The following article is by Meggan Hartman, a sleep consultant here in Asheville. She has regular sleep workshops at The Tree House! Check out her website: megganhartman.com for upcoming events...
*Where Will the Baby Sleep?*
In the United States the rate of co-sleeping has nearly doubled from 5.5%
to 12.5% with up to 70% of Americans reporting that they have co-sleep at
least 1 night within the first 3 years of a child’s life. More and more
infant sleep specialist are starting to see the merits of co-sleeping.
Sleep experts such as Richard Ferber and Dr Spock have reversed their long
held stance on co-sleeping. In a statement released in 2006, Ferber stated
that co-sleeping “can be suitable for some families” given that parents
follow safe co-sleeping guidelines. As more and more people co-sleep it
has sparked dialog and research about the best place for your baby to
sleep.
One of the most recurring questions I get from parents is whether they
should co-sleep, room share, or sleep separate from their baby. My answer
is: there is no one answer; there are numerous factors that each family
should consider. Deciding your child’s sleep location varies by family and
culture.
The debate begins with the benefits of co-sleeping. Research shows that
when a mom and baby sleep close together there is a natural increase in
breast feeding frequency. This frequency can also help augment milk
production. Then there is the perk of easy breastfeeding; the mom can stay
in bed, roll over, and sideline nurse. Resent research has shown the
possibility of lowing the SIDS risk. The sleep/wake cycle of mother and
baby and the mother being present in the event of a sleep problem are the
factors contributing to lowering the SIDS risk. Finally there is some
evidence of children being more confident socially and more responsive to
parents when they have co-slept with parents as babies.
The primary argument against co-sleeping is safety. There is concern that
the baby will be suffocated by blankets or parents rolling over and
smothering the infant. The co-sleeping community has published safe
sleeping guidelines to help prevent any such accident, but even the leading
co-sleeper advocate McKenna states that if you can not follow the
guidelines then having the baby sleep on their own surface is preferred.
On the contrary, sleep experts have described sleep problems that are
associated with co-sleeping. These problems include persistent night
and an excessive dependency on parental assistance for going to
sleep and staying asleep. These perpetual wakings can cause sleep
deprivation. This lack of sleep has been shown to contribute to the onset
of Postpartum Depression and/or Anxiety. Sleep deprivation can have an
adverse affect on spousal/partner relationship. Additionally, when
parents are sleep deprived their ability to read their baby’s cues and to
respond to their baby with love and care is compromised. Research shows
that when we respond to our baby’s crying with anger or anxiety, a baby
develops attachment insecurity. When babies do not get enough sleep there
is significant research that the development of the hypothalamus is
compromised thus impacting and child’s ability to regulate emotions.
Finally there have been studies that indicated that babies who sleep
solitary have a greater ability to self sooth and have greater resiliency.
The middle of the road approach, room sharing is now being touted as the
preferred way to sleep by the American Pediatric Association. There is
evidence showing that room sharing decreases the risk of SIDS and limited
evidence indicates that sleeping in close proximity to parents helps
facilitate the development of circadian rhythms (babies knowing day from
night). Room sharing can also help parents who, for safety reasons, are
scared to co-sleep with their baby but do not want to sleep away from their
baby. With all that room sharing can offer, there are those babies who
make a lot of noises at night. Although these noises are a part of the
baby’s sleep, it keeps parents awake.
For me it comes down to what is going to work the best for the whole
family. For some families the joys of sharing the family bed are
tremendous and for others it can cause suffering. A study conducted by
Kathleen Dyer Ramos showed that two happiest parenting groups where the
parents who either were committed co-sleepers or committed solitary
sleepers. The group that had the most frustration and conflict were the
“reactive co-sleeper” - the ones who perceived their children’s night
wakings as most problematic and would bring the child into bed to try to
solve the problem.
I urge parents to listen to and follow what is best for their family. If
you were committed to having your baby sleep solitary and you find that you
are really sad about not having that extra snuggle time or having
difficulty breast feeding at night, co-sleeping might be an answer. If you
are struggling with sleep issues and it is compromising your ability to
function during the day or your mental health, then having your baby sleep
solitary might be an answer. Having a hybrid approach where you co-sleep
or room share for the first couple months then move baby into their own
room is fine as well.
If you do chose to co-sleep with your child here is a link to learn how to
sleep safely: http://cosleeping.nd.edu/safe-co-sleeping-guidelines/<http://megganhartman.us2.list-manage1.com/track/click?u=cba1cb68f5d9d73280a69701a&id=f97bb4f6d1&e=379eeef975>
If you chose to have your child sleep on their own surface either in their
own room or room sharing, here is AAP current guidelines:
http://pediatrics.aappublications.org/content/early/2011/10/12/peds.2011-2284<http://megganhartman.us2.list-manage.com/track/click?u=cba1cb68f5d9d73280a69701a&id=2c59db5d73&e=379eeef975>
The training that I have received is in The Millette Method. The Millette
Method is a multi-disiplainary approach that helps solves sleep issues that
can arise when moving your baby to their own room or help the co-sleeping
family sleep better at night. It uses a variety of gentle methods that
takes into account baby temperment, family values, attachment, and parental
overwhelm. If you are needing some help or support through the process,
then call me to schedule a consultation. Meggan Hartman is the only person
trained in the Millette Method on the East Coast