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Comment & Response
April 2014

Parent-Infant Bedsharing Is Not Recommended—Reply

Author Affiliations
  • 1Department of Pediatrics, Harborview Medical Center, University of Washington, Seattle
JAMA Pediatr. 2014;168(4):387-388. doi:10.1001/jamapediatrics.2013.5172

In Reply Krugman’s letter illustrates the imprecise thinking underlying the American Academy of Pediatrics (AAP) admonition against bedsharing. He lumps the terms sudden infant death syndrome (SIDS), sudden unexpected death in infancy, undetermined, asphyxia, accidental suffocation, and strangulation under the rubric of “unsafe sleep environment.” He also touts the accomplishments of Child Fatality Review teams in uncovering risk factors for sleep-related deaths without reference to peer-reviewed studies and reports that only 3 of 119 infants dying suddenly and unexpectedly in Baltimore County, Maryland, fit his definition of “classic SIDS.”