Back to Sleep: An Educational Intervention With Women, Infants, and Children Program Clients

Moon, Rachel Y.; Oden, Rosalind P.; Grady, Katherine

doi:10.1542/peds.113.3.542

Cited by 76 publications

(100 citation statements)

References 17 publications

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“…Phrases such as "cocooning," "rest assured," "protective," "security," and "endless bonding" imply that comfort is equivalent to safety. Comfort is cited frequently by parents and other caregivers as the primary reason for placing infants prone, 16,[28][29][30][31] and the implication of comfort displayed in these advertisements is likely to be a powerful influence. Unfortunately, many of these pictures portray unsafe sleep environments, such as bed-sharing with another child or sleeping on a soft surface.…”

Section: Discussionmentioning

confidence: 99%

Infant Sleep Environments Depicted in Magazines Targeted to Women of Childbearing Age

2009

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WHAT'S KNOWN ON THIS SUBJECT:Exposures in media may play a large role in affecting individual behaviors. Messages in media were much more likely to result in changes in infant sleep position than were health professional recommendations when the initial AAP recommendations were released. WHAT THIS STUDY ADDS:Messages in print media demonstrating infants in inappropriate sleep positions or unsafe sleep environments may create confusion and misinformation about infant sleep safety and may lead inadvertently to unsafe practices. abstract OBJECTIVE:The goal was to evaluate pictures in magazines widely read by women of childbearing age, for adherence to American Academy of Pediatrics (AAP) guidelines for safe infant sleep practices. METHODS:Magazines were included in this study if they had an average female readership of Ͼ5 million, circulation of Ͼ900 000, and median age of female readers of 20 to 40 years. Twenty magazines met these criteria. An additional 8 magazines targeted toward expectant parents and parents of young children were included, for a total of 28 magazines. Pictures of infant sleep environments and sleeping infants in articles and advertisements in issues of these 28 magazines were analyzed for adherence to AAP guidelines for decreasing the risk of sudden infant death syndrome. RESULTS:A total of 391 unique pictures from 34 magazine issues were included in the analysis. Only 57 pictures (64%) portraying sleeping infants not being held by an adult portrayed the infants in the supine position, and 14.8% of sleeping infants were portrayed as sleeping with another person. Only 36 pictures (36.4%) of infant sleep environments portrayed a safe sleep environment, as recommended by the AAP. CONCLUSIONS:More than one third of pictures of sleeping infants in magazines geared toward childbearing women demonstrated infants in an inappropriate sleep position, and two thirds of pictures of infant sleep environments were not consistent with AAP recommendations. Messages in the media that are inconsistent with health care messages create confusion and misinformation about infant sleep safety and may lead inadvertently to unsafe practices. Pediatrics 2009;124: e416-e422

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Section: Discussionmentioning

confidence: 99%

Infant Sleep Environments Depicted in Magazines Targeted to Women of Childbearing Age

2009

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“…The results as discussed above indicate that the reliability of a Talairach parcellation scheme, applied with the goal to compare the similarity of brain regions between infant populations, is compromised if the populations under investigation display significantly different head shapes. In recent years, the "Back to Sleep" guidelines of the American Academy of Pediatrics for the prevention of Sudden Infant Death Syndrome (SIDS) have been implemented extensively (Syndrom, 2005) (Moon et al, 2004). While successful in decreasing SIDS, an increasing percentage of plagiocephaly and flattened skulls have been reported as a results of the supine sleep position encouraged by this program (Argenta et al, 1996, Hutchison et al, 2003, Hutchison et al, 2004, Hummel and Fortado, 2005.…”

Section: Discussionmentioning

confidence: 99%

Displacement of brain regions in preterm infants with non-synostotic dolichocephaly investigated by MRI

Mewes

Zöllei

Hüppi³

et al. 2007

NeuroImage

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Regional investigations of newborn MRI are important to understand the appearance and consequences of early brain injury. Previously, regionalization in neonates has been achieved with a Talairach parcellation, using internal landmarks of the brain. Non-synostotic dolichocephaly defines a bi-temporal narrowing of the preterm infant's head caused by pressure on the immature skull. The impact of dolichocephaly on brain shape and regional brain shift, which may compromise the validity of the parcellation scheme, has not yet been investigated. Twenty-four preterm and 20 fullterm infants were scanned at term equivalent. Skull shapes were investigated by cephalometric measurements and population registration. Brain tissue volumes were calculated to rule out brain injury underlying skull shape differences. The position of Talairach landmarks was evaluated. Cortical structures were segmented to determine a positional shift between both groups. The preterm group displayed dolichocephalic head shapes and had similar brain volumes compared to the mesocephalic fullterm group. In preterm infants, Talairach landmarks were consistently positioned relative to each other and to the skull base, but were displaced with regard to the calvarium. The frontal and superior region was enlarged; central and temporal gyri and sulci were shifted comparing preterm and fullterm infants. We found that in healthy preterm infants, dolichocephaly led to a shift of cortical structures, but did not influence deep brain structures. We concluded that the validity of a Talairach parcellation scheme is compromised and may lead to a miscalculation of regional brain volumes and inconsistent parcel contents when comparing infant populations with divergent head shapes.

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“…Goetter & Stepans (59) found that using a single nurse educator to review safe sleep education systematically with first-time mothers during the postpartum recovery period compared with usual (nonstandardized) discharge instructions resulted in significantly higher rates of reported supine sleeping during the first week after discharge but no difference 6-7 weeks postpartum. In a quasi-experimental evaluation of a 15-min health educator-led session on safe sleep practices for groups of 3-10 parents attending a Women, Infants and Children clinic, Moon et al (88) found pre-to posttest improvements in selfreported safe sleep behaviors and knowledge immediately after the session and at six months, when compared with an untreated comparison group, although there was substantial attrition. Using a historical control group, Colson & Joslin (32) found that training nursing staff to deliver safe sleep education prior to discharge resulted in significant increases in reported safe sleep behaviors at the time of the infant's two-week pediatric visit.…”

Section: Parent/caregiver Education (Promising Evidence)mentioning

confidence: 99%

Unintentional Home Injuries Across the Life Span: Problems and Solutions

Gielen¹,

McDonald²,

Shields

2015

Annu. Rev. Public Health

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Home injuries cause more than 30,000 deaths and 12 million nonfatal injuries annually in the United States. They generate an estimated $222 billion in lifetime costs annually. Despite some data limitations in documenting home as the location of an injury, much progress has been made in identifying effective prevention strategies that reduce injury or mitigate risk behaviors.The current interest in public health in the role of housing in health offers unparalleled opportunities for injury prevention professionals concerned with home injuries. Sharing the science of injury prevention with the wide array of professionals-such as architects, home builders, home visitors, and fire and emergency medical services providers-who create home environments and interact with residents could be a useful approach. A collaborative national effort to reduce the burden of home injuries is needed.

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Back to Sleep: An Educational Intervention With Women, Infants, and Children Program Clients

Cited by 76 publications

References 17 publications

Infant Sleep Environments Depicted in Magazines Targeted to Women of Childbearing Age

Infant Sleep Environments Depicted in Magazines Targeted to Women of Childbearing Age

Displacement of brain regions in preterm infants with non-synostotic dolichocephaly investigated by MRI

Unintentional Home Injuries Across the Life Span: Problems and Solutions

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