Science
‘We can’t just teach abstinence’: How advice on bed-sharing with a baby is evolving
When Emily Little gave birth to her first child, sleeping together with her baby in bed was a given — despite all the public health messages telling her not to.
“I knew it was something that I wanted to do,” said Little, a perinatal health researcher and science communications consultant who has studied cultures around the world that bed-share. Little was drawn to the skin-to-skin closeness she could maintain with her baby throughout the night, and the ease of breastfeeding him without getting up. It felt natural to sleep the way mothers and babies had slept “since the beginning of human history,” she said.
So she began to research ways to reduce the risk to her baby. Bed-sharing has been found to be less risky for full-term infants in nonsmoking, sober homes who are exclusively breastfed: Check. Only the breastfeeding parent should sleep next to the baby: Check. Since babies are less likely to suffocate on firm mattresses and without loose bedding, Little replaced her pillow-top mattress and got rid of all of her blankets and extra pillows. Because babies could fall off the bed or into a gap between the bed and the wall, Little pushed the bed up against the wall, and filled in the gap with foam.
Emily Little shares her bed with her baby after breastfeeding. Little is a perinatal health researcher who created a discussion guide for parents and healthcare providers to address the nuances of bed-sharing.
(Tanya Goehring / For The Times)
Still, Little’s decision conflicts with advice from pediatricians and public health advocates, who warn that bed-sharing increases the risk that a baby will die during the night. For decades, U.S. pediatricians and public health officials have been warning that the only way to avoid sudden unexplained infant death (SUID) is to stick to the “ABCs of safe sleep” — always have the baby sleep Alone, on their Back, in a separate Crib empty of any pillows, blankets, stuffed animals and crib bumpers. One controversial campaign even depicted a baby lying next to a meat cleaver, sending the message that parents could be deadly weapons when sleeping next to a baby.
And it worked: The rate of sleep-related infant death declined significantly after the safe sleep campaigns began in the 1990s. But in recent decades, the rate has plateaued and even started to tick upward again, at the same time that bed-sharing has become more popular among parents. So some advocates are instead shifting to a “harm reduction” approach that acknowledges parents want to sleep with their infants and offers tips on how to make it as safe as possible.
“Abstinence-only messaging hasn’t worked, and parents often aren’t honest with their pediatricians when they’re asked. We all need to acknowledge that it’s practically inevitable,” said Susan Altfeld, a retired University of Illinois- Chicago professor who studied bed-sharing. “Developing new messages to educate parents on what specific behaviors are especially risky and what they can do to reduce those risks have the potential to effect change.”
Engage with our community-funded journalism as we delve into child care, transitional kindergarten, health and other issues affecting children from birth through age 5.
A shifting message on infant bed-sharing
About 3,700 infants die suddenly and unexpectedly each year in the U.S, a number that has remained stubbornly high for decades, according to data from the U.S. Centers for Disease Control and Prevention. The risk of sharing sleep surface is real: Infants who sleep with adults are two to 10 times more likely to die than those who sleep alone in a crib, depending on their specific risk factors, the American Academy of Pediatrics, or AAP, wrote in its most recent safe sleep guidelines.
Nonetheless, the percentage of parents in the U.S. who said they usually bed-share has grown, from about 6% in 1993 to 24% in 2015. And in 2015, 61.4 of respondents reported bed-sharing with their infant at least occasionally. Although more recent national data are not available, more than a quarter of mothers in California said they “always or often” bed-shared in 2020-22.
Little touts the positive aspects of bed-sharing and helps families mitigate the risks.
(Tanya Goehring / For The Times)
La Leche League International, a breastfeeding advocacy organization, offers the “Safe Sleep 7” on their website to help parents bed-share more safely. Little codified her own “harm reduction” advice for safer bed-sharing in an online discussion guide for other parents to help encourage nuanced conversation between parents and healthcare providers to help mitigate the risks of what is at least an occasional practice for most parents. She also touts the positive aspects of bed-sharing and helps families mitigate the risks.
Babies who share a bed with their mothers, for example, have been shown to breastfeed longer. Parents who plan ahead and bed-share more safely may avoid falling asleep accidentally with a baby in the most unsafe of situations — a reclining chair or sofa. And many parents feel it strengthens their bond with their baby, she said.
“Infants have the biological expectation to be in close contact with their caregivers all the time, especially in the early months,” Little said. “Denying that because we as a society are unable to have a conversation about risk mitigation and harm reduction is really doing a disservice to infant well-being and mental health.”
Pushback from safe sleep advocates
The pediatrics academy, in its 2022 guidelines, acknowledges that parents may “choose to routinely bed share for a variety of reasons,” and offers a few safety suggestions if a parent “unintentionally” falls asleep with their baby. “However, on the basis of the evidence, the AAP is unable to recommend bed sharing under any circumstances,” the guidelines state.
It’s almost impossible to assess whether a family is truly a low risk when it comes to bed-sharing, especially as many are not forthcoming with their physician about drinking, smoking and drug use, said Dr. Rachel Moon, a pediatrician and researcher at the University of Virginia medical school, and lead author of the AAP report. Even if a parent is a low risk some nights, when they have a glass of wine one evening, they suddenly tip into a high-risk category, she said.
“I knew it was something that I wanted to do,” Little, shown with her family, said about bed-sharing with her baby.
(Tanya Goehring / For The Times)
Moon said bed-sharing advice has been a topic of conversation for years in the academy, but given the evidence of risk, the group decided to warn against the practice in all situations.
“It’s not responsible for us to give [parents] permission,” said Moon, who deals with sleep-related deaths in her role as a researcher. “Every day I deal with babies who have died, and if it happened in a bed-sharing situation, [parents] regret it. I deal with this enough that I don’t want anybody to have that regret.”
Changing the messaging on safe sleep would be a “slippery slope,” said Deanne Tilton Durfee, executive director of the Inter-Agency Council on Child Abuse and Neglect, which runs L.A. County’s safe sleep campaign. “You have to be extremely clear with messaging” because many parents may not pay attention to the details, she said.
In 2024, 46 infants in Los Angeles County died as they slept, and almost all of them involved bed-sharing, Durfee said.
The reality in parents’ homes
Pachet Bryant, a mother in Mission Viejo, felt deeply committed to sleeping with her new baby from the moment she gave birth. “You’re growing a baby for nine to 10 months, and all of a sudden for them to be separated from your heart, from your presence, from your smell, can be traumatic,” she said.
But she wanted to do it as safely as possible. So when lactation consultant Asaiah Harville began to work with her, the consultant offered tailored advice to the new mother’s situation, which Bryant took “very, very seriously.” Bryant had already been doing some research of her own and was able to modify her space accordingly. She also reevaluated every night whether she felt it was safe for her baby to sleep in the bed; on nights when she was too exhausted, she put her daughter to sleep in a bassinet instead.
“We know that parents are either intentionally or unintentionally at some point going to wind up falling asleep with their baby, and we have to think about creating the safest possible environment for that,” Harville said. In the lived reality of an individual family’s home, she said, “we can’t just teach abstinence.”
This article is part of The Times’ early childhood education initiative, focusing on the learning and development of California children, from birth to age 5. For more information about the initiative and its philanthropic funders, go to latimes.com/earlyed.
Science
Video: How the Artemis Astronauts Plan to Live in Space for 10 Days
new video loaded: How the Artemis Astronauts Plan to Live in Space for 10 Days
transcript
transcript
How the Artemis Astronauts Plan to Live in Space for 10 Days
On the Artemis II mission, four astronauts will work, exercise and sleep in a capsule that is about the size of two minivans for 10 days. In April 2025, National Geographic worked with NASA to film the astronauts at an Orion space capsule model in Houston.
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“Did y’all really get dibs on spots?” “She thinks.” “I know.” “Shotgun.” “Yeah, I basically called shotgun.” “We’re thinking maybe one of the sleeping bags will be kind of laid out, like, around this bend right here. So somebody’s going to have a head maybe over here, and then the feet all the way down there by the ECLSS wall.” “And Dre, don’t forget that I’ve already claimed the tunnel here. Except you’re not supposed to sleep with your head in there because of carbon dioxide. So I’m going to be hanging like a bat, is my plan. But I won’t even know it because there’s no gravity.” “Here, we’ve got both the toilet area and the exercise device on Orion. So this is the flywheel exercise device. We’ll start here. The toilet is right below it. So underneath me right now is the hygiene bay. And then it kind of looks like a rower. So you have a strap here and a hand-held bar or a harness, depending on what type of exercise you’re doing, and the way you use it is actually in this direction. So this is one of the things that we have to think in a 0g environment for, that the person who’s exercising on this will have their head coming up in the direction of the docking tunnel. And if you’re a really tall person — let’s say, the largest Canadian that we have — and you’re assigned to this mission, your head is going to extend all the way toward the docking hatch.” “That space is going to feel bigger on orbit when we’re floating. And then going up to the, again, the forward portion is what’s up now. But going forward and looking down to the deck, while this may be an awkward space to talk about here on Earth, where we have the normal pull of gravity, when we get into weightlessness, those two walls are going to be spaces that we work in, and that we use more than we do here when we’re on Earth.”

By Jamie Leventhal
April 2, 2026
Science
Federal health and environmental agencies to study microplastics and pharmaceuticals in drinking water
U.S. Secretary of Health and Human Services Robert F. Kennedy Jr. and Environmental Protection Agency Administrator Lee Zeldin announced new initiatives to tackle microplastics in the human body and drinking water on Thursday.
Kennedy said the government will create a $144-million program called STOMP, for the systematic targeting of microplastics.
“We are focusing on three questions, what is in the body, what’s causing harm, and how do we remove it?” Kennedy said.
Zeldin said the environmental agency will add microplastics and pharmaceuticals to its list of concerning chemicals in drinking water.
“For the first time in the program’s history, EPA is designating both microplastics and pharmaceuticals as priority contaminant groups,” he said.
The two Cabinet members sat a table before a crowded room at EPA headquarters in Washington, flanked by microplastic researchers, including Marcus Ericsson, an environmental scientist and co-founder of the antiplastic Five Gyres Institute; Matthew Campin, a biomedical scientist at the University of New Mexico; and Leo Trasande, a pediatrician and public policy expert at New York University’s Grossman School of Medicine and Wagner School of Public Service.
On either side of the table were two large posters that read “Confronting Microplastics” in capital letters.
Zeldin had been under fire by the movement known as MAHA, or Make America Health Again, in recent months over federal plans to loosen restrictions on harmful chemicals, and approve new pesticides — including two that contain what are internationally recognized as “forever chemicals,” linked to serious health risks.
Kennedy, who is the political face of the MAHA movement, has also been criticized for capitulating on issues he once embraced. In February, President Trump signed an executive order to shore up production of the herbicide glyphosate, for “national security and defense reasons.”
Kennedy publicly supported that decision and in a social media post said that while herbicides and pesticides were “toxic by design” and “put Americans at risk,” the food supply depends on them.
Glyphosate, known commercially as Roundup, has long been a target of the MAHA movement. Produced by Bayer, which acquired the original manufacturer, Monsanto, in 2018, the herbicide has been the subject of tens of thousands of lawsuits, many from users who claim to have developed non-Hodgkins lymphoma as a result of exposure.
Antiplastic advocates applauded Thursday’s announcement.
“The U.S. Environmental Protection Agency has taken an important first step to regulate microplastics in drinking water,” said Judith Enck, a former regional director of the agency and the founder of Beyond Plastics, an antiplastic waste environmental group based in Bennington, Vt. She urged the regulators to “move rapidly,” not only to regulate the plastic in drinking water, but also prevent it from getting into drinking water.
So, too, did Kimberly Wise White, vice president of regulatory and scientific affairs at the American Chemistry Council, the trade group for the chemical industry.
“We support science-driven monitoring of microplastics in drinking water and research to better understand potential impacts,” White said in a statement.
Others, however, seemed dubious.
There is reason to be concerned about microplastics in drinking water, said Erik Olson, strategic director of health for the Natural Resources Defense Council, “but the EPA’s actions speak louder than its words. The Trump EPA is trying to scrap key PFAS standards and just two weeks ago said it wouldn’t issue any new protections for toxins in drinking water. So, which is it?”
In 2022, California became the first government in the world to require microplastics testing for drinking water. The state has not yet begun reporting its results.
Blair Robertson, a spokesman for the State Water Resources Control Board, said regulators are “working on it and being very deliberate as they proceed and try to quantify how microplastics are impacting drinking water.”
A report was expected in 2025, but has not yet been issued.
Micro- and nanoplastics have been found everywhere scientists have looked. They’ve been found in human organs and tissue, such as brains, livers, placentas and testicles. They’ve also been detected in blood, breast milk and even meconium — an infant’s first stool. In addition, they are prevalent throughout the environment — in alpine snow, deep sea sediment and drinking water.
On March 31, a coalition of MAHA groups associated with Kennedy sent a letter to Zeldin requesting the Trump administration halt permitting for new plastics manufacturing plants and step up monitoring of microplastics in drinking water.
In December, Zeldin told MAHA groups he would include measures on plastics as part of the agency’s agenda, after several prominent MAHA groups called for him to be fired. They said he was too close to chemical companies.
Science
NASA launches humans to moon for first time in half-century
For the first time in more than 50 years, astronauts are on their way to the moon.
NASA’s colossal Space Launch System rocket lifted off at 3:35 p.m. Pacific time from the Kennedy Space Center in Florida, marking the start of the 10-day Artemis II mission.
In the hours and minutes leading up to launch, as the astronauts waited aboard, NASA engineers troubleshooted minor issues with the 30-story-tall rocket. First, the teams identified an issue with the hardware that communicates with a system designed to detonate the rocket to protect public safety if the rocket veers off course. Next, there was a fluke temperature reading on the Launch Abort System, designed to pull the crew to safety during such an event. Finally, they managed a brief telemetry issue with the capsule.
All were ultimately resolved, and the agency proceeded.
“On this historic mission, you take with you the heart of this Artemis team, the daring spirit of the American people and our partners across the globe, and the hopes and dreams of a new generation,” Artemis II launch director Charlie Blackwell-Thompson said to the crew minutes before launch. “Good luck. Godspeed, Artemis II. Let’s go.”
In a few days’ time, the four astronauts aboard will perform a flyby of the moon — they will not land on the surface nor will they enter the moon’s orbit. Instead, the flyby is designed as an essential stepping-stone mission to test the rocket, human life support systems and flight procedures ahead of a lunar landing, which NASA hopes to pull off in 2028.
NASA’s Artemis II moon rocket lifts off from the Kennedy Space Center on Wednesday in Cape Canaveral, Fla.
(Joe Raedle / Getty Images)
This includes studies on the astronauts’ sleep and mental health, as well as how deep-space radiation and microgravity affect organs and immune system. The crew will also practice manually piloting the spacecraft while still close to Earth.
NASA expects the crew to reach the moon Monday morning, around 10 a.m. Pacific time. As the astronauts pass the far side of the moon, NASA expects to temporarily lose communication with the crew, who will focus on documenting and analyzing the rugged lunar surface. Around this point, NASA anticipates the crew will break the Apollo 13 crew’s record for the farthest distance any human has traveled from Earth.
The crew will then begin their four-day return. The crew capsule is set to slam into the Earth’s atmosphere at roughly 30 times the speed of sound — potentially making it the fastest reentry of a crewed capsule in history — on April 10. NASA anticipates the crew will splash down off the coast of San Diego around 5 p.m. Pacific time.
The mission, made possible by scientists, engineers and support crews across the country and world, has a touch of Southern California, too.
Victor Glover, the astronaut piloting the mission, was once a kid in the Pomona Valley, watching the space shuttle launch on TV and dreaming of driving the thing. He cut his teeth as a test pilot out in the Mojave, attending test pilot school at Edwards Air Force Base and serving on a Navy test pilot squadron in China Lake, Calif.
If the mission is successful, Glover will become the first Black person to travel to the moon. With him will be the first woman to do so, NASA astronaut Christina Koch, and the first non-American to do so, Jeremy Hansen of the Canadian Space Agency. Not to be outdone by his crewmates, mission commander Reid Wiseman, at 50, will be the oldest to do so.
NASA’s Armstrong Flight Research Center inside Edwards Air Force Base is also conducting critical research and testing for the mission. They supported two tests of the rocket’s Launch Abort System — designed to accelerate from 0 to 500 mph in just two seconds to literally outrun the debris of an exploding rocket — in the 2010s. (The rocket discarded the abort system after the crew safely escaped the majority of Earth’s atmosphere.)
During reentry, the center will participate in a high-speed relay of military and civilian planes to chase the capsule and measure how the heat shield performs with high-tech telescopes and sensors. Artemis II is testing out a new reentry trajectory after an uncrewed test mission in 2022 resulted in unexpected damage to the heat shield.
Finally, once the capsule safely splashes down off San Diego, NASA and U.S. Navy divers will secure the capsule, with medical staff from both on standby. A Navy ship will then bring the capsule back to Naval Base San Diego, right next to the city’s downtown.
The Artemis program ultimately aims to land humans back on the moon, help the space agency establish a lunar base and serve as the testing grounds for future missions to Mars.
NASA plans to launch Artemis III, a mission in Earth’s orbit to test docking the NASA spacecraft with SpaceX’s and Blue Origin’s lunar landers, in 2027. It aspires to launch Artemis IV, which would put humans on the surface of the moon, in 2028.
“Artemis II is the opening act,” said NASA Administrator Jared Isaacman shortly before launch. “We’re going into the golden age of science and discovery right now.”
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