Infant Sleep Position and Sudden Infant Death Syndrome Risk: A Time For Change

PEDIATRICS ◽  
1994 ◽  
Vol 94 (1) ◽  
pp. 105-107
Author(s):  
Carl E. Hunt
Keyword(s):  
Risk Factors ◽  
Sudden Infant Death ◽  
Sleep Position ◽  
Sudden Infant ◽  
Infant Sleep ◽  
Public Intervention ◽  
Infant Sleep Position ◽  
The Us ◽  
Epidemiological Risk ◽  
Health Objectives

I fully support a comprehensive professional and public intervention campaign in the US to establish supine as the standard sleep position. Although other preventive health objectives can be included, the emphasis needs to be clearly focused on sleep position. Achieving the lowest possible prone prevalence rate in the US is thus the first goal of this new campaign. The second and equally important goal of the new campaign should be to utilize this opportunity to maximum advantage to enhance our knowledge regarding the epidemiological risk factors causally related to SIDS and their interactions, and the interactions between epidemiological and biological risk factors. In addition to quantifying changes in infant mortality and in infant sleep position, we will also need to characterize both the supine and the persistent prone infant groups in regard to all of the putative epidemiological risk factors for SIDS. This campaign can thus enhance our understanding of the epidemiological risk factors for SIDS as long as a significant decrease in prone prevalence can be achieved.

Infant Sleep Position and the Sudden Infant Death Syndrome

1995 ◽  
Vol 34 (8) ◽  
pp. 402-409 ◽  
Author(s):  
Patrick L. Carolan ◽  
James R. Moore ◽  
Michael G. Luxenberg
Keyword(s):  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Sudden Infant Death ◽  
Sleep Position ◽  
Sudden Infant ◽  
Infant Sleep ◽  
Infant Sleep Position

Infant Sleep Position and Risk for Sudden Infant Death Syndrome: Report of Meeting Held January 13 and 14, 1994, National Institutes of Health, Bethesda, MD

PEDIATRICS ◽  
1994 ◽  
Vol 93 (5) ◽  
pp. 814-819 ◽  
Author(s):  
Marian Willinger ◽  
Howard J. Hoffman ◽  
Robert B. Hartford
Keyword(s):  
United States ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Sudden Infant Death ◽  
The United States ◽  
Sleep Position ◽  
Sudden Infant ◽  
Infant Sleep ◽  
Postneonatal Mortality ◽  
Infant Sleep Position

Objective. To evaluate the current knowledge on the relationship between infant sleep position and sudden infant death syndrome (SIDS), and to determine how the information can be used to guide further activities in the United States. Methods. Data from international vital statistics, epidemiologic studies of SIDS risk factors, and studies of outcomes of public health interventions that advocated nonprone sleeping to reduce the risk for SIDS were discussed at a meeting held by the National Institute of Child Health and Human Development (NICHD) with cosponsorship from the National Institute on Deafness and Other Communication Disorders (NIDCD), and the National Center for Health Statistics (NCHS) on January 13, and 14, 1994. Results. Trends in postneonatal mortality and SIDS rates from 1980 through 1992 were evaluated for Australia, Britain, New Zealand, the Netherlands, Norway, Sweden, and the United States. All of the countries that experienced a rapid decline in prone sleeping also had reductions of approximately 50% in their SIDS rates. Postneonatal mortality rates dropped as well, with the reduction in SIDS being the primary contributor to the reported declines. The major behavioral change in all targeted populations was in sleep position. No significant changes were observed in the proportion of parents who smoked cigarettes, or in breast-feeding. Preliminary data from population-based studies showed there were no reported adverse outcomes associated with a change to side or back sleep position, such as an increase in deaths due to aspiration or in apparent life-threatening events. Conclusion. The overwhelming opinion of the assembled experts was that the evidence justified greater effort to reach parents with the American Academy of Pediatrics' recommendation that healthy infants, when being put down to sleep, be positioned on their side or back.

Putting Babies “Back to Sleep”: Can We Do Better?

2005 ◽  
Vol 24 (6) ◽  
pp. 9-16 ◽  
Author(s):  
Linda Levy Raydo ◽  
Christine Reu-Donlon
Keyword(s):  
Sudden Infant Death ◽  
Educational Programs ◽  
Sleep Position ◽  
Sudden Infant ◽  
Attitudes And Beliefs ◽  
Infant Sleep ◽  
Infant Sleep Position ◽  
American Academy Of Pediatrics ◽  
Sleep Positioning

The American Academy of Pediatrics first recommended in 1992 that infants be placed on their backs for sleep to reduce the risk for sudden infant death syndrome (SIDS). Since that time, there has been a national drop in the incidence of SIDS of more than 40 percent. Unfortunately, many parents and other caregivers are still receiving inconsistent information and observing varying practices regarding infant sleep position.This article emphasizes the role of the health care professional in both teaching and modeling these potentially lifesaving practices consistently and unambiguously. Available literature is reviewed regarding attitudes and beliefs about infant sleep positioning, and specific concerns are addressed in order to allow for better tailoring of educational programs.

scholarly journals A Box to Put the Baby in: UK Parent Perceptions of Two Baby Box Programmes Promoted for Infant Sleep

2021 ◽  
Vol 18 (21) ◽  
pp. 11473
Author(s):  
Helen L. Ball ◽  
Catherine E. Taylor ◽  
Cassandra M. Yuill
Keyword(s):  
Risk Factors ◽  
Parent Perceptions ◽  
Sudden Infant Death ◽  
Social Value ◽  
Sudden Infant ◽  
Infant Sleep ◽  
New Mothers ◽  
Welfare Provision ◽  
Telephone Interviews ◽  
Box Scheme

Between 2016 and 2019, two different infant sleeping-box interventions were implemented in England: (1) shallow polypropylene baby boxes were distributed via a feasibility study to families with Sudden Infant Death Syndrome (SIDS) risk factors; and (2) a commercial–health system partnership scheme distributed cardboard baby boxes to new mothers in particular locations. We conducted parent evaluations of both interventions at the time of implementation. The views of 79 parents receiving polypropylene boxes and 77 parents receiving cardboard boxes were captured using online questionnaires and telephone interviews. Participants provided feedback on education received about using the box, their perception of the box design and materials, their experiences of using the box they received, and whether they would recommend it to others. Parents appreciated that both boxes provided a portable space to place their baby near them anywhere in the home, discouraging other riskier practices. The polypropylene box was rated more favourably regarding transparency, hygiene, and portability outside the home. A minority of parents found the idea of putting their baby in any box unappealing; however, younger mothers and smokers particularly appreciated the ability to safely co-sleep with their babies using the shallower box. Overall, the versatility of the polypropylene box scheme was more positively evaluated than the cardboard baby box scheme, which, stripped of its social value as part of a larger welfare provision, had minimal value for parents that received it.

The Prone Alternative

PEDIATRICS ◽  
1994 ◽  
Vol 94 (1) ◽  
pp. 104-105
Author(s):  
Susan R. Orenstein
Keyword(s):  
Task Force ◽  
Sudden Infant Death ◽  
The United States ◽  
National Institutes Of Health ◽  
Sudden Infant ◽  
Infant Sleep ◽  
Infant Sleep Position ◽  
American Academy Of Pediatrics ◽  
Minority View ◽  
Sleep Positioning

Having attended both National Institutes of Health (NIH) meetings on infant sleep position (March 30 through 31, 1992, and January 13 through 14, 1994), and having publically expressed a minority view that the advantages of supine position in the United States might be outweighed by the disadvantages,1,2 I have been queried about whether my views have changed since the second NIH meeting. Most recently, Dr John Kattwinkel, of the American Academy of Pediatrics Task Force on Sleep Positioning and Sudden Infant Death Syndrome (SIDS), was kind enough to request my response to the report of the second meeting.3 This response is as follows.

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