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Published on: October 11, 2018
[Bad sleeping habits in infants: Risk factor for sudden infant death syndrome. Pilot study]
Trinidad Sánchez1, Dominga Peirano2, Camila Pipino2
1Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Insights
Many young infants sleep in unsafe positions or co-sleep with parents, increasing Sudden Infant Death Syndrome (SIDS) risk. Reinforcing safe infant sleep practices through local campaigns is crucial for SIDS prevention.
Area of Science:
- Pediatrics
- Neonatal Care
- Public Health
Background:
- The American Academy of Pediatrics promotes the supine sleeping position to prevent Sudden Infant Death Syndrome (SIDS).
- The "Back to Sleep (BTS)" campaign aims to reduce SIDS rates by recommending safe sleep practices.
- Understanding infant sleep positions and associated risk factors is vital for SIDS prevention.
Purpose of the Study:
- To describe the sleeping position of infants under 45 days old.
- To identify risk factors associated with Sudden Infant Death Syndrome (SIDS) in this age group.
- To assess adherence to safe infant sleep recommendations.
Main Methods:
- A prospective pilot study was conducted with 100 infants under 45 days old.
- Data was collected through parental questionnaires based on the BISQ - Spanish version.
- The study included infants attending well-child care visits, with specific exclusion criteria for preterm infants or those with comorbidities.
Main Results:
- 79% of infants slept in the supine position, but 19% slept on their sides and 2% in the prone position.
- A significant proportion of infants (31%) co-slept in the parents' bed, and 28% were exposed to passive smoking.
- While 91% of parents were informed about safe sleep, a high percentage of infants exhibited unsafe sleep practices.
Conclusions:
- A considerable number of infants under 45 days old are placed in unsafe sleep positions and frequently co-sleep with parents.
- These findings highlight the need for targeted SIDS prevention campaigns.
- Reinforcing safe infant sleep recommendations is essential to reduce SIDS risk in neonates.
Introduction:
The American Academy of Pediatrics recommends, through the implementation of the "Back to Sleep (BTS)" campaign, the supine sleeping position for infant sleeping since it prevents to prevent Sudden Infant Death Syndrome (SIDS).
Objective:
To describe the sleeping position of a group of infants and the risk factors associated with sudden infant death syndrome (SIDS).
Subjects And Method:
Prospective pilot study, including infants < 45 days of life in well-child care visits at a medical center.
Exclusion Criteria:
Preterm-born infant (gestational age < 37 weeks) and/or comorbidities (pulmonary, metabolic, cardiologic). A brief parental questionnaire was conducted regarding general demographic data and sleep habits. The questioner was based on the BISQ - Spanish version, due to the lack of validated instruments for infants < 3-month-old.
Results:
We included a sample of 100 infants between 16.78 ± 12.88 days old (57% girls). Mothers were the main information source (84%). 79% of the infants slept in supine position, 19% slept on their sides, and 2% in prone position. Regarding the place where the infants slept, 66% did in their crib in the parents' room and 31% slept in parents' bed. 74% of infants fell asleep while being fed. 28% of infants were exposed to passive smoking at home. 91% of parents were informed about safe sleep positions, reporting that pediatricians were the main source of information (54%). Conclu sion: We found a high percentage of infants < 45 days of life who slept in an unsafe position, and frequently co-sleep with their parents. Thus, it is important to implement local SIDS prevention campaigns to reinforce safe infant sleep.
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