Transition to a Safe Home Sleep Environment for the NICU Patient

Goodstein, Michael H.; Stewart, Dan L.; Keels, Erin; Moon, Rachel Y.

doi:10.1542/peds.2021-052045

Cited by 20 publications

(26 citation statements)

References 128 publications

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“…In this study mothers who had more prenatal visits were found to place their babies more in the supine sleep position. Differing from the findings of our study, Cesar et al reported that the number of the parents, it was reported that the supine position did not increase the risk of suffocation and aspiration even in infants with gastroesophageal reflux of the protective airway, and there was no increase in the incidence of aspiration after switching to supine sleep recommendations (15). Another concern of the mothers was that supine sleeping position would cause occipital flattening.…”

Section: Discussioncontrasting

confidence: 97%

Evaluation of Baby Sleep Position Practices and Sleep Environment

ÇATAKLI>

Şenel²

2023

Türkiye Çocuk Hast Derg

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Objective: The aim of this current study was to determine mothers’ infant sleep position practices and their awareness of a safe sleeping environment. Material and Methods: This descriptive survey was conducted with 418 mothers who had infants aged 0-6 months and who agreed to participate in pediatric outpatient polyclinics of two hospitals. Data were collected between January-December 2020 via-structured questionnaires by face-to-face interview. Results: Of the 418 mothers; 28% placed their babies in the supine sleeping position, 59.6% used a pillow when they put their babies in bed and 76.8% used a soft mattress. 42.3% of mothers covered their babies’ faces during sleep; primary school graduate mothers were more intended on covering their babies’ faces than high school and university graduates (p<0.001). 4.1% of mothers smoked during pregnancy, 9.8% during the lactation period and 15.3% were exposed to household smoke. All of the mothers shared a room with their babies without sharing a bed. There was also a positive correlation between the number of prenatal visits of mothers and their preference to put their babies to sleep in the supine position (p=0.010). Conclusion: Most of the mothers placed their babies in a side sleeping position. Mothers’ avoiding sharing beds and smoking cigarettes and prone positioning their children at a very low frequency were pleasing measures. Mothers who had more prenatal visits were found to place their babies more in the supine sleep position. Increasing the awareness of healthcare providers and other secondary caregivers about a safe sleeping environment and baby sleep position during pre and postnatal visits would make right practices become widespread.

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Section: Discussioncontrasting

confidence: 97%

Evaluation of Baby Sleep Position Practices and Sleep Environment

ÇATAKLI>

Şenel²

2023

Türkiye Çocuk Hast Derg

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“…The American Academy of Pediatrics recommends infants be positioned supine when sleeping, which has been shown to decrease the incidence of sudden infant death syndrome 22. It is also recommended that safe home sleep practices are used in the NICU when there are no medical contraindications and that safe sleep is modeled for parents,23 yet many NICUs do not adhere to safe sleep recommendations 24,25. Preintervention data gathered from a Level IV NICU for a recent quality improvement study showed that 87% of infants were in an unsafe sleep environment 24.…”

Section: Discussionmentioning

confidence: 99%

The Experiences and Perceptions of Neonatal Clinicians When Using a Responsive Bassinet

Gellasch

Johnson²,

Walsh³

2023

Advances in Neonatal Care

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Background: Innovative technologies, such as the SNOO Smart Sleeper responsive bassinet (SNOO), may offer support to neonatal clinicians in their work environment. Purpose: The objectives of this study were to describe the experiences of clinicians when using the SNOO in their clinical settings, including their perceptions of the SNOO on the quality of infant care and their work environment. Methods: A retrospective, secondary analysis was conducted using 2021 survey data across 44 hospitals participating in the SNOO donation program. Respondents included 204 clinicians, predominantly neonatal nurses. Results: The SNOO was used in a variety of clinical scenarios, including with fussy, preterm, and healthy full-term infants, as well as substance-exposed infants experiencing withdrawal. The SNOO was perceived as a driver of positive infant and parent experiences, including enhanced quality of care. Respondents perceived the SNOO as providing them with support in their daily caring for newborns, reducing their stress, and helping them in lieu of hospital volunteers. Clinicians reported an average time savings of 2.2 hours per shift. Implications for Practice and Research: Results from this study provide evidence for future evaluation of the SNOO as a technology for hospitals to adopt to improve neonatal clinician satisfaction and retention, as well as improve the quality of patient care and parental satisfaction.

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“…The unique findings of this study highlight that interventions to improve safe infant sleep targeted at the healthy full term population may not resonate with families of preterm infants. Indeed, the AAP Task Force of Sudden Infant Death Syndrome recently published a clinical report focused on how providers and parents can transition to a safe home sleep environment for NICU patients,40 recognizing that their prior technical report for SUID risk reduction for the general infant population4 may not adequately address the unique experiences of preterm infant caregivers. Prior studies have shown that, despite the higher SUID risk, preterm infants are less likely to be placed in a supine sleep position compared with full-term infants 34,41.…”

Section: Discussionmentioning

confidence: 99%

NICU Visitation Time and Adherence to Safe Sleep Practices Among Mothers of Very Preterm Infants

Hwang¹,

Weikel²,

Palau³

et al. 2023

Advances in Neonatal Care

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Background: Sleep-associated infant death is the leading cause of postneonatal mortality in the United States. Preterm infants are at higher risk for sleep-associated death, but maternal adherence to safe sleep practices is lower than for mothers of full-term infants. Data are lacking on whether maternal neonatal intensive care unit (NICU) visitation time impacts safe sleep compliance after hospital discharge. Purpose: For mothers of preterm infants, to investigate the association of time days per week spent in the NICU and adherence to safe sleep practices after discharge. Methods: A prospective observational study of 109 mothers with infants born at less than 32 weeks from 4 Colorado NICUs who completed a survey at 6 weeks after discharge about infant sleep practices. Maternal time spent in the NICU was defined as the average number of days spent in the NICU per week of infant hospitalization, as documented in the electronic medical record. Multivariable logistic regression models assessed the relationship between time in the NICU and safe sleep adherence. Covariates included maternal/infant characteristics significant at P < .2 level in bivariate analysis. Results: Predictors of compliance with all safe infant sleep practices included public/no insurance compared with private insurance (adjusted odds ratio [AOR] 0.29; 95% confidence interval [CI] 0.09-0.96), some college/associate-level education versus bachelor's degree (AOR 5.88; 95% CI 1.21-28.67), and depression/anxiety symptoms (AOR 0.37; 95% CI 0.14-0.97). NICU visitation days was not associated with adherence to safe sleep practices. Implications for Practice and Research: Maternal visitation days was not associated with adherence to safe infant sleep practices after discharge, highlighting the need to identify barriers and facilitators to engaging families about SUID risk-reducing behaviors.

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Transition to a Safe Home Sleep Environment for the NICU Patient

Cited by 20 publications

References 128 publications

Evaluation of Baby Sleep Position Practices and Sleep Environment

Evaluation of Baby Sleep Position Practices and Sleep Environment

The Experiences and Perceptions of Neonatal Clinicians When Using a Responsive Bassinet

NICU Visitation Time and Adherence to Safe Sleep Practices Among Mothers of Very Preterm Infants

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