Is “Bed Sharing” Beneficial and Safe during Infancy? A Systematic Review

Table 4

GRADE evidence table for assessment of bed share versus no bed share for neonates.

Quality assessment							Summary of findings
Participants (studies) Followup	Risk of bias	Inconsistency	Indirectness	Imprecision	Publication bias	Overall quality of evidence	Study event rates (%)		Relative effect (95% CI)	Anticipated absolute effects
							With no bed share	With bed share		Risk with no bed share	Risk difference with bed share (95% CI)
Sudden infant death syndrome (critical outcome, assessed with interview based)
13072; (14 studies); 0–2 years	Serious^1	No serious inconsistency	Serious	No serious imprecision	Undetected	⊕⊝⊝⊝ VERY LOW ^1 due to risk of bias, indirectness	1148/10274 (11.2%)	697/2798 (24.9%)	OR 2.41 (2.02 to 2.88)	Study population
										112 SIDS per 1000	121 more SIDS per 1000 (from 91 more to 154 more)
										Moderate
											—
Breastfeeding (critical outcome, assessed with interview based)
10666; (8 studies); 1–12 months	Serious	Serious	Serious	No serious imprecision	Undetected	⊕⊝⊝⊝ VERY LOW due to risk of bias, inconsistency, indirectness, and large effect	4255/8511 (50%)	1419/2155 (65.8%)	OR 3.09 (2.67 to 3.58)	Study population
										500 BF per 1000	256 more BF per 1000 (from 228 more to 282 more)
										Moderate
											—

1Unclear in most of the studies.