Document Detail


Bed-sharing and the infant's thermal environment in the home setting.
MedLine Citation:
PMID:  15557043     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To study bed-sharing and cot-sleeping infants in the natural setting of their own home in order to identify differences in the thermal characteristics of the two sleep situations and their potential hazards. METHODS: Forty routine bed-sharing infants and 40 routine cot-sleeping infants aged 5-27 weeks were individually matched between groups for age and season. Overnight video and physiological data of bed-share infants and cot-sleeping infants were recorded in the infants' own homes including rectal, shin, and ambient temperature. RESULTS: The mean rectal temperature two hours after sleep onset for bed-share infants was 36.79 degrees C and for cot-sleeping infants, 36.75 degrees C (difference 0.05 degrees C, 95% CI -0.03 to 0.14). The rate of change thereafter was higher in the bed-share group than in the cot group (0.04 degrees C v 0.03 degrees C/h, difference 0.01, 0.00 to 0.02). Bed-share infants had a higher shin temperature at two hours (35.43 v 34.60 degrees C, difference 0.83, 0.18 to 1.49) and a higher rate of change (0.04 v -0.10 degrees C/h, difference 0.13, 0.08 to 0.19). Bed-sharing infants had more bedding. Face covering events were more common and bed-share infants woke and fed more frequently than cot infants (mean wake times/night: 4.6 v 2.5). CONCLUSIONS: Bed-share infants experience warmer thermal conditions than those of cot-sleeping infants, but are able to maintain adequate thermoregulation to maintain a normal core temperature.
Authors:
S A Baddock; B C Galland; M G S Beckers; B J Taylor; D P G Bolton
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of disease in childhood     Volume:  89     ISSN:  1468-2044     ISO Abbreviation:  Arch. Dis. Child.     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-11-23     Completed Date:  2004-12-20     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372434     Medline TA:  Arch Dis Child     Country:  England    
Other Details:
Languages:  eng     Pagination:  1111-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Women's & Children's Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand. barbara.galland@stonebow.otago.ac.nz
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Bedding and Linens / statistics & numerical data
Beds / utilization*
Body Temperature / physiology*
Body Temperature Regulation / physiology
Case-Control Studies
Female
Heating
Humans
Infant
Infant Care / statistics & numerical data
Infant Equipment / utilization*
Infant, Newborn
Male
Seasons
Sleep*
Socioeconomic Factors
Comments/Corrections

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