Objectives
To determine the accuracy of information on infant sleep safety on the internet using Google. We hypothesized that the majority of websites would accurately reflect the AAP recommendations for infant sleep safety.
Study design
We searched for advice using 13 key phrases and analyzed the first 100 websites for each. Websites were categorized by type and assessed for accuracy of information provided, based on AAP recommendations. The accuracy of information was classified as “accurate,” “inaccurate,” or “not relevant.”
Results
Overall, 43.5% of the 1300 websites provided accurate information, 28.1% provided inaccurate information, and 28.4% were not relevant. The search terms “infant cigarette smoking,” “infant sleep position,” and “infant sleep surface” resulted in the highest percentage of websites with accurate information. “Pacifier infant,” “infant home monitors,” and “infant co-sleeping” resulted in the lowest percentage of websites with accurate information. Government websites had the highest rate of accuracy, and blogs had the lowest rate of accurate information.
Conclusion
The internet frequently contains information about infant sleep safety that is inconsistent with AAP recommendations. Health care providers should realize the extent to which parents may turn to the internet for information about infant sleep safety.
All three tools discriminated well overall between cases of mild dementia and controls. To inform interpretation of these tests in clinical settings, it would be useful for future research to address more inclusive and potentially age-stratified local norms.
OBJECTIVES: Our objective for this study was to explore the experiences of faculty in academic pediatrics who are underrepresented minorities (URMs) at 2 urban medical centers, in particular, the experiences that influenced their pursuit of academic pediatrics.
Although the American Academy of Pediatrics and the American Congress of Obstetricians and Gynecologists (ACOG) recommend exclusive breastfeeding for the first 6 months, only 14.6% of babies born in the District of Columbia (DC) reached this goal. Breastfeeding support from providers has been shown to increase exclusive breastfeeding. We aim (1) to describe breastfeeding knowledge and attitudes, (2) to determine the presence of breastfeeding in routine prenatal discussions, and (3) to determine the knowledge of facility adoption of the Perinatal Care (PC) Core Measure Set among DC ACOG members. A survey sent to DC ACOG members assessed knowledge, attitudes, and practices related to breastfeeding and evaluated participants' barriers to breastfeeding counseling, management of breastfeeding challenges, and awareness of facility adoption of the PC Core Measure Set. All 29 respondents reported breastfeeding as the best infant nutrition and that physicians should encourage breastfeeding. However, despite 75% reporting counseling most of their patients regarding breastfeeding, only 27% reported that most of their patients were breastfeeding at the postpartum visit. Participants scored 83% correct on knowledge-based questions. Perceived barriers to breastfeeding counseling included lack of time (66%), reimbursement (10%), and competence in managing breastfeeding problems (7%). Most respondents were unsure of both adoption of, and breastfeeding data collection for, the PC Core Measure Set (52% and 55%, respectively). Participants had knowledge gaps and identified barriers to discussing breastfeeding. There was limited awareness of hospital data collection about breastfeeding. These results indicate a need for more breastfeeding education among DC obstetricians-gynecologists and better outreach about the PC Core Measure Set.
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