Herbie Murray
Newborn twins can sleep in the same crib, a practice known as co-bedding. However, there are conflicting opinions on the safety of this practice. Some sources claim that co-bedding can help twins regulate their body temperatures and sleep cycles, while others argue that the risks of co-bedding outweigh the benefits, and that separate cribs can reduce the risk of sudden infant death syndrome (SIDS). Ultimately, the decision of whether to co-bed newborn twins rests with the parents or caregivers, who should carefully consider the available information and make an informed decision that prioritises the safety and well-being of their twins.
| Characteristics | Values |
|---|---|
| Twins sleeping in the same crib | Can help them regulate their body temperatures and sleep cycles |
| Can be soothing for the babies | |
| May increase the risk of sudden infant death syndrome (SIDS) | |
| Twins should be placed on their backs with the tops of their heads facing one another and their feet at opposite ends of the crib | |
| Twins should be placed side by side on their backs, with their feet at the foot of the crib | |
| Crib-sharing can last until they move into their childhood beds | |
| Twins should be separated when they start to roll, bump into one another, and wake each other up | |
| Twins should be separated if one of them has a contagious illness | |
| Twins sleeping in separate cribs | May help them sleep better |
| Twins' cribs can be placed next to each other so that they can see and touch each other | |
| Twins should be placed on their backs in their cribs or bassinets | |
| Cribs or bassinets should have a flat, firm surface and a tight, fitted sheet | |
| Cribs or bassinets should not have soft bedding, bumpers, extra bedding, stuffed animals, or loose clothing |
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What You'll Learn
Safe sleeping arrangements
Crib-sharing
Newborn twins can share a crib initially, but it is recommended to move them into separate cribs when they get big enough to start wiggling, rolling, and bumping into each other at night. The American Academy of Pediatrics (AAP) advises against co-bedding for twins, as it increases the risk of sudden infant death syndrome (SIDS). Twins born prematurely or with low birth weights are already at a higher risk of SIDS, and having separate cribs can lower this risk.
Safe sleeping tips
If you do choose to have your twins share a crib, there are some safe sleeping tips you should follow:
- Place your twins on their backs with the tops of their heads facing one another and their feet at opposite ends of the crib. Alternatively, you can place them side by side with their feet at the foot of the crib.
- Do not use a Moses basket or bassinet for co-bedding, as it will be too small for two babies.
- Avoid using loose bedding, soft bedding, bumpers, stuffed animals, or loose clothing in the crib.
- Stop co-bedding once your twins start to show signs of rolling over, which usually happens between three to five months of age.
Separate cribs
If you choose to have your twins sleep in separate cribs, you can still help them bond and settle by placing the cribs next to each other so they can see and touch each other. It is recommended to have your twins sleep in the same room as you for the first six to twelve months to reduce the risk of SIDS.
Establishing a routine
Whether your twins share a crib or have separate cribs, it is important to establish a consistent bedtime routine to help them develop a synchronized sleep pattern. This can include activities such as feeding them at the same time, giving them a warm bath, reading a bedtime story, and singing lullabies.
When to separate
If one of your twins has a contagious illness, you may want to separate them temporarily to minimize the risk of the other twin getting infected. Additionally, if one twin is consistently disturbing the other or waking them up, you may need to give them separate rooms.
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Benefits of co-bedding
While there is limited research on the benefits of co-bedding newborn twins, there are some potential advantages to this practice. Co-bedding refers to the practice of caring for twins in the same cot or incubator, allowing them to have skin-to-skin contact and experience proximity, tactile stimulation, and a continuation of their relationship that began in the womb. Here are some benefits of co-bedding:
Enhanced Development and Neurodevelopment:
Co-bedding in the neonatal nursery is believed to promote growth and neurodevelopment in stable preterm twins. The close proximity and skin-to-skin contact between twins allow them to engage in co-regulatory activities, such as touching, holding, and hugging, which may benefit their growth and development. These activities mimic the intrauterine environment, reducing stress and potentially enhancing their transition to extrauterine life.
Pain Relief:
Co-bedding is also explored as a comfort measure for twins undergoing painful procedures. The presence and contact with their twin, who shared the same uterine space, is thought to provide comfort and reduce pain responses during procedures. This effect is similar to the pain-relieving impact of maternal skin-to-skin contact, which has been observed in studies.
Improved Parental Satisfaction:
Some evidence suggests that measures to reduce stress in newborns may lead to improved parental satisfaction. By minimizing the stress of the extrauterine environment through co-bedding, parental satisfaction could potentially be enhanced.
Enhanced Sleep Patterns:
Co-bedding may positively impact the sleep patterns of preterm twins. This practice can provide a sense of familiarity and comfort, promoting more restful sleep and a more natural transition to extrauterine life.
It is important to note that while these benefits exist, there is a lack of extensive research on the topic. The overall quality of evidence is low due to limitations in study methods, small sample sizes, and inconsistent results. Therefore, further research is needed to make conclusive recommendations about the practice of co-bedding for newborn twins.
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Risks of co-bedding
While some sources claim that it is safe for newborn twins to co-bed, as it can help them regulate their body temperatures, sleep cycles, and soothe them, other sources claim that the risks of co-bedding outweigh any potential benefit.
Risk of Infection
Although there have been no reports of infection passing from one twin to another due to co-bedding, infection remains a possible risk when twins sleep together.
Exposure to Supplemental Oxygen
When one twin is on a nasal cannula, the other baby may be exposed to additional oxygen. High levels of supplemental oxygen can increase the risk of retinopathy of prematurity (ROP).
Errors in Caregiving
When twins share a bed, there is a risk of nurses mixing up medications, feeding amounts, or making other errors. Babies can also interfere with each other's feeding tubes or other equipment.
Safety Concerns
The American Academy of Pediatrics (AAP) recommends placing each twin in a separate sleep space to reduce the risk of sudden infant death syndrome (SIDS). Multiples are more likely to be born prematurely or have low birth weights, which can increase their risk of SIDS.
Interruption in Sleep
One twin may wake the other, disturbing their sleep. This can lead to overtiredness and crankiness during the day.
Limited Space
As twins grow, they will need more space to move around and get comfortable. In a shared crib, they may not have enough room to stretch out and move freely.
It is important to note that the decision to co-bed twins depends on various factors, including the vulnerability of the babies and the safety of the environment. It is always recommended to consult with a healthcare professional to determine the best sleeping arrangement for your twins.
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Establishing a routine
Newborn twins can sleep in the same crib, and many parents opt for this arrangement. However, the American Academy of Pediatrics (AAP) advises against co-bedding due to the increased risk of sudden infant death syndrome (SIDS). Therefore, it is recommended that each baby has their own crib or bassinet to reduce this risk.
Tips for Establishing a Routine
- Synchronise their schedules: Aim to get your twins into the same rhythm of playing, eating, and sleeping. For example, as soon as one baby wakes up, feed them and wake the other to feed them too. Similarly, if one baby cries to be fed, wake the other to feed them at the same time. This will help you to get some rest when they are both napping.
- Be flexible: Twins may have different preferences. One may prefer a cot, while the other may sleep better in a bassinet or Moses basket. It is important to be prepared to adapt to their individual needs.
- Create a soothing bedtime routine: Develop a simple routine that includes both babies, such as a warm bath, a bedtime story, and a few minutes of cuddling or singing lullabies. Stick to the same activities every night, and your babies will soon learn that these activities mean it is time to settle down.
- Help your babies fall asleep on their own: Let them drift off in their crib or bassinet, rather than in your arms. You can put them to bed after a joint bedtime activity, such as a cuddle or reading a book together.
- Co-ordinate night feeds: If one baby wakes up for a feed, feed the other at the same time.
- Get help: If you have someone to help you, feeding, bathing, and changing nappies can be done simultaneously. When alone, focus on one baby at a time.
- Be prepared for differences: Twins may develop different sleep patterns. One may sleep through the night while the other wakes up frequently. Don't rush to comfort a restless twin, as they are unlikely to wake their sibling.
- Keep cribs close together: If your twins are in separate cribs, place them next to each other so they can see and touch each other. This can help them bond and settle.
- Create a safe sleep environment: Ensure the cribs are free from extra bedding, stuffed animals, or loose clothing. Choose a crib or bassinet with a flat, firm surface and a tight-fitting sheet.
- Stop co-bedding when your twins become mobile: If one twin starts to roll over or show signs of mobility, it is time to move them into separate cribs. This usually occurs between three to five months of age.
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Crib alternatives
If you are unable to accommodate two cribs in your home, there are several alternatives to consider. Here are some options to explore:
Bassinets: Bassinets are a great option for newborn twins, especially if you are recovering from a C-section delivery. They provide easy access to your babies without having to bend over as much as you would with a traditional crib. Bassinets can be placed right next to your bed, making it convenient for nursing and comforting your twins during the night. Separate bassinets offer the added benefit of flexibility, as one twin may prefer a bassinet while the other may be more comfortable in a crib.
Mini Cribs: If you're looking for a space-saving solution, mini cribs might be worth considering. However, keep in mind that they may be outgrown sooner than standard-sized cribs.
Twin Bassinets: Twin bassinets are connected, allowing your twins to sleep side by side in their own space. This option provides the closeness of co-bedding while still providing separate sleeping areas.
Specialty Cribs: There are specialty cribs designed specifically for twins, such as the Duetta Twin Crib, which features two round cribs that can be connected during infancy and detached as your twins grow older. Another example is the Benzara Modular Dual-Level Slatted Crib, which has a single piece modular design with a swing-down safety gate and a roll-out door. While these specialty cribs can be innovative and aesthetically pleasing, they tend to be more expensive and harder to find.
Bunkie Cribs: If space is limited, Bunkie Cribs are a double-decker, stackable option that stands against a wall, similar to a bunk bed. These cribs are commonly used in daycares and can be a space-saving solution for twins in a home or apartment with limited space. However, they tend to be more costly and may take a few weeks to arrive as they are often built to order.
Pack 'N Play: A short-term alternative is a Pack 'N Play, which allows your twins to sleep side by side in their own space. As they grow, you can remove the bassinets, and the Pack 'N Play can still be used for naps, playtime, or travel.
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Frequently asked questions
There is conflicting advice on this topic. Some sources say that it is safe for newborn twins to sleep in the same crib, initially at least. However, others say that the risks of co-bedding outweigh any potential benefits and that twins should sleep in separate cribs to reduce the risk of sudden infant death syndrome (SIDS). Ultimately, it is the parent or caregiver's decision.
Some parents say that their twins sleep better when they are close by. Sleeping in the same crib can also help twins regulate their body temperatures and sleep cycles.
The American Academy of Pediatrics (AAP) advises against co-bedding for twins as it could increase the risk of SIDS. Twins born prematurely or with low birth weights are already at a higher risk of SIDS, and having separate cribs can lower this risk.
