
Co-sleeping is a common yet controversial topic for many parents. It involves sleeping in close proximity to a child, either by room-sharing, bed-sharing, or sidecar arrangements. Bed-sharing is a subset of co-sleeping, where babies and young children sleep in the same bed as one or both parents. While co-sleeping can have benefits such as improved breastfeeding and bonding, it is also associated with increased risks, including sudden infant death syndrome (SIDS) and fatal sleep accidents, especially in certain circumstances. The risks can be mitigated by following safe co-sleeping practices, such as ensuring a firm and flat sleeping surface, keeping the baby's face and head uncovered, and avoiding co-sleeping when the parent is under the influence of substances or extremely tired.
Characteristics of co-sleeping with a newborn
| Characteristics | Values |
|---|---|
| Definition | Co-sleeping is when babies sleep on the same surface as another person, such as a parent or sibling. |
| Benefits | Co-sleeping can help with breastfeeding, make it easier to respond to babies during the night, and is good for bonding with babies. |
| Risks | 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. |
| Safe practices | To reduce the risks of co-sleeping, it is recommended to use a firm, flat and level mattress, remove any objects that could cause strangulation, and ensure the baby's environment is smoke-free. |
| Recommendations | It is generally recommended that babies sleep in their own safe sleeping space next to the parent's bed for the first 6 to 12 months of life. |
| Cultural differences | Co-sleeping is standard practice in many parts of the world and is viewed differently in different cultures. |
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What You'll Learn
- Co-sleeping is when a baby sleeps on the same surface as another person, like a parent or sibling
- Co-sleeping can be planned or unintentional, for example, when parents fall asleep on a couch holding their baby
- The American Academy of Pediatrics recommends rooming-in, where newborns are kept very close to their parents but on a separate sleeping surface
- Bed-sharing is a subset of co-sleeping, where babies sleep in the same bed as one or both parents
- Co-sleeping is associated with an increased risk of sudden unexpected death in infancy (SUDI), including SIDS and fatal sleep accidents

Co-sleeping is when a baby sleeps on the same surface as another person, like a parent or sibling
One benefit of co-sleeping is that it can facilitate breastfeeding and make it easier to respond to babies during the night. It can also promote bonding between the caregiver and the child. Co-sleeping can help to minimise sleep disruption for both the parent and the baby, as the parent can easily feed and comfort the baby without having to get out of bed. Additionally, co-sleeping can provide a sense of comfort and security for the baby, as they can sense the presence of their parents through touch, smell, taste, or noise.
However, co-sleeping has been associated with an increased risk of sudden unexpected death in infancy (SUDI), including sudden infant death syndrome (SIDS) and fatal sleep accidents. Certain factors can further increase the risk of SUDI in co-sleeping babies, such as exposure to cigarette smoke, alcohol consumption, or the use of sleep-inducing drugs by the parent. It is recommended that parents who smoke or consume alcohol or drugs do not co-sleep with their babies and take necessary precautions to ensure their baby's sleep environment is safe.
To make co-sleeping safer, it is important to ensure that the baby can breathe easily by keeping their airways open and their head and face uncovered. The sleep surface should be firm, flat, and level, without any soft bedding, pillows, or toys that could pose a suffocation or strangulation risk. It is also crucial to be cautious about falling asleep while holding the baby, especially on a couch or chair, as this can obstruct the baby's airways and lead to suffocation.
While co-sleeping can have benefits, it is essential to carefully consider the potential risks and take the necessary precautions to ensure the safety of the baby. It is always recommended to consult with healthcare professionals and follow safe co-sleeping guidelines to make informed decisions regarding co-sleeping with a newborn.
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Co-sleeping can be planned or unintentional, for example, when parents fall asleep on a couch holding their baby
Co-sleeping is a common practice where babies sleep in close proximity to their parents or siblings. This can mean sleeping on the same surface, in the same bed, or simply in the same room. Co-sleeping can be planned or unintentional, such as when parents fall asleep on a couch holding their baby. While co-sleeping can have benefits, it is important to take precautions to ensure the safety of the baby.
Planned co-sleeping often involves bringing the baby into the bed to sleep with the parents. This can be convenient for breastfeeding and night-time care, and it can also promote bonding between the baby and the parents. However, it is important to note that bed-sharing is generally not recommended for infants under 1 year old, as it can pose risks to the baby's health and safety.
Unintentional co-sleeping, such as falling asleep on a couch or chair while holding the baby, is always unsafe. This is because it can obstruct the baby's airways and lead to suffocation. If you find yourself in this situation, it is important to move the baby to a safe sleeping surface, such as a crib or bassinet.
To reduce the risks associated with co-sleeping, experts recommend taking the following precautions:
- Creating a safe sleep environment by using a firm, flat and level mattress, removing soft objects like pillows and toys, and ensuring the baby's face and head are uncovered.
- Avoiding co-sleeping if the parent or anyone in the bed has consumed alcohol or drugs, is a smoker, or is extremely tired, as these factors can increase the risk of SUDI, including SIDS and fatal sleep accidents.
- Room-sharing is generally recommended over bed-sharing, as it allows for sensory proximity while providing a separate sleeping surface for the baby.
By following these precautions, parents can make informed decisions about co-sleeping and ensure the safety and well-being of their newborn.
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The American Academy of Pediatrics recommends rooming-in, where newborns are kept very close to their parents but on a separate sleeping surface
Co-sleeping is a common yet controversial topic for many parents. It is a practice in which babies and young children sleep close to one or both parents, as opposed to in a separate room. Bed-sharing is a subset of co-sleeping, where babies sleep in the same bed as their parents.
While co-sleeping can have benefits, it is also associated with certain risks. One of the main concerns is the risk of sudden infant death syndrome (SIDS). Research on the association between SIDS and co-sleeping has yielded mixed results, with some studies indicating an increased risk of SIDS with co-sleeping, especially bed-sharing, while other studies suggest that co-sleeping done in a safe and appropriate manner can reduce the risk of SIDS. It is crucial for parents to be aware of safe co-sleeping practices and to avoid co-sleeping if they smoke, consume alcohol or drugs, or are extremely tired, as these factors can increase the risk of SIDS and other hazards such as suffocation and strangulation.
Additionally, co-sleeping can also lead to unhealthy dependence of the child on the parent(s) and can be stressful for the child when they are not co-sleeping. It is important for parents to make informed decisions about co-sleeping, considering both the benefits and risks, and to follow safe co-sleeping practices if they choose to co-sleep with their newborn.
To ensure safe co-sleeping, parents should follow guidelines such as placing infants on their backs on a firm, flat, and level surface, keeping the sleep environment smoke-free, and removing any objects that could create a strangulation risk, such as jewellery or loose hair. It is also recommended to use a safe infant sleeping bag to prevent babies from sharing adult bedding and to ensure their faces and heads are uncovered.
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Bed-sharing is a subset of co-sleeping, where babies sleep in the same bed as one or both parents
Co-sleeping is a common yet controversial topic for many parents. It is a practice in which babies and young children sleep in close proximity to one or both parents, as opposed to in a separate room. Bed-sharing is a subset of co-sleeping, where babies sleep in the same bed as one or both parents.
Bed-sharing is considered dangerous for infants under 1 year old. However, many parents choose to share a bed with their baby, as it is often easier to care for them during the night, and it can help everyone get more sleep. It is also convenient for night feeding and can promote breastfeeding. Mothers who bed-share with their baby tend to breastfeed longer and keep exclusively breastfeeding for longer than those who do not co-sleep. Additionally, co-sleeping can be good for bonding with babies.
However, there are certain risks associated with co-sleeping and bed-sharing. Co-sleeping has been linked to an increased risk of sudden unexpected death in infancy (SUDI), including sudden infant death syndrome (SIDS) and fatal sleep accidents. The soft quality of mattresses, comforters, and pillows may cause suffocation for infants. Certain factors can increase the risks caused by bed-sharing, such as preterm infants, low birth weight, and exposure to cigarette smoke. If parents choose to co-sleep, there are ways to reduce the risks, such as using a firm, flat, and level mattress, keeping the baby's sleep space clear of any objects, and ensuring the baby's face and head are uncovered.
It is important to note that opinions vary on the association between SIDS and co-sleeping. Some research indicates that SIDS risk increases with co-sleeping, particularly bed-sharing, while other research suggests that co-sleeping done in a safe and appropriate manner can reduce the risk of SIDS. For example, the Pacific Islands Families study found that safe bed-sharing and room-sharing practices were saving infant lives, and there were no cases of infants dying from SIDS.
Ultimately, while co-sleeping and bed-sharing can have benefits, it is essential to prioritize the safety of the baby. Parents should carefully consider the risks and take the necessary precautions to create a safe sleep environment for their newborn.
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Co-sleeping is associated with an increased risk of sudden unexpected death in infancy (SUDI), including SIDS and fatal sleep accidents
Co-sleeping is a common practice where babies and young children sleep close to one or both parents, as opposed to sleeping in a separate room. Bed-sharing is a subset of co-sleeping, where babies and young children sleep in the same bed as their parents.
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. Research indicates that the risk of SIDS increases with co-sleeping, particularly bed-sharing. Certain factors further increase the risks caused by bed-sharing, such as preterm infants, low birth weight, smoking, drinking heavily, taking drugs, obesity, or a history of skin infections. The soft quality of mattresses, comforters, and pillows also increases the risks of suffocation and strangulation for the infant.
However, opinions vary, and some research indicates that co-sleeping done in a "safe and appropriate" manner can reduce the risk of SIDS. For example, the Pacific Islands Families study, conducted in New Zealand, found that the adoption of safe bed-sharing and room-sharing practices saved infant lives, with no instances of infants dying from SIDS.
To reduce the risk of SUDI, it is important to create a safe sleep environment for the baby. This includes placing the baby on their back, on a firm, flat, and level surface, in a clear, smoke-free, and well-ventilated space. It is also recommended to avoid co-sleeping if either parent smokes, uses drugs or alcohol, or takes medication that causes heavy sleep.
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Frequently asked questions
Co-sleeping is when a baby sleeps close to one or both parents, either in the same bed or in the same room on a separate surface.
Co-sleeping can help with breastfeeding and make it easier to respond to babies during the night. It can also be good for bonding with babies.
Co-sleeping has been associated with an increased risk of sudden unexpected death in infancy (SUDI), including sudden infant death syndrome (SIDS) and fatal sleep accidents.
Precautions include ensuring the baby has a separate sleeping surface, such as a bassinet or crib, and that the mattress is firm, flat, and level. It is also important to keep the baby's sleep environment smoke-free and to avoid bed-sharing if the parent is extremely tired, under the influence of drugs or alcohol, or has a history of smoking.
There is disagreement among healthcare professionals regarding the effectiveness and ethics of bed-sharing. While some organizations advise against it due to the risks of SUDI and SIDS, others, like UNICEF, outline factors leading to hazardous co-sleeping, and certain cultural practices have been found to reduce the risk of SIDS.











































