Does the Supine Sleeping Position Have Any Adverse Effects on the Child? II. Development in the First 18 Months

Author:

Dewey Claire1,Fleming Peter1,Golding Jean1,

Affiliation:

1. 1From the Institute of Child Health, University of Bristol, Bristol, United Kingdom.

Abstract

Objective. To assess whether the recommendations that infants sleep supine could have adverse consequences on their motor and mental development. Design. A prospective study of infants, delivered before, during, and after the Back to Sleep Campaign in the United Kingdom, followed to 18 months of age. Subjects. The children were participants of the Avon Longitudinal Study of Pregnancy and Childhood born to mothers resident in the three former Bristol-based health districts of Avon, with expected date of delivery from April 1, 1991 to December 31, 1992. Questionnaires were completed on sleeping position at 4 to 6 weeks of age and sets of standardized questions on development at 6 and 18 months. Main Outcome Measures. Social, communication, fine and gross motor, and total developmental scales based on the Denver Developmental Screening Test at 6 and 18 months. Results. After adjustment for 27 factors using multiple regression, 3 of the 10 scales and subscales significantly distinguished between front and back sleeping position. At 6 months of age, infants put to sleep on their front had a mean score 0.38 SD (95% confidence interval [CI]: 0.28, 0.49) higher on the gross motor scale, 0.11 SD (95% CI: 0.00, 0.23) higher in the social skills scale, and a total development score 0.20 SD (95% CI: 0.10, 0.30) higher than those on their backs. These differences were no longer apparent at 18 months. Conclusions. There is some evidence that putting infants to sleep in the supine position results in a reduced developmental score at 6 months of age, but this disadvantage appears to be transient. Weighing this against the adverse health effects demonstrated with the prone sleeping position, these results should not change the message of the Back to Sleep Campaign.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference10 articles.

1. Does the sleeping position have any adverse effects on the child? I. Health in the first 6 months.;Hunt;Pediatrics,1997

2. Positioning and SIDS.;American Academy of Pediatrics, Task Force on Infant Positioning and SIDS;Pediatrics.,1992

3. The implementation of risk reduction for SIDS in the UK.;Fleming;Proc R College Physicians [Edinburgh].,1995

4. The interaction between bedding and sleeping position in sudden infant death syndrome: a population-based case–control study.;Fleming;Br Med J.,1990

5. Can the fall in Avon's sudden infant death rate be explained by the observed sleeping position changes?;Wigfield;Br Med J.,1992

Cited by 75 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

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3