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Related Experiment Video

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Infant Sleep Behavior Practices and Knowledge of Fathers: An Exploratory and Descriptive Study.

Levi Funches1, James E Slaven2, Nancy Swigonski1

  • 1Riley Hospital for Children, Department of Pediatrics, School of Medicine, Indiana University, Indianapolis, IN, USA.

American Journal of Men'S Health
|February 27, 2026
PubMed
Summary

Fathers need more education on safe infant sleep practices to reduce sudden unexpected infant death (SUID). Key areas for improvement include breastfeeding, wearable blankets, room-sharing, and pacifier use to enhance infant safety.

Keywords:
fathersinfant mortalitysafe sleepsudden infant death syndromesudden unexpected infant death

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Area of Science:

  • Pediatrics
  • Public Health
  • Maternal and Child Health

Background:

  • Sudden unexpected infant death (SUID) and sudden infant death syndrome (SIDS) remain significant causes of infant mortality.
  • Understanding the knowledge and behaviors of fathers regarding infant safe sleep is crucial for prevention strategies.
  • In Indianapolis, 17% of infant deaths in 2022 were attributed to SUIDs, highlighting a local public health concern.

Purpose of the Study:

  • To describe fathers' knowledge and behaviors related to infant safe-sleep practices.
  • To identify specific areas where fathers' understanding of safe sleep recommendations is lacking.
  • To inform the development of targeted educational interventions for male caregivers.

Main Methods:

  • A survey was administered to 85 fathers recruited via promotional flyers between 2019 and 2024.
  • Data were collected using a secure, web-based tool, accessible via QR code or manual entry.
  • Frequency and comparative analyses were performed to describe the collected knowledge and behavioral data.

Main Results:

  • Fathers reported lowest knowledge regarding the protective benefits of breastfeeding and wearable blankets against SUID.
  • Fewer fathers reported practicing safe sleep behaviors such as room-sharing and consistent pacifier usage.
  • A significant proportion of fathers reported unsafe sleep practices, including bed-sharing and using adult beds for infant sleep.

Conclusions:

  • Targeted, interactive education for male caregivers on American Academy of Pediatrics (AAP) safe sleep recommendations is essential.
  • Focusing educational efforts on the risks of soft bedding, benefits of breastfeeding, pacifier use, and room-sharing can help reduce SUID rates.
  • Empowering fathers with knowledge and safe sleep practices is vital for their role in preventing infant sleep-related deaths.