Abstract
Abstract
Background
Our objectives were to compare safe sleep knowledge, attitudes and planned vs. actual infant sleep practices among expectant mothers before and after their infant’s birth and to determine whether differences (if present) were associated with any demographic variables.
Methods
Study participants were surveyed at their 28-week prenatal and 6-week postpartum obstetric clinic visits from November 2019–February 2021. Due to COVID-19 pandemic cancellation of in-person postpartum visits, many participants received text messaging encouraging them to take the follow-up survey online. Frequency and comparative analyses were performed.
Results
355 women (44%) completed both pre- and postnatal surveys. Many participants increased their safe sleep knowledge during the study. For example, of those who were unsure or thought it safe for a baby to sleep in a baby swing/bouncy seat, two-thirds (67/102, 66%) stated it was unsafe on the postnatal survey. In addition, many who were unsure or planned sleep practices considered unsafe prenatally reported utilizing safe sleep practices on their postnatal survey. For example, of those unsure or planning to use a crib bumper (17% of the total), almost all (88%) were not using one postnatally. Conversely, some participants who reported they would be following safe sleep practices prenatally were not doing so postpartum. For example, 13% of those stating they would place their child on their back reported using another sleep position on the postnatal survey. Certain demographics had higher proportions reporting this reversal for specific safe sleep practices. For example, non-Hispanic Whites (19%) as compared to other races/ethnicities (5%) and those with incomes ≥ $75,000 (21%) as compared with those with less income (9%) had higher proportions stating their infant would sleep in the same room but then reported postnatally they were sleeping in a different room, p = 0.0094 and p = 0.0138, respectively.
Conclusions
We observed increases in safe sleep knowledge and that some participants followed safer sleep practices than they had planned. However, there were also participants who planned to use safe sleep practices prenatally who were not doing so after their baby’s birth. Our study identified demographics for which targeted safe sleep education and more effective interventions may be needed.
Funder
University of Iowa Department of Emergency Medicine
University of Iowa Stead Family Children's Hospital Injury Prevention Program
Injury Free Coalition for Kids
Publisher
Springer Science and Business Media LLC
Reference48 articles.
1. Arnestad M, Andersen M, Rognum TO. Is the use of dummy or carry-cot of importance for sudden infant death ? Eur J Pediatr. 1997;156(12):968–70.
2. Blair PS, Fleming PJ, Smith IJ, et al. Babies sleeping with parents: case-control study of factors influencing the risk of the sudden infant death syndrome. CESDI SUDI Research Group BMJ. 1999;319(7223):1457–61.
3. Bombard JM, Kortsmit K, Warner L, et al. Vital signs: trends and disparities in infant safe sleep practices - United States, 2009–2015. MMWR Morb Mortal Wkly Rep. 2018;67(1):39–46.
4. Boyer BT, Lowell GS, Roehler DR, Quinlan KP. Racial and ethnic disparities of sudden unexpected infant death in large US cities: a descriptive epidemiological study. Inj Epidemiol. 2022;9(1):12.
5. Carpenter RG, Irgens LM, Blair PS, et al. Sudden unexplained infant death in 20 regions in Europe: case control study. Lancet. 2004;363(9404):185–91.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献