Sudden Infant Death Syndrome (SIDS) risk reduction and infant sleep location – Moving the discussion forward

Ball, Helen L.; Volpe, Lane E.

doi:10.1016/j.socscimed.2012.03.025

Cited by 72 publications

(73 citation statements)

References 94 publications

(92 reference statements)

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“…Most studies that measured infant sleep practices utilized self-report data; a few included observational data. 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].…”

Section: Evaluation Design/study Methodsmentioning

confidence: 96%

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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Section: Evaluation Design/study Methodsmentioning

confidence: 96%

Infant Safe Sleep Interventions, 1990–2015: A Review

Ward

Balfour

2015

J Community Health

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“…For instance, non-biological conditions such as infant sleep position affect the likelihood of sudden infant death syndrome (SIDS), a leading cause of postneonatal death [48]. In Canada, SIDS consistently ranked among the top five leading causes of infant death between 2004 and 2008 [49].…”

Section: Discussionmentioning

confidence: 99%

Infant mortality among the Canadian-born offspring of immigrants and non-immigrants in Canada: a population-based study

Vang

2016

Popul Health Metrics

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BackgroundAdult immigrants in Canada have a survival advantage over their Canadian-born counterparts. It is unknown whether migrants are able to transmit their survival advantage to their Canadian-born children.MethodsNeonatal and postneonatal mortality between the Canadian-born population and 12 immigrant subgroups were compared using 1990–2005 linked birth-infant death records. Age-at-death specific mortality rates and rate differences were calculated by nativity status and maternal birthplace. A chi-square statistic was used to compare group differences in maternal sociodemographic characteristics. Multivariate survival analysis was used to estimate the effect of maternal birthplace on neonatal and postneonatal mortality, net of maternal sociodemographic and infant characteristics.ResultsOverall, immigrants had lower rates of neonatal and postneonatal mortality than the Canadian-born population. But the adjusted risk of neonatal mortality was higher for Sub-Saharan African (hazard ratio [HR] = 1.32; 95 % confidence interval [CI] = 1.05, 1.66), Haitian (HR = 2.29, 95 % CI = 1.90, 2.76), non-Spanish Caribbean (HR = 1.38; 95 % CI = 1.01, 1.89), and Pakistani (HR = 1.87; 95 % CI = 1.31, 2.68) migrants relative to Canadian-born women. There were fewer significant disparities in postneonatal death, with higher adjusted risks of mortality observed for Pakistani (HR = 2.67, 95 % CI = 1.77, 4.02) and Haitian (HR = 1.41, 95 % CI = 1.02, 1.97) migrants only.ConclusionInequalities in infant mortality are more concentrated in the neonatal period. Contingent on surviving the first 27 days after birth, the infants of most immigrants (except those from Haiti and Pakistan) have the same chances of survival as the infants of Canadian-born women. Improvements in prenatal care and access to postpartum care may reduce disparities in infant mortality.

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“…Sleep and lactation are intimate, intertwined aspects of postpartum life that are influenced by notions of the nature of infancy, the role of the parent and wider cultural beliefs, in addition to individual preferences and constraints 5. Tully et al 1 found that new mothers and postpartum healthcare providers feel that that there is excessive pressure on women adhering to guidelines instead of focusing on the contexts that promote or inhibit the realisation of personal goals.…”

Section: Commentarymentioning

confidence: 99%