Objective
To compare maternal report of planned and practiced home sleep
locations of infants born late preterm (34 0/7 to 36 6/7 gestational weeks)
with those infants born term (≥ 37 0/7 gestational weeks) over the
first postpartum month.
Methods
Open-ended semi-structured maternal interviews were conducted in a
U.S. hospital following birth and by phone at one month postpartum during
2010–2012. Participants were 56 mother-infant dyads: 26 late preterm
and 30 term.
Results
Most women planned to room share at home with their infants and
reported doing so for some or all of the first postpartum month. More women
reported bed sharing during the first postpartum month than had planned to
do so in both the late preterm and term groups. The primary reason for
unplanned bed sharing was to soothe nighttime infant fussiness. Those
participants who avoided bed sharing at home commonly discussed their fear
for infant safety. A few parents reported their infants were sleeping
propped on pillows and co-sleeping on a recliner. Some women in both the
late preterm and term groups reported lack of opportunity to obtain a
bassinet prior to childbirth.
Conclusions
The discrepancy between plans for infant sleep location at home and
maternally reported practices were similar in late preterm and term groups.
Close maternal proximity to their infants at night was derived from the need
to assess infant well-being, caring for infants, and women’s
preferences. Bed sharing concerns related to infant safety and the
establishment of an undesirable habit, and alternative arrangements included
shared recliner sleep.