Is "Bed Sharing" Beneficial and Safe during Infancy? A Systematic Review.
Is "Bed Sharing" Beneficial and Safe during Infancy? A Systematic Review.
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DOI：
10.1155/2014/468538
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发表时间：
2014
影响因子：
2.1
通讯作者：
Paul VK
中科院分区：
文献类型：
--
作者：
Das RR;Sankar MJ;Agarwal R;Paul VK
背景：关于婴儿期同床睡的安全性和有效性存在相互矛盾的证据——虽然它已被证明有助于母乳喂养并预防低体温，但也被确定为婴儿猝死综合征（SIDS）的一个风险因素。
方法：对主要数据库进行了系统检索。符合条件的研究是观察性研究，纳入出生后4周内的婴儿，并在之后的一段时间内对其进行随访。
结果：共纳入21项研究。尽管证据质量较低，但发现同床睡与4周龄时较高的母乳喂养率相关（75.5%对50%，比值比为3.09（95%置信区间为2.67 - 3.58），P = 0.043），且婴儿猝死综合征的风险增加（23.3%对11.2%，比值比为2.36（95%置信区间为1.97 - 2.83），P = 0.025）。大多数研究来自发达国家，且各研究结果几乎一致。
结论：有低质量的证据表明同床睡与4周龄时较高的母乳喂养率相关，且婴儿猝死综合征的风险增加。我们需要更多研究来关注同床睡、母乳喂养以及使婴儿处于危险的有害环境。
Background. There is conflicting evidence regarding the safety and efficacy of bed sharing during infancy—while it has been shown to facilitate breastfeeding and provide protection against hypothermia, it has been identified as a risk factor for SIDS. Methods. A systematic search of major databases was conducted. Eligible studies were observational studies that enrolled infants in the first 4 weeks of life and followed them up for a variable period of time thereafter. Results. A total of 21 studies were included. Though the quality of evidence was low, bed sharing was found to be associated with higher breastfeeding rates at 4 weeks of age (75.5% versus 50%, OR 3.09 (95% CI 2.67 to 3.58), P = 0.043) and an increased risk of SIDS (23.3% versus 11.2%, OR 2.36 (95% CI 1.97 to 2.83), P = 0.025). Majority of the studies were from developed countries, and the effect was almost consistent across the studies. Conclusion. There is low quality evidence that bed sharing is associated with higher breast feeding rates at 4 weeks of age and an increased risk of SIDS. We need more studies that look at bed sharing, breast feeding, and hazardous circumstance that put babies at risk.