
Co-sleeping with a newborn is a controversial topic, with cultural norms and individual preferences varying widely. While some parents believe that the benefits of co-sleeping, such as convenience and bonding, outweigh the risks, health experts and organizations like the American Academy of Pediatrics (AAP) advise against bed-sharing due to serious safety concerns, including suffocation, strangulation, and Sudden Infant Death Syndrome (SIDS). Understanding the risks and taking precautions is crucial for parents who choose to co-sleep.
| Characteristics | Values |
|---|---|
| Cultural norms | In some cultures, co-sleeping is the norm. In Japan, the most common sleeping arrangement is referred to as kawa no ji, where the baby sleeps between the mother and father. |
| Benefits | Co-sleeping can help with breastfeeding, make it easier to respond to babies during the night, and be good for bonding. |
| Risks | Co-sleeping is associated with an increased risk of accidental death in babies, including suffocation, strangulation, and sudden infant death syndrome (SIDS). |
| Safe practices | If co-sleeping, place the baby on their back, away from the edge of the bed, and to the side of one parent. Use a firm, flat, and level mattress, and keep the baby's sleep space clear of pillows, sheets, blankets, toys, and other items. |
| Recommendations | The American Academy of Pediatrics (AAP) and other leading organizations recommend room-sharing without bed-sharing. Sleeping in the same room as the parents but on a separate surface lowers a baby's risk of SIDS. |
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What You'll Learn
- Co-sleeping can increase the risk of SIDS, suffocation, strangulation, and fatal sleep accidents
- Co-sleeping can be beneficial for breastfeeding and bonding
- The AAP recommends room-sharing without bed-sharing
- Bed-sharing is common in some cultures, with a lower risk of infant deaths
- Co-sleeping can happen unintentionally, e.g., falling asleep on a couch or chair, which is unsafe

Co-sleeping can increase the risk of SIDS, suffocation, strangulation, and fatal sleep accidents
Sudden Infant Death Syndrome (SIDS) is a significant concern when it comes to co-sleeping. Studies have shown that bed-sharing can increase the risk of SIDS, especially when other risk factors are present, such as maternal smoking, alcohol consumption, drug use, or if the baby was born prematurely or is underweight. The risk of SIDS is further elevated when co-sleeping occurs on a sofa or armchair, with the baby being up to 50 times more likely to die from SIDS in these circumstances. It is crucial for parents to be aware of these hazards and take necessary precautions to create a safe sleeping environment for their baby.
Co-sleeping can also increase the risk of suffocation for newborns. Soft bedding, pillows, and the possibility of the infant's head being covered by bedding or the adult's body can obstruct the baby's breathing. Additionally, the risk of strangulation is present, especially if there are cords, wires, or loose bedding nearby that the baby could get entangled in.
Furthermore, co-sleeping increases the chances of fatal sleep accidents. For example, an adult rolling over in their sleep could accidentally suffocate the baby or cause the baby to fall off the bed. These accidents can have tragic consequences and it is important for parents to be vigilant about creating a safe sleeping environment to mitigate these risks.
While co-sleeping can have benefits, such as promoting breastfeeding and enhancing the bond between the parent and child, it is crucial for parents to carefully weigh the risks and take appropriate precautions. This includes ensuring the baby sleeps on their back, using a firm mattress, and avoiding co-sleeping on sofas, armchairs, or other hazardous surfaces. By following safer sleep practices, parents can reduce the risk of SIDS, suffocation, strangulation, and fatal sleep accidents while still enjoying the benefits of co-sleeping.
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Co-sleeping can be beneficial for breastfeeding and bonding
Co-sleeping, or bed-sharing, is a highly controversial topic, with leading organisations like the American Academy of Pediatrics (AAP) advising against the practice. Despite this, many parents still choose to co-sleep, with some believing that the benefits outweigh the risks.
Anthropologist James J. McKenna, who has devoted his career to studying the sleep of babies and their caregivers, notes that babies are \"laser-focused\" on their mother's breast throughout the night. He suggests that babies have evolved to experience this closeness, and that their growth is intended to occur most safely near an adult's body, especially in the first few months of life when the baby's physiology is immature.
Co-sleeping can also promote bonding between the baby and the parents. Skin-to-skin contact can calm the baby and strengthen the emotional bond, and the baby may feel a greater sense of security and well-being from sleeping near their parents.
However, it is important to note that co-sleeping is associated with an increased risk of sudden unexpected death in infancy (SUDI), including sudden infant death syndrome (SIDS) and fatal sleep accidents. If you plan to co-sleep, there are ways to reduce these risks, such as keeping the baby on their back, away from the edge of the bed, and ensuring their airways remain open and clear of obstructions.
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The AAP recommends room-sharing without bed-sharing
The American Academy of Pediatrics (AAP) recommends room-sharing without bed-sharing. According to the AAP, parents should sleep in the same room as their baby but not in the same bed. This is because bed-sharing increases the risk of suffocation, sudden infant death syndrome (SIDS), and other sleep-related deaths.
The AAP's safe sleeping guidelines, which were updated in June 2022, state that parents should never let their baby sleep in the same bed as them. Instead, the AAP recommends that infants sleep alone on their backs on a flat, firm mattress with a tightly fitted sheet. This type of safe sleep environment helps to lower the risk of all sleep-related infant deaths.
The AAP recommends that infants stay in the same room as their parents for at least the first six months of their lives. This arrangement is known as room-sharing and can help to promote safe sleep. By room-sharing, parents can keep a close eye on their baby and respond to any needs during the night. It can also be beneficial for breastfeeding and can help with bonding.
To create a safe sleep environment for room-sharing, it is important to remove any items that could pose a risk to the baby, such as pillows, sheets, blankets, toys, and other items that could create a strangulation risk. It is also crucial to ensure that the baby's sleep space is completely smoke-free, as exposure to second-hand and third-hand smoke is harmful to infants and increases the risk of SUDI.
While the AAP recommends against bed-sharing, it is important to recognize that this practice is common in some cultures, and the number of infant deaths related to it is low. Differences in mattresses, bedding, and other cultural practices may account for the lower risk in these countries. However, for parents who choose to bed-share, it is essential to follow safety precautions to reduce the risks.
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Bed-sharing is common in some cultures, with a lower risk of infant deaths
Bed-sharing is a common practice in many cultures, with some anthropologists estimating that it is a tradition in at least 40% of all documented cultures. For instance, in Japan, the most common sleeping arrangement is referred to as "kawa no ji", where the shorter line represents the child sleeping between the mother and father, represented by the longer lines. In modern hunter-gatherer cultures, bed-sharing is universal, and it is believed that Homo sapien mothers and their newborns have been sleeping together for over 200,000 years.
However, the practice of bed-sharing has been controversial due to concerns about the risk of sudden infant death syndrome (SIDS) and other sleep-related accidents. While some studies have found a link between bed-sharing and SIDS, particularly when hazardous conditions are present, others argue that bed-sharing in the absence of these hazards does not significantly increase the risk. For example, two studies cited by Robert Platt, a biostatistician at McGill University, found that for babies older than 3 months, there was no detectable increased risk of SIDS among families that practiced bed-sharing when other risk factors were absent.
It is important to note that certain risk factors, such as smoking, alcohol consumption, and drug use, can increase the hazard of bed-sharing. In Alaska, among the infants who died while bed-sharing, 75% had evidence of either prenatal or postnatal maternal tobacco use, and 43% had been exposed to alcohol, tobacco, or other impairment-causing drugs on the night of death. Additionally, sleeping on a sofa, couch, or chair is consistently associated with a higher risk of SIDS, regardless of infant age.
To reduce the risks associated with bed-sharing, parents can take several precautions. These include ensuring the baby sleeps on their back, away from the edge of the bed, and next to only one parent. It is also crucial to maintain a smoke-free environment, as secondhand smoke exposure can increase the risk of SIDS. By addressing these risk factors, parents can make informed decisions about bed-sharing and create a safer sleep environment for their infants.
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Co-sleeping can happen unintentionally, e.g., falling asleep on a couch or chair, which is unsafe
Co-sleeping or bed-sharing with a newborn is a controversial topic. While it is associated with an increased risk of accidental death, some parents believe the benefits outweigh the risks. Co-sleeping can be intentional or unintentional, and the latter can be unsafe.
Unintentional co-sleeping can occur when parents fall asleep on a couch or chair while holding their baby. This is always unsafe because it can obstruct the baby's airways and lead to suffocation. Soft, lumpy surfaces can create air pockets, making it difficult for newborns to breathe. Therefore, if you think you might fall asleep in a chair or on a couch while holding your baby, it is recommended to move your baby to a safer location.
A safe sleep environment is critical to reducing the risk of sleep-related infant deaths. When co-sleeping, parents should ensure that the baby's sleep space is clear of any items that could create a strangulation risk, such as jewellery, teething necklaces, or loose hair. Additionally, adult bedding, pillows, sheets, blankets, and soft mattresses should be avoided as they can increase the risk of suffocation.
To promote safe sleep, it is recommended that parents room-share with their newborns but avoid bed-sharing. This means that the baby should sleep in the same room as the parents but on a separate surface, such as a crib or bassinet. This arrangement helps to maintain the desired closeness, especially if the mother is breastfeeding, while reducing the risk of sudden infant death syndrome (SIDS) and other sleep-related deaths.
While co-sleeping can have benefits, such as convenience and bonding, it is important to prioritize the safety of the newborn. By creating a safe sleep environment and following guidelines from trusted sources, parents can make informed decisions about co-sleeping and reduce potential risks.
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Frequently asked questions
No, it is not safe for newborns to sleep with their parents. The American Academy of Pediatrics (AAP) recommends room-sharing without bed-sharing. Sleeping in the parents' room but on a separate surface lowers a baby's risk of SIDS. Bed-sharing increases the risk of suffocation, strangulation, and SIDS.
The risks of newborns sleeping in the same bed as their parents include suffocation, strangulation, and sudden infant death syndrome (SIDS). The risk of SIDS also goes up if the parents smoke or drink alcohol.
Alternatives to bed-sharing include room-sharing, where the baby sleeps in the same room as the parents but on a separate surface such as a bassinet, play yard, or crib. Another option is a bedside sleeper, which attaches to the bed, allowing the baby and parent to be next to each other but on separate surfaces.
If parents choose to bed-share, they can take precautions to make it safer. These include placing the baby on their back, away from the edge of the bed, and to the side of one parent. The mattress should be firm, flat, and level, and the baby should be dressed in minimal clothing to avoid overheating. Keep the baby's sleep space clear of any items that could create a strangulation risk, such as pillows, blankets, toys, or loose cords.














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