The Relationship Between Planned and Reported Home Infant Sleep Locations Among Mothers of Late Preterm and Term Infants
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To compare maternal report of planned and practiced home sleep locations of infants born late preterm (34 0/7 to 36 6/7 gestational weeks) with those infants born term (≥37 0/7 gestational weeks) over the first postpartum month. Open-ended semi-structured maternal interviews were conducted in a US hospital following birth and by phone at 1 month postpartum during 2010–2012. Participants were 56 mother–infant dyads: 26 late preterm and 30 term. Most women planned to room share at home with their infants and reported doing so for some or all of the first postpartum month. More women reported bed sharing during the first postpartum month than had planned to do so in both the late preterm and term groups. The primary reason for unplanned bed sharing was to soothe nighttime infant fussiness. Those participants who avoided bed sharing at home commonly discussed their fear for infant safety. A few parents reported their infants were sleeping propped on pillows and co-sleeping on a recliner. Some women in both the late preterm and term groups reported lack of opportunity to obtain a bassinet prior to childbirth. The discrepancy between plans for infant sleep location at home and maternally reported practices were similar in late preterm and term groups. Close maternal proximity to their infants at night was derived from the need to assess infant well-being, caring for infants, and women’s preferences. Bed sharing concerns related to infant safety and the establishment of an undesirable habit, and alternative arrangements included shared recliner sleep.
KeywordsInfant sleep Bed sharing Infant safety Late preterm infant United States
This research was supported by 2KR251106 from the North Carolina Translational and Clinical Science Institute awarded to Kristin P. Tully and Duke University School of Nursing support to Diane Holditch-Davis and Debra Brandon. The Eunice Kennedy Shriver National Institute for Child Health and Human Development Training Grant T32HD007376 funded Kristin P. Tully.
Conflict of interest
The authors declare that they have no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- 1.Pregnancy Risk Assessment Monitoring System. (2010). Infant bed sharing at 14 sites. Retrieved August 2013. http://www.cdc.gov/about/grand-rounds/archives/2012/pdfs/GR_Infant_Mortality_Final_Oct16.pdf.
- 7.Fetherston, C. M., & Leach, J. S. (2012). Analysis of the ethical issues in the breastfeeding and bedsharing debate. Breastfeed Review, 20(3), 7–17.Google Scholar
- 11.Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services [NICHD]. (2012). Safe sleep for your baby. Reduce the risk of Sudden Infant Death Syndrome (SIDS) and other sleep-related causes of infant death. Washington, DC: U.S. Government Printing Office. Publication number 12-7040. Retrieved September 2013. https://www.nichd.nih.gov/publications/pubs/Documents/STS_SafeSleepForYourBaby_General_2013.pdf.
- 12.The Academy of Breastfeeding Medicine Protocol Committee. (2008). ABM Clinical Protocol #6: Guideline on co-sleeping and breastfeeding. Breastfeeding Medicine, 3(1), 38–43.Google Scholar
- 16.Mathews, T. J., MacDorman, M. F. (2013). Infant mortality statistics from the 2009 period linked birth/infant death data set. National Vital Statistics Reports, 61(8). U.S. Department of Health and Human Services. Retrieved October 2013. http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_08.pdf.
- 17.Karp, H. (2012). The fourth trimester and the calming reflex: Novel ideas for nurturing young infants. Midwifery Today Int Midwife, 102(25–26), 67.Google Scholar
- 18.McKenna, J. J., Ball, H. L., & Gettler, L. T. (2007). Mother–infant cosleeping, breastfeeding and sudden infant death syndrome: What biological anthropology has discovered about normal infant sleep and pediatric sleep medicine. American Journal of Physical Anthropology, Suppl 45, 133–161.PubMedCrossRefGoogle Scholar
- 29.Tesch, R. (1990). Qualitative research, analysis types and software tools. New York, NY: The Falmer Press.Google Scholar
- 30.Miles, M. B., Huberman, A. M., & Saldana, J. (2013). Qualitative data analysis: An expanded sourcebook (2nd ed.). Thousand Oaks, CA: Sage.Google Scholar
- 31.Patton, M. Q. (2002). Qualitative research and evaluation methods. Thousand Oaks, CA: Sage.Google Scholar
- 34.Mitchell, E. A., Freemantle, J., Young, J., & Byard, R. W. (2011). Scientific consensus forum to review the evidence underpinning the recommendations of the Australian SIDS and Kids Safe Sleeping Health Promotion Program—October 2010. Journal of Paediatrics and Child Health, 48(8), 626–633.PubMedCrossRefGoogle Scholar
- 42.United Nations Children’s Fund [UNICEF] UK. (2011). Caring for your baby at night. Retrieved January 2014. http://www.unicef.org.uk/Documents/Baby_Friendly/Leaflets/caringatnight_web.pdf.
- 43.Heinig, M. J., Bañuelos, J., & Goldbronn, J. (2012). The secrets of baby behavior. Berkeley, CA: University of California Press.Google Scholar
- 46.Safe Sleep Campaign. (2014). Retrieved January 2014. http://city.milwaukee.gov/Safe-Sleep-Campaign.