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Mothers often use nonrecommended infant sleep practices for better sleep, despite knowing safe sleep guidelines. New interventions are needed to balance infant sleep safety with parental and infant sleep needs.

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Area of Science:

  • Pediatrics
  • Sleep Medicine
  • Public Health

Background:

  • The American Academy of Pediatrics recommends safe sleep guidelines (ABCs: Alone, Back, Crib) to reduce risks like Sudden Infant Death Syndrome (SIDS).
  • Mothers experience tension between adhering to these guidelines and the practical challenges of ensuring infant and parental sleep.
  • Understanding these challenges is crucial for developing effective infant sleep interventions.

Purpose of the Study:

  • To explore the tensions mothers face when trying to implement American Academy of Pediatrics safe sleep guidelines.
  • To identify factors influencing mothers' adherence to or deviation from safe sleep recommendations.
  • To understand how infant sleep practices impact both infant and parental sleep.

Main Methods:

  • Surveys and focus groups were conducted with US-based mothers of infants under 6 months.
  • Participants were recruited via social media and reported using nonrecommended sleep positions or locations.
  • Data collection occurred between November 2022 and March 2023.

Main Results:

  • 80% of mothers held/rocked their infant to sleep, and 76% fed their infant to sleep.
  • Most mothers knew the ABCs of safe sleep but found them unrealistic, opting for nonrecommended practices for perceived comfort and sleep quality.
  • Mothers prioritized perceived immediate comfort and safety (e.g., fall prevention) over SIDS prevention, especially when monitoring was possible.

Conclusions:

  • Mothers frequently use nonrecommended infant sleep practices to enhance sleep for themselves and their infants, despite awareness of safe sleep guidelines.
  • There is a need for interventions that support both infant sleep safety and improved infant/parental sleep.
  • Current guidelines may not fully address the practical realities and perceived needs of mothers regarding infant sleep.