Co-Sleeping With Newborns: Safe Or Not?

is it ok to sleep with newborn

Newborns sleep around the clock, waking every few hours to eat. They should get 14–17 hours of sleep over a 24-hour period, with some sleeping up to 18–19 hours a day. While co-sleeping can aid in breastfeeding and bonding, it is associated with an increased risk of sudden unexpected death in infancy (SUDI), including sudden infant death syndrome (SIDS) and fatal sleep accidents. Creating a safe sleep environment for newborns is crucial, including a firm, flat, and level surface, free from hazards like soft bedding, toys, and smoke exposure. Room-sharing without bed-sharing is recommended as it reduces the risk of SIDS and accidental suffocation or strangulation.

Characteristics Values
Number of hours of sleep required by newborns 14-17 hours over a 24-hour period
Newborns' sense of day and night Not developed yet
Feeding frequency Every 2-4 hours, depending on whether they are breastfed or bottle-fed
Co-sleeping Can help with breastfeeding and bonding, but is associated with an increased risk of sudden unexpected death in infancy (SUDI)
Safe co-sleeping practices Keeping the baby on their back, on a firm, flat, and level surface, in a clear, smoke-free, and not-too-hot environment
Unsafe co-sleeping practices Sleeping on sofas or armchairs, co-sleeping when unwell, extremely tired, or under the influence of drugs or alcohol, or when the baby is premature or has a low birth weight

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Co-sleeping can increase the risk of sudden unexpected death in infancy (SUDI)

While it is biologically normal for newborns to need contact napping, co-sleeping can increase the risk of sudden unexpected death in infancy (SUDI). This risk is especially high if the adult co-sleeper has consumed more than two units of alcohol or is a smoker. Evidence suggests that co-sleeping on a sofa also increases the risk of SUDI, as the baby's head can become trapped in the cushions or between the adult and the sofa back, increasing the thermal environment and causing suffocation.

It is important to note that following safe sleep guidelines is crucial when considering co-sleeping. While it is recommended to room share for the first six months of an infant's life, bed sharing is not advised. Instead, parents can opt for a sturdy crib or bassinet placed in the same room as them. This allows for the baby to have their own safe sleep space while still being close to their caregivers.

Additionally, creating a calming sleep environment can help wean babies off contact napping around 3-4 months of age. Swaddling, for example, can provide a sense of security and prevent startling. Establishing a regular bedtime routine that includes soothing activities, such as reading or singing, can also help the baby relax and prepare for sleep.

While it may be tempting to fall asleep with your newborn in your arms, prioritizing safety is essential. By following safe sleep practices and creating a soothing environment, you can reduce the risks associated with co-sleeping while still meeting your baby's needs for comfort and closeness.

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Breastfeeding reduces the risk of sudden infant death syndrome (SIDS)

Newborns sleep around the clock, waking up every couple of hours to feed. They do not yet have a sense of day and night, and it may take a few weeks for their brains to develop this distinction. It is recommended that newborns get 14-17 hours of sleep over a 24-hour period, with some sleeping up to 18-19 hours a day.

Breastfeeding is important for newborns as it reduces the risk of sudden infant death syndrome (SIDS). Both partial and exclusive breastfeeding are associated with a reduced risk of SIDS, with studies showing a 50% reduction in risk at all ages throughout infancy. The German Study of Sudden Infant Death, a case-control study of 333 infants who died of SIDS and 998 age-matched controls, found that exclusive breastfeeding at 1 month of age halved the risk of SIDS.

The reasons why some babies die suddenly from SIDS are not fully understood, but creating a safe sleep environment can help to reduce the risk. This includes placing babies on their back to sleep, using a firm and flat mattress, and keeping the sleep space clear of any items that could cause suffocation or strangulation, such as pillows, blankets, toys, and other bedding. It is also important to keep the baby's head uncovered during sleep and to avoid exposing them to cigarette smoke or allowing them to overheat.

Co-sleeping with newborns can have benefits, such as facilitating breastfeeding and bonding. However, it is important to take precautions to ensure the baby's safety. For example, co-sleeping on a couch or chair is unsafe, as it can obstruct the baby's airways and lead to suffocation. If you choose to co-sleep, it is recommended to do so in a clear, smoke-free space, with the baby sleeping on their back on a firm, flat, and level surface.

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A newborn baby's sleep space should be clear of hazards

To create a safe sleep environment for your newborn, it is important to follow certain guidelines. Firstly, ensure that the sleep surface is firm, flat, and level. A crib with a fitted sheet covering the mattress is a safe option. Soft surfaces, such as couches, sofas, waterbeds, memory foam, and adult mattresses, should be avoided as they increase the risk of SIDS and other sleep-related deaths, including entrapment, suffocation, and strangulation.

Additionally, keep the baby's sleep area free from hazards such as items with cords, ties, or ribbons that can wrap around their neck, and objects with sharp edges or corners. Hanging mobiles, wall hangings, pictures, draperies, and window blind cords should be out of reach to prevent any potential harm. It is also important to avoid using products or devices that claim to lower the risk of SIDS, such as sleep positioners or monitors.

To reduce the risk of SIDS, it is recommended to place your baby on their back to sleep, both during the day and at night. Exposing a baby to cigarette smoke or allowing them to overheat increases the risk of SIDS. Keep the room temperature comfortable, between 16 to 20°C, and avoid using hot water bottles, electric blankets, or placing the crib near a heat source.

By following these guidelines, you can help create a safe sleep space for your newborn, reducing potential hazards and ensuring a more peaceful sleep for both you and your baby.

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A newborn baby's sleep surface should be firm, flat and level

A newborn baby's sleep surface should be firm, flat, and level. This means that the mattress should be firm enough to return to its original shape quickly if pressed on, and the surface should resemble a table rather than a hammock. The crib or bassinet should be in a clear space, away from walls, other people, and soft surfaces, which can cause suffocation. Soft surfaces such as couches, sofas, waterbeds, memory foam, air or pillow-top adult mattresses, quilts, blankets, and sheepskins are not safe for babies to sleep on. The Consumer Product Safety Commission has more information on crib safety.

It is important to keep the baby's sleep environment smoke-free, as exposure to second-hand and third-hand smoke is harmful to babies, and adult smoking increases the risk of sudden unexpected death in infancy (SUDI) and sudden infant death syndrome (SIDS). The baby should sleep on their back, and their head should not be covered while sleeping. The baby's sleep environment should be kept at a comfortable temperature to avoid overheating.

Room-sharing without bed-sharing is recommended as the safest option for newborns. This means that the baby sleeps in a separate sleep space, such as a crib, bassinet, cot, or Moses basket, in the same room as their parents. This arrangement reduces the risk of SIDS and other sleep-related deaths compared to sharing an adult bed with the baby or sleeping in a separate room.

If bed-sharing is chosen, there are ways to reduce the risks. It is important to avoid bed-sharing if anyone in the bed smokes, consumes alcohol, or takes medicines that cause sleepiness. Additionally, bed-sharing should be avoided if the baby was born prematurely or had a low birth weight. Keep the bed clear of pillows, blankets, and other items that could cover the baby's head or cause overheating.

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Room-sharing without bed-sharing is the safest option

Newborns sleep around the clock, waking every few hours to feed. They do not yet have a sense of day and night, and it may take a few weeks for their brains to develop this distinction.

Many parents feel the urge to sleep with their newborns, and many newborns demand to be held by their parents. This is natural, as human babies are contact seekers, and bed-sharing is an ancient practice. However, it is important to note that bed-sharing can be dangerous for newborns.

If you do choose to co-sleep with your baby, there are ways to make it safer. Keep pillows, blankets, toys, and other items that could cover the baby's head away from them. Make sure there is nowhere the baby could get trapped, such as between the mattress and the wall. Do not co-sleep if you or your partner smoke, or if either of you is under the influence of drugs or alcohol. Sleeping with a baby on a couch or chair is always unsafe, as it can obstruct the baby's airways and lead to suffocation.

Frequently asked questions

It is not recommended to sleep with a newborn as it is associated with an increased risk of sudden unexpected death in infancy (SUDI) including sudden infant death syndrome (SIDS) and fatal sleep accidents.

Co-sleeping can increase the risk of SIDS, suffocation, strangulation, and entrapment.

Room-sharing without bed-sharing is the safest option. Keep the baby in a safety-approved crib next to the adult bed.

If you choose to co-sleep, make sure there are no pillows, sheets, blankets, toys, or other items that could cover the baby's head or cause them to overheat. Also, ensure the baby sleeps on their back on a firm, flat, and level surface.

Co-sleeping can help with breastfeeding, make it easier to respond to babies during the night, and promote bonding.

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