Why Co-sleeping Can Do More Harm Than Good (2024)

Why Co-sleeping Can Do More Harm Than Good (1)

Advice From Our Experts

Co-sleeping or bed sharing with an infant has become a topic of discussion in the United States, most recently in KSPR’s (ABC News affiliate) coverage of an infant death in Missouri.

What is Co-Sleeping?

Co-sleeping is defined as parent(s) and infants sleeping together in an adult bed. Although a seemly controversial practice in the U.S., co-sleeping or bed sharing remains the most common sleeping arrangement in a majority of cultures around the world.

Experts believe that co-sleeping can do more harm than good. In this post I will share the risks and alternatives of co-sleeping to help new and current parents feel more informed to make the appropriate decision for their family.

Why Co-sleeping Can Do More Harm Than Good (2)

What is Being Said About Co-Sleeping at a National Level

If you have a newborn infant and are trying to make the decision whether to co-sleep or not, this is what is being recommended: What is Being Said about Co-Sleeping at a National Level

  • The United States Consumer Product Safety Commission (CPSC) recommends that children under the age of two not be placed in adult beds to sleep. Instead they should sleep in cribs that meet federal safety standards (1999). You can read more about this here.
  • The American Academy of Pediatrics (AAP) recommends that infants should be placed in a crib, bassinet or cradle approved by the CPSC in the same room as the parents, and should not co-sleep with other individuals (2005). You can read more about this here.

Why Co-Sleeping Can Harm Your Baby

I am a Lactation Consultant in Children’s Hospital Los Angeles’ Institute for Maternal-Fetal Health and a strong advocate for breastfeeding. Yet, the overwhelming majority of research opposes co-sleeping, even though it can facilitate breastfeeding. Safety concerns were the number one reason cited in the research. These are the safety concerns of physicians, healthcare professionals and parents:

  • Overlying
  • Smothering
  • Suffocation
  • Entrapment
  • Strangulation
  • Sudden infant death syndrome (SIDS)

Other concerns with co-sleeping involve the delayed development of infant independence and sleep issues. For example, an infant who falls asleep with its parents in the same bed has been observed to have more sleep problems associated with shorter and more fragmented sleep.

The Best Sleeping Arrangement for You and Your Infant

The AAP recommends that infants sleep in close proximity to their mothers but sleep on their own sleeping surface like a crib, bassinet or cradle to avoid safety risks, injury or even death. This sleeping arrangement is the best of both worlds, both to aid in breastfeeding success and keep the newborn infant safe. There are bed attachments called bedside sleepers, which can accommodate the recommended sleeping arrangement. Continue reading to find out more.

A Safe Alternative to Co-Sleeping

Why Co-sleeping Can Do More Harm Than Good (3)

Use a bedside sleeper! The United States Consumer Product Safety Commission defines a bedside sleeper as a strong frame assembly that may be combined with a fabric or mesh that is intended to provide a sleeping environment for infants and is secured to an adult bed. Bedside sleepers are intended to be secured to the adult bed in order for the infant to be in close proximity (within arm’s reach) without being in the adult bed and posing the risks stated above.

Bedside sleepers are required to meet the same strict safety standards as bassinets and cradles by the CPCS. You can view the safety standards here.

Why Some Believe in Co-sleeping, Despite the Risks

While there are reasons that have been reported to support co-sleeping such as cultural, social and psychosocial reasons, the most cited reason to co-sleep is that it helps facilitate breastfeeding. Aside from actual research that has been done relating breastfeeding with co-sleeping, many of the other reasons are personal and not scientifically proven as beneficial to the infant. Remember that a bedside sleeper is a safe alternative.

After reading this post I hope this helps you make an informed decision on the preferred sleeping arrangements for you and your newborn baby. Please feel free to send in questions or comments as they come up related to this topic, in the comments section below.

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Why Co-sleeping Can Do More Harm Than Good (2024)

FAQs

Why Co-sleeping Can Do More Harm Than Good? ›

It increases the risk of SIDS and suffocation

Why is it bad to co-sleep? ›

The AAP cautions that co-sleeping “should be avoided at all times” with infants younger than four months. The organization's reasoning is that co-sleeping increases the chance of sleep-related fatalities such as sudden infant death syndrome, accidental suffocation, and strangulation.

At what age is cosleeping safe? ›

Co-sleeping with a child over 1 year old has a little less risk than with one under 12 months. At a toddler's age of 1 to 2 years old, they can roll over and free themselves in case they are trapped in the bed. As a child gets older, it becomes less risky to co-sleep, but it's still best for them to sleep on their own.

Does co-sleeping create bad habits? ›

And then there was the terrifyingly titled 2021 study published in the journal Behavioral Sleep Medicine: “Early Childhood Co-Sleeping Predicts Behavior Problems in Pre-Adolescence.” Researchers followed 1,565 Chinese children between the ages of 3 to 5 from early childhood into pre-adolescence.

How much does cosleeping increase SIDS risk? ›

When the baby is breastfed and under 3 months, there is a fivefold increase in the risk of SIDS when bed sharing with non-smoking parents and the mother has not taken alcohol or drugs. Smoking, alcohol and drugs greatly increase the risk associated with bed sharing.

Is it healthy for couples to sleep together? ›

Health benefits

While sharing a bed can be intimate and romantic, there are some major health benefits to sleeping together, too. Sleeping together can lower your blood pressure (because of oxytocin, which we'll talk about a little later). Sleeping together can reduce inflammation.

Why couples should sleep separately? ›

People who sleep separately report better sleep.

Sleeping separately seems to allow for better sleep than sleeping together: 60% of people who don't share a bed rate their sleep quality at a 4 or 5 compared to 51% of those who share one. Generational differences arise here as well.

Are babies who co-sleep happier? ›

Co-sleeping promotes a close bond between parent and baby, and helps release the love hormone oxytocin, which plays a vital role in bonding and attachment. As you spend the night within sensory range of each other, you can quickly respond to your baby, helping them to learn that you will always meet their needs.

Which country has the highest rate of co-sleeping? ›

In Japan — a large, rich, modern country — parents universally sleep with their infants, yet their infant mortality rate is one of the lowest in the world — 2.8 deaths per 1,000 live births versus 6.2 in the United States — and their rate of sudden infant death syndrome, or SIDS, is roughly half the U.S. rate.

What does science say about co-sleeping? ›

Co-sleeping is a species-typical and experience-expectant environment directing infants' neurodevelopment. Complexity science is used to show how the mother-infant dyad is a complex adaptive system (CAS). Co-sleeping is related to attachment, parental sensitivity, responsiveness, and mother-infant synchrony.

Is it biologically normal to co-sleep? ›

Looking at the facts. Breastfeeding mothers and babies sharing sleep is a biologically normal behaviour, while formula feeding and separate sleep are departures from the norm.

When do most cosleeping deaths occur? ›

The majority of deaths occurred in babies less than 3 months old. The statistics revealed that 59.5 percent of the infants who died suddenly were sharing a sleep surface at the time of death, and 75.9 percent were in an adult bed when they died.

Do most cultures co-sleep? ›

Co-sleeping is a common practice globally. Considered to be a form of affection, co-sleeping, also known as bed-sharing, is common in many cultures worldwide, with one Canadian study reporting 57% of mothers born in Asia practicing this tradition [1].

Is it bad to be sleeping with two people? ›

There is nothing wrong with having multiple sexual partners, as long as everyone involved consents and is free from harm. There can be benefits and risks to having more than one partner. To practice safe sex, make sure to use barrier methods and have regular STI testing.

Is it healthy to have two sleeps? ›

There are mixed views on whether segmented sleeping is safe. Since there hasn't been much research on the effect sleeping in shifts can have on your health, it's best to avoid it unless there's a reason you need to sleep that way, says Clete Kushida, MD, PhD, the medical director of the Stanford Sleep Medicine Center.

How does co-sleeping affect your child later? ›

Co-sleeping with older children can be especially detrimental as it can create stress for the entire family, lead to poor sleep patterns for both parents and children, and inhibit the ability of children to develop independence.

Is it bad to split your sleep? ›

While segmented sleep may have worked for our ancestors, breaking slumber down into two or more chunks isn't healthy, practical or sustainable, in today's society, says Colleen Carney, PhD, an associate professor and director of the Sleep and Depression Laboratory at Toronto Metropolitan University.

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