Indeed, the topic
of safe bedsharing is murky and while the two sides are separated by a large, vast chasm, they are each equally certain that only they are correct.
Not exact matches
The Director
of the Mother - Baby Sleep Laboratory at Notre Dame and author
of the book Sleeping with Your Baby: A Parent's Guide to Cosleeping, is an expert on the subject, and all
bedsharing parents should be familiar with his
Safe Cosleeping Guidelines.
The current infant sleep safety guidelines for
bedsharing advocate informing parents
of how to make a
bedsharing environment
safe should a breastfeeding mother doze off while feeding in bed, which is far
safer than dozing off anywhere else.
Non-smoking, sober breastfeeding mothers and partners who likewise accept and welcome and adopt safety precautions altogether make for the creation
of the most
safe bedsharing environment.
Those mothers or fathers for whom having their baby close and next to them means the most and those that can follow through with avoiding all
of the adverse factors presently know, and who breastfeed, will construct and enjoy the
safest possible
bedsharing environment.
What is
safe always depends on the totality
of the social, psychological, nutritional, emotional, and physical circumstances (furniture including bedding, mattress quality and stiffness) within which the «
bedsharing» occurs.
Stepping aside from dangerous social factors, such as adult inebriation or adult
bedsharing while under the influence
of drugs, or infants sleeping alongside disinterested strangers, and ignoring (for the moment) the physical - structural - furniture and bedding aspects
of «
safe infant sleep» always occurs in the context
of, and under the supervision
of, a committed, sober adult caregiver who is in a position to respond to infant nutritional needs, crises, and can exchange sensory stimuli all
of which represents just what babies depend on for maximum health.
The Academy
of Breast Feeding Medicine, the USA Breast Feeding Committee, the Breast Feeding section
of the American Academy
of Pediatrics, La Leche League International, UNICEF and WHO are all prestigious organizations who support
bedsharing and which use the best and latest scientific information on what makes mothers and babies
safe and healthy.
Lower estimations
of how many people safely
bedsharing in our population significantly makes crib sleeping look much, much
safer than
bedsharing because parents are not afraid to say that their babies sleep in cribs; but many who
bedshare and their babies live, and are not therefore counted in relative risks
of crib vs.
bedsharing statistics.
To begin with, whether or not
bedsharing is
safe begins with a consideration
of the adults, usually the mother, who will be sleeping with the baby.
Bedsharing is another form
of cosleeping which can be made either
safe or unsafe, but it is not intrinsically one nor the other.
What do you mean when you say that
bedsharing outcomes fall on a continuum
of outcomes ranging from
safe and protective to dangerous?
I suggest you check it out — a lot
of parents who like this article might want to know about an ingenious solution to the
bedsharing problem and practice
safe co-sleeping.
Indeed, the rhetoric is nothing less than threatening,
of any and all
bedsharing parents even when risks are minimized; and the zeal and imprecise language which is being used by many technicians involved in what is considered «
safe infant sleep» campaigns is over simplified to the point that it is inaccurate, misleading, and inappropriate, and is itself dangerous on many different levels, both politically and scientifically (see Gettler and McKenna 2010 available on this website).
There is a difference between the act
of co-sleeping or co-sleeping in the form
of bedsharing and the conditions within which it occurs (which can be
safe or unsafe);
According to Dr. James McKenna, head
of the University
of Notre Dame's Mother - Baby Behavioral Sleep Laboratory, «
Bedsharing... can be made either
safe or unsafe, but it is not intrinsically one nor the other.»
An in - depth exploration
of the science and research supporting the safety
of bedsharing for breastfeeding mothers and babies, introducing La Leche League International's «
Safe Sleep Seven» tool.
The
Safe Sleep Seven offers a middle ground: Seven research - supported criteria which, if met, offer a level
of bedsharing safety equivalent to crib safety.
Alas,
bedsharing with babies under the age
of one isn't
safe.
They advocate for a more tempered view
of bedsharing safety, one that recognizes that all
bedsharing situations are not alike and that, though not proven, it is certainly possible that a
safe bedsharing environment can exist.
Also, although I intuitively felt that
bedsharing was totally natural and
safe, my husband very strongly believed that we should follow the recommendations
of the medical community and abstain from
bedsharing.
Safe bedsharing is really an overhaul
of the whole sleep environment.
«The type
of mattress is a huge part
of what constitutes
safe bedsharing.»
However, it also had the effect
of raising the ire
of those who believe
bedsharing can never be
safe, drawing me into a debate I realize is more passionate than I had ever anticipated.
This invaluable resource will help you: - sleep better tonight in under ten minutes with the Quick Start guide - and sleep
safer every night with the
Safe Sleep Seven - sort out the fact and fiction
of bedsharing and SIDS - learn about normal sleep at every age and stage, from newborn to new parent - direct your baby toward longer sleep when he's ready - tailor your approach to your baby's temperament - uncover the hidden costs
of sleep training and «controlled crying» techniques - navigate naps at home and during daycare - handle criticism from family, friends, and health professionals - enjoy stories and tips from mothers like you - make the soundest sleep decisions for your family and your life
Throughout time and all over the world, mothers have been adopting the same position to keep their babies
safe when they sleep.1 One
of the reasons that
bedsharing is
safer when you're breastfeeding is the way a nursing mother instinctively positions her body next to her baby's, in what the La Leche League International authors
of Sweet Sleep: Nighttime and Naptime strategies for the Breastfeeding Family call a «cuddle curl.»
Subsequently, by virtue
of defining that an adult and infant are unable to safely sleep on the same surface together, such as what occurs during
bedsharing, even when all known adverse
bedsharing risk factors are absent and
safe bedsharing practices involving breastfeeding mothers are followed, an infant that dies while sharing a sleeping surface with his / her mother is labeled a SUID, and not SIDS.26 In this way the infant death statistics increasingly supplement the idea that
bedsharing is inherently and always hazardous and lend credence, artificially, to the belief that under no circumstance can a mother, breastfeeding or not, safely care for, or protect her infant if asleep together in a bed.27 The legitimacy
of such a sweeping inference is highly problematic, we argue, in light
of the fact that when careful and complete examination
of death scenes, the results revealed that 99 %
of bedsharing deaths could be explained by the presence
of at least one and usually multiple independent risk factors for SIDS such as maternal smoking, prone infant sleep, use
of alcohol and / or drugs by the
bedsharing adults.28 Moreover, this new ideology is especially troubling because it leads to condemnations
of bedsharing parents that border on charges
of being neglectful and / or abusive.
It is clear that
bedsharing can, indeed, be particularly dangerous and should be avoided when drugs and alcohol are used, when mothers are smokers (before and after pregnancy), when other children are in the bed, if breastfeeding is not involved (as it changes the position
of the infant in relationship to the mother's body and the sensitivity
of each to the other), or if soft mattresses or heavy blankets are used.4,34,47 - 51 It is also clear that co-sleeping on a sofa, a couch or a recliner is highly dangerous and should always be avoided.48, 49,52 For families that can not arrange a
safe bedsharing, however, separate surface co-sleeping (a bassinet next to the bed, or the crib or an attached cradle, a form
of roomsharing) provides similar benefits without any risk.
This brings us to red flag number two — the studies that have found an increase in SIDS associated with
bedsharing have failed to control for all
of the known safety factors that affect
safe bedsharing [8][9].
It is this issue that allowed me to remain skeptical
of the aforementioned research and the notion that
bedsharing per se is not
safe.
While it would make common sense to ensure that mothers who have never breastfed, and fathers who sleep alone with their babies, are aware
of what
safe bedsharing positioning and behaviour entail we do not currently know whether they are likely to maintain the same level
of vigilance and synchrony during sleep that is exhibited by breastfeeding mothers.
No one is out to demonize parents, but what we keep hearing in our
safe infant sleep group from parents who used to
bedshare is that once the
safe sleep message is adequately conveyed in detail and not just simply saying don't do this or that, but explaining the mechanism or risks behind infant sleeping in swings or using crib bumpers or
bedsharing is the kind
of understanding that in return results in family planning to be dedicated to
safe infant sleep practices.
Did I mention that such
bedsharing - friendly guidelines in that province from 2011 were the product
of BC Perinatal Services ignoring both the Canada PHA
safe sleep recommendation against
bedsharing and BC Coroner Services five year
safe sleep CDR report from 2009 in which the mythical *
safe *
bedsharing of dr McKenna was named, shamed, and discarded as rubbish in light
of evidence?
The Milk Meg made a call to her followers to post images
of their *
safe *
bedsharing that she would use to illustrate her blog on how cribs ruine motherhood.
If you've actually READ the task force bit on
bedsharing they are quite clear that it's still controversial and thus they err on the side
of saying «no», despite acknowledging that it can be
safe in some subgroups.
I read a description
of what sounded like
safe bedsharing but it sure didn't sound comfortable: on a thin futon on the floor, no blankets or pillows, mom wearing a sweater, thick socks and sweatpants (in layers if needed) and baby in a sleep sack.
In fact, the little data that is available on this says that infants who are in the adult be to breastfeed and are then placed back to sleep in a
safe crib are not at increased risk
of SIDS (those would be the infants like my babies who
bedshared in adult bed accidentally because the mother did not plan or intend to
bedshare but passed out while night nursing and woke up several hours later).