Sleep arrangements and behavior of bed-sharing families in the home setting
Sleep arrangements and behavior of bed-sharing families in the home setting
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DOI：
10.1542/peds.2006-0744
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发表时间：
2007-01-01
期刊：
影响因子：
8
通讯作者：
Bolton, David P. G.
中科院分区：
文献类型：
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作者：
Baddock, Sally A.;Galland, Barbara C.;Bolton, David P. G.
目标。我们的目的是对同床家庭的睡眠安排和行为进行定量分析，以进一步了解同床行为的风险和益处以及婴儿年龄和室温对同床行为的影响。方法。招募了 40 名每晚定期与 >= 1 名家长同睡 >= 5 小时的婴儿。在婴儿家里对家庭进行连夜视频和婴儿的生理监测。记录婴儿的睡眠姿势、暴露于呼出空气的可能性、头部遮盖和不遮盖、母乳喂养、运动、家庭睡眠安排、对婴儿的反应以及互动。结果。所有的婴儿都和他们的母亲一起睡。 18 项研究中纳入了父亲，4 项研究中纳入了兄弟姐妹。婴儿通常睡在母亲身边，与父亲/兄弟姐妹（如果有的话）分开，面朝母亲，头与母亲乳房齐平，互相触摸，或由母亲抱着。夜间母乳喂养时间中位数为 40.5 分钟。母亲通常面向婴儿，但婴儿很少处于可能暴露于母亲呼出空气的位置。父亲在睡眠期间很少与婴儿接触。在 22 名婴儿中观察到的 102 次蒙头事件中，80% 是由于成人睡姿的改变所致。百分之六十八的头部遮盖是由母亲促成的；其中一半的事件是由婴儿引发的。室温每升高 1 摄氏度，婴儿头部覆盖时间就会减少 0.2 小时。结论。无论父亲是否在场，母婴关系在同床期间都是最重要的。对母乳喂养的关注通常决定了婴儿和母亲的睡眠姿势，尽管室温也可能会影响这一点。在较冷的房间里，婴儿往往会花更多时间用被褥遮盖脸部。频繁的母亲互动依赖于母亲在很少刺激的情况下唤起的能力。母亲们可能因酒精、吸烟或过度疲劳而受损，可能无法做出适当的反应。
OBJECTIVES. We aimed to provide a quantitative analysis of the sleep arrangements and behaviors of bed-sharing families to further understand the risks and benefits as well as the effects of infant age and room temperature on bed-sharing behaviors.METHODS. Forty infants who regularly bed shared with >= 1 parent >= 5 hours per night were recruited. Overnight video of the family and physiological monitoring of the infant was conducted in infants' homes. Infant sleep position, potential for exposure to expired air, head covering and uncovering, breastfeeding, movements, family sleep arrangements, responses to the infant, and interactions were logged.RESULTS. All infants slept with their mother. Fathers were included in 18 studies and siblings in 4. Infants usually slept beside the mother, separated from the father/siblings ( if present), facing the mother, with head at mothers' breast level, touching, or with mother cradling. Median overnight breastfeeding duration was 40.5 minutes. Mothers commonly faced their infant, but infants were rarely in a position that potentially exposed them to maternal expired air. Fathers were seldom in contact with the infant during sleep. Of the 102 head-covering episodes observed in 22 infants, 80% were because of changes in adult sleep position. Sixty-eight percent of head uncovering was facilitated by the mother; half of these events were prompted by the infant. A 1 degrees C increase in room temperature decreased infant head covering by 0.2 hours.CONCLUSIONS. The mother-infant relationship is of prime importance during bed sharing, whether the father is present or not. The focus around breastfeeding often dictates the sleep position of the infant and mother, though room temperature may also influence this. In colder rooms infants tend to spend more time with their face covered by bedding. Frequent maternal interactions rely on the ability of the mother to arouse with little stimulation. Mothers, perhaps impaired by alcohol, smoking, or overtiredness, may not be able to respond appropriately.