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Related Experiment Videos

Physiological stability in an indigenous sleep device: a randomised controlled trial.

Sally A Baddock1,2, David Tipene-Leach2,3, Sheila M Williams4

  • 1School of Midwifery, Otago Polytechnic, Dunedin, New Zealand.

Archives of Disease in Childhood
|October 15, 2017
PubMed
Summary

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The indigenous wahakura sleep device is as safe as traditional bassinets for infants, showing no significant differences in oxygen saturation, heart rate, or temperature. This supports its use as a safe alternative for bed-sharing.

Area of Science:

  • Infant sleep safety
  • Pediatric health outcomes
  • Indigenous birthing practices

Background:

  • Safe infant sleep environments are crucial for preventing sudden infant death syndrome (SIDS).
  • Traditional sleep practices, like the Māori wahakura, are being re-evaluated for safety and efficacy.
  • Bassinets are the currently recommended sleep device, but alternatives are sought.

Purpose of the Study:

  • To compare overnight physiological parameters and thermal environment of infants using a wahakura versus a bassinet.
  • To identify potential risks and benefits associated with the wahakura as an infant sleep device.
  • To assess the safety of an indigenous sleep device as an alternative to bassinets.

Main Methods:

  • A randomized controlled trial was conducted in family homes in New Zealand.
Keywords:
bed-sharingco-sleepingoxygen saturationsudden infant death syndrometemperature

Related Experiment Videos

  • 200 mothers and their infants participated, receiving either a wahakura or a bassinet.
  • Overnight oximetry, heart rate, and temperature were measured at 1 month of age.

    • Main Results:

    • No significant differences were found between wahakura and bassinet groups for oxygen saturation (SpO2) levels or dips.
    • Heart rate and shin temperature variations did not significantly differ between the two sleep environments.
    • Both intention-to-treat and per-protocol analyses indicated comparable safety profiles.

    Conclusions:

    • The indigenous wahakura is demonstrated to be at least as safe as the recommended bassinet.
    • This finding supports the use of wahakura as a safe sleep environment.
    • Wahakura offers a viable alternative for bed-sharing, aligning with cultural practices.