scholarly journals Safe Sleep Knowledge and Use of Provided Cribs in a Crib Delivery Program

2019 ◽  
Vol 10 (3) ◽  
pp. 59-61
Author(s):  
Matthew Engel ◽  
Carolyn R. Ahlers-Schmidt ◽  
Bonita Suter
Keyword(s):  
High Risk ◽  
Infant Mortality ◽  
Home Visit ◽  
Infant Sleep ◽  
Safe Sleep ◽  
Program Staff ◽  
Infant Safe Sleep ◽  
Soft Objects ◽  
Infant Birth

Introduction. Risk of infant sleep-related death can be reducedthrough safe sleep practices. Barriers to infant safe sleep have beenmitigated through education and crib distribution, however, previousstudies have not explored whether distributed cribs are put to use. Methods. In a rural Michigan county, the Great Start Sleep Initiativesupplied cribs and education shortly after infant birth to familieswith high-risk of infant mortality, as assessed through comprehensiveinterviews with families by program staff. Participant knowledgewas evaluated using structured pre- and post-assessments beforeand after education. Further, a home visit was conducted to evaluatethe infant’s sleeping environment. Data from the program, collectedbetween January 2012 and December 2014, were evaluated. Results. Cribs and concomitant education were delivered to 75caregivers. Knowledge of safe sleep practices increased significantlyat follow-up with 67 caregivers (89%) affirming back positioning,68 (91%) endorsing removal of unsafe items or soft objects, suchas blankets, from the sleeping area, and 42 (56%) renouncing bedsharing.At the home visit, 74 caregivers (99%) were using a crib toput their infant down to sleep, 70 (93%) were using the providedcrib, and 67 (89%) had no unsafe items in the child’s sleeping area. Conclusion. Providing education to high-risk mothersresulted in improved safe sleep knowledge and providedcribs are used in these homes. KS J Med 2017;10(3):59-61.

scholarly journals Poverty and Paternal Education Associated With Infant Safe Sleep Intentions in a Peri-Urban Community in Ecuador

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110441
Author(s):  
Hartley Feld ◽  
Janeth Ceballos Osorio ◽  
Marisol Bahamonde ◽  
Thomas Young ◽  
Pablo Boada ◽  
...  
Keyword(s):  
High Risk ◽  
Basic Needs ◽  
Cross Sectional Study ◽  
Infant Sleep ◽  
Safe Sleep ◽  
Cross Sectional ◽  
Targeted Interventions ◽  
Paternal Education ◽  
Infant Safe Sleep ◽  
High Risk Populations

Ecuador’s annual mortality rate from SIDS is 0.4 per 100 000 people, 4 times higher than neighboring countries Peru, Bolivia, and Brazil. Modifying the infant sleep environment toward safe practice has been demonstrated to be the most effective risk reduction strategy in reducing mortality from SIDS and little is known about sleep practices in Ecuador. The purpose of this study is to describe baseline infant sleep intentions of pregnant women in a peri-urban, low resource community in Ecuador. We also aim to identify demographic and psychosocial factors associated with suboptimal sleep practices in this context to develop long-term strategies to identify infants with high risk for SIDS/SUID. A cross-sectional study design was employed with 100 women in their third trimester of pregnancy. The majority of women were partnered (82%), both parents had approximately 8 years of education, and over half reported that their incomes met or exceeded their basic needs (55%). Significant predictors of safer sleep intention included years of paternal education ( P = .019) and income meeting their basic needs ( P = .0049). For each additional year of paternal education, families were 23% more likely to report safer intended infant sleep practices. Compared to those whose income did not allow for basic needs, those who had sufficient income to meet (or exceed) basic needs were 425% more likely to report safer intended sleep practices. Targeted interventions to high-risk populations may reduce the burden of SIDS/SUID in this community.

scholarly journals Development of an infant mortality risk score in Uruguay

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Alegretti ◽  
I Leon ◽  
A Aleman ◽  
F Cavallieri ◽  
W Callero
Keyword(s):  
High Risk ◽  
Infant Mortality ◽  
Live Birth ◽  
Risk Score ◽  
Mortality Risk ◽  
Home Visit ◽  
Birth Certificate ◽  
Area Under The Curve ◽  
Binary Logistic Regression Model ◽  
Roc Curve Analysis

Abstract Background The Ministry of Public Health of Uruguay incorporated a comprehensive home visit before 7 days of discharge to monitor children at risk of infant mortality. In this context, a precise risk stratification of newborns is needed to optimize the implementation of the home visit. Objective Implement a validated infant mortality risk score for Uruguay using the national electronic live birth certificate. Methods Electronic records of newborns from 2014 to 2017 were used to develop the score. The variables of the electronic live birth certificate were considered for the model and data of Infant mortality was obtained from the national mortality registry. A multivariate binary logistic regression model was estimated with a random sample of 80% of the cohort, the remaining 20% was the validation set. ROC curve analysis was performed. R software was used. Results The 2014-2017 birth cohort contains 187,388 records. 1307 children under one year died (IMR 6.97 per 1,000 births). The variables included in the final model were birth weight, APGAR score at 5 minutes, number of prenatal visits, maternal educational level and father living at home. The area under the curve (AUC) was 89%, CI 95% [87% - 91%]. Two cut-off points were defined: 0.4% and 2%. Less than 0.4% was considered low risk (IMR 1.4 per 1,000 births), between 0.4 and 2% was considered intermediate risk (IMR 7.1 per 1,000 births) and more than 2% was considered high risk (IMR 99.2 per 1,000 births). Conclusions The score identifies high-risk newborns at the time of entering the data in the electronic live birth certificate. This information could be used to plan and implement the home visit and other actions, according to the level of risk identified. Key messages In Uruguay, high-risk newborns can be identified using data collected routinely. The procedure could be applied in other countries with electronic birth certificate.

scholarly journals Evaluation of a Multisite Safe Infant Sleep Education and Crib Distribution Program

2021 ◽  
Vol 18 (13) ◽  
pp. 6956
Author(s):  
Trina C. Salm Ward ◽  
Terri J. Miller ◽  
Iman Naim
Keyword(s):  
Research Literature ◽  
The State ◽  
Infant Sleep ◽  
Safe Sleep ◽  
Infant Deaths ◽  
Cohort Design ◽  
Final Sample ◽  
Post Test ◽  
Sleep Location

Rates of sleep-related infant deaths have plateaued in the past few decades despite ongoing infant sleep practice recommendations to reduce risk of sleep-related infant deaths by the American Academy of Pediatrics. The state department of public health trained facilitators at 28 sites across the state to facilitate a group safe sleep educational program. A prospective, matched pre- and post-test cohort design with follow-up was used to evaluate changes in self-reported knowledge, intentions, and practices. The final sample included 615 matched pre- and post-test surveys, and 66 matched follow-up surveys. The proportion of correct responses on all knowledge and intended practice items increased significantly from pre- to post-test. When asked where their babies would have slept if they had not received the portable crib, 66.1% of participants planned to use a recommended sleep location (e.g., crib or bassinet). At post-test, 62.3% planned to change something about their infant’s sleep based on what they learned. At follow-up, knowledge was maintained for all but two items and practices and for half of practice items. The results suggest that participating in the education program was associated with increased knowledge and intended adherence, but that these changes were not maintained at follow-up. These results are in line with the research literature that finds a difference in intentions and actual practices after the baby is born.

scholarly journals Field assessment of a safe sleep instrument using smartphone technology

2019 ◽  
Vol 4 (5) ◽  
pp. 451-456
Author(s):  
Rosemary Nabaweesi ◽  
Leanne Whiteside-Mansell ◽  
Samantha H. Mullins ◽  
Mallikarjuna R. Rettiganti ◽  
Mary E. Aitken
Keyword(s):  
Home Visit ◽  
Parent Report ◽  
Sleep Position ◽  
Infant Sleep ◽  
Safe Sleep ◽  
Perfect Agreement ◽  
Smartphone Technology ◽  
Sleep Environment ◽  
Sleep Safety ◽  
Sleep Location

AbstractIntroduction:Sudden unexpected infant death is the leading cause of infant mortality with black: white infant mortality remaining at 2:1 for the last decade. Smartphone technology provides a convenient and accessible tool for injury prevention anticipatory guidance among at-risk communities.Materials and Methods:A convenience sample of pregnant teen mothers who own a smartphone. During a 1-month postnatal home visit, a safe sleep environment survey was administered, infant sleep practices were observed, and mothers trained to take and submit standard infants’ sleep environment photographs. Photographs were independently assessed for inter-rater reliability (IRR) across five sleep safety domains (primary outcome): sleep location, surface, position, presence of soft items, and hazards near the sleep area. Expert and novice coders IRR was measured using Cohen’s kappa coefficient (K). Sleep safety correlation between photographs and observation, and parent report and observation was determined.Results:Sixteen (57.1%) mothers completed the home visit. Most parents reported infants sleeping supine (78.5) in parents’ bedroom (85.9%). Photographs demonstrated sleep position, soft items without the baby present, and hanging toys had perfect agreement across all three coder pairs. Safe sleep experts’ IRR demonstrated perfect agreement for sleep location, position, and soft items. While 83.8% of parents were observed putting their infants down to sleep on their back, 78.5% of parents reported doing the same and 82.4% of the photographs demonstrated supine infant sleep position.Conclusion:Using photographs, coders can reliably categorize some key infant sleep safety aspects, and photograph sleep safety is comparable to parent report and direct observation.

Infant Safe Sleep Practices as Portrayed on Instagram: An Observational Study (Preprint)

2021 ◽  
Author(s):  
Samuel Chin ◽  
Rebecca Carlin ◽  
Anita Mathews ◽  
Rachel Moon
Keyword(s):  
Social Norms ◽  
Parenting Practices ◽  
Sleep Position ◽  
Infant Sleep ◽  
Inclusion Criteria ◽  
Safe Sleep ◽  
Young Parents ◽  
American Academy Of Pediatrics ◽  
Infant Safe Sleep ◽  
Sleep Environment

BACKGROUND Parenting practices are highly influenced by perceived social norms. Social norms and American Academy of Pediatrics (AAP) guidelines for infant safe sleep practices are often inconsistent. Instagram has become one of the most popular social media websites among young adults (including many expectant and new parents). We hypothesized that the majority of Instagram images of infant sleep and sleep environments are inconsistent with AAP guidelines, and that the number of “likes” for each image would not correlate with adherence of the image to these guidelines. OBJECTIVE To determine the extent of adherence of Instagram images of infant sleep and sleep environments to safe infant sleep guidelines. METHODS We searched Instagram using hashtags that were relevant to infant sleeping practices and environments. We then used an open-source web scraper to collect images and the number of “likes” for each image from 27 hashtags. Images were analyzed for adherence with AAP safe sleep guidelines. RESULTS A total of 1563 images (1134 of sleeping infant; 429 of infant sleep environment without sleeping infant) met inclusion criteria and were analyzed. Only 117 (7.5%) of the 1563 images were consistent with AAP guidelines. The most common reasons for inconsistency with AAP guidelines were presence of bedding (75%) and non-recommended sleep position (42.2%). The number of “likes” was not correlated with adherence of the image to AAP guidelines. CONCLUSIONS Although individuals who use Instagram and post pictures of sleeping infants or infant sleep environments may not actually use these practices regularly, the consistent portrayal of images inconsistent with AAP guidelines reinforce that these practices are normative and may influence the practice of young parents. CLINICALTRIAL not applicable

scholarly journals A Comparison of Community and Clinic Baby Showers to Promote Safe Sleep for Populations at High Risk for Infant Mortality

2016 ◽  
Vol 3 ◽  
pp. 2333794X1562230 ◽  
Author(s):  
Carolyn R. Ahlers-Schmidt ◽  
Christy Schunn ◽  
Venessa Lopez ◽  
Stacey Kraus ◽  
Sheila Blackmon ◽  
...  
Keyword(s):  
High Risk ◽  
Infant Mortality ◽  
Safe Sleep
Sign in / Sign up

Export Citation Format

Share Document