Educating Parents About Infant Language Development: A Randomized Controlled Trial

2017 ◽  
Vol 57 (8) ◽  
pp. 945-953 ◽  
Author(s):  
Dana L. Suskind ◽  
Christy Y. Y. Leung ◽  
Robert J. Webber ◽  
Alison C. Hundertmark ◽  
Kristin R. Leffel ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
Knowledge Gain ◽  
Low Ses ◽  
Universal Newborn Hearing Screening ◽  
Newborn Hearing ◽  
Infant Language Development ◽  
English Speaking ◽  
Infant Language

A total of 427 women (aged 18-45 years) who delivered a singleton neonate without serious medical complications were randomized to watch either an educational intervention (n = 225) or the sudden infant death syndrome (n = 202) video. Linear mixed models showed that the intervention women significantly gained knowledge over time. Knowledge gain was largest among high–socioeconomic status (high-SES) and middle-SES English-speaking, smaller among low-SES Spanish-speaking, and nonsignificant among low-SES English-speaking women. Analysis of deviance revealed that the intervention women of all SES learned strategies fostering secure attachment and language acquisition. Participants considered watching an educational video alongside the universal newborn hearing screening (UNHS) conveniently timed. The intervention women were more likely than the control women to recognize the importance of timely UNHS follow-up.

Innovation to prevent sudden infant death: the wahakura as an Indigenous vision for a safe sleep environment

2019 ◽  
Vol 25 (5) ◽  
pp. 406 ◽  
Author(s):  
David Tipene-Leach ◽  
Sally Abel
Keyword(s):  
New Zealand ◽  
Infant Mortality ◽  
Controlled Trial ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
Case Review ◽  
Unexpected Death ◽  
District Health ◽  
Retrospective Case ◽  
Safe Sleep

The bassinet-like wahakura is an Indigenous initiative for the prevention of Sudden Unexpected Death in Infancy (SUDI). It was developed by New Zealand Māori in 2005 when Māori were rejecting the ‘stop bedsharing’ SUDI prevention message and the SUDI disparity between Māori and non-Māori had become entrenched. Made of native flax, the wahakura was promoted as a culturally resonant, in-bed safe sleep device that would disrupt the SUDI risk associated with ‘bedsharing where there was smoking in pregnancy’ without relying on smoking cessation. A significant movement of weavers and health professionals grew around the wahakura program. A body of research, including infant care surveys, retrospective case review, qualitative enquiry and a randomised controlled trial comparing wahakura and bassinet safety demonstrated the device’s public health plausibility, acceptability to Māori women and its essential safety. This facilitated the distribution, by District Health Boards, of safe sleep devices, including a related device called the Pēpi-Pod, and safe sleep education to high-risk, mainly Māori, mothers. Infant mortality in New Zealand fell by 29%, primarily among Māori infants, over the period 2009–15, suggesting that Māori cultural concepts, traditional activities and community engagement can have a significant effect on ethnic inequities in infant mortality.

scholarly journals Pediatric Office Delivery of Smoking Cessation Assistance for Breast-Feeding Mothers

2018 ◽  
Vol 22 (3) ◽  
pp. 346-353 ◽  
Author(s):  
Jeremy E Drehmer ◽  
Deborah J Ossip ◽  
Emara Nabi-Burza ◽  
Bethany Hipple Walters ◽  
Julie A Gorzkowski ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Breast Feeding ◽  
Smoking Status ◽  
Controlled Trial ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
Breast Feed ◽  
Quitting Smoking ◽  
Cluster Randomized ◽  
Screening Interview

Abstract Introduction National and international organizations have done an excellent job of advocating and promoting breast feeding for all mothers. This study assessed to what extent an intervention increased delivery of cessation assistance to breast-feeding mothers who smoke. Methods Data were collected between April and October 2015 in five US states as part of a cluster randomized controlled trial in 10 pediatric practices. Practices were randomized to the Clinical Effort Against Secondhand Smoke Exposure (CEASE) intervention or usual care control arms. Mothers were asked about their smoking status and breast-feeding history during a screening interview upon exiting the practice and eligible mothers who agreed to participate in an enrollment interview were asked if they received smoking cessation assistance during their child’s visit. Mothers with a child 1 year old and younger were included in the analyses. Results Current breast feeding was associated with a reduced likelihood of current smoking (adjusted odds ratio [aOR] = 0.38, 95% confidence interval [95% CI] = 0.25 to 0.57) and a greater likelihood of quitting smoking (aOR = 2.33, 95% CI = 1.29 to 4.21) after controlling for known confounders. Mothers who concurrently smoked and breast-fed were more likely to be asked about smoking (66.7% vs. 28.6%, p = .01), advised to quit (61.1% vs. 21.4%, p < .01), prescribed nicotine replacement therapy (50.0% vs. 0%, p < .001), and enrolled into the quitline (27.8% vs. 0%, p < .01) at CEASE practices compared to control practices. Conclusion Breast-feeding mothers were less likely to be current smokers and more likely to have recently quit smoking. Among mothers who continue to smoke and breast feed, the CEASE intervention enhances delivery of smoking cessation assistance. Implications Breast feeding and eliminating infants’ exposure to tobacco smoke are important protective factors for serious pediatric health risks including sudden infant death. This study shows that breast feeding was positively associated with desirable tobacco control outcomes, specifically that breast feeding was associated with a lower likelihood of smoking among ever smokers and a greater likelihood of recently quitting smoking. This is also the first study to look specifically at delivery of smoking cessation assistance to breast-feeding mothers seen at pediatric offices and demonstrates the effectiveness of delivering evidence-based smoking cessation assistance to them in this context. Trial Registration www.ClinicalTrials.gov (identifier NCT01882348).

Prevention of sudden infant death syndrome (SIDS)

2019 ◽  
Author(s):  
Peter S. Blair ◽  
Anna Pease
Keyword(s):  
Risk Reduction ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Controlled Trial ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
Bed Sharing ◽  
Divergence Of Opinion ◽  
Cot Death ◽  
The Uk

In the 1980s, sudden infant death syndrome (also known as SIDS or cot death) was one of the most common post-neonatal causes of death in the UK. The dramatic 80% fall in these deaths over the last three decades is a testament to evidence-based research using the observational case–control study and even more impressive given the difficulties in funding studies without a randomized controlled trial design. This chapter will describe the initial breakthrough in the early 1990s, the characteristic profile of SIDS, the associated factors identified, the potential causal mechanisms, and the current risk reduction messages. Most of the risk reduction messages are non-controversial and have been readily accepted by health professionals and parents alike. The divergence of opinion regarding how we give preventative advice surrounding infant bed sharing and the strategies employed is addressed in more detail.

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