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Yahoo! Parenting

Baby sleep paranoia

Posted Sat, Jun 09, 2007
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When baby sleep safety becomes headline news, sleep misconceptions start spreading like wildfire — something that can make parents even more paranoid about the subject, if that's possible. In fact at one of my recent sleep workshops for parents, there was a mom in the group who confessed that she couldn't sleep at all during the first six months of her baby's life unless someone else was watching over him. That's how scary the issue of sleep had become for her.

It's hardly surprising that a deputy coroner who works with the heartbroken parents of babies who have died in their sleep would have such strong feelings about infant sleep environments.

"There ain't any ands, ifs or buts, Ontario's Deputy Chief Coroner Dr. Jim Cairns told the CBC. "The only safe sleeping environment for a baby is in a crib with a proper-fitting mattress."
 
Those can be harsh words to a sensitive new parent who has made a particular sleep choice after much painstaking deliberation. They are also words that ignore the simple fact that nearly 50 per cent of babies share their parents' beds at least part of the time.

In the wake of Cairn's comments, it might be difficult for bed-sharing parents to speak freely and honestly to their healthcare providers or other parents about their family's sleep choices. This could deprive them and their babies of potentially life-saving information about what can be done to make bed-sharing as safe as possible.

If we want to lessen the anxiety, guilt and paranoia felt by so many parents, I think we need to lose the all-or-nothing attitude about sleep and sleep choices.

We'll all be able to sleep easy about infant sleep when we have more definitive answers about what it takes to keep babies safe all night long.

Now, over to you. Give us your feedback. (And, read below for more on baby sleep myths.)

  • What advice would you offer other parents on dealing with scary parenting stories in the news?
  • How do you keep them in perspective (so you're not in perpetual panic mode)?
  • How do you make sure you've got a handle on the facts?
     

Baby sleep myths
Just in case you happened to tune in to some of the baby sleep coverage and you've been losing sleep ever since, here's the lowdown on some of the myths that were making the rounds this past week:

MYTH: "Use sleep positioning devices so your baby won't roll off her back while she's sleeping."
FACT: Baby sleep positioners pose a risk to babies. They are made from pillow-like material and The Canadian Paediatric Society advises parents to "keep soft materials out of your baby's sleep environment: quilts, comforters, bumper pads, stuffed animals, pillows and other pillow-like items."

MYTH: "It's okay to wrap your baby in a blanket before you put her in bed."
FACT: If you swaddle your baby, she needs to be swaddled tightly enough that the swaddle (or wrap) will not come unwrapped or there is a risk that the wrap may cover your baby's face, increasing the risk of a SIDS-related death. Note: The swaddle shouldn't be too tight, nor should the baby be dressed too warmly while being swaddled.

MYTH: "You have to roll your baby back onto his back if he rolls over onto his stomach."
FACT: Once babies are able to roll from their backs to their fronts, you can let your baby control his own sleeping position in the night. Until then, on the back is the safest sleeping position.

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28 Comments

  • 1. Posted by Angela on Mon, Jun 11, 2007

    Oh boy, the baby sleep issue is fraught with concerns. Not only do we have safety issues to consider but they're compounded by the fact that we just want baby to SLEEP plus the added stress of various generations of family members offering tips on what worked for their kids! In the end, we decided to do what felt right for us ... our little guy slept on his back in a bassinet in our room for the first 6 weeks and then in his own crib most of the time. There were nights when he slept on my chest in the rocking chair (usually cause I was too tired to move myself) or co-slept with my husband and I (as we were so exhausted and needed to get some sleep in order to keep him safe during the day). As with all aspects of parenting, we fumbled around and found our own way ... within current Canadian safety guidelines.

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  • 2. Posted by Vamp on Mon, Jun 11, 2007

    no offence, but that doctor is a little bit overboard with his advice...my husband and I been sharing our bed with our son since he was 3 months old and everybody is extremely happy...My son feels safer with us and falls asleep fast and wakes up happy and rested...and we like it because we feel him close...I don't care what they say...It's not wrong to listen to the experts, but it's very wrong if you take their advice over your instincts as a mom! That's my opinion!

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  • 3. Posted by Ask-er on Mon, Jun 11, 2007

    Co-Sleeping with yoru child, is of personal concern. It is a choice that most parents enter into w/o much thought, or a lot of thought. I entered it with no thoguth at all. I didn't do it cause i was tired, lazy or just wanted to have the baby near me. I did it, cause i wanted to cuddle with my baby, i figured the safest place to cuddle would be the bed. I mean, come on, what newborn is going to completely roll over at 1 wk of age and roll over top of mom, or dad to get out of the bed. I do not regret my choice to let my babies in my bed 100% of the time, and i would not go back and change it so they weren't in it at all. From the time my babies slept in our bed, they slept through the night. It is a real comfort issue for baby, knowing mommy is right there, arms wrapped safely around them. Not only that, it is a snug, warm, cozy spot who the heck wouldn't want to crawl in?

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  • 4. Posted by Jaded on Mon, Jun 11, 2007

    We had a lot of issues too, especially since my husband was back to work after the first 2 weeks our newborn was home, it has been 7 and a half years since our oldest, and it was like a new experience all over again, plus we are older and not as resilient. My husband works from 6am to 2;30pm so he is up from 5am to get to work. With every 3 hours for feeding, I was barely sleeping and had to get the older one to school by 9am. Any ways, baby is now 2 months old, and I have worked out the pattern and it has yet to change, which is to be expected, I feed her and if I am too sleepy I put her in her little bucket seat after burping and we sleep in the living room on the couch. So far so good. We also have the playpen with the bassinet insert set up in the living room so if baby is complaining the noise is contained in the living room. She seems to like it and it works for us.

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  • 5. Posted by scrappyrach on Mon, Jun 11, 2007

    All three of mine started off in their crib, but very soon moved in permanently with me! Each of them went to their own rooms at about 3 years of age - without any fuss. If you (the mother) sleep with the babys head/neck positioned on the top half of your arm and your body faced slightly towards it, it will be almost impossible for you to roll on it. (I also kept the baby on the outside of the bed, with the crib acting as a bed guard). My youngest was born in winter, so he slept on top of my quilt, with his own blanket over him. The first night I had him at home, I tried to keep him in his crib. I woke in the early hours to feed him and was sitting up. Exhausted, I dozed off and dropped him - luckily only into my lap. I decided that in itself was unsafe and he was in with me ever since. We never had a sleepless night after he was 3 days old.

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  • 6. Posted by Lisa on Mon, Jun 11, 2007

    Many countries around the world support co-sleeping. Even Dr. Sears(well re-known pediatrician advocates co-sleeping). It forms an attachment with parent and child. Why are we under the assumption that an infant must sleep separately from their parents to be safe??? Bizare...I don't care what headlines say...infants can be in a co-sleep situation and still be safe. In our North American society we are often fraught with studies trying to prove the efficacy of things...however humanity's instinctual nature has gone to the wayside. Why??? Trust yourself and know your child! That is the only thing you need when it comes to parenting.

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  • 7. Posted by Cathy on Mon, Jun 11, 2007

    As a mother of four healthy children (mid-teenage to adult), they all slept in a cradle until they were big enough to sleep in their cribs and on their stomachs. I do now have a daughter who may be doubting her mothering skills with her six month old sleeping with her. I feel the absolute best place for baby is in their crib! You don't have to worry about them falling off the bed, wondering if you have enough pillows around them to keep them safe.

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  • 8. Posted by just for argument sake on Mon, Jun 11, 2007

    My son was 4lb 15 oz when we brought him home. For this reason alone he needed to be close to mom for warmth and love. I would try time and time again to put him in the bassinett after he would fall asleep in bed with me...even wrapped tight in a blanket he would wake up shortly after being put down. He just slept better with me. Also I find He has better longer sleeps when he sleeps on his stomach! I think as long as the child can lift his or her head from side to side they should be fine. My mom says" I always put my kids to sleep on their stomach and they're all still alive!" she has 6 kids!

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  • 9. Posted by palmerley on Mon, Jun 11, 2007

    My husband and I have always shared our bed with our kids when they were babies, till about 4 yrs old. My oldest is now 7, middle is 4 and still sometimes comes in with us and we have a 7 mth old who's been in with us since birth. I feel alot safer having them in the bed with us. As soon as they move, I wake up. If they are in their crib....you don't "feel" or "hear" them and it drives me nuts. I also hear that babies that sleep in their cribs grow up to be more distant to family, I like that they feel safe and secure next to us. I think it makes our family stronger.

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  • 10. Posted by laydee_junglist on Mon, Jun 11, 2007

    It says the best way to lay your baby is on their back, but what if they throw up and choke on it? Isn't it more safe to keep them on their stomache?

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  • 11. Posted by chloesmumjh on Mon, Jun 11, 2007

    HI I have Three kids 6, 4 and 20mths and ALL OF THEM slept with me and I had no concerns the older two both left my bed and moved to there own beds at 18mths and also stopped Breastfeeding at that time too so the changes all happened at once, they fell of the bed acouple of times but we have always had our bed close to the floor, they cried and got back in bed and were fine NO CONCUSSIONS, and my hubby and I still managed to have a intamate life as well, the trick that we used is that because my hubby rolls around alot we have a queen and twin put together, THIS IS THE best way we could ALL get good rem sleep and not be overtired. Our daughter however from day 1 when we brought her home never wanted to sleep in her crib,playpen,cradle etc. So this is one downside she is a little slower to stop nursing and sleeping in bed with me!I am taking time with her as well I know she feels my feelings and I am trying to hold on to her as long as possible cause she is my baby! At this point finding her a bed that she is happy in would be awsome so the Safety issue is that there isn't here!

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  • 12. Posted by Evelyne S on Mon, Jun 11, 2007

    I agree 200% with the above mothers who' ve shared their stories (particularly from comments #6,8,2,3,9,10). For the "experts" to say it's a do or die affair, that is "no ifs, ands, or buts that babies are safe only in cribs" is utterly ignoring the millions of babies in the world that have been raised and continue to be raised the opposed (sleeping with their parents); not to mention that millions of families may not be able to afford cribs, bassenets and do fine and healthy without them. Moreover, a very good point was made about babies sleeping on their stomachs vs. thier backs: my baby has thrown up a couple of time in his sleep and thankfully both times he was on his tummy. I hate to think what would have happened had he been on his back...really...think about it. I believe a baby can sleep on their tummy if they can hold up well their own head. In the end, all is trial and error with caution of course, but nothing is written is stone. And what's good for one baby, may not be so for another. Parents please keep an open mind, and don't always go by the book. Studies and ways of living continue to change, but also a "by the book" lifestyle can deprive your growing child of so many possibilities (one of the most important being bonding with parents).

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  • 13. Posted by cubba9 on Mon, Jun 11, 2007

    My daughter is 9 yrs old,...I have two other older children and they all slept with me. It was not because of crib death issues or anything, I just wanted to snuggle with them. I found it made them more confident growing up and it strengthened the bond between us which was good because all of my children are adopted. I had no problem putting them in there own bed when it was time, I started talking about the new room and the big girl/boy bed about 3wks before, and they started having their day time naps in their new environment around the same time. I think that if parents want to have their babies in their bed with them...I say way to go. It builds a closeness that can never be replaced by anything you can encounter in the coming years. Never mind all these negative people, if you are comfortable and your baby is comfortable go for it. You will know when it is time to draw the line and wean them into their own room...my last child was 18mths. ( of course I have no husband so my sex life was not at risk, others may choose to wean a little sooner. :)

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  • 14. Posted by Mommydear on Mon, Jun 11, 2007

    I believe strongly that whatever you feel is right for you child, is what you should do (within reason of course). I had huge issues with the idea od co-sleeping before my son arrived. I was scared and didn't think it was safe. Then he was not a good sleeper - he would only sleep for 5 minutes once put down. It became a non-issue in our house. The baby slept with us and was slowly "weaned" into a cradle in our room, then to a crib. I found that worked best for us because I was terrified about SIDS and knew that he was safe when with me. I could monitor him. It worked for him 'cause he wanted to cuddle and nurse. It was win/ win. I think it boils down to choice and safety. If you take the proper precautions, co-sleeping can be as safe as crib sleeping.

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  • 15. Posted by J on Mon, Jun 11, 2007

    I think its best for everyone - mom, dad and the baby - if the baby sleeps in a crib. Both my brothers have children who slept with them as babies and I found it to be a HUGE mistake. First off the parents don't sleep as well for fear that they will smother their baby while sleeping. Second, the baby will become so used to sleeping with the parents it will become hard for the child to eventually sleep on their own. This will make them more dependent and less independent as they grow up. Also, I was always under the impression that a baby should sleep on its side so that it won't choke on its own spit or vomit. That's my 2 cents! Thanks :)

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  • 16. Posted by sunshinernstc on Mon, Jun 11, 2007

    My daughter will be 3 weeks old tomorrow. Before she was born, my husband and I bought a baby monitor that checks motion as well as sound. Last Monday, I was home alone with our girl and the monitor alarmed. She had stopped breathing, and the monitor detected the lack of breathing motion. I ran in to the nursery and got her breathing again. It was over a minute before she was breathing properly. She wouldn't have started again on her own. The fact is, that if our girl had been sleeping with us, chances are we wouldn't have noticed if her breathing stopped. As far as I am concerned, because she was in her crib and properly monitored, our baby is still alive. Having your baby sleep with you is nice, and feels wonderful. But having the baby safe and knowing that even when we're sleeping, she's being monitored keeps us all happy and healthy.

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  • 17. Posted by El Cangri on Mon, Jun 11, 2007

    Personally, I love it when my baby smiles or “talks” as soon as she sees me or my wife next to her. The only danger in sharing the bed with a baby is if a parent is a really crazy sleeper – otherwise having a baby in bed should be ok. However, always follow your parental instinct.

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  • 18. Posted by Elsie B on Mon, Jun 11, 2007

    My daughter is nearly 16 months old and has been sleeping in a family bed since she was born. There are several reasons why we chose to co-sleep. Convenience: getting up every two hours to nurse a baby can really decrease the amount of sleep you get. It's much more beneficial to wake partially, latch on the baby, and go back to sleep. Safety: if our daughter were to suddenly stop breathing, we would be right there to help her (see intuition). The same brain function that stops you from rolling off the bed will stop you from rolling onto your baby. Intuition: I find that I am really in tune with my daughter while she is sleeping next to me. I will wake up seconds before she does to nurse, and I would also wake if there was a change in her sleeping. Bonding: in a busy family, sometimes the parents don't get to spend the time they need with their children. Co-sleeping is a really good way to catch up. Comfort: who wouldn't want to sleep in one gigantic cuddle? Having problems with weaning a child from the family bed may be caused by the way it's done. You can't take a child from a place they find to be warm and safe, and move them to a quiet, lonely, and unfamiliar place and expect them to sleep. Also, co-sleeping has not damaged our sex life. Who has sex while sleeping anyway? Restricting intimacy to the bed and only at night isn't much of a sex life. I agree that co-sleeping isn't for everyone. Some people don't like being touched while sleeping. Others can be sensitive to the noises a baby makes, and get very little sleep. People who do drugs, drink alcohol, smoke, and co-sleep, will be putting their child at risk because their senses will be dulled. Children only need us for such a short time. It is my opinion that it would be better to get as close to them as you can during the first few months and years because it may be your only chance.

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  • 19. Posted by kids3_busymom1 on Mon, Jun 11, 2007

    No amount of research can overpower a mother doing what she feels is best for her child at the moment.....I know.....I have read the research, I have taken the courses, I have spoke to the professionals and I have raised my three children in absolutely different sleep styles....depending on the child. Our first slept on his back, in his crib, by himself.....and went into severe breathing distress in the middle of the night at 3 months old and was rushed to the Emergency room.......Our second just plain never slept, no matter what we did or didn't do.....at 2 1/2 she still only sleeps about 6 - 8 hours out of 24....so she slept wherever and whenever and however she wanted.......usually on her stomach because she learned to roll over at 3 days....she slept in her car seat, in her swing, on our chest, in her bed, in our bed.....if she was asleep, we left her exactly how she was......what else do you do when you are beyond sleep deprived, Our 3rd is 9 months old and although she often slept in her own crib, she too chose her stomach, and would wake if we tried to adjust her. She no longer sleeps in her crib, she usually sleeps in her toddler bed, but has occasionally been found curled up on the floor, or with her brother or sister, at 8 months she started scaling her crib rail.....so for safety reasons out went the crib....so this suposedly helpless infant chooses her own sleep location......because if she can scale a crib rail I don't want to know what other obstacles she will try to overcome if I try to contain her......so following the recomendations for back to sleep and sleep alone...although sound great and in a fairytale world I would be all for it......maybe......odd that the only one that we had problems with was our sleep alone, back sleeper......but in reality...a sleep deprived parent will take any chance and location for a few moments of sleep.

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  • 20. Posted by Lee on Mon, Jun 11, 2007

    i would have loved to ask that Doctor what the percentage of children who are smothered from cosleeping (from what i understand usually due to health issues or chemical dependancies of the parents) compared to the number of children who succumb to SIDS... like many of the other mothers who've commented, i had to 'find my own way' For us, this was a co-sleeper attached to our bed, where she slept for most of the night, and my daughter right in bed with us (though over the covers)when i was too tired to sit up to nurse her. at 6 months, we worked to putting her solely in the cosleeper, then moved her gradually into a crib. (our sex life thanked us for that!) the only downfall was that once my daughter was about 9 months, she started having panic attacks when we put her in her crib, so we just put the mattress on the floor, until we were ready to put her into a 'big girl' bed, with sides.... all has worked well so far, and i would definately do it again with the next one. you have to decide what is going to be safe for the baby, and workable for the parents.

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  • 21. Posted by julyet t on Mon, Jun 11, 2007

    all 3 children sleeps with me. and sleeps on their tummy. their sides. their back. whichever is comfortable.breastfeeding was every 2 hours initally and gradually lenghtening till 7 months. now 16 15 12. i never worried about sids or worng way or right way. i did check on them every 30-45 mins or so. it makes for lack of sleep. but baby monitor doesn't reassure me. i have to see for myself they are okay.every child is different as every mother is different. so i never even bothered to read what child experts advised.

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  • 22. Posted by anndouglas on Tue, Jun 12, 2007

    Thanks for all the comments! Just a few comments on your comments. -------------------------------------------------------------------------------------------- ANGELA: Totally agree. You have to meet your family's needs while keeping baby safe. I find the Canadian Paediatric Society website has good information for parents in its parent section as well as in its professional section (depending on how technical you want to get). -------------------------------------------------------------------------------------------- VAMP GIRL: You definitely have to trust your instincts as a parent. I think the doctor's tone was what got a lot of parents' backs up. ---------------------------------------------------------------------------------------- ASK-ER: Thanks for your comment. If you do choose to co-sleep, it's important to learn what you can do to make bed-sharing as safe as possible (e.g., reducing the risk of entrapment, not sleeping with blankets, etc.) -------------------------------------------------------------------------------------------- Hi Magik88: It can be really tough doing round-the-clock shifts as a parent. (The school schedule won't adjust itself to the fact that you have a new baby in your family.) Just one thing about the bucket seat: make sure your baby can't slump over forward (chin on chest). Ideally, a parent should supervise a baby when he/she is sleeping in one of these seats because if a baby slumps forward too far, the baby's breathing can be restricted. Just wanted to pass that important safety info along. I hope I don't end up giving you insomnia as a result. (I'm in a tough position here when we tackle serious topics like this one: I want to share what I know, but in a supportive way and in a way that doesn't increase parent anxiety. One the other hand, I know everyone wants the same thing: to keep babies safe.) -------------------------------------------------------------------------------------------- Scrappyrach: I'm glad you raised the point that you were so exhausted that your baby actually slipped from your arms into your lap when you were sitting up nursing in the night. Sometimes that point gets missed when moms are advised to sit up in chairs and nurse in the night (as opposed to nursing in the side-lying position, for fear that they might fall asleep with their babies and end up co-sleeping). This point was made in a radio interview this past week by Dr. Cairns, when he was advising women not to co-sleep, but rather to get up, nurse their babies sitting up, and then place their babies back in the crib, and go back to bed themselves. -------------------------------------------------------------------------------------------- Lisa: The only point I would add to what you have said is that some people have noted that we also have to look at what makes North American society different from other cultures. We already know some factors about our society that put babies at risk in a bed-sharing environment: e.g., waterbeds, being exposed to cigarette smoke, becoming overheated, being placed to sleep on anything but a firm surface or coming into contact with soft bedding, sleeping with a parent who is intoxicated, etc. I guess we need to keep identifying these differences in order to make bed-sharing safer because it's clear that bed-sharing is a very appealing option for many parents and babies. What we can't do is think that this option is going to disappear and that telling parents not to bedshare is going to eliminate some of the identified risks of bedsharing (e.g. entrapment between the wall and the bed). It's like pretending that not talking to teenagers about sex is an effective method of sex education. %2

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  • 23. Posted by anndouglas on Tue, Jun 12, 2007

    laydee_junglist: Choking is rarely an issue. The only times a sleeping position are recommended for medical reasons are when a baby is born with an extremely large tongue or has recurrent pneumonia from aspiration, interruption of breathing (apnea), or acid damage to the lower esophagus (esophagitis). In these cases, the baby needs to sleep on a firm sleeping surface. --------------------------------------------------------------------------------------------- chloesmumjh: At what age did falling become an issue? Late babyhood? Early toddler years? I'm wondering if you noticed any sort of pattern. --------------------------------------------------------------------------------------------- Evelyne S.: I totally agree with your key point: There's no one-size-fits-all sleep solution that works for all parents and all children. You have to figure out what's best for your family given what you know about infant development, your child's age and stage, your parenting philosophies, and your family's circumstances. (This is a point the parents I interviewed for my book made repeatedly. They told me they felt guilty because they were "cheating" when they were trying to follow off-the-shelf sleep training advice -- until they realized they were tuning into the true experts: themselves and their babies.)

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  • 24. Posted by anndouglas on Sun, Jun 17, 2007

    I still have more comments to catch up on. You are a very prolific bunch! Will be posting tomorrow.

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  • 25. Posted by anndouglas on Thu, Jun 21, 2007

    Okay! Now to dive back into the sleep discussion. Despite my best intentions, it took me a bit longer to get back to this thread than I had intended. My apologies. - --------------------------------------------------------------------------------------------- - MOMMYDEAR: I think you make an excellent point about having to find a solution that works for your family, after carefully researching the safety issues involved. Thanks for your comment. - --------------------------------------------------------------------------------------------- - JESSIEJOHNS: The side-lying sleep recommendation changed in around 1993. Before that, that was one of the recommended sleeping positions. This handout from the Montreal Children's Hospital explains why the side-lying position is dangerous. http://www.backtosleepforlife.ca/backtosleepforlife.pdf - --------------------------------------------------------------------------------------------- - SUNSHINERNSTC: What a scary experience for your family. I'm glad to hear your baby is safe. - ---------------------------------------------------------------------------------------------- R-NIKOLEV: It is wonderful to have your baby close to you. That's one of the reasons why room-sharing is recommended by the American Academy of Pediatrics and the Canadian Paediatric Societies. (They both fall short of recommending bed-sharing, but they're big proponents of room-sharing.) Other bed-sharing proponents, like sleep anthropologist James McKenna -- who has just written this brand new book on co-sleeping -- argue that the risks of co-sleeping can be reduced if parents learn about how to reduce the risks. (See http://platypusmedia.com/jimmckenna_interview.html for an interview with McKenna.) - ----------------------------------------------------------------------------------------------

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  • 26. Posted by anndouglas on Thu, Jun 21, 2007

    ELISE B: Thanks for the really helpful post about why your family chose to cosleep. - ------------------------------------------------------------------------------------------------- - KIDS3_BUSYMOM1: I think your post really highlights an important point: unless parents have the support they need from other people, they don't really have "sleep choices." Sleep is a biological necessity and if parents are having a terrible time getting their baby to sleep, parents switch into survival mode.

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  • 27. Posted by anndouglas on Thu, Jun 21, 2007

    LEE: "you have to decide what is going to be safe for the baby, and workable for the parents." Very sensible advice! - -------------------------------------------------------------------------------------------------- J_YU_TAN: I think mother's intuition (or parental intuition, to be fair to the dads) is extremely powerful. I also think that we can combine that intuition with the best research/information available to us from science (to keep our kids safe) plus the best parenting advice that other parents have to share with us. Being able to turn to "a village" of people for advice and support in raising our kids makes the job easier but, as you noted, ultimately, as the parents, we're the ones who know our kids best. Thanks for your comment.

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  • 28. Posted by anndouglas on Thu, Jun 21, 2007

    Thanks for all the posts to this thread. I'm keeping it open (along with all the other threads) so feel free to keep posting away if you feel like you've got something to add to the discussion.

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