@pedsdoctalk: Reduced risk bed-sharing discussions should be more mainstream in the U.S.   "Abstinence only" education can lead to more harm. And culturally and internationally, we know bed-sharing is common-so we need more nuance in the safe sleep discussion.   This week on @thepedsdoctalkpodcast I sat down with @drmichaelmilobsky, pediatrician for over 27 years and father of seven, to have the conversation that most offices don't have time for.   Here's what we both had to reckon with: bed sharing happens around the world. In many cultures it's the norm, done on firm, flat surfaces with minimal bedding. And yet the American Academy of Pediatrics takes a blanket stance, which leaves families with no middle ground and no tools.   In this conversation, we discuss where the data on reduced-risk bed-sharing and SIDS is not complete.   Dr. Milobsky put it plainly: most pediatricians aren't ignoring this because they're uninformed. They're limited by a system that gives them 10 minutes and makes it nearly impossible to go deep on something this nuanced. So the default becomes the hard line. And families leave without the information they actually need.   We also get into the Safe Sleep Seven, what the hard nos really are, why couches and recliners are far more dangerous than a well-prepared bed, and how to open this conversation with your own pediatrician. Listen today by searching the title, "Bed-Sharing and Safe Sleep Guidelines: Pediatricians Get Real About Risk and Shame with Dr. Michael Milobsky,” wherever you access podcasts. We also cover risk stratification, sleep training, room sharing, and why the question "how is sleep going in your home?" changes everything. What's one thing your pediatrician said about sleep that left you with more questions than answers? #safesleep #bedsharing #infantsleep #pediatricianadvice #newborncare

Dr. Mona
Dr. Mona
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Wednesday 01 July 2026 16:01:57 GMT
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awkwardmarble
Charlie :
I've thought about bed sharing because of some of my medical conditions, but my husband sleeps too deeply and rolls around too much. So we got a bassinet that latches to the side of the bed and has an opening.
2026-07-02 04:42:23
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sleepplaycalm
Tina | toddler sleep/behavior :
Yes let’s say it again it’s a HARM REDUCTION MODEL. NOT the green light to go ahead and bed share which is how families are interpreting this. If you’re falling asleep while feeding your infant in the middle of the night while sitting upright in a chair or on the couch, SIDS is much more likely to happen. So the safe sleep seven is for parents who are at risk of falling asleep while feeding their infant as a way to prevent SIDS. If you don’t fall asleep during the feeding session then the child should go back into their own sleep space whether it’s a crib or bassinet. Or if you wake up after you feed your baby put your baby in their own sleep space.
2026-07-02 03:11:51
1
pedsdoctalk
Dr. Mona :
The data we use to call bed sharing dangerous is largely drawn from the riskiest situations - smoking, alcohol, soft surfaces, couches. It isn't tracking planned, lower-risk bed sharing. That gap in the research doesn't mean it's safe without precautions. It means we owe families a more complete conversation.
2026-07-01 16:38:06
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mrsfosty
MrsFosty :
Other countries throughout the world have these conversations regularly. Thanks for talking about bed sharing honestly!!!
2026-07-01 20:50:29
20
swiftiepants
Susie :
Don't you mean it takes a no-blanket stance? :p
2026-07-01 23:13:15
4
_auroraborealice
_auroraborealice :
We reluctantly started bedsharing because baby was waking every 45 minutes and I was dozing off while nursing in the rocking chair. I didn’t have it in me to sleep train (and strongly believe my baby’s temperament wouldn’t have taken to it) but it was strongly pushed by my pediatrician starting at 2 months to the point where I just avoided talking to them about sleep at all. Later discovered a significant iron deficiency.
2026-08-09 19:56:32
0
noelle0619
Noelle :
I started bed sharing when my daughter went through a wicked sleep regression at around 6 months old. She literally was waking up every 30min and I was falling asleep while holding her. That felt way more dangerous to me than the safe sleep 7. I am also a super light sleeper. And more so when she was born. I’d wake up if she moved at all. She’s 16 months now and is still in my bed following the same guidelines (minus the on the back thing. She does acrobatics in her sleep).
2026-07-01 19:21:12
13
seekingclarity513
Plant it 🪴 :
We started bed sharing at seven months when my son got his second helmet. It was the only thing that let him sleep. We practiced the safe sleep seven method. We just had our second baby, and the plan is not to bed share with the second. It was just desperate measures after our son’s second helmet came in to play.
2026-08-08 12:53:07
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ellnbird
Elln :
You should also mention the benefits re sids in bedsharing. Look at the nordics. They have the lowest sids rates.
2026-07-04 19:34:11
2
nikos88519
Nik Os88 :
we are carefully and reluctantly bed sharing as our newborn will not sleep in her cradle. sometimes there just isn't another option, so talking about reducing risk is very important
2026-07-01 18:01:15
4
d3monkitties
Austin Chambers 🇨🇦 :
my wife doesnt feel comfortable co-sleeping with baby, i have no issue. napped with him beside me many time. i dont move at all unless i wake up first
2026-07-02 13:20:32
1
erieplay07
Eva💖 :
Remove blankets and pillows, but the parent(s) is still in the bed. The parent can smother the baby. How is that risk reduced?
2026-08-13 02:25:54
0
dani.1032
Danielle :
I was just going through my twins discharge papers and so much of the content is judging and unhelpful. thank you for your realistic support of parents.
2026-07-23 04:29:53
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katerough
Kate Rough :
We didn't bed share but when our daughter was older (7 months) my husband would sometimes work in bed and watch so me and my daughter would nap together. We also went on vacation when she was 10 months old and being in New spaces made it harder for her and a few early mornings we brought her to sleep with us until it was time to wake up. I'm a light sleeper and mostly dozed. I would never feel safe bed sharing all the time but I do appreciate the harm reduction approach and how professionals can help parents learn more about the risks
2026-08-08 23:48:28
0
pubunifriend
Annna :
This conversation is so important, thank you for sharing!
2026-07-01 16:14:54
1
wendyb1694
hehe_11 :
good for you. i starting bed sharing with my little brother when I was 12. now I'm 50 and I have had alot of babies in my bed parents need to know it can work for them if they do it right. it's a great way to bond with a baby it's one of my favorite things to do
2026-07-02 14:40:52
0
emotional_support_ace
emotional_support_ace :
it is better to plan for co-sleeping/bed sharing, while taking it seriously and mitigating the risk than it is to fall asleep while holding your baby a bed and bedsheets by accident. should everyone do it? no.do I recommend anyone do it, even thoigh i did it myself? still no. no matter what, it is still a massive risk, but taking the risk seriously includes being honest with yourself and your abilities.
2026-07-18 03:21:45
3
22_23_bb
BB :
We bed shared, used the safe sleep 7 and with our next we will do the same. I knew right away it’s what wanted and don’t regret it at all. I loved having her right next to me, made it easy to feed her and all of us go right back asleep. So I say yes to the mommas that’s want to do it, you have support!
2026-07-02 03:09:32
0
sarahstinespring
SarahMT :
I actually had to talk my daughter into bed sharing (which she did want to do, but was too scared because of the Internet)... I told her that my personal opinion is this: if anyone is drinking or under the influence of anything including sleeping pills, medication that makes you drowsy, or is just a very heavy sleeper in general, orrr they move around in their sleep a lot, it's not a good idea at all to sleep with your baby in bed with you. Since she doesn't do any of those things, she finally started trying naps with his outlet sock on and quickly realized how safe and natural it felt. She was aware of him every moment, even during sleep. She has gotten so much more rest since then & needless to say, the baby is way more happy too!!!
2026-07-01 17:11:04
0
althealatergator
Althers :
It’s like only teaching abstinence as birth control
2026-07-06 02:50:59
2
littlemissmatt
LitteMatt :
It is either bed sharing or falling asleep with him on my arms...I take the first option, even tho I don't love it at all :( I'm always worried
2026-07-02 08:08:09
1
igottoonervous
Boo :
i felt so guilty when i first started but i just kept passing out. is bed sharing the safest option? no. but passing out from exhaustion with your baby on you is FAR more dangerous. I decided pretty quickly to aim for harm reduction instead of risking it. I did my own research from a website called the Australian Breastfeeding Association, a website that was first shown to me by the hospital/child health nurse, then i spoke to my child health nurse who gave more pointers. the statistics show many parents bed share at some point - mostly by accident, i wanted it to be safer than what happens accidentally
2026-07-02 06:10:24
1
leap1982
LeeLa :
EXACTLY! I do antenatal education and scandalize everyone by talking about it because despite intentions, 1:5 parents bed share at some point in the first year.
2026-07-02 19:20:12
0
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