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Aim:The bed-sharing option has been reported to positively encourage breastfeeding frequency in the literature. However, an association between sudden infant death syndrome (SIDS) and infant bed-sharing has also been identified. The present study aimed to determine the effects of mother-infant bed-sharing and room-sharing on breastfeeding and sleep patterns and whether there is any increased risk of SIDS.Materials and Methods:We conducted a cross-sectional study among 507 mother-infant dyads between August, 2017 and August, 2018. Bed-sharing was defined as sharing a bed or mattress; room-sharing was defined as sharing the same room for any part of the night. The validated Sleep Questionnaire form was used to assess infant sleep characteristics. Potential predictors of bed-sharing were evaluated via logistic regression models (age, education, etc.).Results:In the study period, 507 mother-infant dyads were included. The rate of room-sharing was 78.1%, and the rate of bed-sharing was 12.4%. Additionally, the rate of sleeping in a different room was 9.5%. All infants aged 1-5 months who shared a bed with their mother were breastfed, while 94% of those who did not share a bed were breastfed. For 6-12-month-old babies, the breastfeeding frequency was 86% for those who shared a bed, whereas 77% of those who did not share a bed were breastfed. However, the bed-sharing modality was not statistically shown to increase the frequency of breastfeeding [odds ratio (95% confidence interval); 0.362 (0.130-1.01)] (p=0.052).Conclusion:Sharing a bed remains popular for infants’ sleep arrangements. In our study, the majority of infants slept in separate cribs. This study revealed that mother-infant bed sharing increased breastfeeding frequency. Moreover, mother-infant bed sharing delayed the age at which babies with sleep disorders stopped breastfeeding.

Abstract Background Gastroesophageal reflux is a normal physiologic process occurring several times a day in healthy infants. On the other hand, symptoms such as failure to thrive, feeding or sleeping problems, chronic respiratory distress, persistent forceful vomiting, and choking may indicate reflux associated with underlying anatomic, neurological, or infectious abnormalities. Gastric malrotation is an extremely rare disorder in the pediatric population and one of the anatomic causes associated with severe reflux, which could lead to serious complications. In such cases, life-threatening symptoms overlapping with other diseases cause delayed diagnosis and treatment. Case presentation We report a 2.5-month-old white girl diagnosed with gastric malrotation-related reflux, which caused inadequate weight gain, feeding difficulties, episodes of apnea with cyanosis, and choking after successive coughing, hence previously misdiagnosed as epilepsy and pertussis. Conclusion Life-threatening symptoms in an infant with reflux suggest anatomic, neurological, or infectious conditions. Gastric malrotation is more common than generally thought and specifically looked for in young children with severe reflux symptoms, and should be diagnosed and treated as soon as possible.