Mesich Heather M
Meno-Ya-Win Health Centre, Canada.
MCN Am J Matern Child Nurs. 2005 Jan-Feb;30(1):30-7; quiz 38-9.
Mother-infant co-sleeping is debated fervently in the research literature. While studies abound, there is no precise answer to this conundrum, and parents continue to ask nurses for their best opinions about the safety of co-sleeping. The puzzling results of these studies have occurred partly because of: (1) retrospective study designs, (2) lack of control over covariables, (3) misclassification of infant deaths, and (4) unknown prevalence of co-sleeping practices. This article describes the salient issues nurses need to understand in the mother-infant co-sleeping debate, and suggests ways that nurses can help parents to modify risk factors and safety measures if they desire co-sleeping.
母婴同睡在研究文献中引发了激烈的争论。虽然相关研究众多，但这个难题尚无确切答案，家长们仍不断向护士询问他们对于同睡安全性的最佳看法。这些研究结果令人困惑，部分原因在于：（1）回顾性研究设计；（2）对协变量缺乏控制；（3）婴儿死亡的错误分类；（4）同睡行为的未知流行率。本文描述了护士在母婴同睡争论中需要理解的关键问题，并提出了一些方法，即如果家长希望同睡，护士可以帮助他们改变危险因素并采取安全措施。
