Influence of Bedsharing Activity on Breastfeeding Duration Among US Mothers

Huang, Yi; Hauck, Fern R.; Signore, Caroline; Yu, Airong; Raju, Tonse N.K.; Huang, Terry T-K; Fein, Sara B.

doi:10.1001/jamapediatrics.2013.2632

Cited by 69 publications

(51 citation statements)

References 21 publications

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“…Consistent with prior studies, we also observed an association between breastfeeding and higher rates of bedsharing. 14,22–24 However, roomsharing was the most common usual sleep location, even among mothers who were exclusively breastfeeding. In addition, there was no indication that providing advice to room share without bedsharing negatively affected the likelihood of breastfeeding.…”

Section: Discussionmentioning

confidence: 99%

Infant Sleep Location and Breastfeeding Practices in the United States, 2011–2014

Smith¹,

Geller

Kellams

et al. 2016

Academic Pediatrics

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Objective: Our objective is to describe the prevalence of breastfeeding and sleep location practices among US mothers and the factors associated with these behaviors, including advice received regarding these practices. Methods: A nationally representative sample of 3218 mothers, who spoke English or Spanish were enrolled at a sample of 32 US birth hospitals between January 2011 and March 2014. Results: Exclusive breastfeeding was reported by 30.5% of mothers, while an additional 29.5% reported partial breastfeeding. The majority of mothers, 65.5%, reported usually room sharing without bed sharing, while 20.7% reported bed sharing. Compared to mothers who room shared without bed sharing, mothers who bed shared were more likely to report exclusive breastfeeding (aOR 2.46: 95%CI 1.76, 3.45) or partial breastfeeding (aOR1.75: 95% CI 1.33, 2.31). The majority of mothers reported usually room sharing without bedsharing regardless of feeding practices, including 58.2% of exclusively breastfeeding mothers and 70.0% of non-breastfeeding mothers. Receiving advice regarding sleep location or breastfeeding increased adherence to recommendations in a dose response manner (the adjusted odds of roomsharing without bedsharing and exclusive breastfeeding increased as the relevant advice score increased), however, receiving advice regarding sleep location did not impact feeding practices. Conclusion: Many mothers have not adopted the recommended infant sleep location or feeding practices. Receiving advice from multiple sources appears to promote adherence in a dose response manner. Many women are able to both breastfeed and room share without bedsharing, and advice to adhere to both of these recommendations did not decrease breastfeeding rates. What’s New: Many mothers have not adopted recommended infant sleep location or feeding practices. This study suggests that receiving advice from multiple sources promotes adherence to these practices and providing advice on infant sleep recommendations did not negatively affect breastfeeding rates.

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Section: Discussionmentioning

confidence: 99%

Infant Sleep Location and Breastfeeding Practices in the United States, 2011–2014

Smith¹,

Geller

Kellams

et al. 2016

Academic Pediatrics

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“…203 However, a more recent longitudinal study provides strong evidence that bedsharing promotes breastfeeding duration, with the greatest effect among frequent bed-sharers. 202 Another recent study has shown that, compared with mothers who roomshared without bed-sharing, mothers who bed-shared were more likely to report exclusive breastfeeding (adjusted OR: 2.46; 95% CI: 1.76-3.45) or partial breastfeeding (adjusted OR: 1.75; 95% CI: 1.33-2.31). 204 Although bed-sharing may facilitate breastfeeding, 175 there are other factors, such as intent, that influence successful breastfeeding.…”

Section: Figurementioning

confidence: 98%

“…Studies have found an association between bed-sharing and longer duration of breastfeeding, 202 but most of these were cross-sectional studies, which do not enable the determination of a temporal relationship: that is, whether bedsharing promotes breastfeeding or whether breastfeeding promotes bed-sharing, and whether women who prefer one practice are also likely to prefer the other. 203 However, a more recent longitudinal study provides strong evidence that bedsharing promotes breastfeeding duration, with the greatest effect among frequent bed-sharers.…”

Section: Figurementioning

confidence: 99%

SIDS and Other Sleep-Related Infant Deaths: Evidence Base for 2016 Updated Recommendations for a Safe Infant Sleeping Environment

Moon¹

2016

Pediatrics

Self Cite

491

446

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Approximately 3500 infants die annually in the United States from sleep-related infant deaths, including sudden infant death syndrome (SIDS), ill-defined deaths, and accidental suffocation and strangulation in bed. After an initial decrease in the 1990s, the overall sleep-related infant death rate has not declined in more recent years. Many of the modifiable and nonmodifiable risk factors for SIDS and other sleep-related infant deaths are strikingly similar. The American Academy of Pediatrics recommends a safe sleep environment that can reduce the risk of all sleep-related infant deaths. Recommendations for a safe sleep environment include supine positioning, use of a firm sleep surface, room-sharing without bed-sharing, and avoidance of soft bedding and overheating. Additional recommendations for SIDS risk reduction include avoidance of exposure to smoke, alcohol, and illicit drugs; breastfeeding; routine immunization; and use of a pacifier. New evidence and rationale for recommendations are presented for skin-to-skin care for newborn infants, bedside and in-bed sleepers, sleeping on couches/armchairs and in sitting devices, and use of soft bedding after 4 months of age. In addition, expanded recommendations for infant sleep location are included. The recommendations and strength of evidence for each recommendation are published in the accompanying policy statement, “SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment,” which is included in this issue.

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“…80 Studies from England, the United States, and New Zealand have all reported a longer duration of breast feeding in infants who shared a bed. [81][82][83][84][85] In one US study, the reasons why African-American women chose to share a bed with their infants were no room for, or no money to buy, a cot, convenience of feeding (formula or breast milk), and ease of monitoring. 86…”

Section: Why Do Parents Choose To Bed Share?mentioning

confidence: 99%

Sudden infant death syndrome and advice for safe sleeping

Horne

Hauck

Moon

2015

BMJ

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Influence of Bedsharing Activity on Breastfeeding Duration Among US Mothers

Abstract: Multiple factors were associated with breastfeeding, including bedsharing. Given the risk of sudden infant death syndrome related to bedsharing, multipronged strategies to promote breastfeeding should be developed and tested.

Cited by 69 publications

References 21 publications

Infant Sleep Location and Breastfeeding Practices in the United States, 2011–2014

Infant Sleep Location and Breastfeeding Practices in the United States, 2011–2014

SIDS and Other Sleep-Related Infant Deaths: Evidence Base for 2016 Updated Recommendations for a Safe Infant Sleeping Environment

Sudden infant death syndrome and advice for safe sleeping

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