
Co-sleeping, or bed-sharing, is a common practice among parents with infants and toddlers. While some parents choose to co-sleep to foster a sense of security and enable easier breastfeeding, others may do so unintentionally, falling asleep with their child. However, concerns have been raised about the safety of co-sleeping, especially with infants under 12 months old, due to risks such as suffocation and sudden infant death syndrome (SIDS). The American Academy of Pediatrics (AAP) discourages co-sleeping with children under one year of age, recommending room-sharing without bed-sharing for the first six months. As toddlers gain more mobility and independence, co-sleeping may become less risky but can still disrupt the sleep quality of both parents and children. Ultimately, the decision to co-sleep should be made with careful consideration of safety guidelines and in consultation with a pediatrician.
| Characteristics | Values |
|---|---|
| Safety | Co-sleeping is generally considered safe for children over 1 year old. The older a child gets, the less risky it becomes as they can more easily move, roll over, and free themselves from restraint. Co-sleeping with infants under 12 months of age is potentially dangerous due to the risk of entrapment, suffocation, and sudden infant death syndrome (SIDS). |
| Benefits | Co-sleeping can help foster a deeper bond between parents and children, providing a sense of safety and security for the child. It can also make nighttime breastfeeding more convenient and peaceful for nursing parents and babies. |
| Drawbacks | Co-sleeping can be disruptive to sleep for both parents and children due to the child's movements during sleep. It may also lead to issues with the child's independence and ability to self-soothe as they get older. |
| Recommendations | The American Academy of Pediatrics (AAP) recommends room-sharing for the first 6 months of a child's life but advises against bed-sharing, especially with children under 1 year old. The AAP suggests using a separate sleep space such as a crib, bassinet, or Moses basket in the same room as the parents. |
| Risk Factors | Risk factors associated with co-sleeping include soft bedding, pillows, excessive bedding, smoking, alcohol or drug use, and formula feeding. |
| Precautions | If choosing to co-sleep, it is important to take precautions such as removing loose bedding, pillows, and other items that could cause suffocation. It is also recommended to discuss co-sleeping with a pediatrician to ensure a safe sleeping environment. |
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What You'll Learn

Co-sleeping can help parents and children bond
Co-sleeping with an 18-month-old is generally considered safe. As children get older, they can more easily free themselves from restraint, reducing the risk of entrapment, suffocation, and sudden infant death syndrome (SIDS).
Additionally, co-sleeping facilitates nighttime nursing, making it easier for breastfeeding parents to feed their babies with minimal disruption to their sleep. This can also encourage extended breastfeeding. Co-sleeping can be particularly beneficial for fathers, as research suggests that fathers who sleep close to their babies exhibit lower testosterone levels, which is associated with more sensitive and responsive parenting.
While co-sleeping can have benefits, it is important to consider potential drawbacks and risks. Co-sleeping can be disruptive to sleep due to the restless nature of a toddler's sleep. It is also important to avoid co-sleeping if the parent has consumed alcohol or taken drugs that may affect their ability to respond to the child. Furthermore, allowing children to co-sleep for too long may hinder their ability to develop independence and self-soothing skills. Therefore, it is recommended to create a plan for the child to transition to their own sleeping space by the age of one.
Overall, co-sleeping can help parents and children bond by promoting physical closeness, a sense of security, and easier nighttime nursing. However, it should be approached with caution and tailored to the specific needs and circumstances of each family.
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Co-sleeping can be disruptive
Co-sleeping with an 18-month-old is generally considered safe, as by this age, toddlers can usually roll over and free themselves if they become trapped in bedding. However, co-sleeping can be disruptive to your sleep. Toddlers tend to move around a lot in their sleep, and their limbs can flail, leading to a less restful night for you. A 2015 study found that mothers who co-slept with their infants experienced more night wakings and poorer sleep quality compared to mothers whose infants slept independently.
While co-sleeping can foster a sense of security and enable deeper bonding between parent and child, it can also disrupt your sleep patterns and quality of sleep. As toddlers grow, they may start to claim their independence and desire more physical space, which can impact your sleep arrangements. Additionally, co-sleeping may lead to a child associating sleep with the presence of their parents, making it challenging to transition to independent sleep later on.
The decision to co-sleep should consider the potential disruptions to your sleep. While co-sleeping can facilitate nighttime breastfeeding and provide a sense of security for the child, it may result in fragmented sleep for the parent. If you choose to co-sleep, it is important to maintain a safe sleeping environment by keeping the sleeping area clear of loose objects, bedding, or toys that could pose a risk of suffocation or entrapment.
Furthermore, co-sleeping arrangements may vary depending on cultural practices and individual circumstances. Some cultures practice co-sleeping more commonly, and it is associated with lower rates of Sudden Infant Death Syndrome (SIDS). However, it is important to be mindful of specific risk factors, such as smoking, alcohol consumption, formula feeding, or unsafe sleeping surfaces which can increase the risk of SIDS or accidental suffocation.
Ultimately, the decision to co-sleep should consider the potential benefits and disruptions to sleep. While co-sleeping can facilitate bonding and nighttime feeding, it may result in fragmented sleep for the parent and impact the child's ability to develop independent sleeping habits. It is essential to prioritize sleep safety and be mindful of any factors that may increase the risk of SIDS or accidental suffocation.
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Co-sleeping can cause children to become codependent
Co-sleeping with an 18-month-old is generally considered safe. The older a child gets, the less risky co-sleeping becomes as they can more readily move, roll over, and free themselves from restraint. However, co-sleeping with infants under 12 months of age is potentially dangerous due to the risk of entrapment, suffocation, and sudden infant death syndrome (SIDS).
While co-sleeping can have benefits such as fostering a sense of security and making nighttime nursing easier, there are also potential drawbacks and safety concerns. One concern is that co-sleeping can cause children to become codependent or enmeshed with parental figures, which can negatively affect their short-term and long-term adjustment. By allowing children to share an adult's sleep space for too long, they may struggle with becoming independent and self-soothing. It is recommended that by the age of one, children should start transitioning to their own sleeping space to foster an emerging sense of self and independent thinking.
However, the impact of co-sleeping on children's development and mental health is a highly debated topic, with some arguing that it is a Western-centric and narrow-minded perspective. Communal sleeping has been the norm for most of history and continues to be common in many cultures, and there is research suggesting that early cosleepers exhibit more social independence and self-reliance.
Overall, the decision to co-sleep with an 18-month-old involves weighing the potential benefits and drawbacks, and it is crucial for parents to be well-informed and take precautions to enhance safety.
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Co-sleeping is linked to a heightened risk of SIDS
Co-sleeping is a practice that involves parents and infants sharing the same sleeping surface, such as a bed. While it can facilitate breastfeeding, comforting, and nurturing throughout the night, there are safety concerns associated with it, particularly regarding the risk of Sudden Infant Death Syndrome (SIDS).
The American Academy of Pediatrics (AAP) has long recommended that parents avoid any bed-sharing to prevent SIDS. They highlight the increased risk of accidental suffocation, entrapment, or SIDS associated with bed-sharing, especially when certain factors are present, such as soft bedding, pillows, or excessive bedding. The AAP's stance is based on studies that show a link between co-sleeping and an increased risk of SIDS under certain hazardous circumstances. These circumstances include sofa-sharing, co-sleeping in a chair, infant tobacco exposure, co-sleeping with an adult impaired by alcohol, and co-sleeping with a low-birthweight or preterm infant.
In Ireland, for example, 49% of SIDS cases occur when the infant is bed-sharing with an adult. Additionally, the risk associated with bed-sharing was found to be three times greater for infants with low birth weight and increased fourfold if the combined tog value of clothing and bedding was high. Similarly, a study from New Zealand showed that co-sleeping was a significant risk factor for SIDS when parents smoked, consumed alcohol, or used drugs.
However, it is important to note that not all studies have found a definitive link between co-sleeping and SIDS. Some studies have shown that bed-sharing in the absence of hazards may actually be protective against SIDS in infants older than 3 months. Additionally, populations with high bed-sharing rates often have low rates of sleep-related deaths, suggesting that other factors may contribute to the risk of SIDS.
While the research on the link between co-sleeping and SIDS is mixed, it is generally recommended that parents avoid bed-sharing, especially under hazardous circumstances, to minimize the risk of SIDS and other sleep-related infant deaths.
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Co-sleeping can help parents breastfeed
Co-sleeping is generally considered safe for children over the age of one. The risks associated with co-sleeping are greatly reduced once a child can move, roll over, and free themselves from restraint. Co-sleeping with infants under 12 months of age is potentially dangerous as they may not be able to extract themselves from heavy bedding or adult bodies, increasing the risk of entrapment, suffocation, and sudden infant death syndrome (SIDS).
Co-sleeping can be particularly beneficial for breastfeeding parents and their babies. It allows babies easy access to nursing throughout the night, resulting in less hungry wake-ups and a greater likelihood of staying on their growth curve. Co-sleeping can also help maintain a breastfeeding parent's milk supply. Night-time breastfeeding stimulates the production of prolactin, the hormone that supports milk production, and increases the volume of milk produced by removing more milk from the breast.
Co-sleeping can also help to minimise sleep disruption for both the parent and baby. Bed-sharing parents can often wake only briefly to help their babies latch and then return to sleep or rest deeply during the feed. A UK study found that breastfeeding families who bed-shared were more motivated to continue breastfeeding past the six-month mark. Additionally, mothers who bed-share with their babies tend to breastfeed longer and maintain exclusive breastfeeding for longer periods than those who do not co-sleep.
However, it is important to note that co-sleeping may not be suitable for all families. It can be disruptive, especially if the child is a restless sleeper. Co-sleeping may also hinder the development of independence and self-soothing behaviours in older children. Furthermore, certain factors can increase the risks associated with co-sleeping, such as soft bedding, pillows, excessive bedding, and the presence of substances like alcohol or drugs. It is crucial for parents to be well-informed about the potential benefits and risks of co-sleeping and to take the necessary precautions to ensure a safe sleep environment.
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Frequently asked questions
Co-sleeping with a child over 1 year old is generally considered safe. The older a child gets, the less risky it becomes as they can more readily move, roll over, and free themselves from restraint. However, it is still best for them to sleep on their own to foster independent, solution-focused thinking.
Co-sleeping can help you bond on a deeper level, and give your child a sense of safety and security. It can also be more convenient for nursing parents who need to feed their babies in the middle of the night.
Co-sleeping can be majorly disruptive as toddlers tend to move around a lot in their sleep. It can also be dangerous if the parent has been drinking alcohol or taking drugs that can hamper their ability to stir.
You can try room sharing with a co-sleeper that pulls up to the side of your bed or get a traditional bassinet that keeps the baby safely at arm's reach.
If you choose to co-sleep, it's crucial to be well-informed and take precautions to enhance safety. Keep pillows, loose blankets, and adult bedding away from the baby to reduce the risk of suffocation. Also, ensure that you are sober and well-rested to reduce the risk of rolling over onto your baby.








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