Skip to main content
Log in

Parent-infant cosleeping: The appropriate context for the study of infant sleep and implications for sudden infant death syndrome (SIDS) research

  • Published:
Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

Nearly all laboratory research on human infant sleep assumes that solitary sleeping is the normal and desirable environment. Yet solitary sleeping in infancy is a very recent custom limited to Western industrialized societies, and most of the world's peoples still practice parent-infant cosleeping. A hypothesis is presented that cosleeping provides a sensory-rich environment which is the more appropriate environment in which to study normal infant sleep. In addition, two preliminary, in-laboratory, polygraphic investigations of mother-infant cosleeping are reported in normal infants within the peak age range for sudden infant death syndrome (SIDS). Five mother-infant pairs coslept for 1 night in the first study; in the second, three additional pairs slept separately for 2 nights and coslept the third consecutive night. The results suggest that cosleeping is associated with enhanced infant arousals and striking temporal overlap in infant and maternal arousals. Infant sleep also showed subtle alterations with cosleeping, as manifested in increased overlap with corresponding maternal sleep stages and decreased amount of Stage 3–4. These are the first in-laboratory investigations of parent-infant cosleeping. The implications of the hypothesis and preliminary results for research on the normal development of infant sleep and on SIDS are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Agnew, H. W., Jr., Webb, V. B., and Williams, R. L. (1966). The first night effect: An EEG study of sleep.Psychophysiology, 2: 263–266.

    Google Scholar 

  • Anders, T. F., and Keener, M. (1985). Developmental course of nighttime sleep-wake patterns in full-term and premature infants during the first year of life. I.Sleep 8: 173–192.

    Google Scholar 

  • Ariagno, R. L., and Glotzbach, S. F. (1991). Sudden infant death syndrome. In Rudolph, A. M. (ed.),Pediatrics, 19th ed., Appleton-Lange, Norwalk, pp. 850–858.

    Google Scholar 

  • Ashton, R. (1973). The influence of state and prandial condition upon the reactivity of the newborn to auditory stimuli.J. Exp. Child Psychol. 15: 315–327.

    Google Scholar 

  • Barry, H., III, and Paxson, L. M. (1971). Infancy and early childhood: cross-cultural codes. 2.Ethology 10: 466–508.

    Google Scholar 

  • Ben-Shaul, D. M. (1962). The composition of the milk of wild animals.Int. Zool. Year Book 4: 333–342.

    Google Scholar 

  • Bernstein, P., Emde, R., and Campos, J. (1973). REM sleep in four-month infants under home and laboratory conditions.Psychosomat. Med. 35: 322–329.

    Google Scholar 

  • Bowes, G., Woolf, G. M., Sullivan, C. E., and Phillipson E. A. (1980). Effect of sleep fragmentation on ventilatory and arousal responses of sleeping dogs to respiratory stimuli.Am. Rev. Resp. Dis. 122: 899–908.

    Google Scholar 

  • Bowlby, J. (1969).Attachment and Loss, Vol. 1. Attachment, Hogarth Press, London.

    Google Scholar 

  • Brady, J. P., Chir, B., and McCann, E. M. (1985). Control of ventilation in subsequent siblings of victims of sudden infant death syndrome.J. Pediat. 106: 212–217.

    Google Scholar 

  • Burton, R. V., and Whiting, J. W. M. (1961). The absent father and cross-sex identity.Merrill-Palmer Q. 7: 85–95.

    Google Scholar 

  • Busby, K., and Pivik, R. T. (1983). Failure of high intensity auditory stimuli to affect behavioral arousal in children during the first sleep cycle.Pediat. Res. 17: 802–805.

    Google Scholar 

  • Carskadon, M. A., Brown, E. D., and Dement, W. C. (1982). Sleep fragmentation in the elderly: Relationship to daytime sleep tendency.Neurobiol. Aging 3: 321–327.

    Google Scholar 

  • Caudill, W., and Plath, D. (1966). Who sleeps by whom? Parent-child involvement in urban Japanese families. In Levine, R. (ed.),Culture and Personality, Aldine Press, Chicago, pp. 25–154.

    Google Scholar 

  • Cernoch, J. M., and Porter, R. H. (1985). Recognition of maternal axillary odors by infants.Child Dev. 56: 1593–1598.

    Google Scholar 

  • Challamel, M.-J., Revol, M., Leszczynski, M.-C., and Debilly, G. (1981). Organisation nycthemerale de etats de vigilance chez le nourrisson normal et le nourrisson dit “rechappe d'un syndrome de mort subite”.Rev. EEG Neurophysiol. 11: 28–36.

    Google Scholar 

  • Coons, S., and Guilleminault, C. (1985). Motility and arousal in near miss sudden infant death syndrome.J. Pediatr. 107: 728–732.

    Google Scholar 

  • Davis, D. P. (1985). Cot death in Hong Kong: A rare problem?Lancet 2: 1346–1348.

    Google Scholar 

  • DeVore, I., and Konner, M. J. (1974). Infancy in hunter-gatherer life: An ethological perspective. In White, N. (ed.),Ethology and Psychiatry, University of Toronto Press, Toronto, pp. 255–269.

    Google Scholar 

  • Elias, M. F., Nicholson, N. A., Bora, C., and Johnston, J. (1986). Sleep/wake patterns of breast-fed infants in the first 2 years of life.Pediatrics 3: 322–329.

    Google Scholar 

  • Fleming, P. J., Gilbert, R., Azaz, Y., Berry, P. J., Rudd, P. T., Stewart, A., and Hall, E. (1990). Interaction between bedding and sleeping position in the sudden infant death syndrome: A population based case-control study.Br. Med. J. 301: 85–89.

    Google Scholar 

  • Glotzbach, S. G., and Heller, H. S. (1989). Thermoregulation. In Kryger, M. H., Roth, T., and Dement, W. C. (eds.),Principles and Practice of Sleep Medicine, W. B. Saunders, Philadelphia, pp. 300–309.

    Google Scholar 

  • Goodall, J. (1986).The Chimpanzees of Gombe. Patterns of Behavior, Belknap Press, Cambridge, MA.

    Google Scholar 

  • Guilleminault, C., and Souquet, M. (1979). Sleep states and related pathology. In Korobkin, R., and Guilleminault, C. (eds.),Adv. Perinatal Neural., Vol. 1, S. P. Medical and Scientific Books, New York. pp. 225–247.

    Google Scholar 

  • Guntheroth, W. G. (1989).Crib Death: The Sudden Infant Death Syndrome, Futura, Mount Kisco, NY.

    Google Scholar 

  • Guntheroth, W. G., and Spiers, P. S. (1992). Sleeping prone and the risk of sudden infant death syndrome.JAMA 267: 2359–2363.

    Google Scholar 

  • Haddad, G. G., Leistner, H. L., Epstein, R. A., Epstein, M. A. F., Grodin, W. K., and Mellins R. B. (1980). CO2-induced changes in ventilation and ventilatory pattern in normal sleeping infants.J. Appl. Physiol. 48: 684–688.

    Google Scholar 

  • Harper, R. M., Leake, B., Hoffman, H., Walter, D. O., Hoppenbrouwers, T., Hodgman, J., and Sterman, M. B. (1981a). Periodicity of sleep states is altered in infants at risk for the sudden infant death syndrome.Science 213: 1030–1032.

    Google Scholar 

  • Harper, R. M., Leake, B., Miyahara, L., Mason, J., Hoppenbrouwers, T., Sterman, M. B., and Hodgman, J. (1981b). Temporal sequencing in sleep and waking states during the first 6 months of life.Exp. Neural. 72: 294–307.

    Google Scholar 

  • Hoppenbrouwers, T., Hodgman, J. E., Arakawa, K., Geidel, S. A., and Sterman, M. B. (1988). Sleep and waking states in infancy: Normative studies.Sleep 11: 387–401.

    Google Scholar 

  • Hoppenbrouwers, T., Hodgman, J. E., Arakawa, K., and Sterman, M. B. (1989). Polysomnographic sleep and waking states are similar in subsequent siblings of SIDS and control infants during the first six months of life.Sleep 12: 265–276.

    Google Scholar 

  • Kahn, A., Picard, E., and Blum, D. (1986). Auditory arousal thresholds of normal and near-miss SIDS infants.Dev. Med. Child Neural. 28: 299–302.

    Google Scholar 

  • Konner, M. J. (1981). Evolution of human behavior development. In Monroe, R., and Whiting, B. (eds.),Handbook of Cross-Cultural Human Development, Garland Press, New York, pp. 3–51.

    Google Scholar 

  • Konner, M., and Worthman, C. (1980). Nursing frequency, gonadal function, and birth spacing among!Kung hunter-gathers.Science 207: 788–791.

    Google Scholar 

  • Lancaster, J. B., and Lancaster, C. S. (1983). Parental investment: The hominid adaptation. In Ortner, D. J. (ed.),How Humans Adapt: A Biocultural Odyssey, Smithsonian Institution Press, Washington, DC, pp. 33–56.

    Google Scholar 

  • Lee, N. Y., Chan, Y. F., Davies, D. P., Lau, E., and Yip, D. C. P. (1989). Sudden infant death syndrome in Hong Kong: Confirmation of low incidence.Br. Med. J. 298: 721.

    Google Scholar 

  • Lozoff, B., and Brittenham, G. (1979). Infant care: Cache or carry.J. Pediat. 95: 478–483.

    Google Scholar 

  • Lozoff, B., Wolf, A. W., and Davis, N. S. (1984). Cosleeping in urban families with young children in the United States.Pediatrics 74: 171–182.

    Google Scholar 

  • MacFarlane, A. J. (1975). Olfaction in the development of social preferences in the human neonate.Parent-Infant Interaction, Ciba Found. Symp. 33: 103–117.

    Google Scholar 

  • McCulloch, K., Brouillette, R. T., Guzzetta, A. J., and Hunt, C. E. (1982). Arousal responses in near-miss sudden infant death syndrome and in normal infants. J. Pediat. 101: 911–917.

    Google Scholar 

  • McKenna, J. J. (1986). An anthropological perspective on sudden infant death syndrome (SIDS): The role of parental breathing cues and speech breathing adaptations.Med. Anthropol. 10: 9–53.

    Google Scholar 

  • McKenna, J. J., and Mosko, S. (1990). Evolution and the sudden infant death syndrome (SIDS). III. Infant arousal and parent-infant co-sleeping.Hum. Nature 1: 291–330.

    Google Scholar 

  • McKenna, J. J., Mosko, S., Dungy, C., McAninch, J. (1990). Sleep and arousal patterns of cosleeping human mother-infant pairs. A preliminary physiological study with implications for the study of sudden infant death syndrome (SIDS).Am. J. Phys. Anthropol. 83: 331–347.

    Google Scholar 

  • Mitchell, E. A. (1993). Update of the New Zealand cot death study (in press).

  • Parmelee, A. H., Wenner, W. H., and Schulz, H. R. (1984). Infant sleep patterns: From birth to 16 weeks of age.J. Pediat. 65: 576–582.

    Google Scholar 

  • Rechtschaffen, A., and Kales, A. (1968).A Manual of Standardized Terminology, Techniques and Scoring Systems for Sleep Stages of Human Subjects, BIS/BRI, UCLA, Los Angeles.

    Google Scholar 

  • Russel, M. J. (1976). Human olfactory communication.Nature 260: 520–522.

    Google Scholar 

  • Schaal, B., Montagner, H., Hertling, E., Bolzoni, D., Moyse, A., and Quichon, R. (1980). Les stimulations olfactives dans les relations entre l'enfant et la mere.Reprod. Nutr. Dev. 20: 843–858.

    Google Scholar 

  • Schwartz, P. J., and Sagantini, A. (1988). Cardiac innervation, neonatal electrocardiology, and SIDS. A key for a novel preventive strategy. InThe Sudden Infant Death Syndrome: Cardiac and Respiratory Mechanisms and Interventions, Ann. N.Y. Acad. Sci., Vol. 533, pp. 210–220.

    Google Scholar 

  • Schwartz, P. J., Southall, D. P., and Valdes-Dapena, M. (1988).The Sudden Infant Death Syndrome. Cardiac and Respiratory Mechanisms and Interventions, Ann. N.Y. Acad. Sci., Vol. 533.

  • Sostek, A. M., and Anders, T. F. (1975). Effects of varying laboratory conditions on behavioral conditions or behavioral-state organization in two- and eight-week old infants.Child Dev. 46: 871–878.

    Google Scholar 

  • Stewart, M. W., and Stewart, L. A. (1991). Modification of sleep respiratory patterns by auditory stimulation: Indications of a technique for preventing sudden infant death syndrome?Sleep 14: 241–248.

    Google Scholar 

  • Sullivan, R. M., Taborsky-Barba, S., Mendoza, R., Itano, A., Leon, M., Cotman, C. W., Payne, T. F., and Lott, I. (1991). Olfactory classical conditioning in neonates.Pediatrics 87: 511–517.

    Google Scholar 

  • Super, C. M., and Harkness, S. (1982). The infant's niche in rural Kenya and metropolitan America. In Adler, L. L. (ed.),Cross-Cultural Research at Issue, Academic Press, New York, pp. 47–55.

    Google Scholar 

  • Takeda, K. (1987). A possible mechanism of sudden infant death syndrome (SIDS).J. Kyoto Pref. Univ. Med. 96: 965–968.

    Google Scholar 

  • Tasaki, H., Yamashita, M., and Miyazaki, S. (1988). The incidence of SID in Saga Prefecture (1981–1985).J. Pediat. Assoc. Jap. 92: 364–368.

    Google Scholar 

  • Thevenin, T. (1976).The Family Bed, Thevenin, Minneapolis.

    Google Scholar 

  • Trevathan, W. R. (1987).Human Birth: An Evolutionary Perspective, Aldine de Gruyter, New York.

    Google Scholar 

  • Valsiner, J. (1989).Human Development and Culture: The Social Nature of Personality and Its Study, Lexington Books, Lexington, MA.

    Google Scholar 

  • Whiting, B. B. (1963).Six Cultures: Studies of Child Rearing, John Wiley & Sons, New York.

    Google Scholar 

  • Williams, H. L., Hammack, J. T., Daly, R. L., Dement, W. C., and Lubin, A. (1964). Responses to auditory stimulation, sleep loss and the EEG stages of sleep.Electroenceph. Clin. Neurophysiol. 16: 269–279.

    Google Scholar 

  • Willinger, M. (1989). SIDS—A challenge.J. NIH Res. 1: 73–80.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mosko, S., McKenna, J., Dickel, M. et al. Parent-infant cosleeping: The appropriate context for the study of infant sleep and implications for sudden infant death syndrome (SIDS) research. J Behav Med 16, 589–610 (1993). https://doi.org/10.1007/BF00844721

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00844721

Key words

Navigation