Physician Recommendations Regarding SIDS Risk Reduction: A National Survey of Pediatricians and Family Physicians

Moon, Rachel Y.; Kington, Marit L; Oden, Rosalind P.; Iglesias, J; Hauck, Fern R.

doi:10.1177/0009922807303894

Cited by 29 publications

(31 citation statements)

References 41 publications

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“…Although many doctors and nurses were reported not to give any advice about sleep position, an alarming proportion (about 1 in 7) were reported to give incorrect advice. These data are consistent with a recent study by Moon et al27 in which only 69% of doctors who care for infants self reported advising exclusively supine sleep. This incorrect advice may have an important effect on infant sleep position; we found that advice not exclusively supporting supine sleep position from a nurse is associated with lower odds that an infant will be placed on its back to sleep.…”

Section: Commentsupporting

confidence: 93%

Influence of Prior Advice and Beliefs of Mothers on Infant Sleep Position

Kohorn

Corwin

Rybin

et al. 2010

Arch Pediatr Adolesc Med

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Section: Commentsupporting

confidence: 93%

Influence of Prior Advice and Beliefs of Mothers on Infant Sleep Position

Kohorn

Corwin

Rybin

et al. 2010

Arch Pediatr Adolesc Med

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“…Perhaps it is unsurprising that parental knowledge of the role of pacifiers was less than for the other recommendations; the same is true of health care providers (Moon et al, 2007; Eron et al, 2011). The better known recommendations substantially predate the pacifier use recommendation.…”

Section: Discussionmentioning

confidence: 99%

Using a pacifier to decrease sudden infant death syndrome: an emergency department educational intervention

Walsh

Vieth

Rodriguez

et al. 2014

PeerJ

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Background. Pacifier use decreases the risk of sudden infant death syndrome (SIDS). An emergency department (ED) visit may provide an opportunistic ‘teachable moment’ for parents.Objectives. To test the hypotheses (1) that caregivers were less familiar with the role of pacifiers in sudden infant death (SIDS) prevention than other recommendations, and (2) that an ED educational intervention would increase pacifier use in infants younger than six months, and (3) that otitis media would not occur more frequently in pacifier users.Methods. We did an intervention-group-only longitudinal study in a county hospital ED. We measured pacifier use infants and baseline knowledge of SIDs prevention recommendations in caregivers. We followed up three months later to determine pacifier use, and 12 months later to determine episodes of otitis media.Results. We analyzed data for 780 infants. Parents knew of advice against co-sleeping in 469/780 (60%), smoking in 660/776 (85%), and prone sleeping in 613/780 (79%). Only 268/777 (35%) knew the recommendation to offer a pacifier at bedtime. At enrollment 449/780 (58%) did not use a pacifier. Of 210/338 infants aged less than 6 months followed up 41/112 (37%) non-users had started using a pacifier at bedtime (NNT 3). Over the same period, 37/98 (38%) users had discontinued their pacifier. Otitis media did not differ between users and non-users at 12 months.Conclusion. Caregiver knowledge of the role of pacifiers in SIDS prevention was less than for other recommendations. Our educational intervention appeared to increase pacifier use. Pacifier use was not associated with increased otitis media.

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“…9 This finding is consistent with other work, indicating that only 61% of pediatricians and 46% of family practice physicians discuss sleep position at each visit. 19 Prior work has also indicated that whether parents received advice about sleep position and what type of advice they received varied by practice location. Ray and colleagues 20 reported that parents who received care in a private practice setting were more likely to receive the correct instructions on sleep position compared with parents receiving care at an inner-city clinic.…”

Section: Discussionmentioning

confidence: 99%

Maternal Assessment of Physician Qualification to Give Advice on AAP-Recommended Infant Sleep Practices Related to SIDS

Smith

Colson

Rybin

et al. 2010

Academic Pediatrics

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Objective The American Academy of Pediatrics (AAP) strongly recommends the supine-only sleep position for infants and issued 2 more sudden infant death syndrome (SIDS) reduction recommendations: avoid bed sharing and use pacifiers during sleep. In this study, we investigated the following: 1) if mothers from at risk populations rate physicians as qualified to give advice about sleep practices and 2) if these ratings were associated with reports of recommended practice. Methods A cross-sectional survey of mothers (N = 2355) of infants aged <8 months was conducted at Women, Infants, and Children (WIC) Program centers in 6 cities from 2006 to 2008. The predictor measures were maternal rating of physician qualification to give advice about 3 recommended sleep practices and reported nature of physician advice. The dependent measures were maternal report of usage of recommended behavior: 1) “infant usually placed supine for sleep,” 2) “infant usually does not share a bed with an adult during sleep,” and 3) “infant usually uses a pacifier during sleep.” Results Physician qualification ratings varied by topic: sleep position (80%), bed sharing (69%), and pacifier use (60%). High ratings of physician qualification were associated with maternal reports of recommended behavior: supine sleep (adjusted odds ratio [AOR] 2.1, 95% confidence interval [CI], 1.6–2.6); usually no bed sharing (AOR 1.5, 95% CI, 1.2–1.9), and usually use a pacifier during sleep (AOR 1.2, 95% CI, 1.0–1.5). Conclusions High maternal ratings of physician qualification to give advice on 2 of the 3 recommended sleep practices targeted to reduce the risk of SIDS were significantly associated with maternal report of using these behaviors. Lower ratings of physician qualification to give advice about these sleep practices may undermine physician effectiveness in promoting the recommended behavior.

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Physician Recommendations Regarding SIDS Risk Reduction: A National Survey of Pediatricians and Family Physicians

Abstract: Knowledge about recommended infant sleep position is relatively high, but there are gaps in physician knowledge regarding safe sleep recommendations. Greater dissemination of information is required, and barriers to implementation need to be identified and addressed.

Cited by 29 publications

References 41 publications

Influence of Prior Advice and Beliefs of Mothers on Infant Sleep Position

Influence of Prior Advice and Beliefs of Mothers on Infant Sleep Position

Using a pacifier to decrease sudden infant death syndrome: an emergency department educational intervention

Maternal Assessment of Physician Qualification to Give Advice on AAP-Recommended Infant Sleep Practices Related to SIDS

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