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Mothers' Decision Making Concerning Safe Sleep for Preterm Infants: What Are the Influencing Factors?
Beverly Capper1, Elizabeth G Damato, Sarah Gutin-Barsman
1Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio (Drs Capper, Damato, and Dowling); and Cleveland Clinic Hillcrest Hospital, Cleveland, Ohio (Dr Gutin-Barsman).
Summary
Mothers of preterm infants often feel anxious, influencing their sleep practice decisions. Understanding this anxiety is key to improving safe sleep education and reducing risks like sudden infant death syndrome (SIDS).
Area of Science:
- Neonatal care
- Maternal health
- Public health
Background:
- Parental infant sleep practices lack consistency, increasing sudden infant death syndrome (SIDS) risk.
- Preterm infants face higher SIDS risk, yet their parental sleep decision-making is understudied.
Purpose of the Study:
- To identify factors influencing sleep practice decisions for preterm infants by their mothers.
- To explore the nuances of parental decision-making in safe sleep for vulnerable infants.
Main Methods:
- A mixed-methods design was employed.
- Online surveys were distributed via social media through parent support organizations.
Main Results:
- 98 mothers of preterm infants participated.
- Most mothers practiced back-to-sleep (92.3%) and low pacifier use (15.4%).
- Key decision themes included adherence, nonadherence, and infant-guided practices, often driven by maternal anxiety and a need for close monitoring.
Conclusions:
- Maternal anxiety impacts adherence to safe sleep recommendations (SSR).
- Tailored education is needed to improve safe sleep practices for preterm infants.
- Further research should explore decision-making in diverse populations.
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