Safe Sleep Practices of Kansas Birthing Hospitals

Abstract

Introduction. Sleep-related death is tied with congenital anomaliesas the leading cause of infant mortality in Kansas, and externalrisk factors are present in 83% of these deaths. Hospitals can impactcaregiver intentions to follow risk-reduction strategies. This projectassessed the current practices and policies of Kansas hospitals withregard to safe sleep. Methods. A cross-sectional survey of existing safe sleep practicesand policies in Kansas hospitals was performed. Hospitals were categorizedbased on reported delivery volume and data were comparedacross hospital sizes. Results. Thirty-one of 73 (42%) contacted hospitals responded. Individualsurvey respondents represented various hospital departmentsincluding newborn/well-baby (68%), neonatal intensive care unit(3%) and other non-nursery departments or administration (29%).Fifty-eight percent of respondents reported staff were trained oninfant safe sleep; 44% of these held trainings annually. High volumehospitals tended to have more annual training than low or mid volumebirth hospitals. Thirty-nine percent reported a safe sleep policy,though most of these (67%) reported never auditing compliance. Thetop barrier to safe sleep education, regardless of delivery volume, wasconflicting patient and family member beliefs. Conclusions. Hospital promotion of infant safe sleep is being conductedin Kansas to varying degrees. High and mid volume birthhospitals may need to work more on formal auditing of safe sleeppractices, while low volume hospitals may need more staff training.Low volume hospitals also may benefit from access to additional caregivereducation materials. Finally, it is important to note hospitalsshould not be solely responsible for safe sleep education.KS J Med 2018;11(1):1-4.