Uddevalla Hospital, Sweden.
Acta Paediatr. 2011 Feb;100(2):226-30. doi: 10.1111/j.1651-2227.2010.02008.x. Epub 2010 Oct 25.
In spite of several reports of an increased risk of sudden infant death syndrome (SIDS) in connection with bed-sharing, it is not an uncommon practice. The aim of this study was to examine bed-sharing at 6 months of age and the factors that are associated with bed-sharing.
Our cohort comprised 8176 randomly chosen families. At 6 month of age, the families received an invitation to the study, with a questionnaire, which was completed by 5605 families (response rate 68.5%).
Of the families, 19.8% bed-shared. In the multivariate analysis, we found a correlation between breast-feeding and bed-sharing (breast-feeding at 6 months: OR 1.94; 95% CI 1.56, 2.41). Moreover, we found an association with 3+ nightly awakenings at 6 months (2.70; 2.20, 3.32). It was more common to share a bed if the parent was single (2.04; 1.19, 3.51) and less common if the infant was bottle-fed in the first week (0.70; 0.54, 0.90). Never using a pacifier was associated with a higher frequency of bed-sharing.
We found a correlation between breast-feeding and bed-sharing as well as between sleeping problems and a single parent. A lower percentage of infants sleeping in the parental bed were seen in association with formula feeding in the first week after birth.
尽管有几篇报道称与床伴同睡会增加婴儿猝死综合征(SIDS)的风险,但这种做法并不少见。本研究旨在调查 6 个月大婴儿的床伴同睡情况以及与床伴同睡相关的因素。
我们的队列包括 8176 个随机选择的家庭。在 6 个月大时,这些家庭收到了研究邀请,附有一份调查问卷,有 5605 个家庭(应答率为 68.5%)完成了问卷。
19.8%的家庭选择床伴同睡。在多变量分析中,我们发现母乳喂养与床伴同睡之间存在相关性(6 个月母乳喂养:OR 1.94;95%CI 1.56,2.41)。此外,我们发现 6 个月时有 3 次以上夜间觉醒的情况与床伴同睡有关(2.70;2.20,3.32)。如果父母是单身,那么与床伴同睡的情况更常见(2.04;1.19,3.51),如果婴儿在第一周用奶瓶喂养,则不太常见(0.70;0.54,0.90)。从未使用安抚奶嘴与更高的床伴同睡频率相关。
我们发现母乳喂养与床伴同睡之间存在相关性,与睡眠问题和单身父母之间也存在相关性。在出生后的第一周使用配方奶喂养的婴儿,其在父母床上睡觉的比例较低。