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Sudden infant death syndrome: Knowledge and practise in parents of preterm infants
Jaafar Rohana1, Shareena Ishak1, Wan Md Zin Wan Nurulhuda1
1Department of Paediatrics, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Insights
Parents of preterm infants often lack knowledge on reducing sudden infant death syndrome (SIDS) risks. Common unsafe practices like bed sharing and household smoking were prevalent, highlighting a need for better SIDS risk reduction education.
Area of Science:
- Neonatal care
- Public health
Background:
- Preterm infants face a higher risk of sudden infant death syndrome (SIDS) compared to full-term infants.
- SIDS risk is inversely proportional to gestational age and birthweight.
- Adequate parental knowledge and practice of SIDS risk reduction measures are crucial for preterm infants.
Purpose of the Study:
- To assess the knowledge and practices of parents with preterm infants regarding SIDS risk reduction.
- To identify common risk factors and information sources related to SIDS among this population.
Main Methods:
- A survey was conducted at Universiti Kebangsaan Malaysia Medical Centre from December 2016 to August 2017.
- Self-administered questionnaires were used to assess knowledge and practices of parents with preterm infants (≤36 weeks gestation).
- Data analysis compared parents with "good knowledge" (≥5 correct answers) versus "poor knowledge" (<5 correct answers).
Main Results:
- Only 43.7% of parents demonstrated good knowledge of SIDS risk reduction.
- Social media was the most common source of SIDS information (67.3%).
- Bed sharing (68.8%) and household smoking were significantly more common among parents with poor SIDS knowledge (P=0.01 and P=0.048, respectively).
Conclusions:
- Knowledge regarding SIDS risk reduction measures is generally poor among parents of preterm infants.
- Practices such as cigarette smoking, bed sharing, and non-supine sleep positions, which increase SIDS risk, are common.
- There is a critical need for improved SIDS risk reduction education for parents of preterm infants.
Background:
Preterm infants are at higher risk of sudden infant death syndrome (SIDS) compared with term born infants and the risk is inversely proportional to the gestational age and birthweight. Parents of these infants should have adequate knowledge and practise the recommended SIDS risk reduction measures.
Methods:
A survey was conducted between December 2016 and August 2017 at Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur. Parents of preterm infants ≤36 weeks' gestation were invited to answer a self-administered questionnaire to assess their knowledge and practise regarding SIDS risk reduction.
Results:
Forty-nine (61.33%) of the 80 parents had heard of SIDS prior to the interview, with social media being the commonest source of information (67.3%). Only 35 (43.7%) correctly answered at least five of nine questions on knowledge of SIDS risk reduction ("good knowledge"). When compared with the group of parents who answered less than five questions correctly ("poor knowledge"), there was no significant difference in the demographic and infant characteristics between the groups. The majority (68.8%) of parents practised bed sharing with their infants, and this was significantly more common in the group of parents with poor knowledge (P = 0.01). Household smoking was also significantly more common in the group of parents with poor knowledge (P = 0.048).
Conclusion:
Knowledge on SIDS risk reduction measures was generally poor among parents of preterm infants in this study. Cigarette smoking, bed sharing and non-supine sleep positions, which are associated with increased risk of SIDS, were common practise among the present subjects.
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