From Baby Sleep : How to Bedshare if you really have to by Nalina Eggert

Explain how cuddle curl is beneficial to parents and babies. Explain how it helps both parents and babies of sleep deprivation. How do the NHS guidelines help?

Read the article and make at least two thoughtful/reflective/inquisitive comments

Find examples from Module 2 - Birth, Physical, Cognitive, & Psychosocial Development in the First Three Years

Cite evidence from outside sources

1 answer

### Benefits of Cuddle Curl for Parents and Babies

The cuddle curl is a specific positioning technique recommended for bedsharing to ensure the safety and comfort of both the baby and the parents. This involves the mother lying on her side, with her body curled around the baby in a protective manner. Here are some ways in which the cuddle curl can be beneficial:

1. **Enhanced Safety**: The curl provides a physical barrier that prevents the baby from rolling away or falling out of bed. Additionally, it minimizes the risk of the baby’s face being covered by blankets or pillows, reducing the risk of suffocation.

2. **Facilitation of Breastfeeding**: This position supports easy and frequent breastfeeding throughout the night without the mother having to fully awaken, allowing for a more restful and uninterrupted sleep cycle.

3. **Bonding and Security**: Close physical proximity fosters a sense of security and attachment between the baby and the parent. This emotional closeness can be soothing for the baby and can promote emotional development.

### Helping with Sleep Deprivation

1. **Improved Sleep for Parents**: By making nighttime breastfeeding easier, cuddle curl allows the mother to maintain a state of semi-consciousness and doze back off quickly after feeding. This reduces sleep fragmentation and can lead to better overall rest for the parents.

2. **Better Sleep for Babies**: Close proximity to the mother can help babies sleep more soundly and for longer stretches because they feel secure. This reduced night waking means less disruption and more consolidated sleep for everyone involved.

### NHS Guidelines on Bedsharing

The NHS guidelines offer comprehensive advice to create a safer bedsharing environment:
- Avoid bedsharing if the baby was premature or had a low birth weight.
- Ensure there are no pillows, heavy blankets, or other items that could obstruct the baby's breathing.
- Keep the baby away from the edges of the bed to prevent falls.

These guidelines are crucial because they provide evidence-based recommendations that help parents minimize risks associated with bedsharing.

### Thoughtful/Reflective/Inquisitive Comments

1. **Balancing Safety and Convenience**: The cuddle curl, supported by NHS safety measures, seems like a well-balanced approach. However, I wonder how feasible it is for all parents to consistently maintain this position throughout the night, especially when they're deeply asleep. Are there additional strategies recommended for training oneself to maintain the curl even subconsciously?

2. **Long-term Developmental Effects**: It's clear that close proximity during sleep can aid in emotional bonding and security, but I'd be curious to know if there are any longitudinal studies suggesting whether these early sleep arrangements have significant long-term effects on a child's emotional and cognitive development.

### Examples from Module 2 - Birth, Physical, Cognitive, & Psychosocial Development in the First Three Years

1. **Psychosocial Development**: According to Erikson, the first stage of psychosocial development (Trust vs. Mistrust) is critical in the first year of life. This stage emphasizes the importance of a caregiver's responsiveness to the baby's needs, which is directly supported by the cuddle curl position that fosters a secure attachment.

2. **Physical Development**: The close physical proximity in cuddle curl can prevent sudden infant death syndrome (SIDS) by ensuring the baby's airway remains clear and by promoting regular monitoring of the baby's breathing. This can support better physical health outcomes during this critical period.

### Evidence from Outside Sources

1. **American Academy of Pediatrics (AAP)**: The AAP advises against bedsharing primarily due to safety concerns but does endorse room-sharing without bed-sharing as a way to reduce the risk of SIDS. However, they acknowledge that if parents do choose to bedshare, they should follow stringent safety protocols similar to those advised by the NHS (AAP, 2016).

2. **McKenna & McDade (2005)**: Research by McKenna and McDade has shown that mothers who bedshare tend to breastfeed more frequently, which lowers the risk of SIDS and supports better nutritional intake and immune system development in infants.

### Citations

- American Academy of Pediatrics. (2016). SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment. Pediatrics, 138(5), e20162938.
- McKenna, J. J., & McDade, T. (2005). Why babies should never sleep alone: A review of the co-sleeping controversy in relation to SIDS, bedsharing and breast feeding. Paediatric Respiratory Reviews, 6(2), 134-152.

In summary, the cuddle curl can provide key benefits related to safety, ease of breastfeeding, and emotional bonding, helping to alleviate some common issues related to sleep deprivation for both parents and babies, while aligning with crucial NHS guidelines for safer bedsharing practices.