
Co-sleeping with children is a common practice among parents, with many different motivations for doing so. Some parents opt for co-sleeping to promote attachment and deepen their bond with their children, while others may do so out of economic necessity. While co-sleeping can provide comfort and a sense of security for children, it is important to consider the potential impact on their psychological development and sleep quality. The American Academy of Pediatrics (AAP) recommends room-sharing for the first 6 months of a child's life to reduce the risk of Sudden Infant Death Syndrome (SIDS) but advises against bed-sharing during this period. The decision to continue co-sleeping as children grow older involves weighing safety and emotional considerations, and parents may need to gradually transition their children to sleeping independently when the time is right.
| Characteristics | Values |
|---|---|
| Benefits | Provides a sense of comfort and security for the child |
| Can help the child feel safer and more secure | |
| Can help foster a deeper bond between the parent and child | |
| Can make breastfeeding easier | |
| Drawbacks | Can cause lower sleep quality for both the child and parents |
| Can negatively impact the child's sleep-wake cycle | |
| May reduce personal time and intimacy between the parents | |
| Can cause issues with the child's psychological development | |
| May cause the child to become codependent or enmeshed with parental figures | |
| May cause issues with the child's physical development | |
| May cause issues with the child's future relationships | |
| May cause issues with the child's self-esteem and independence | |
| Alternatives | Using a Moses basket in the bed between parents |
| Placing the child in a cot or bassinet in the same room as the parents | |
| Using a reward system to encourage the child to sleep in their own room |
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What You'll Learn

Benefits of co-sleeping
Co-sleeping with a child over the age of one is considered less risky than with an infant. Toddlers are more readily able to move, roll over, and free themselves from restraint, reducing the risk of entrapment, suffocation, and sudden infant death syndrome (SIDS).
Bonding and emotional connection
Co-sleeping can facilitate deeper bonding and emotional connection between parents and children. Skin-to-skin contact and physical closeness can comfort children, making them feel safe and secure. This can also help calm babies and strengthen the emotional bond between mother and child.
Breastfeeding
Co-sleeping can make breastfeeding more convenient for mothers, especially during the night. The Academy of Breastfeeding Medicine supports bed-sharing when it comes to breastfeeding, and studies suggest that mothers who co-sleep are more likely to breastfeed for longer.
Safety and protection
Historically, parents slept close to their children for safety and protection. Co-sleeping can still serve this purpose, allowing parents to quickly respond to their child's needs and monitor their breathing.
Synaptogenesis
According to anthropologist James McKenna, co-sleeping results in lighter sleep for both adults and babies, which creates more opportunities for caregivers to check on their babies. This lighter sleep, or REM sleep, is important for synaptogenesis, the rapid growth of connections between neurons in newborns.
Independence and self-reliance
While children who co-sleep may transition to sleeping independently about a year later than other children, they may exhibit more independence, self-reliance, and confidence in their daily lives.
Father-child relationship
A study found that fathers who co-sleep experience a greater drop in testosterone compared to fathers who sleep separately. Lower testosterone levels are associated with more sensitive and responsive parenting, suggesting that co-sleeping may lead to better father-child relationships.
It is important to note that while co-sleeping offers these benefits, it may also disrupt the sleep quality of parents, especially as children grow older and become more active sleepers. Additionally, co-sleeping may lead to difficulties in establishing independent sleep habits for children.
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Risks of co-sleeping
Co-sleeping with a child over the age of one is generally considered safe, and the risks decrease as the child gets older. However, there are still some risks associated with co-sleeping that parents should be aware of.
Firstly, co-sleeping can disrupt the sleep of both parents and children. Children are notoriously restless and active sleepers, and they can disturb their parents' sleep by kicking or thrashing around. This can result in exhaustion for the parents and may even lead to one parent choosing to sleep in a different room. Co-sleeping can also make it difficult for children to fall asleep without a parent present, as they become accustomed to having them nearby.
Additionally, co-sleeping may hinder the development of important skills such as independence and emotional or mood mastery. A 2021 study published in the journal Behavioral Sleep Medicine found that early childhood co-sleeping was associated with multiple behavioural problems reported by parents, teachers, and the children themselves.
Co-sleeping is also associated with an increased risk of sleep-related death, particularly for infants under one year old. This risk is heightened by certain factors such as smoking, drinking alcohol, medication use, and obesity. It is recommended that parents avoid co-sleeping if they have been drinking or taking drugs that can affect their ability to stir.
Furthermore, co-sleeping may negatively impact the relationship between parents. With children in the bed, couples may feel separated and lose the opportunity to spend time alone together in the evenings.
While co-sleeping can have some benefits, such as promoting bonding and convenience, it is important for parents to be aware of the potential risks and take the necessary precautions to ensure the safety and well-being of their children.
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Transitioning to independent sleep
While co-sleeping is a common practice in many cultures, pediatricians and healthcare professionals in the United States advise against it due to safety concerns and potential impacts on a child's psychological development. The American Academy of Pediatrics recommends that parents avoid bed-sharing during a baby's first year of life to reduce the risk of sudden infant death syndrome. However, beyond the first year, there is a lack of official sleep guidelines, and research is ambiguous about the effects of co-sleeping on toddlers and preschool-aged children.
Transitioning a 3-year-old child to independent sleep can be challenging, but it is achievable with consistency and patience. Here are some strategies to facilitate this transition:
Prepare your child:
It is essential to prepare your toddler for the transition by having open and honest conversations about the change. Explain that they will be sleeping in their own bed and assure them that you are confident in their ability to do so. Start these conversations a few days before making the transition to give them time to process the information.
Foster independence:
Encourage your child's growing desire for independence by offering choices that they can control. For example, you can ask them to choose between two sets of pajamas or two bedtime story options. This sense of control can help them feel more comfortable with the idea of sleeping independently.
Positive reinforcement:
Use positive reinforcement to motivate your child to embrace the change. Implement a sticker chart, where they receive a sticker for every night they sleep in their new bed, and allow them to redeem these stickers for fun rewards like a play date with you. This will create a positive association with sleeping independently.
Transitional objects:
Introduce a security or transitional object, such as a special stuffed animal, that your child can associate with comfort and safety in their new sleeping arrangement. This can help them feel less anxious about separating from you at bedtime.
Gradual transition:
Make the transition gradual by initially spending only a few minutes outside their room after putting them to bed. Gradually increase this time to help them learn to fall asleep without your constant presence.
Consistency:
Consistency is crucial to the success of this transition. Ensure that all sleep occurs in their new bed or sleeping space. If you consistently reinforce the new arrangement, your child will adapt more quickly and with fewer tears.
Remember, it is normal for there to be setbacks or challenges along the way. Be responsive to your child's needs, and trust in their ability to learn and adapt. With time and patience, your child will successfully transition to independent sleep.
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Co-sleeping safety advice
Co-sleeping, or bed-sharing, is a common practice among parents with young children. While it can provide comfort and security for children, it is important to consider the potential risks and take steps to ensure the safety of both the child and the parents. Here are some safety tips for parents who choose to co-sleep with their 3-year-old children:
Understand the risks
Firstly, it is important to acknowledge the potential drawbacks of co-sleeping. Some studies suggest that co-sleeping can negatively impact a child's psychological development, leading to issues such as low self-esteem, high dependency, anxiety, and trouble forming relationships in adulthood. It can also disrupt the sleep-wake cycle, resulting in shorter and more interrupted sleep for both the child and the parents. Additionally, co-sleeping may reduce personal time and intimacy between parents, impacting their relationship.
Create a safe sleep environment
To ensure the physical safety of your child, it is crucial to create a safe sleep environment. Remove pillows, blankets, and any other potential hazards from the bed, and use a firm mattress. The American Academy of Pediatrics (AAP) recommends against bed-sharing, especially for infants under four months old, due to the risk of sudden infant death syndrome (SIDS) and accidental suffocation. Instead, they suggest room-sharing for the baby's first year, with the child sleeping in a cot or bassinet.
Practice consistent co-sleeping
If you choose to co-sleep, it is important to do so consistently. Dr. Basora-Rovira, a pediatrician specializing in sleep medicine, recommends that families who co-sleep practice safe sleep practices and maintain a consistent routine. Inconsistent co-sleeping may disrupt the child's sleep patterns and make it more difficult for them to transition to solitary sleeping.
Transition to solitary sleeping
It is generally recommended that children transition to sleeping independently by the age of one to promote healthy sleep habits and foster independent thinking. You can use a reward system to encourage your child to sleep in their own bed. Start by establishing a bedtime routine that ends in your child's bedroom. You can also offer tokens or stickers for staying in their bed, which can be exchanged for bigger rewards like a trip to the park or extra TV time.
Ultimately, the decision to co-sleep is a personal choice, and there is no one-size-fits-all approach. It is important to consider the potential risks and benefits and make a decision that works best for your family.
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Co-sleeping cultural differences
Co-sleeping, or bed-sharing, is the custom of parents and infants sharing the same bed. It is practised in many different cultures to foster family closeness, and sometimes out of economic necessity. However, the social acceptance of co-sleeping varies across cultures.
Co-sleeping in Western cultures
In Western countries, such as the United States, co-sleeping is not recommended by pediatricians and other healthcare professionals due to concerns about the psychological development of the child and the risk of sudden infant death syndrome (SIDS). The American Academy of Pediatrics (AAP) advises that parents avoid bed-sharing for a baby’s first year of life and instead recommends room-sharing without bed-sharing for at least six months to one year. American culture values independence, which has resulted in high rates of infant solitary sleep and sleep training. This belief in infant independence is derived from valued adult American characteristics such as autonomy and independence.
Co-sleeping in non-Western cultures
In contrast, in many non-Western cultures, co-sleeping is the norm and is considered a normal family activity. For example, in Sweden, co-sleeping is common and is viewed as enhancing the infant's autonomy and security rather than constraining it. Swedish parents believe that co-sleeping will help their children become more secure and independent in the future. Similarly, in Japan, co-sleeping is a common practice, with many Japanese mothers reporting that sleeping alone would be "merciless in forcing independence on infants". Japanese parents often sleep in proximity to their children until they are teenagers, referring to this arrangement as a river, with the mother and father as separate banks and the child sleeping between them as the water. In Southern Europe, Asia, Africa, and Central and South America, mothers and babies routinely share sleep, and in some cultures, co-sleeping continues long after weaning. In Latin America, the Philippines, and Vietnam, parents may sleep with their baby in a hammock next to the bed or place the baby in a wicker basket in the bed between the parents.
Cultural differences in bed types and safety considerations
It is important to note that cultural differences in bed types and sleeping arrangements can also impact the safety of co-sleeping practices. For example, in South Asia, mattresses are typically firmer, lower to the ground, and have smaller pillows and minimal blankets compared to North American beds. Japanese mattresses are also noted to be firmer, flatter, and closer to the ground, which is considered safer for babies. In contrast, soft and fluffy American mattresses that are higher off the ground can pose safety risks for co-sleeping infants.
While co-sleeping is a common practice in many cultures, it is important for parents to understand the potential risks and benefits and make informed decisions about their child's sleep arrangements.
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Frequently asked questions
Co-sleeping with a child over the age of one is generally considered safe, but it is not recommended by many pediatricians and healthcare professionals due to the potential impact on the child's psychological development and sleep quality.
Co-sleeping can help parents bond with their children and give children a sense of safety and security. It is also a way for parents with unusual work schedules to spend more time with their children.
Transitioning a child to their own room should be gradual. You can start by putting your child to sleep in their bed and then leaving the room for a few minutes before returning. Over time, you can increase the amount of time you stay outside the room. It is also important to communicate with your child about the importance of sleeping independently and to establish a consistent bedtime routine.


































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