These are a good idea, especially when your baby sleeps out of ear-shot. But there’s another sort of device called a ‘breathing monitor’ which is designed to sound only when your baby stops breathing. The Foundation for the Study of Infant Deaths recommends that you only buy one of these breathing monitors if your baby has problems breathing. Talk to your doctor or health visitor before buying this type of monitor. In tests, parents found that breathing monitors tended to sound when there was no problem with the baby – making them more anxious rather than less. Parents also tend to check their baby less often when there is an alarm in the room, which means that they may not pick up the other predictor of cot death – that their baby is too hot.
Babies of less than four months old are less able to adapt to swings in temperature than the rest of us and need help to keep a steady temperature. Overheating can lead to cot death. So don’t use any bedclothes that make it difficult to regulate your baby’s body heat. Duvets and lambswool fleeces are out, but sheets and blankets are in. Babies regulate their temperature by losing heat from their heads so don’t dress him in a hat to sleep. Your baby can also wriggle his head under a cot bumper, soft toy or pillow, so it’s best not to put any of these into the cot until he is one year old.
‘We worried about having the duvet on our bed and that she would overheat but we’d move the pillow out of the bed and there would be an air space between us.’
Sally, mother of Laura and Annie
Other co-sleeping parents regulate their babies’ temperature by swopping their duvets for sheets and blankets and dressing their baby in fewer clothes.
The Foundation for the Study of Infant Deaths recommends:
• Laying your baby on his back to sleep (he is not more likely to choke).
• Don’t allow anyone to smoke near your baby or in the house.
• Keep your baby’s room at about 18°C/64°F.
• Cover him with a sheet and cellular blankets, rather than a duvet. (A folded blanket counts as two.)
• Don’t assume that, because it’s cold outside, your baby will be cold; judge it by feeling him.
• Check your baby by putting your hand inside his babygro and feeling his stomach. If he’s warm, that’s fine. Too cold and add another blanket, too hot and you need to remove one. (Don’t worry if his hands and feet are cold – this is normal.)
• Lie your baby with his feet at the end of the cot so he can’t wriggle down under the covers.
• If your baby seems unwell, seek medical advice early and quickly.
• Have your baby in a cot beside your own bed for the first six months.
If you are a smoker, have taken drugs or are drunk, you should not sleep with your baby in your bed because this increases the risk of cot death.
Cot death is rare, so don’t let it spoil those special first few months with your baby.
‘I think that children are supposed to sleep with their parents. Many of the sleep problems are to do with sleeping alone.’
Margaret and Phil, parents of James, aged 20 months
‘Thomas went into his own bedroom pretty early on. I think he lasted about two days in our bedroom – we couldn’t sleep. The health visitor had said something ridiculous like six months, but we couldn’t keep to that.’
Sue and Michael, parents of Thomas, two
For 95% of evolution, babies have slept with their mothers. Independent sleep is a relatively recent idea. So which is best – co-sleeping or independent sleep? As yet there’s no clear answer but there is mounting evidence that our bodies are designed for close proximity or contact with our babies throughout the day and night until at least six months. It may be that solitary sleeping in the first few months of life makes too many demands on your baby’s body, and that sleeping and waking within sight and sound of you helps him to adapt to life more smoothly.
Bed-sharing Benefits
The process works like this: it’s not unusual for babies, and especially premature babies, to have breathing pauses, which last anything up to 20 seconds. It’s quite normal. The breathing system is not fully mature at birth. If they happen in sleep, these breathing pauses lead the baby to wake and start to breathe again. Researchers have now discovered that babies who sleep close to mum and dad tune into their parents’ breathing following a breathing pause and join in again at the same pace (McKenna et al., 1994). There is also a suggestion that mothers who sleep with their babies tend to sleep up close, facing their baby most of the time and that this closeness stimulates their baby’s breathing in another way – through the increased level of carbon dioxide they emit (Mosko et al
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