Infant Sleep Location and Breastfeeding Practices in the United States, 2011-2014

Overview

Journal Acad Pediatr

Publisher Elsevier

Date 2016 Feb 7

PMID 26851615

Citations 27

Authors

Lauren A Smith

Nicole L Geller

Ann L Kellams

Eve R Colson

Denis V Rybin

Timothy Heeren

Michael J Corwin

Affiliations

Soon will be listed here.

Abstract

Objective: To describe the prevalence of breastfeeding and sleep location practices among US mothers and the factors associated with these behaviors, including advice received regarding these practices.

Methods: A nationally representative sample of 3218 mothers who spoke English or Spanish were enrolled at a sample of 32 US birth hospitals between January 2011 and March 2014.

Results: Exclusive breastfeeding was reported by 30.5% of mothers, while an additional 29.5% reported partial breastfeeding. The majority of mothers, 65.5%, reported usually room sharing without bed sharing, while 20.7% reported bed sharing. Compared to mothers who room shared without bed sharing, mothers who bed shared were more likely to report exclusive breastfeeding (adjusted odds ratio 2.46, 95% confidence interval 1.76, 3.45) or partial breastfeeding (adjusted odds ratio 1.75, 95% confidence interval 1.33, 2.31). The majority of mothers reported usually room sharing without bed sharing regardless of feeding practices, including 58.2% of exclusively breastfeeding mothers and 70.0% of nonbreastfeeding mothers. Receiving advice regarding sleep location or breastfeeding increased adherence to recommendations in a dose response manner (the adjusted odds of room sharing without bed sharing and exclusive breastfeeding increased as the relevant advice score increased); however, receiving advice regarding sleep location did not affect feeding practices.

Conclusions: Many mothers have not adopted the recommended infant sleep location or feeding practices. Receiving advice from multiple sources appears to promote adherence in a dose response manner. Many women are able to both breastfeed and room share without bed sharing, and advice to adhere to both of these recommendations did not decrease breastfeeding rates.

Citing Articles

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Setting the Agenda for Patient-Centered Research in Infant and Young-Child Feeding: Results from the Academy of Breastfeeding Medicine and Reaching Our Sisters Everywhere.

Kellams A, Kair L, Broomfield-Massey K, Harper K, Bugg K, Stuebe A Breastfeed Med. 2024; 19(9):683-691.

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Practices and Awareness Regarding an Infant's Sleep Environment among Japanese Caregivers: A Cross-Sectional Survey.

Himemiya-Hakucho A, Taketani A, Nakagawa A, Sakai H, Shigemoto A, Takase I Int J Environ Res Public Health. 2024; 21(4).

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Helping first-time mothers establish and maintain breastfeeding: Access to someone who can provide breastfeeding advice is an important factor.

Massare B, Hackman N, Sznajder K, Kjerulff K PLoS One. 2023; 18(6):e0287023.

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NICU Visitation Time and Adherence to Safe Sleep Practices Among Mothers of Very Preterm Infants.

Hwang S, Weikel B, Palau M, Greenfield J, Klawetter S, Neu M Adv Neonatal Care. 2023; 23(4):365-376.

PMID: 37036938 PMC: 10524197. DOI: 10.1097/ANC.0000000000001066.

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