Inner-City Caregivers’ Perspectives on Bed Sharing With Their Infants

Chianese, Jennifer; Ploof, Dianna L.; Trovato, Charlene A.; Chang, Judy C.

doi:10.1016/j.acap.2008.11.005

Cited by 48 publications

(81 citation statements)

References 27 publications

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“…Although these mothers represent a wide range of infant care practices, the results may not be generalizable to other cultures, groups, or regions. However, our findings about opinions and beliefs influencing other infant sleep practices, such as sleep position 37 and sleep location, 35 have been consistent with other qualitative studies of both black populations [46][47][48][49] and European populations. 50,51 It will nonetheless be important to expand this study to other racial and ethnic groups to determine how prevalent these factors are in the society as a whole.…”

Section: Discussionsupporting

confidence: 80%

Decisions of Black Parents About Infant Bedding and Sleep Surfaces: A Qualitative Study

et al. 2011

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OBJECTIVE: The goal of this qualitative study was to examine factors influencing decisions by black parents regarding use of soft bedding and sleep surfaces for their infants. METHODS: We conducted focus groups and individual interviews with black mothers of lower and higher socioeconomic status (SES). Mothers were asked about many infant care practices, including sleep surface and bedding. RESULTS: Eighty-three mothers were interviewed, 73 (47 lower and 26 higher SES) in focus groups and 10 (7 lower and 3 higher SES) in individual interviews. The primary reason for using soft surfaces was infant comfort. Parents perceived that infants were uncomfortable if the surface was not soft. Many parents also interpreted “firm sleep surface” to mean taut; they were comfortable with and believed that they were following recommendations for a firm sleep surface when they placed pillows/blankets on the mattress as long as a sheet was pulled tautly over the pillows/blankets. The primary reasons for using soft bedding (including bumper pads) were comfort, safety, and aesthetics. In addition to using bedding to soften sleep surfaces, bedding was used to prevent infant rollover and falls, particularly for infants sleeping on a bed or sofa. Some parents used soft bedding to create an attractive space for the infant. CONCLUSIONS: Many black parents believe that soft bedding will keep their infant safe and comfortable. There is much misunderstanding about the meaning of a “firm” sleep surface. Additional educational messages apparently are needed to change parental perceptions and practices.

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Section: Discussionsupporting

confidence: 80%

Decisions of Black Parents About Infant Bedding and Sleep Surfaces: A Qualitative Study

et al. 2011

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“…As in other research, breastfeeding participants reported that flexible practices of infant care enabled them to get more sleep (Doering & Durfor, 2011). We found among the formula-feeding participants that personal behavioural choices were guided by authoritative cultural norms (Chianese, Ploof, Trovato, & Chang, 2009). Currently, most interventions for infant sleep emphasize the negative effects that altered sleep patterns may have on parents and infants and focus on increasing sleep duration (Douglas & Hill, 2013).…”

mentioning

confidence: 59%

Exploring Maternal Perceptions of Infant Sleep and Feeding Method Among Mothers in the United Kingdom: A Qualitative Focus Group Study

Rudzik

Ball

2015

Matern Child Health J

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. (2016) 'Exploring maternal perceptions of infant sleep and feeding method among mothers in the United Kingdom : a qualitative focus group study.', Maternal and child health journal., 20 (1). pp. 33-40. Further information on publisher's website:http://dx.doi.org/10.1007/s10995-015-1798-7Publisher's copyright statement:The nal publication is available at Springer via http://dx.doi.org/10.1007/s10995-015-1798-7.Additional information: Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. In a context with strong rhetorical support for breastfeeding in the health system, yet extremely low rates of breastfeeding after hospital discharge, UK women's decisions about infant feeding reflect the reality of competing priorities in their lives, including obtaining adequate sleep. Popular wisdom in the UK tightly links breastfeeding and inadequate night-time sleep. Mothers are advised by peers and family to introduce formula or solid foods to infants to promote longer sleep. The first objective of this study was to investigate women's understandings of the nature of infant sleep and their perceptions of links between infant feeding method and sleep. The second was to explore how these perceptions influence infant feeding and sleep practices in the first year. Underpinning our work is the understanding that infant care choices result from tradeoffs by which mothers strive to balance infant-and self-care. We conducted seven focus groups with mothers of infants in two regions of the UK. Verbatim transcripts were thematically coded and emergent themes were identified. We found clearly diverging narratives between breastfeeding and formula-feeding mothers. Breastfeeding mothers viewed the fragmentary nature of infant sleep as natural, while mothers who were formula feeding felt this was a problem to be fixed. The strategies and approaches used to promote infant and maternal sleep in each group were aligned with this underlying perception of how infant sleep works. Maternal perceptions of the nature of infant sleep and its relation to infant feeding method impact infant care practices in the first year of life. SignificanceParents of infants under a year of age desire to obtain adequate sleep for themselves and their infants. Infant feeding and sleep are tightly connected in popular perception, yet little research has directly explored women's experiences of infant feeding and sleep. This study reveals that a divergence of perceptions of infant sleep and feeding between feeding groups underlies the use of different strategies for night-time s...

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“…Some authors have argued that strong messaging on safe sleep practices has created a stigma around use of unsafe sleep practices [41][42][43], and thus, as noted by several of the study authors, a limitation of self-report data is that caregivers may under-report their use of unsafe sleep practices. Some studies have also found that despite high rates of SIDS knowledge among caregivers, most did not adhere to safe sleep recommendations [44,45]. Additional methods for assessment, such as in-home visits and unobtrusive observation of the infant sleep environment have been suggested [21].…”

Section: Evaluation Design/study Methodsmentioning

confidence: 95%

Infant Safe Sleep Interventions, 1990–2015: A Review

Ward

Balfour

2015

J Community Health

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Sleep-related infant deaths remain a major public health issue. Multiple interventions have been implemented in efforts to increase adherence to safe sleep recommendations. We conducted a systematic review of the international research literature to synthesize research on interventions to reduce the risk of sleep-related deaths and their effectiveness in changing infant sleep practices. We searched PubMed, CINAHL, PsycINFO, and Google Scholar for peer-reviewed articles published between 1990 and 2015 which described an intervention and reported results. Twenty-nine articles were included for review. Studies focused on infant caregivers, health care professionals, peers, and child care professionals. Targeted behaviors included sleep position, location, removing items from the crib, breastfeeding, smoke exposure, clothing, pacifier use, and knowledge of Sudden Infant Death Syndrome. Most articles described multi-faceted interventions, including: one-on-one or group education, printed materials, visual displays, videos, and providing resources such as cribs, pacifiers, wearable blankets, and infant t-shirts. Two described public education campaigns, one used an educative questionnaire, and one encouraged maternal note taking. Health professional interventions included implementing safe sleep policies, in-service training, printed provider materials, eliciting agreement on a Declaration of Safe Sleep Practice, and sharing adherence data. Data collection methods included self-report via surveys and observational crib audits. Over half of the studies utilized comparison groups which helped determine effectiveness. Most articles reported some degree of success in changing some of the targeted behaviors; no studies reported complete adherence to recommendations. Future studies should incorporate rigorous evaluation plans, utilize comparison groups, and collect demographic and collect follow-up data.

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Inner-City Caregivers’ Perspectives on Bed Sharing With Their Infants

Cited by 48 publications

References 27 publications

Decisions of Black Parents About Infant Bedding and Sleep Surfaces: A Qualitative Study

Decisions of Black Parents About Infant Bedding and Sleep Surfaces: A Qualitative Study

Exploring Maternal Perceptions of Infant Sleep and Feeding Method Among Mothers in the United Kingdom: A Qualitative Focus Group Study

Infant Safe Sleep Interventions, 1990–2015: A Review

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