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Safe Sleep Infant Care Practices Reported by Mothers of Twins
Elizabeth G Damato1, Madeline C Haas, Pamela Czeck
1Case Western Reserve University, Cleveland, Ohio (Drs Damato and Dowling and Mss Haas and Barsman); and University Hospitals Case Medical Center, Southwest General Hospital, Middleburg Heights, Ohio (Ms Czeck).
Summary
Mothers of twins showed varying adherence to safe sleep guidelines, with stomach sleeping increasing as infants aged. Tailored education is needed for parents of multiples to reduce risks like SIDS.
Area of Science:
- Neonatal care
- Pediatric sleep safety
- Maternal health
Background:
- Prematurity and low birth-weight twin infants face higher risks of sudden unexpected infant death (SUID) and sudden infant death syndrome (SIDS).
- Infant sleep practices are modifiable extrinsic stressors impacting SUID/SIDS risk.
- Current American Academy of Pediatrics (AAP) recommendations are for singletons and may need adaptation for twins.
Purpose of the Study:
- To document infant care practices of mothers with twins during the first six months postpartum.
- To assess adherence to AAP safe sleep recommendations in twin infant care.
Main Methods:
- Online survey of 35 mothers of twins.
- Longitudinal data collection at 2, 8, 16, and 24 weeks postpartum.
- Survey content based on 2011 AAP safe sleep guidelines.
Main Results:
- Adherence to AAP recommendations fluctuated over time.
- Initial 100% supine sleep adherence decreased as infants aged, with increased stomach sleeping for naps.
- Parental/crib sharing decreased over time; pacifier use for sleep was inconsistent.
Conclusions:
- There is a need for educational programs specifically designed for parents of twins.
- Further research is required to understand barriers to adherence and the effectiveness of interventions for this population.
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