Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Deaths and near deaths of healthy newborn infants while bed sharing on maternity wards

Subjects

Abstract

Objective:

Our aim was to evaluate programs promoting bed sharing on maternity wards and determining ways to reduce these risks.

Study Design:

Members of the National Association of Medical Examiners were contacted requesting information on deaths of healthy infants while bed sharing on maternity wards.

Result:

Fifteen deaths and three near deaths are reported. One or more factors that increase the risk of bed sharing were present in all cases. Accidental suffocation was deemed the most likely cause of these incidents.

Conclusion:

Cases of infant deaths and near deaths while bed sharing on maternity wards are under reported. The ‘Baby Friendly’ (BF) initiative in maternity hospitals to promote breastfeeding is endorsed by the American Academy of Pediatrics and the US Center for Disease Control and Prevention. The BF initiative encourages prolonged skin-to-skin contact and bed sharing. Education of mothers and more efficient monitoring should significantly reduce the risk of maternity ward bed sharing.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Green DW, Weisoly DL . Request for further expansion of recommendations for a safe infant sleeping environment. Pediatrics 2011; 128: e1341–e1367.

    Article  Google Scholar 

  2. Becher JC, Bhushan SS, Lyon AJ . Unexpected collapse in apparently healthy newborns- a prospective national study of a missing cohort of neonatal and near-death events. Arch Dis Child Fetal Neonatal Ed 2012; 97: F30–F34.

    Article  Google Scholar 

  3. Andres V, Garcia P, Yves R, Nicaise C, Simeoni U . Apparent life-threatening events in presumably healthy newborns during early skin-to-skin contact. Pediatrics 2011; 127: e1073–e1076.

    Article  Google Scholar 

  4. Espagne S, Hamon I, Thiebaugeorges O, Hascoet JM . Sudden death of neonates in the delivery room. Arch Pediatr 2004; 11: 436–439.

    Article  CAS  Google Scholar 

  5. Gatti H, Castel C, Andrini P, Durand P, Carlus C, Chabernaud JL et al. Cardiorespiratory arrest in full term infants: six case reports. Arch Pediatr 2004; 11: 432–435.

    Article  CAS  Google Scholar 

  6. Hays S, Feit P, Barre P, Cottin X, Huin N, Fichtner C et al. Respiratory arrest in the delivery room while lying in the prone position on the mothers’ chest in 11 full term healthy neonates. Arch Pediatr 2006; 13: 1067–1068.

    Article  CAS  Google Scholar 

  7. Rodriguez-Alarcon J . Sudden death and severe apparent life-threatening events in term infants during early skin-to-skin. Pediatrics 2011; 127: e869–e873.

    Article  Google Scholar 

  8. Burchfield DJ, Rawlings DJ . Sudden deaths and apparent life-threatening events in hospitalized neonates presumed to be healthy. Am J Dis Child 1991; 145: 1319–1322.

    CAS  PubMed  Google Scholar 

  9. Poets A, Steinfeldt R, Poets CF . Sudden deaths and severe apparent life-threatening events in term infants within 24 hours of birth. Pediatrics 2011; 127: e869.

    Article  Google Scholar 

  10. Nakamura T, Sano Y . Two cases of infants who needed cardiopulmonary resuscitation during early skin-to-skin contact with mother. J Obstet Gynaecol Res 2008; 34: 603–604.

    Article  Google Scholar 

  11. Toker-Maimon O, Joseph LJ, Bromiker R, Schimmel MS . Neonatal cardiopulmonary arrest in the delivery room. Pediatrics 2006; 118: 847–848.

    Article  Google Scholar 

  12. Peters C, Becher JC, Lyon AJ, Midgley PC . Who is blaming the baby? Arch Dis Child Fetal Neonatal Ed 2009; 94: F377–F378.

    CAS  PubMed  Google Scholar 

  13. UNICEF UK Baby Friendly Initiative. Implementing the Baby Friendly Best Practice Standardshttp://www.infantfeedingwm.org.uk/documents/impguide.pdf Accessed 8 February 2013.

  14. Baby Friendly USA Overcoming Barriers to Implementing the Ten Steps to Successful Breast Feeding http://www.azdhs.gov/phs/bnp/gobreastmilk/documents/AZBSBS_MHPG_Overcoming%20Barriers.pdf Accessed 10 February 13.

  15. Section on Breast Feeding, Breast Feeding and the use of human milk. Pediatrics 2012; 129: e827–e841.

  16. Breast Feeding Report Card-United States 2011, http://www.cdc.gov/breastfeeding/data/reportcard/reportcard2011.htm Accessed 25 February 2013.

  17. CDC. Vital signs: hospital practices to support breastfeeding-United States, 2007 and 2009. Morb Mortal Wkly Rep 2011; 60 (30): 1020–1025.

    Google Scholar 

  18. Task Force on Sudden Infant Death Syndrome. SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment. Pediatrics 2011; 128: e1341–e1367.

    Article  Google Scholar 

  19. Blair PS, Sidebotham P, Evason-Coombe C, Edmonds M, Heckstall-Smith EM, Fleming P . Hazardous cosleeping environments and risk factors amenable to change: case-control study of SIDS in south west England. BMJ 2009; 339: b3666.

    Article  Google Scholar 

  20. Ruys JH, de Jonge GA, Brand R, Engelberts AC, Semmekrot BA . Bed-sharing in the first four months of life: a risk factor for sudden infant death. Acta Paediatr 2007; 96 (10): 1399–1403.

    Article  Google Scholar 

  21. Carrol-Pankhurst C, Mortimore A . Sudden infant death syndrome, bed sharing, parental weight, and age at death. Pediatrics 2001; 107: 530–536.

    Article  Google Scholar 

  22. Byard RW . Is breastfeeding in bed always a safe practice? J Paediatr Child Health 1998; 34: 418–419.

    Article  CAS  Google Scholar 

  23. Byard RW, Burnell RH . Apparent life threatening events and infant holding practices. Arch Dis Child 1995; 73: 502–504.

    Article  CAS  Google Scholar 

  24. Wulbrand H, McNamara F, Thach BT . The role of arousal related brainstem reflexes in causing recovery from upper airway occlusion in infants. Sleep 2008; 31: 833–840.

    Article  Google Scholar 

  25. Smith PB, Moore K, Peters L . Implementing baby friendly practices: strategies for success. MCN Am J Matern Child Nurs 2012; 37 (4): 228–233.

    Article  Google Scholar 

  26. Sharing a bed with your baby http://www.nhbreastfeedingtaskforce.org/pdf/sharingbedleaflet.pdf Accessed 6 March 2013.

  27. McKenna JJ, McDade T . Why babies should never sleep prone alone: a review of the co-sleeping controversy in relation to SIDS, bed sharing, and breastfeeding. Paediatr Respir Rev 2005; 6: 134–152.

    Article  Google Scholar 

  28. Ball HL . Breastfeeding, bed sharing, and infant sleep. Birth 2003; 30: 181–188.

    Article  Google Scholar 

  29. Moore ER, Anderson GC, Bergman N . Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev 2007; 18, CD003519.

  30. Merewood A, Mehta SD, Chamberlain LB, Philipp BL, Bauchner H . Breastfeeding rates in US baby-friendly hospitals: results of a national survey. Pediatrics 2005; 116: 628–634.

    Article  Google Scholar 

Download references

Acknowledgements

This study was funded by The Madison Foundation. Clifford C. Nelson, MD, for helpful suggestions as well as the medical examiners and infants' families for providing information, and Kathleen Harris for expert assistance in manuscript preparation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to B T Thach.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Thach, B. Deaths and near deaths of healthy newborn infants while bed sharing on maternity wards. J Perinatol 34, 275–279 (2014). https://doi.org/10.1038/jp.2013.184

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/jp.2013.184

Keywords

This article is cited by

Search

Quick links