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"I Am Afraid of Positioning my Baby in Prone": Beliefs and Knowledge about Tummy Time Practice
Bianca Fernandes Vasconcelos E Silva1, Sabrinne Suelen Santos Sampaio2, Julia Raffin Moura3
1Post-Graduate Program in Rehabilitation Sciences, Federal University of Rio Grande do Norte, Brazil.
Insights
Tummy time (TT) practice is associated with improved motor development in infants. Many caregivers fear breathlessness, but TT promotes milestone achievement.
Area of Science:
- Pediatrics
- Developmental Psychology
- Infant Care
Background:
- Tummy time (TT) is a practice recommended for infant development.
- Caregiver beliefs and knowledge about TT can influence its practice.
- Concerns about infant safety, such as breathlessness, may deter TT implementation.
Purpose of the Study:
- To investigate parental beliefs and knowledge regarding tummy time (TT).
- To examine the association between TT practice and infant motor development.
- To identify potential risks related to TT and motor delays.
Main Methods:
- A longitudinal study involving parents/caregivers of infants over 30 days old.
- Two assessments: structured interview (1-6 months) and Survey of Well-being of Young Infants (SWYC) questionnaire (6-12 months).
- Infants were categorized into TT and control groups based on practice.
Main Results:
- 85.70% of infants in the TT group achieved typical motor development, compared to 55% in the control group (p=0.01).
- 31.70% of caregivers found TT unimportant, and 70.70% feared breathlessness.
- Only 3 infants in the control group were at risk for delayed motor development (p=0.10).
Conclusions:
- Parental insecurity and fear of breathlessness are significant barriers to TT practice.
- Tummy time (TT) practice is associated with superior motor milestone achievement in infants.
- Encouraging TT may be crucial for optimizing infant motor development.
Objective:
To identify beliefs and knowledge about tummy time (TT) practice and its repercussions on motor development.
Methods:
Longitudinal study carried out with parents/caregivers of infants older than 30 days of life. Two assessments were performed. A structured interview was conducted, while the babies were between one and six months old to identify beliefs, knowledge about TT, and the motor milestone achievement expected for the age. At six to 12 months, the risk of motor development delay was tracked using the survey of well-being of young infant questionnaire (SWYC).
Results:
41 families responded to the SWYC questionnaire (21 were allocated to the TT group). 31.70% reported that it was not important to put the infants in a prone position while awake, and 70.70% said they are afraid their babies would become breathless when positioned in a prone position. 85.70% of infants from the TT group showed typical development, while 55% of the control group showed atypical development for their age (p = 0.01). Only three infants from the control group were at risk of delayed motor development (p = 0.10).
Conclusions:
Most of the families feel insecure about proning their babies and fear breathlessness when positioned. Acquisition of motor milestones prevailed in the TT group, suggesting an association between TT practice and motor milestone achievement.
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