Navigation Links
Many infants still not placed on their backs to sleep

VANCOUVER, BRITISH COLUMBIA Since 1994, parents have been urged to put their babies to sleep on their backs to reduce the risk of sudden infant death syndrome (SIDS). It appears many caregivers have not gotten the message, and health care providers have not done enough to educate families.

Rates of supine sleeping (being placed on the back for sleep) are as low as 50 percent in some states, according to a study to be presented Saturday, May 3, at the Pediatric Academic Societies (PAS) annual meeting in Vancouver, British Columbia, Canada. In addition, only about two-thirds of term infants nationwide are placed on their backs to sleep, and the rate is even lower among preterm infants.

"Given that supine sleep positioning significantly reduces an infant's risk for SIDS, it is worrisome that only two-thirds of full-term infants born in the U.S. are being placed back-to-sleep," said lead author Sunah S. Hwang, MD, MPH, FAAP, a neonatologist at Boston Children's Hospital and South Shore Hospital, and instructor in pediatrics at Harvard Medical School. "More concerning is that adherence to safe sleep positioning is even lower for preterm infants who are at even greater risk for SIDS compared to term infants."

SIDS is the leading cause of death among infants between 1 month and 1 year of age.

More than 2,000 babies died from SIDS in 2010, the most recent year statistics are available from the Centers for Disease Control and Prevention (CDC).

"Although the precise cause of SIDS is still unknown, we do know that safe sleep practices, such as sleeping on the back, reduces the risk of infant death in the first year of life," Dr. Hwang said. "The Back-to-Sleep campaign reduced the rate of SIDS by 50 percent in the 1990s. Since 2001, this rate has remained stagnant."

Dr. Hwang and her colleagues analyzed data from the Pregnancy Risk Assessment Monitoring System (PRAMS) to compare the prevalence of supine sleep positioning after hospital discharge for preterm and term infants. PRAMS is a state-based surveillance system funded by the CDC to monitor behaviors and experiences among women who recently delivered a live-born infant in a hospital. Surveys are mailed to mothers, and those who do not respond are contacted by phone. Mothers were asked which position they usually put their infant to sleep (side, back, stomach). Responses were categorized as supine (back) and non-supine, which included a combination of sleep positions.

The study included 392,397 infants born in 36 states, which had response rates of 70 percent or more in 2000-2011. Researchers analyzed supine sleeping in the following gestational age categories: 27 weeks or less, 28-33 weeks, 34-36 weeks and 37-42 weeks.

Results showed both preterm and term infants had suboptimal rates of supine sleep positioning after hospital discharge. In addition, supine sleep positioning varied widely by state, with Alabama having the lowest rate at 50 percent and Wisconsin having the highest rate at 81 percent.

The most preterm group of infants (less than 28 weeks) had the lowest rate of supine sleep positioning at 60 percent. After adjusting for maternal age, education, race/Hispanic ethnicity, marital status, previous live birth, insurance status before pregnancy, method of delivery and maternal length of hospital stay, late preterm infants (34-36 weeks) were significantly less likely to sleep on their backs compared to term infants.

"Given the concerning data about inadequate adherence to safe sleep practices for all infants and in particular for preterm infants, we need to better engage families about adhering to safe sleep practices at the individual, community, hospital and public health levels," Dr. Hwang concluded.


Contact: Debbie Jacobson
American Academy of Pediatrics

Related medicine news :

1. Scientists describe gut bacteria that cause sepsis in preterm infants
2. Parents receiving heart disease diagnosis for infants need better information
3. Pointing is infants first communicative gesture
4. Study shows that premature infants benefit from adult talk
5. For infants, stress may be caught, not taught
6. RSNA: Brain Chemical Ratios Help Predict Developmental Delays in Preterm Infants
7. Brain chemical ratios help predict developmental delays in preterm infants
8. MR spectroscopy shows differences in brains of preterm infants
9. RSNA: MR Spectroscopy Shows Differences in Brains of Preterm Infants
10. Study Finds Infants Under 6 Months Too Young for Flu Shot at High Risk to Influenza Fatalities- UV Technologies Makers of UV-Aid, Develop New Flu Prevention Alternative
11. Home visits lessen emergency care for infants
Post Your Comments:
(Date:11/25/2015)... (PRWEB) , ... November 25, 2015 , ... ... offering factory direct sauna parts and accessories. , Sauna accessories help improve ... the bather’s style and personality. From basic styles for the purist looking for ...
(Date:11/25/2015)... ... November 25, 2015 , ... On November 10, 2015, ... District Court of Connecticut on behalf of a home health care worker who provided ... or former home health care workers employed by Humana, Inc., Humana at Home, Inc., ...
(Date:11/25/2015)... ... November 25, 2015 , ... ... people across the country to celebrate their sobriety and show through pictures what ... “before and after” photos this Thanksgiving with the hashtag #FacesOfGratitude on their Facebook, ...
(Date:11/25/2015)... ... 25, 2015 , ... Wimbledon Health Partners, the industry leader ... Athletics Facebook page to educate the public, parents and school athletic departments ... people under the age of 25 die from sudden cardiac arrest every year. ...
(Date:11/25/2015)... ... ... Smiles by Stevens is pleased to announce the addition of Botox® for ... aware of the benefits of Botox® in the treatment of moderate facial wrinkling, few ... and pain as a result of Jaw Tension, TMJ (temporo-mandibular joint) disorder, and Bruxism ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... 2015 3D bioprinting market is ... a new report by Grand View Research Inc. Rising prevalence ... demands kidney transplantation is expected to boost the market growth, ... organ transplantation. --> 3D bioprinting market is ... a new report by Grand View Research Inc. Rising prevalence ...
(Date:11/26/2015)... Research and Markets ( ) ... Future Horizons and Growth Strategies in the Japanese ... Segment Forecasts, Competitive Intelligence, Emerging Opportunities" report ... --> This new 247-page report ... drug monitoring market, including emerging tests, technologies, instrumentation, ...
(Date:11/26/2015)... 2015 ) ... "2016 Future Horizons and Growth Strategies in ... Supplier Shares, Country Segment Forecasts, Competitive Intelligence, ... --> ) has announced ... Horizons and Growth Strategies in the French ...
Breaking Medicine Technology: