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Supine sleep positioning in preterm and term infants after hospital discharge from 2000 to 2011

S S Hwang1,2, R A Smith3, W D Barfield3

  • 1Section of Neonatology, Department of Pediatrics, Children's Hospital Colorado, Aurora, CO, USA.

Journal of Perinatology : Official Journal of the California Perinatal Association
|May 13, 2016
PubMed

Insights

Supine sleep positioning (SSP) is crucial for reducing SIDS risk. Adherence is suboptimal, especially for late preterm and minority infants, highlighting a need for improved family education on safe infant sleep practices.

Area of Science:

  • Neonatal Health
  • Public Health
  • Pediatric Sleep Safety

Background:

  • Sudden Infant Death Syndrome (SIDS) poses a significant risk, particularly to preterm infants.
  • Supine sleep positioning (SSP) is a proven SIDS risk reduction strategy.
  • Limited data exists on SSP prevalence among preterm infants in the U.S.

Purpose of the Study:

  • To compare SSP prevalence in preterm versus term infants post-hospital discharge in the U.S.
  • To identify racial/ethnic disparities in SSP adherence for both preterm and term infants.

Main Methods:

  • Analysis of 2000-2011 Pregnancy Risk Assessment Monitoring System (PRAMS) data from 35 states.
  • Categorization of infants by gestational age (GA) into preterm and term groups.
  • Calculation of adjusted prevalence ratios (APR) to assess likelihood of SSP based on GA and race/ethnicity.

Main Results:

  • SSP prevalence varied by GA, with term infants (66.8%) showing the highest adherence.
  • Late preterm infants had a slightly lower likelihood of SSP compared to term infants (APR: 0.96).
  • Significant racial/ethnic disparities in SSP were observed across all GA categories when comparing non-Hispanic Black (NHB) and Hispanic infants to non-Hispanic White (NHW) infants.

Conclusions:

  • Overall adherence to SSP was suboptimal across all infant groups.
  • Late preterm infants and NHB/Hispanic infants require targeted interventions due to lower SSP likelihood.
  • Enhanced family engagement and education are critical to improve SSP adherence and reduce SIDS risk.
Abstract

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