Featured Research

from universities, journals, and other organizations

Many infants still not placed on their backs to sleep

Date:
May 3, 2014
Source:
American Academy of Pediatrics
Summary:
Since 1994, parents have been urged to put their babies to sleep on their backs to reduce the risk of sudden infant death syndrome. It appears many caregivers have not gotten the message, and health care providers have not done enough to educate families.

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).
Credit: khunaspix / Fotolia

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.


Story Source:

The above story is based on materials provided by American Academy of Pediatrics. Note: Materials may be edited for content and length.


Cite This Page:

American Academy of Pediatrics. "Many infants still not placed on their backs to sleep." ScienceDaily. ScienceDaily, 3 May 2014. <www.sciencedaily.com/releases/2014/05/140503082718.htm>.
American Academy of Pediatrics. (2014, May 3). Many infants still not placed on their backs to sleep. ScienceDaily. Retrieved October 1, 2014 from www.sciencedaily.com/releases/2014/05/140503082718.htm
American Academy of Pediatrics. "Many infants still not placed on their backs to sleep." ScienceDaily. www.sciencedaily.com/releases/2014/05/140503082718.htm (accessed October 1, 2014).

Share This



More Health & Medicine News

Wednesday, October 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Some Positive Ebola News: Outbreak 'Contained' In Nigeria

Some Positive Ebola News: Outbreak 'Contained' In Nigeria

Newsy (Sep. 30, 2014) The CDC says a new case of Ebola has not been reported in Nigeria for more than 21 days, leading to hopes the outbreak might be nearing its end. Video provided by Newsy
Powered by NewsLook.com
UN Ebola Mission Head: Immediate Action Is Crucial

UN Ebola Mission Head: Immediate Action Is Crucial

AFP (Sep. 30, 2014) The newly appointed head of the United Nations Mission for Ebola Emergency Response (UNMEER), Anthony Banbury, outlines operations to tackle the virus. Duration: 00:39 Video provided by AFP
Powered by NewsLook.com
CDC Confirms First Case of Ebola in US

CDC Confirms First Case of Ebola in US

AP (Sep. 30, 2014) The CDC has confirmed the first diagnosed case of Ebola in the United States. The patient is being treated at a Dallas hospital after traveling earlier this month from Liberia. (Sept. 30) Video provided by AP
Powered by NewsLook.com
New Breast Cancer Drug Extends Lives In Clinical Trial

New Breast Cancer Drug Extends Lives In Clinical Trial

Newsy (Sep. 30, 2014) In a clinical trial, breast cancer patients lived an average of 15 months longer when they received new drug Perjeta along with Herceptin. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins