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A View of Their Own: Capturing the Egocentric View of Infants and Toddlers with Head-Mounted Cameras
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Exploring Lactation Consultant Views on Infant Safe Sleep.

Nichole L Michaels1, Lara B McKenzie2,3,4, Sarah E Anderson4

  • 1Center for Injury Research and Policy of the Research Institute at Nationwide Children's Hospital, 700 Children's Drive, RB3, Columbus, OH, 43205, USA. nichole.michaels@nationwidechildrens.org

Maternal and Child Health Journal
|February 15, 2018
PubMed
Summary

Lactation consultants often prioritize bedsharing for breastfeeding success, sometimes conflicting with American Academy of Pediatrics safe sleep guidelines. This may lead mothers to receive inconsistent infant safe sleep advice.

Keywords:
BedsharingBreastfeedingInfant safe sleepLactation consultantsSudden infant death syndrome (SIDS)Sudden unexpected infant death (SUID)

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Area of Science:

  • Public Health
  • Pediatrics
  • Lactation Science

Background:

  • Lactation consultants play a key role in advising new mothers.
  • Infant safe sleep practices are crucial for reducing Sudden Infant Death Syndrome (SIDS).
  • The American Academy of Pediatrics (AAP) provides specific safe sleep recommendations.

Purpose of the Study:

  • To explore lactation consultants' beliefs and practices regarding infant safe sleep.
  • To assess the consistency of advice given by lactation consultants with AAP recommendations.
  • To understand lactation consultants' views on AAP safe sleep policies.

Main Methods:

  • Qualitative study utilizing focus groups.
  • Conducted with 22 certified lactation consultants in Ohio.
  • Explored beliefs, advice, policy views, and perceived barriers/benefits.

Main Results:

  • Lactation consultants believe bedsharing supports breastfeeding.
  • Disagreement exists with AAP safe sleep recommendations.
  • Frustration with policies limiting discussion of bedsharing was noted.
  • Safe sleep policies impact consultants' work and client advice.

Conclusions:

  • Lactation consultants influence infant safe sleep decisions.
  • Mothers may receive advice inconsistent with AAP safe sleep guidelines.
  • There is a need to reconcile breastfeeding support with safe sleep education.