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Maternal knowledge and practice of safe infant sleep position in South Ethiopia: Implications for preventing
Tamene Demissie Lachore1, Tamirat Toma Bekele2, Alemayehu Beharu Tekle2
1School of Nursing, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Insights
Only 42.7% of mothers practiced safe infant sleep positions, increasing the risk of sudden infant death syndrome. Improving maternal knowledge through targeted health education is crucial for safe infant sleep practices.
Area of Science:
- Pediatrics
- Public Health
- Maternal and Child Health
Background:
- Safe infant sleep position is critical for preventing sudden infant death syndrome (SIDS) in infants aged 0-12 months.
- Unsafe sleep positions are a significant risk factor for SIDS.
- Limited data exists on safe infant sleep practices in Ethiopia.
Purpose of the Study:
- To assess safe infant sleep position practices among mothers in South Ethiopia.
- To identify factors associated with safe infant sleep practices.
Main Methods:
- A systematic sampling method was used to recruit 569 mothers attending child health care services.
- Data was collected via structured questionnaires administered through interviews.
- Binary logistic regression analysis identified factors associated with safe sleep practices (p≤0.05).
Main Results:
- Only 42.7% of mothers practiced safe infant sleeping positions (back to sleep).
- Maternal occupation, parity, information source, and knowledge level were significantly associated with safe sleep practices.
- Associated factors included maternal occupation (AOR=3.49), parity (AOR=0.39), information source (AOR=4.64), and knowledge (AOR=2.04).
Conclusions:
- Over half of mothers in the study did not adhere to safe infant sleep recommendations.
- Maternal occupation, parity, access to information, and knowledge levels significantly impact safe sleep practices.
- Targeted health education via antenatal/postnatal care and community campaigns is recommended to improve practices and reduce SIDS.
Background:
Safe infant sleep position practice is crucial for infants from birth to 12 months of age. One of the most important interventions in infancy is choosing the right sleeping position for the baby. The unsafe position of the child while sleeping is associated with sudden infant death Syndrome. However, little is known about the safe infant sleep position practice in Ethiopia. Therefore, this study aimed to assess safe infant sleep position practices among mothers attending child health care services in the Wolaita Zone public hospitals, South Ethiopia, 2024.
Methods:
The study included 569 mothers with infants attending child health care services in public hospitals in the Wolaita Zone. Participants were selected using a systematic sampling method, and data was collected through structured questionnaires administered via interviews. The collected data was checked for completeness, coded, and entered into EpiData version 4.6. Analysis was conducted using the social science statistical package. Descriptive statistics were used to summarize the data, and results were presented through narratives, tables, and figures. Binary logistic regression analysis was employed to identify explanatory variables associated with safe infant sleep position practices. A p-value of ≤0.05 was considered statistically significant.
Results:
A total of 569 study participants were included in this study with a response rate of 99.1%. The safe infant sleeping position practice (back to sleep) in this study was 42.7% [95% CI (38.6%, 46.8)]. Maternal occupation, parity, source information about sleep position, and good knowledge of safe sleep position practice were significantly associated by (AOR = 3.49; 95% CI (1.81, 6.76)), (AOR = 0.39; 95% CI (0.21, 0.74)), (AOR = 4.64; 95% CI (1.77, 12.18)), and (AOR = 2.04; 95% CI (1.22, 3.40)) respectively.
Conclusion:
The study found that over half of participants did not practice safe infant sleeping positions. Factors such as maternal occupation, parity, information sources, and knowledge significantly influenced safe sleep practices. Targeted health education-particularly through antenatal and postnatal care services, as well as community-based awareness campaigns-is recommended to improve maternal knowledge and reduce sleep-related infant deaths.
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