Bed-sharing Among Toddlers and Preschoolers

Bed-sharing is the habit or custom of parents and infants sharing the same bed. It is practiced in many different cultures to build family closeness, and, sometimes, bed-sharing is practiced out of economic necessity. However, in the United States bed-sharing is not recommended by pediatricians and other healthcare professionals. While the American Academy of Pediatrics advises that parents avoid bed-sharing for a baby’s first year of life to reduce risk of sudden infant death syndrome (Ben-Joseph, 2022), they offer no official sleep guidelines for children of toddler and preschool age (e.g., 1 to 6 years old). Research, to date, is also ambiguous on the physical and psychological effects of bed-sharing with toddler and preschool-aged children (Covington et al., 2019). As a parent, if you make the decision to begin by having your child sleep in their own bed or you decide to transition your child to their own bed after they have shared your bed, you may find it useful to understand your child’s motivations for climbing into your bed and identify tools to help your child confidently sleep on their own.

The differences among co-sleeping, bed-sharing, and room-sharing

Co-sleeping is a term that refers to parents and children sleeping in close proximity to one another (Ben-Joseph, 2022). You can co-sleep with your child when you share a physical space with your child during sleep time (e.g., bed, couch, chair) or when they sleep nearby in your general area (e.g., the crib is in your room).

Bed-sharing and room-sharing are two forms of co-sleeping that are described in the following ways:

  • Bed-sharing is a form of co-sleeping that occurs when your child shares the same bed with you and/or another parent/caregiver (Ben-Joseph, 2022).
  • Room-sharing is a form of co-sleeping that occurs when your child sleeps near your bed, usually in a crib, play yard, bassinet, or bedside sleeper (Ben-Joseph, 2022).

Reasons you and your family may consider bed-sharing

As a parent, your family may consider bed-sharing for one of the following social-emotional, safety, cultural, or financial reasons.

  • It alleviates the child’s separation anxiety.
  • It helps the child cope with nightmares.
  • It fulfills emotional needs for parent and/or child.
  • It helps the parent monitor the child’s safety throughout the night.
  • It calms the child’s fear of a dark room.
  • It supports the child if there is too much light in their room.
  • It respects and honors the family’s cultural norms.
  • It serves families who have few available beds.
  • It helps keep the child warm if the home has poor heating quality.
  • It centralizes the cool areas of the home if the home as poor cooling quality.

The effects of bed-sharing on families

As noted above, there are many reasons that you and your family may consider bed-sharing. However, as a parent, you should be aware of the potential effects—negative and positive—that bed-sharing can have on you, your child, and your family.

Pros Cons
  • Promotes parent-child closeness and bonding.
  • Helps the child fall asleep more easily.
  • Reduces the number of nighttime awakenings for the child.
  • Reduces the number of issues the child may have when they wake in the morning.
  • Lowers the number of future sleep problems for the child.
  • Leads to possible interruptions in the parent’s or child’s sleep.
  • Contributes to poor sleep quality for the parent.
  • Contributes to fewer than the recommended hours of sleep for parent and/or child.
  • Delays child’s ability to self-soothe and fall asleep independently.

Tips to Get Your Child to Sleep Alone

Children are natural explorers, and they often test limits. Therefore, you will probably want to set guidelines and expectations for your child at an early age. This includes establishing a bedtime routine. Consider the following tips to help your child develop healthy sleep habits and proper sleep hygiene.

  • Establish a bedtime routine. Ensure your child can form positive associations with sleep by establishing a predictable bedtime routine. You may begin with a warm bath and follow up with brushing and flossing your child’s teeth. You may relax with a bedtime story or a quiet song before putting the child into their own bed. Remember, avoid electronics and screen time for at least 1 hour before bedtime. Blue-light exposure from these devices can keep the child awake as it can trick the child’s brain into thinking it is daytime, and the child’s brain stops releasing melatonin, which is a sleep hormone (McCarthy, 2022).
  • Coordinate a plan and stay consistent. You can help your child feel in control of their actions when you talk through the bedtime plan with them early in, or throughout, the day. Together, you and your child can determine what to expect, mentally prepare to implement the plan, and get excited about your child showing you how they can sleep in their own bed. When it’s time for bed, revisit the plan with your child, and follow through with the established steps. After you implement the plan, be mindful not to use sleeping in your bed as a reward or a comfort mechanism. For instance, if your child successfully sleeps in their bed throughout the night for 5 nights in a row, you should not relax your expectations on the 6th night. This may confuse your child, and they may believe that sleeping in your bed is still an option.

If your family has decided it is time for your child to begin sleeping alone in their own room, remember it may take some time to reach success. For safety reasons, do not lock your child in their room or lock them out of your room (Children’s Hospital of Philadelphia, n.d.). However, you may consider one of the following methods to smooth the transition.

  • Make a gradual transition. Your child may learn to fall asleep without you if you increase the time that you are outside of their room. Consider putting your child to sleep in their bed when they become drowsy and, then, leave the room. Remain outside the room for 3 minutes before returning to check on the child. Over the next few days, increase your time outside of the room to 5 minutes, then 10 minutes, and continue until your child learns to fall asleep without you.
  • Use the chair method. Sometimes, it helps the child to know that you are nearby even if you are not always present. To support your child’s needs, consider gradually decreasing your proximity to the child while you are in their room. For the first night, you may lie on the floor next to your child until they fall asleep. A few days later, you may move from the floor to sitting in a chair next to the bed until your child falls asleep. Continue to increase the distance between the chair and your child, while they fall asleep, until you are sitting by the door and, then, outside the closed door.
  • Take 100 walks. Some children may begin the night in their own bed but wake up frequently and get in your bed. Other children may follow you out the door immediately after you tuck them in bed. Consider keeping a neutral reaction and walking your little drifter back to their bed every time they escape. Although it may be exhausting, continue to walk your child to their bed, tuck them back in, and leave the room each time this happens until they are confident with staying in their room all night. 
  • Develop a reward system. Many children like to see a concrete tool to help support their learning and progress. Consider posting a sticker chart on the child’s wall. With each day that your child remains in their bed, your child can get a sticker (or whatever your family decides to use to positively reinforce your child’s behavior). At the end of the week, if your child has completed their goal, then, they can receive a small prize. The prize can be a new toy, their favorite activity, a trip to the zoo, or a special treat, like praise, attention, and hugs (note, healthcare professionals recommend that food should not be used as a reward). A similar option could be using a piggy bank. Put a set amount of money in the child’s piggy bank when your child sleeps in their bed. At the end of the week, they can use the accumulated money to select a gift of their choice.
  • Offer your child a bedtime pass. Your child may be full of the “I wants” at bedtime. They may wake consistently and ask for more water, one more snack, one more story, or one more hug. With a bedtime pass, your child is given one pass to leave their room. The bedtime pass is a visible tool that your child can hold and use to help them learn and understand rules and limits. It also gives your child a sense of control as they learn to respect boundaries.
  • Surround the child with some of their favorite toys or items. Work with your child to create a space that is appealing to them. Invite them to help you decorate their room in ways that are exciting and familiar to them. You may bring in your child’s favorite toys and comfort items of their choosing. In addition, you can place photos, books, blankets, and other familiar objects in your child’s room.
  • Use a safety gate. Ask your child to stay in bed and to not leave their room. Let them know if they leave the room, you will have to install the safety gate. Follow through with setting up the safety gate if your child exits their room. However, ensure that you keep your bedroom door open so your child knows that you are not far away. This may not be the best option if your child has shown an ability to climb over a safety gate or open it on their own.
  • Incorporate a wake clock. As your child develops their understanding of numbers and time, they may appreciate an “okay to wake clock.” Show your child the visual cues they can look for on the clock (e.g., a set time, a color pattern). If they wake before the appropriate visual cue, you can tell your child that they can return to sleep, or they can play quietly in their room until it is time to “wake up.”

Additional Resources

  • The Big Bed by Bunmi Laditan
  • I Sleep in a Big Bed by Maria van Lieshout
  • I Sleep in my Big Bed by Jim Harbison and Little Grasshopper Books
  • Sleep in Your Big Kid Bed by Amanda Hembrow
  • A Bed of Your Own by Mij Kelly and Mary McQuillan
  • It’s Time to Sleep in Your Own Bed by Lawrence Shapiro
  • Benny Goes to Bed by Himself by Dr. Jonathan Kushnir and Ram Kushnir
  • The Girl Who Got Out of Bed by Betsy Childs

References

Ben-Joseph, E. P. (2022, June). Bed-sharing. Nemours KidsHealth. https://kidshealth.org/en/parents/cosleeping.html

BetterHealth. (n.d.). Solutions to sleep concerns (12) – Toddlers 1 to 3 years. https://www.betterhealth.vic.gov.au/health/healthyliving/solutions-sleep-concerns-toddlers-1-3-years#rpl-skip-link

Boweman, M., (2017). Reclaim your bedroom: How to get your kids to sleep in their bed. USA Today. https://www.usatoday.com/story/news/nation-now/2017/03/07/reclaim-your-bedroom-how-get-your-kids-sleep-their-bed/98798814/

Children’sHealth. (n.d.). Should I be co-sleeping with my child? https://www.childrens.com/health-wellness/should-i-be-co-sleeping-with-my-child

Children’s Hospital Colorado. (n.d.). How to get kids to fall (and stay) asleep. https://www.childrenscolorado.org/conditions-and-advice/parenting/parenting-articles/get-kids-fall-asleep/

Children’s Hospital of Philadelphia (n.d.). Healthy sleep habits. https://www.chop.edu/primary-care/healthy-sleep-habits

Covington, L. B., Armstrong, B., & Black, M. M. (2019, July 24). Bed sharing in toddlerhood: Choice versus necessity and provider guidelines. Global Pediatric Health. https://doi.org/10.1177%2F2333794X19843929

Mayo Clinic Staff. (2023, January 14). Child sleep: Put preschool bedtime problems to rest. Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/childrens-health/in-depth/child-sleep/art-20044338

McCarthy, C. (2022, November 21). How to help your preschooler sleep alone. Harvard Health Publishing. https://www.health.harvard.edu/blog/how-to-help-your-preschooler-sleep-alone-202211212853

Healthy Habits

Part of being a parent means that you often put the needs of your child before your own. However, when a parent or caregiver ignores their own needs, they may become overwhelmed, and this situation could negatively impact their health or compromise their ability to care for a child. One way that parents can practice daily self-care is by developing habits that benefit their overall well-being.

Habits are behaviors that are routinely exhibited; are often performed automatically and without much, if any, conscious thought; and take minimal effort. Habits can be a regular part of your daily schedule – like making time every week for exercise, choosing nutritious food options at the grocery store, or driving home the same way after work each day. Good habits can create efficiency in your daily tasks and growth in your general well-being.

Many people have healthy and unhealthy habits, or behaviors, that they perform as part of their daily routines. Healthy habits are habits that can promote your well-being, increase your positive communication skills, or expand your personal growth and development. Healthy habits are an important part of maintaining a healthy lifestyle and may include activities like getting an adequate amount of sleep each night or making it a priority to cook and eat healthy meals. Unhealthy habits, on the other hand, can negatively impact your health and even your relationships. Some examples of unhealthy habits may include overeating; smoking; drinking in excess; or, routinely, not getting enough rest.

Practicing healthy habits can help you feel better in the present and can promote long-term well-being benefits. Using healthy habits as a means of parental self-care can benefit you and your family over time. Furthermore, by maintaining healthy habits, you are modeling positive behaviors for your children. By consistently modeling these behaviors, you are showing your children that developing healthy habits is a good thing and having their own healthy habits will be important in their development and well-being.

Some examples of healthy habits are the following:

  • Getting at least 7 hours of sleep nightly
  • Exercising regularly
  • Setting aside time every day for mediation or self-reflection
  • Choosing to drink water over sugar-sweetened beverages
  • Attending regularly scheduled doctor visits

If you need help developing healthy habits, you can start by reviewing the following four stages of behavior change. According to the National Institute of Health, these changes need to take place in your life in order for you to create good or healthy habits:

Contemplation

This is the stage in which you decide that a change needs to take place and you decide that you want that change to take place. Sometimes, you realize that, in your life, something is wrong or that something could be improved. While you are in the contemplation stage you may not know how you are going to make this change, but you do understand a change is needed.

Example – You may realize that you are feeling low on energy every day because you are not getting enough sleep.

Preparation

This is the stage in which you begin to think about how you want to or can bring the needed change to your life. During this phase, you will have decided to make changes, and you will begin to set goals for making those changes. You are laying the groundwork for the path to change and strategizing about ways to overcome the obstacles you may face. This is the stage right before you take action to change behaviors.

Example – After realizing you are not getting enough sleep, you start to think of ways you can fit more sleep into your schedule. Perhaps you decide to go to bed earlier or get up later, or, if there is time during the day, you decide to take a short nap.

Keep in mind the following questions as you prepare to create a healthy habit:

  • Are your goals reasonable and specific?
  • Is this something you would like friends or family to participate in?
  • Is your environment making it easy to accomplish your goals?

Example – If you would like to establish a healthier diet, have you removed junk food and replaced it with healthier options?

Action

During this stage, you put your behavior change plan into motion. You are learning how to manage the needed changes in your routine and lifestyle, and you work to make these changes become part of your routine. You are also learning about what strategies you can use to effectively overcome the obstacles that may be preventing you from making positive behavior gains. Also, during this stage, the changed behaviors are becoming a more normalized and part of your routine and life, and you are, hopefully, beginning to see the fruits of your labor.

Example – You have decided on a plan to get more sleep. Maybe you are not watching television as late as you used to, or maybe you were able to find time in the afternoon to schedule a nap.

Maintenance

By now, your changed behavior feels like a more natural part of your life, and you may not even be giving it much thought. However, you need to make sure that you continue with the positive behavior changes. You may take a step back from time to time, this is normal, but it is important for you to get back on track and return to your new behaviors, so these behaviors can remain a normal part of your life.

Example – Now that you have been getting enough sleep and are consistently able to get adequate rest, you find you have more energy. However, sometimes you notice that for a couple of nights in a row you have watched an extra hour of television before bed. When you realize this is happening, you make an effort to get back to going to bed at an earlier time every night, so you reinforce your healthy habit and do not support an unhealthy habit.

Remember, breaking bad habits and making new ones can be very challenging. It is important to be patient with yourself and avoid becoming frustrated. Sometimes, mental health challenges can also get in the way of healthy habit development. If you feel like you may be experiencing some mental health concerns, be sure to meet with your healthcare professional so you can address any underlying challenges.

References

National Institute of Diabetes and Digestive and Kidney Diseases. (2020, November). Changing your habits for better health. https://www.niddk.nih.gov/health-information/diet-nutrition/changing-habits-better-health

How to Manage a Healthy Child’s Sleep During Summer Vacation

With summer vacation around the corner, it is important to think about one thing kids love about summertime – sleeping in! Maintaining a consistent sleep routine in the summer can be difficult. After a whole school year of early alarms and rushing out the door, it is tempting to stay up late at night and wake up later in the morning. But, children need adequate sleep regardless of the time of year!

Even though it’s summer, when possible, children should go to sleep at approximately the same time and wake up at approximately the same time every day.

  • Enforce a consistent sleep schedule that allows for a sufficient amount of sleep. This may mean your child has to go to bed when the sun is still up. If your child is having difficulty falling asleep in summer because there is sunlight so late into the evening, consider investing in blackout curtains or shades for his or her bedroom to create a restful space. For young children, remind them that bedtime is approaching even though it may still be light out.
  • Create a restful sleeping environment. Make sure your child has a cool, quiet, dark, and comfortable sleep environment. Put away electronics at least 30 minutes before bedtime, and remove all electronics from the bedroom.

Lights can go out at different times for different children in the family depending on how much sleep they need.

  • For adolescents and teens, the summer sleep schedule may be less regimented than for younger children. Allowing your teen to sleep in is okay but within reason. While this extra sleep can be beneficial, it may also result in a shifted or delayed schedule with teens going to bed later than usual and sleeping later than usual.  This can be problematic when school starts and your teen has to go to bed early and rise early. Try to keep weekend wake-ups within an hour or so of their usual time.
  • If your child is going to bed later but still getting up early in the morning, then your child may be getting less sleep. As during the school year, this can interfere with all aspects of a child’s functioning, including growth, development, mood, and performance.

When the summer is nearing its end, start to plan ahead for the return of those early morning alarms by adjusting your child’s wake-up time gradually. Two to three weeks before school starts, begin shifting your child’s sleep schedule by setting a bedtime and wake time that allows for enough sleep, and then move the bedtime and wake time 15 minutes earlier every few nights until the desired sleep schedule is reached.

References:
American Academy of Pediatrics (2017). Healthy sleep habits: How many hours does your child need? Retrieved from https://www.healthychildren.org/English/healthy-living/sleep/Pages/Healthy-Sleep-Habits-How-Many-Hours-Does-Your-Child-Need.aspx

Beebe, D. W. (2011). Cognitive, behavioral, and functional consequences of inadequate sleep in children and adolescents. Pediatric Clinics of North America, 58(3), 649–665.

Paruthi S., Brooks L. J., D’Ambrosio C., Hall, W. A., Kotagall, S., Lloyd, R. M. … Wise, M. S.  (2016). Recommended amount of sleep for pediatric populations: A consensus statement of the American Academy of Sleep Medicine. Journal of Clinical Sleep Medicine, 12(6), 785-786.

Related 5210 Resources:
5210 and Healthy Sleep