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freckle
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Posted: 26 June 2011 at 7:32pm |
here's the abstract from one of the articles I have... it's an older one (1999) and I'm sure there will be more recent research but if you do want this article I can email it... I'm sure I have a few others on here somewhere - I'll have a look
Babies sleeping with parents: case-control study of factors influencing the risk of the sudden infant death syndrome
Peter S Blair, Peter J Fleming, Iain J Smith, Martin Ward Piatt, Jeanine Young, Pam Nadin, P J Berry, Jean Golding, and the CESDI SUDI research group
Abstract
Objective To investigate the risks of the sudden infant death syndrome and factors that may contribute to unsafe sleeping environments.
Design Three year, population based case-control study. Parental interviews were conducted for each sudden infant death and for four controls matched for age, locality, and time of sleep.
Setting Five regions in England with a total population of over 17 million people. Subjects 325 babies who died and 1300 control infants.
Results In the multivariate analysis infants who shared their parents' bed and were then put back in their own cot had no increased risk (odds ratio 0.67; 95% confidence interval 0.22 to 2.00). There was an increased risk for infants who shared the bed for the whole sleep or were taken to and found in the parental bed (9.78; 4.02 to 23.83), infants who slept in a separate room from their parents (10.49; 4.26 to 25.81), and infants who shared a sofa (48.99; 5.04 to 475.60). The risk associated with being found in the parental bed was not significant for older infants (> 14 weeks) or for infants of parents who did not smoke and became non-significant after adjustment for recent maternal alcohol consumption (> 2 units), use of duvets (> 4 togs), parental tiredness (infant slept 5.4 hours for longest sleep in previous 24 hours), and overcrowded housing conditions (> 2 people per room of the house).
Conclusions There are certain circumstances when bed sharing should be avoided, particularly for infants under four months old. Parents sleeping on a sofa with infants should always be avoided. There is no evidence that bed sharing is hazard
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mum to 3 lovely girls :D
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T_Rex
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Posted: 26 June 2011 at 7:33pm |
Wow, thanks for all the replies. I've had a bit of a google and come up with not much! But I'll share what I've come up with so far -
There was an article in the NZ medical journal about what freckle mentioned - that there can be risks with tilting of the babies head causing sids too, and that might be more likely to happen on a shared bed than in a flat cot, but it was more hypothetical than based on real stats.
There was also a report of 45 SIDS deaths from 2005 of which something like 18 were in bed with someone else but of those, 6 died of an infection and 2 were cosleeping with siblings, which makes it 10 co-sleeping babies dying for no apparent reason. I don't think it gave a breakdown of how many of the other babies died of things like infections though? I can't remember. What was really apparent from that report though, was how hopeless the data is - even for those 45 babies, there was heaps of missing data on things like maternal smoking in pregnancy (I guess you could suggest that the 70% of mums who chose not to answer probably had smoked in pregnancy though?).
And it occurred to me that I've never registered whether or not I co-sleep DD, and tbh, although I have sometimes, if asked, I'd probably say no I don't because more often that not I don't. So even if they could say ok, of the SIDS deaths, x were in cots and x were co-sleeping; how will they no what proportion that is without asking every parent of a baby born this year if they co-sleep? And even then, how reliable would their responses be?
Thesaff, it also seemed that apparently it can be quite difficult to distinguish between babies where the trigger for stopping breathing was momentary covering of the airway/weight on their chest etc due to some hazard of co-sleeping vs it just happening spontaneously so often it's hard to know whether the baby would have died if in the cot or not.
I will say though, that spending the evening reading articles about SIDS is a really bad idea for a pregnant woman with a sleeping toddler in the next room! Talk about making me nervous for both of them
Personally, at this stage I'm leaning towards using a sidecar approach if we decide co-sleeping is the right option for this baby (which we won't know till we meet it). After reading the article about head tilting, I'm also thinking I'll get a stiffener for the hammock I've bought cos I imagine the same thing could happen in there.
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T_Rex
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Posted: 26 June 2011 at 7:37pm |
Oh awesome Freckle, thanks! I'll look it up in the library at work tomorrow, but yay for something with real stats in it! If I follow it through citing articles etc I should find anything more recent too
So it basically says as long as you don't do any of the things you shouldn't anyway, it's all good. That's reassuring.
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phantom_1
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Posted: 27 June 2011 at 1:07pm |
Hi Ladies,
Interesting reading. We have co-slept with our little girl (8months) for the whole time. She just wouldn't sleep in her own bed.
I find that I am very aware of her & think I can tune in to her needs quicker. But then I am a non drinker & non smoker and have been my whole life.
Its nice to know it's more widely practised than advertised (ie we don't tell plunket).
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JadeC
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Posted: 27 June 2011 at 9:58pm |
phantom_1 wrote:
We have co-slept with our little girl (8months) for the whole time. She just wouldn't sleep in her own bed.
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It's funny how quickly they develop personalities! DS has only *just* consented to sleep with us, at 10 months! He hated it for SO long.
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whitewave
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Posted: 27 June 2011 at 10:28pm |
T-Rex, another option for co-sleeping with newborns is to do something similar to what we did - Campbell slept in his carrycot at the top of the middle of the bed, so had his own sleeping space but was within my reach. So the risks of having his neck tilted were the same as if he was sleeping in his cot, and we didn't have to worry about our blankets riding up and covering his head. He still co-sleeps with us now, in between me and DH, and it works really well for us.
I really hate reading about babies dying because of drunk parents co-sleeping, it really does give co-sleeping an undeserved bad name, when so many parents do it properly and safely.
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luvmylittlies
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Posted: 28 June 2011 at 9:13am |
Yeah Whitwave I can imagine that peeving you (about the negative co-sleeping image). I feel the same about dog attacks and Staffies which are actually a breed that's renowned for being good with kids. Oops, sorry, accidental threadjack...back to he point....umm...Phantom it does seem more common once you're talking about it. I think 4 of the ladies in my last due date thread co-slept. And certainly so many of us do when the little ones are sick. For me it really was that I'm a real wriggler in bed so I just can't relax with my baby in bed for fear I'll bounce her out. But also she was never a cuddly baby and always wanted her own space (didn't like being swaddled etc). With my daughter I had the bassinet butted up to my side of the bed so I was hoping that had the best of both worlds. Once she started sleeping right through the night (and she did from very early) I used to miss her and I secretly hoped for her to have an unsettled night so I could cuddle up with her in the comfy recliner.
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Adoring Mum to Talisin 8/9/11 and Kiara 18/01/10
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Hopes
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Posted: 28 June 2011 at 10:37am |
So true about babies having their own personalities! Jacob would NOT - and still won't - go to sleep in bed or cuddled up to us. DH jokes that he takes after me in that respect (I like my space in bed too  )
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Plushie
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Posted: 28 June 2011 at 1:09pm |
DS won't co-sleep either, it makes me sad! He is less then 1m away from me in his cot but i really want to snuggle with him!! But no go.
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T_Rex
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Posted: 28 June 2011 at 7:54pm |
Heh, yeah, I'm only researching options at this point, cos in the end it's up to the baby really
Turns out that once I get into the medical library at work, there are plenty of papers on it, most of which say either no increase in risk provided you do it safely, and some of which say no real information available.
So I'll do it if it seems right, but probably use the cot as a sidecar initially at least.
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T_Rex
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Posted: 28 June 2011 at 7:56pm |
Oh, one thing I read though, that made me a bit  was that the threshold for maternal exhaustion in a couple of papers I read was that the baby had slept a 5-hour stretch the previous night or not. Errr... it would seem that I STILL fail that - with an 18-month-old, although it does happen sometimes now
I definitely don't feel exhausted though - I've become pretty tough after DD's first year
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Hopes
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Posted: 28 June 2011 at 8:30pm |
Ha! I still dream about a five-hour stretch too  Although I do feel exausted, you must be more used to it or tougher than me
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Emmecat
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Posted: 28 June 2011 at 9:24pm |
I hear ya on the maternal exhaustion! *weak laugh*  Think that's mainly from having two though lol
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Bobchannz
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Posted: 29 June 2011 at 3:22pm |
I think this website will help provide you with NZ based information and stats.
Change for our children
One interesting thing I learnt from a SUDI presentation was that it was not helpful comparing co-sleeping situations here and overseas.
It may be traditional to co-sleep in some countries - but perhaps their sleeping environment is different to ours? I know in Japan for example people frequently sleep on firm mats on the floor (not soft squidgy dust filled mattresses). Or in warmer countries you may have a slightly more open/ fresh air environment and have thin mattresses on the floor (just some examples). So co-sleeping may be safer in those environments, but when you come to NZ with our damp homes, beds high off the floor and (lets face it) old mattresses then you are really talking about a different thing all together.
I'm not comfortable with co-sleeping. Being overweight I don't meet the guidelines but when one of the guidelines is that you shouldn't be 'overtired' then for me it would not have been safe to co-sleep with my daughter until this week. I've been tired since she was born, and she is only now sleeping through. Breastfeeding has gone very well with her sleeping peacefully in her cot, on her new mattress, tucked in with feet at the bottom of the cot and using only natural fibres on the bed. And I sleep better by myself too! All good here.
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www.makedomum.blogspot.co.nz
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1st_Time_Preggies
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Posted: 29 June 2011 at 7:20pm |
Haha I have gotten a 5 hour stretch the last two nights, isn't it amazing :-) I am starting to think my LO will just never sleep through the night. I wonder if he will still need mummy's help when he is a teenager?
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T_Rex
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Posted: 29 June 2011 at 8:06pm |
Good to hear you've got a decent sleep finally 1st-time (yes, I'm sad enough to consider 5 hours decent too!). Just to teach me not to gloat about feeling exhausted, we had another 1.5 hour session in the middle of the night last night so I'm back to shattered today. Sigh.
Thanks for that link Bobchannz, off to check it out now.
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jano1
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Posted: 30 June 2011 at 7:14am |
T rex you might be interested in making one of these
They make co- sleeping safe and comfortable. I'm going to make one up for bubs who is due in September as I liked co-sleeping with DD but was so paranoid.
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jano1
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Posted: 30 June 2011 at 7:15am |
http://www.changeforourchildren.co.nz/safe_start_programme/pepi-pod
Not sure why that didn't link
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1st_Time_Preggies
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Posted: 30 June 2011 at 7:15pm |
Wow they look soooo good Jano1! How would you make one???
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1st_Time_Preggies
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Posted: 30 June 2011 at 7:17pm |
Forget I asked, I just looked further on the website and they have instructions!
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