Bed sharing when parents do not smoke: is there a risk of SIDS? An individual level analysis of five major case–control studies

Carpenter, R., McGarvey, C., Mitchell, E.A., Tappin, D.M. , Vennemann, M.M., Smuk, M. and Carpenter, J.R. (2013) Bed sharing when parents do not smoke: is there a risk of SIDS? An individual level analysis of five major case–control studies. BMJ Open, 3(5), e00229. (doi: 10.1136/bmjopen-2012-002299)

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<p>Objective: To resolve uncertainty as to the risk of Sudden Infant Death Syndrome (SIDS) associated with sleeping in bed with your baby if neither parent smokes and the baby is breastfed.</p> <p>Design: Bed sharing was defined as sleeping with a baby in the parents’ bed; room sharing as baby sleeping in the parents’ room. Frequency of bed sharing during last sleep was compared between babies who died of SIDS and living control infants. Five large SIDS case–control datasets were combined. Missing data were imputed. Random effects logistic regression controlled for confounding factors.</p> <p>Setting: Home sleeping arrangements of infants in 19 studies across the UK, Europe and Australasia. Participants: 1472 SIDS cases, and 4679 controls.Each study effectively included all cases, by standardcriteria. Controls were randomly selected normal infants of similar age, time and place.</p> <p>Results: In the combined dataset, 22.2% of cases and 9.6% of controls were bed sharing, adjusted OR (AOR)for all ages 2.7; 95% CI (1.4 to 5.3). Bed sharing risk decreased with increasing infant age. When neither parent smoked, and the baby was less than 3 months, breastfed and had no other risk factors, the AOR for bed sharing versus room sharing was 5.1 (2.3 to 11.4)and estimated absolute risk for these room sharing infants was very low (0.08 (0.05 to 0.14)/1000 livebirths). This increased to 0.23 (0.11 to 0.43)/1000 when bed sharing. Smoking and alcohol use greatly increased bed sharing risk.</p> <p>Conclusions: Bed sharing for sleep when the parents do not smoke or take alcohol or drugs increases the risk of SIDS. Risks associated with bed sharing are greatly increased when combined with parental smoking, maternal alcohol consumption and/or drug use. A substantial reduction of SIDS rates could be achieved if parents avoided bed sharing.</p>

Item Type:Articles
Additional Information:This article was published in BMJ Open following peer review and can also be viewed on the journal’s website at
Glasgow Author(s) Enlighten ID:Tappin, Professor David
Authors: Carpenter, R., McGarvey, C., Mitchell, E.A., Tappin, D.M., Vennemann, M.M., Smuk, M., and Carpenter, J.R.
Subjects:R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Research Group:PEACH Unit
Journal Name:BMJ Open
Publisher:BMJ Publishing Group
ISSN (Online):2044-6055
Copyright Holders:Copyright © 2013 The Authors
First Published:First published in BMJ Open 3(5):e00229
Publisher Policy:Reproduced under a Creative Commons License

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