS and fatal sleeping accidents. Although SIDS is better known, SUDI, SIDS and fatal sleeping accidents all share common risk factors. Factors that increase co-sleeping risksCo-sleeping always increases the risk of SUDI including SIDS and fatal sleeping accidents. Co-sleeping increases SUDI risk even more in the following situations:
Sleeping with a baby on a couch or chair is always unsafe. Move your baby to a safe sleep environment if you think you might fall asleep in a chair or couch while holding your baby. Reducing the risk of SUDI including SIDS and fatal sleeping accidentsThere are some things you can do to reduce the risk of SUDI including SIDS and fatal sleeping accidents if you choose to co-sleep with your baby:
You can also check out our illustrated guide to reducing the risk of SUDI including SIDS and fatal sleeping accidents. If you’re co-sleeping because your baby is unsettledParents sometimes bring a baby into bed because the baby is waking or unsettled at night. If the parents’ bed is set up for the baby, this can work well for some families. But sometimes problems come up if parents want their child to sleep in a separate bed before the child wants to move. Many parents who sleep with their children report that children usually want their own beds by the age of 2-3 years. It can take longer than this, though, and sometimes parents want to stop co-sleeping before their child does. If you decide co-sleeping isn’t the best settling option for you and your child, there are other options for settling your baby to sleep.
The practice of bed-sharing — parents sharing a bed with their infant — is a hot topic. Supporters of bed-sharing believe that a parent's bed is just where a baby belongs. But others worry that bed-sharing is unsafe. Co-Sleeping, Room-Sharing, and Bed-SharingMany people use the terms "bed-sharing" and "co-sleeping" to describe the same thing, but there are differences:
Room-sharing and bed-sharing are types of co-sleeping:
Why Do Some Parents Bed-Share?Bed-sharing supporters believe — and some studies support their beliefs — that bed-sharing:
But the risks of bed-sharing can outweigh the benefits.
In some cultures, bed-sharing is common and the number of infant deaths related to it is low. Differences in mattresses, bedding, and other cultural practices may account for the lower risk in these countries. But health experts warn parents not to place their infants to sleep in adult beds due to serious safety risks. Bed-sharing increases the chance of suffocation, strangulation, and SIDS. An adult bed has many safety risks for a baby, including:
Babies should always be placed to sleep on their backs on a firm mattress or other firm sleep surface (such as in a portable crib) without any pillows, blankets, toys, stuffed animals, or other items. Because of the risks involved, the American Academy of Pediatrics (AAP) and the U.S. Consumer Product Safety Commission (CPSC) warn against bed-sharing. The AAP does recommend the practice of room-sharing without bed-sharing. Sleeping in the parents' room but on a separate surface lowers a baby's risk of SIDS. Bed-Sharing & SIDSBed-sharing increases a baby's risk of dying from SIDS, especially in preterm infants (preemies), babies who had a low birth weight, and healthy full-term infants younger than 4 months old. Other things that increase this risk of death while bed-sharing include:
How Can We Room-Share Safely?To keep your little one close, but not in your bed, put a bassinet, play yard, or crib next to your bed. This lets you keep that desired closeness, which can be especially important if you're breastfeeding. Having an infant sleep in a separate space in the same room as the mother reduces the risk of SIDS. You also might consider a bedside sleeper, which attaches to your bed, letting you and your baby be next to each other but on separate surfaces. Make sure that all sleep surfaces and products you use to help your baby sleep have been approved by the CPSC and meet federal safety standards. Experts recommend that infants sleep in their parents' room without bed-sharing until their first birthday. If parents prefer to move the baby to another bedroom, it's best to wait until the child is at least 6 months old. How to Bed-Share as Safely as PossibleSome parents decide bed-sharing is best for their family despite the risks. If you choose to have your baby in bed with you, follow these precautions:
Also:
Avoid bed-sharing with infants who are at greatest risk of SIDs. This includes those younger than 4 months, preterm babies, and those who had a low birth weight. |