Evaluation of the Association Between Sleeping Arrangements and Breastfeeding in Infants: A Cross-Sectional, Single Unit Study
Makaleler > Tam Makale · 2023
Yazarlar: Tuğba Burcu Öztürk, Şule GÖKÇE, Merve TOSYALI, Feyza KOÇ
The Journal of Pediatric Research, Uluslararası, Scopus, 2023, cilt 10, ss 195-204
DOI: 10.4274/jpr.galenos.2023.98965
Özet
IntroductionSleeping is an active neurophysiological process associated with good cognitive, psychomotor, physical, and socioemotional development, mood, and behavior in infancy and childhood.Biological, socio-cultural, and environmental factors influence sleep characteristics and sleep-related behaviors, particularly in the first months after birth (1-4).In addition to sleep quality, safe infant sleep should not be ignored because 3,500 infants die tragically ABS TRACT Aim: The bed-sharing option has been reported to positively encourage breastfeeding frequency in the literature.However, an association between sudden infant death syndrome (SIDS) and infant bed-sharing has also been identified.The present study aimed to determine the effects of mother-infant bed-sharing and room-sharing on breastfeeding and sleep patterns and whether there is any increased risk of SIDS. Materials and Methods:We conducted a cross-sectional study among 507 mother-infant dyads between August, 2017 and August, 2018.Bedsharing was defined as sharing a bed or mattress; room-sharing was defined as sharing the same room for any part of the night.The validated Sleep Questionnaire form was used to assess infant sleep characteristics.Potential predictors of bed-sharing were evaluated via logistic regression models (age, education, etc.).Results: In the study period, 507 mother-infant dyads were included.The rate of room-sharing was 78.1%, and the rate of bed-sharing was 12.4%.Additionally, the rate of sleeping in a different room was 9.5%.All infants aged 1-5 months who shared a bed with their mother were breastfed, while 94% of those who did not share a bed were breastfed.For 6-12-month-old babies, the breastfeeding frequency was 86% for those who shared a bed, whereas 77% of those who did not share a bed were breastfed.However, the bed-sharing modality was not statistically shown to increase the frequency of breastfeeding [odds ratio (95% confidence interval); 0.362 (0.130-1.01)] (p=0.052).Conclusion: Sharing a bed remains popular for infants' sleep arrangements.In our study, the majority of infants slept in separate cribs.This study revealed that mother-infant bed sharing increased breastfeeding frequency.Moreover, mother-infant bed sharing delayed the age at which babies with sleep disorders stopped breastfeeding.