Why babies should never sleep alone: A review of the co-sleeping controversy in relation to SIDS, bedsharing and breast feeding

McKenna, James J.; McDade, Thomas W.

doi:10.1016/j.prrv.2005.03.006

Cited by 209 publications

(176 citation statements)

References 59 publications

(91 reference statements)

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“…The relatively high proportion of children reported to co-sleep with their parents -despite the professional recommendations -emphasizes the need for research on this topic. Such research should be both scientifically objective, and sensitive to the cultural and family dynamics surrounding this parenting decision [112].…”

Section: Family Sleeping Locationsmentioning

confidence: 99%

Postpartum Sleep in New Mothers and Fathers

Montgomery‐Downs¹,

Stremler²,

Insana³

2013

TOSLPJ

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Abstract:In this review, we describe postpartum sleep as characterized by marked fragmentation, resulting in nearuniversal fatigue during the initial postpartum period. This sleep disturbance and fatigue are major contributing factors to the onset of affect and mood disturbance, which in turn is strongly associated with an increase in negative infant-parent interactions and adverse infant emotional and cognitive outcomes. Although less-frequently studied, postpartum fathers also experience sleep disturbance and sleepiness associated impairments that impact their families. Despite this, postpartum sleep should be considered a normative developmental period, and the need for intervention can be seen as a byproduct of social and economic expectations that new parents return to the workforce soon after childbirth. Heretofore, there is little evidence to support the efficacy of interventions to improve parent sleep, though some suggest that socially disadvantaged families may benefit most from advice regarding infant and maternal sleep. Also reviewed here is the evidence for a high proportion of children reported to co-sleep with their parents -despite the professional recommendations in the United States -and the need for family education regarding safe co-sleeping. Finally, one obstacle to a woman's decision to breastfeed may be concern about how this will affect her sleep; the evidence for a lack of impact of infant breast feeding on maternal sleep is evident.

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Section: Family Sleeping Locationsmentioning

confidence: 99%

Postpartum Sleep in New Mothers and Fathers

Montgomery‐Downs¹,

Stremler²,

Insana³

2013

TOSLPJ

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“…ABD'lerinde siyah, 20-29 yafl aral›¤›nda, güney eyaletlerde yaflayan, 8 aydan küçük bir bebek ve bir çocuk sahibi annelerin, yüzüstü uyku pozisyonunu seçtikleri, dolay›s›yla ›rk/etnik davran›flsal özelliklerin risk faktörleri oluflturdu¤u görül-müfltür (2,9,30). Ayr›ca bebekle birlikte uyuma da kültü-rel farkl›l›klar göstermektedir (31). Ebeveyn ile birlikte uyuman›n insidans› %12-50 oran›nda artt›rd›¤› bildirilmektedir (14,32).…”

Section: Ep‹dem‹yoloj‹unclassified

“…Baz› hipotezlere göre birlikte uyuma ortam› duyu zenginli¤ini artt›ran bir durum yaratt›¤› için ABÖS'ü engelleyebilir. Anne ve bebek uykuda incelendi¤inde araflt›rmac›lar, bebe¤in uyanmas›n›n kolaylaflt›¤›n›, uykunun 3. ve 4. aflamalar› aras›ndaki süreyi azaltt›¤›n› ve annenin hassasiyetinin artt›¤›n›, yatak paylafl›m›n›n koruyucu sonuçlar› olabilece¤ini savunurken, baz› çal›flmalar ise yatak paylafl›m›n›n, özellikle sigara içen annelerin bebeklerinde ABÖS oran›n› art›rd›¤› sonucuna varm›flt›r (29,31,35). Alaska'da yap›lan bir çal›flmada, 130 ABÖS olgusunda tüm ölümler yüzüstü uyuma, ebeveynlerle yatak paylafl›m› veya bebe¤in kendi yata¤› d›fl›nda bir yerde uyumas› ile ilgili bulunmufltur (36).…”

Section: R‹sk Faktörler‹unclassified

Ani Bebek Ölümü Sendromu

2006

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Bir yafl›n alt›ndaki bebeklerin ani ve beklenmedik ölümlerin-de; t›bbi ve sosyal öykü, olay yeri incelemesi, yap›lan otopsi ve tetkiklere karfl›n ölüm sebebi aç›klanamayan ölümler ani bebek ölümü sendromu (ABÖS) olarak tan›mlanmaktad›r. Geliflmifl ülkelerde yenido¤an döneminden sonra çocukluk ça¤›nda mortalitenin önemli nedenlerinden biridir. Bebekler genellikle uyku esnas›nda ölü bulunur ve ölüme neden olacak herhangi bir bulgu yoktur. Bugüne kadar birçok çal›flma yap›lmas›na karfl›n sorumlu mekanizmalar ve fizyopatoloji henüz ayd›nlat›-lamam›fl, ancak riski art›ran birçok etken tan›mlanm›flt›r. Ça-l›flmada; ABÖS güncel literatür ›fl›¤›nda de¤erlendirilmifl, risk etkenleri gözden geçirilmifl, s›kl›¤›n›n azalt›lmas›na yönelik ön-lemler belirtilmifl, otopsinin yan› s›ra öykünün önemi de vurgulanm›flt›r.Anahtar kelimeler: Ani bebek ölümü sendromu, bebek, risk faktörleri, uyku, otopsi. SUMMARYSudden infant death syndrome (SIDS) is the sudden death of an infant under 1 year of age which remains unexplained after a thorough case investigation, including performance of a complete autopsy, examination of the death scene, and review of the clinical history. It is a major cause of postneonatal mortality in developed countries. Generally, the infant is found dead after having been put to sleep and displays no signs of having suffered. Despite many years of research, underlying pathophysiology and mechanism of SIDS still remained controversial but numerous risk factors have been defined. In this article; SIDS and possible risk factors are reviewed and the precautions to decrease the incidence of SIDS and important role of autopsy and history were emphasized.

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“…Uma variedade de arranjos em relação ao ambiente de dormir das crianças é observada no mundo 1,2 . Diversos fatores, como ambiente fí-sico, tamanho da família, nível socioeconômico, aspectos culturais, hábitos alimentares do bebê e comportamentos quanto aos cuidados com as crianças pequenas, entre outros, determinam onde os pais irão colocar seus filhos para dormir nos primeiros anos de vida 3,4,5,6,7 .…”

Section: Introductionunclassified