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Arch Dis Child. 2006 Dec;91(12):1005-10. Epub 2006 Jul 18.

Randomised trial of infant sleep location on the postnatal ward.

Author information

  • 1Parent-Infant Sleep Laboratory & Medical Anthropology Research Group, Department of Anthropology, Durham University, Durham, UK. H.L.Ball@dur.ac.uk

Abstract

OBJECTIVE:

To determine whether postnatal mother-infant sleep proximity affects breastfeeding initiation and infant safety.

DESIGN:

Randomised non-blinded trial analysed by intention to treat.

SETTING:

Postnatal wards of the Royal Victoria Hospital (RVI), Newcastle upon Tyne, UK.

PARTICIPANTS:

64 newly delivered mother-infant dyads with a prenatal intention to breastfeed (vaginal deliveries, no intramuscular or intravenous opiate analgesics taken in the preceding 24 h).

INTERVENTION:

Infants were randomly allocated to one of three sleep conditions: baby in mother's bed with cot-side; baby in side-car crib attached to mother's bed; and baby in stand-alone cot adjacent to mother's bed.

MAIN OUTCOME MEASURES:

Breastfeeding frequency and infant safety observed via night-time video recordings.

RESULTS:

During standardised 4-h observation periods, bed and side-car crib infants breastfed more frequently than stand-alone cot infants (mean difference (95% confidence interval (CI)): bed v stand-alone cot = 2.56 (0.72 to 4.41); side-car crib v stand-alone cot = 2.52 (0.87 to 4.17); bed v side-car crib = 0.04 (-2.10 to 2.18)). No infant experienced adverse events; however, bed infants were more frequently considered to be in potentially adverse situations (mean difference (95% CI): bed v stand-alone cot = 0.13 (0.03 to 0.23); side-car crib v stand-alone cot = 0.04 (-0.03 to 0.12); bed v side-car crib = 0.09 (-0.03-0.21)). No differences were observed in duration of maternal or infant sleep, frequency or duration of assistance provided by staff, or maternal rating of postnatal satisfaction.

CONCLUSION:

Suckling frequency in the early postpartum period is a well-known predictor of successful breastfeeding initiation. Newborn babies sleeping in close proximity to their mothers (bedding-in) facilitates frequent feeding in comparison with rooming-in. None of the three sleep conditions was associated with adverse events, although infrequent, potential risks may have occurred in the bed group. Side-car cribs are effective in enhancing breastfeeding initiation and preserving infant safety in the postnatal ward.

PMID:
16849364
PMCID:
PMC2083001
DOI:
10.1136/adc.2006.099416
[PubMed - indexed for MEDLINE]
Free PMC Article
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