Abstract
An evolutionarily informed perspective on parent-infant sleep contact challenges recommendations regarding appropriate parent-infant sleep practices based on large epidemiological studies. In this study regularly bed-sharing parents and infants participated in an in-home video study of bed-sharing behavior. Ten formula-feeding and ten breast-feeding families were filmed for 3 nights (adjustment, dyadic, and triadic nights) for 8 hours per night. For breast-fed infants, mother-infant orientation, sleep position, frequency of feeding, arousal, and synchronous arousal were all consistent with previous sleep-lab studies of mother-infant bed-sharing behavior, but significant differences were found between formula and breast-fed infants. While breast-feeding mothers shared a bed with their infants in a characteristic manner that provided several safety benefits, formula-feeding mothers shared a bed in a more variable manner with consequences for infant safety. Paternal bed-sharing behavior introduced further variability. Epidemiological case-control studies examining bed-sharing risks and benefits do not normally control for behavioral variables that an evolutionary viewpoint would deem crucial. This study demonstrates how parental behavior affects the bed-sharing experience and indicates that cases and controls in epidemiological studies should be matched for behavioral, as well as sociodemographic, variables.
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The author is a Senior Lecturer in Anthropology and Director of the Parent-Infant Sleep Lab at Durham University. Originally trained in primate ethology, she has been researching parent-infant behavior, infant sleep safety, breast-feeding, and social sleep for 10 years.
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Ball, H. Parent-infant bed-sharing behavior. Hum Nat 17, 301–318 (2006). https://doi.org/10.1007/s12110-006-1011-1
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DOI: https://doi.org/10.1007/s12110-006-1011-1