title: Impact of a Randomized Controlled Trial to Reduce Bedsharing on Breastfeeding Rates and Duration for African-American Infants.
abstract: Bedsharing is associated with both increased breastfeeding and increased risk of sudden and unexpected infant deaths. The objective was to determine impact of sleep location and counseling about sleep location on breastfeeding exclusivity and duration in African-Americans. 1194 mothers of newborns were randomized to receive messaging emphasizing either safe sleep practices to reduce SIDS risk or safe sleep practices to prevent SIDS/suffocation. Mothers completed four interviews in the 6 months after delivery. The most common sleep arrangement was roomsharing without bedsharing ("roomsharing"). Duration of any breastfeeding was 6.1 and 5.3 weeks for infants who usually bedshared or roomshared, respectively (p = 0.01). Duration of exclusive breastfeeding was 3.0 and 1.6 weeks for infants who usually bedshared or roomshared, respectively (p < 0.001). Group assignment did not affect breastfeeding duration. The most common sleep arrangement for African-American infants <6 months was roomsharing. An intervention designed to discourage bedsharing did not impact breastfeeding duration.
authors.affiliation: Division of General Pediatrics, Department of Pediatrics, University of Virginia, PO Box 800386, Charlottesville, VA, 22908, USA. rym4z@virginia.edu.
authors.forename: Rachel Y
authors.initials: RY
authors.lastname: Moon
authors.affiliation: Division of General Pediatrics and Community Health, Children's National Medical Center, Washington, DC, USA.
authors.forename: Anita
authors.initials: A
authors.lastname: Mathews
authors.affiliation: Division of General Pediatrics and Community Health, Children's National Medical Center, Washington, DC, USA.
authors.forename: Brandi L
authors.initials: BL
authors.lastname: Joyner
authors.affiliation: Division of General Pediatrics and Community Health, Children's National Medical Center, Washington, DC, USA.
authors.forename: Rosalind P
authors.initials: RP
authors.lastname: Oden
authors.affiliation: Center for Translational Science, Children's National Medical Center, Washington, DC, USA.
authors.forename: Jianping
authors.initials: J
authors.lastname: He
authors.affiliation: Center for Translational Science, Children's National Medical Center, Washington, DC, USA.|Department of Pediatrics, George Washington University, Washington, DC, USA.|Department of Epidemiology and Biostatistics, Washington, DC, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: McCarter
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D001942:Breast Feeding / Q000706:statistics & numerical data*; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007407:Interviews as Topic; D009035:Mothers / Q000193:education*; D015397:Program Evaluation; D012890:Sleep; D012959:Socioeconomic Factors; D013398:Sudden Infant Death / Q000517:prevention & control*; D014481:United States; D055815:Young Adult
keywords: Bedsharing; Breastfeeding; Sleep location