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Goodstein said, when babies sleep in the same room as their parents, the background sounds or stirrings prevent very deep sleep and that helps keeps the babies safe. Room sharing also makes breast-feeding easier, which is protective against SIDS.
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Read More »“It’s clear that room sharing is protective against SIDS in the first four to six months,” when the great majority of SIDS deaths occur, he said. “After that there was no hard data to support that room sharing without bed sharing was any safer than the baby sleeping in their own room.” Dr. Paul was the first author on an article last summer in the journal Pediatrics that looked at the relationship between room sharing and sleep behaviors. The families that continued room sharing longer, he said, were at higher risk of moving the child into the parents’ bed, which is unsafe. As for babies, “those that moved to their own room sometime after age 4 months had better sleep consolidation and longer overall sleep extended out to age 2½ years.” Families need to consider all these factors, he said, in figuring out what will work best for themselves and their babies. “We do know that poor sleep has effects on the child in the short and the long term and on the family.” “I begin at 4 months in my clinical well visit, establishing good bedtime routines, not feeding or rocking a baby to sleep, put a drowsy but not asleep child to bed,” Dr. Paul said. To discuss “transitioning out of the room at 4 months gives me a mental reminder in my anticipatory guidance to reinforce safe sleep in that new sleep environment, and I talk about the potential benefits of having a baby get better sleep consolidation in that second half of the first year.” In the first four to six months, Dr. Paul said, room sharing can help support breast-feeding. But by 6 months, he says it’s fine for the baby to be in a separate room. The baby should no longer need to be breast-fed overnight, and in fact, mothers may be more likely to keep breast-feeding longer if they are not waking up several times a night. For women who need to breast-feed in the night, and are concerned that they may fall asleep while nursing, Dr. Goodstein suggested, stay in bed but clear the bed of pillows, loose blankets, comforters — and try to stay awake so that you can put the baby back into a “safe sleep environment,” that is, the bassinet or crib that is not the parental bed. Babies should not be put down on surfaces like water beds, couches or cushioned armchairs, where there is a very large increase in the risk of SIDS. “Parents need to be aware of norms, that there are going to be awakenings,” Dr. Goodstein said. “At some point when they’re getting a little older, we should give them some time to self-soothe — we need to have these discussions about infant sleep safety, injury prevention, SIDS risk reduction, we need to acknowledge that parents have a hard job.”
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Read More »SIDS usually occurs when a baby is asleep, although it can occasionally happen while they're awake. Parents can reduce the risk of SIDS by not smoking while pregnant or after the baby is born, and always placing the baby on their back when they sleep. Find out how to stop smoking.
Sudden infant death syndrome (SIDS) – sometimes known as "cot death" – is the sudden, unexpected and unexplained death of an apparently healthy baby. In the UK, around 200 babies die suddenly and unexpectedly every year. This statistic may sound alarming, but SIDS is rare and the risk of your baby dying from it is low. Most deaths happen during the first 6 months of a baby's life. Infants born prematurely or with a low birthweight are at greater risk. SIDS also tends to be slightly more common in baby boys. SIDS usually occurs when a baby is asleep, although it can occasionally happen while they're awake. Parents can reduce the risk of SIDS by not smoking while pregnant or after the baby is born, and always placing the baby on their back when they sleep.
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