Infant Sleep Environments

Abstract

Research Article| November 01 2016 Infant Sleep Environments AAP Grand Rounds (2016) 36 (5): 55. https://doi.org/10.1542/gr.36-5-55 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Tools Icon Tools Get Permissions Cite Icon Cite Search Site Citation Infant Sleep Environments. AAP Grand Rounds November 2016; 36 (5): 55. https://doi.org/10.1542/gr.36-5-55 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search toolbar search search input Search input auto suggest filter your search All PublicationsAll JournalsAAP Grand RoundsPediatricsHospital PediatricsPediatrics In ReviewNeoReviewsAAP NewsAll AAP Sites Search Advanced Search Topics: sleep Source: Batra EK, Teti DM, Schaefer EW, et al. Nocturnal video assessment of infant sleep environments. Pediatrics. 2016; 138(3): e20161533;doi: https://doi.org/10.1542/peds.2016-1533Google Scholar Investigators at Penn State University videotaped sleeping infants within family homes to determine the frequency of known environmental risk behaviors for sleep-related infant death (SIDS). Mothers were approached 48 hours after the birth of their newborn, and completed a demographic questionnaire at enrollment. When their infant was 1, 3, and 6 months old, study staff visited each parent participant’s home to set up video equipment in the areas of the home where the infant commonly slept. Videotaping occurred for a single night at each of the 3 infant ages. Videotapes were then subsequently coded for 4 variables: (1) sleep surface (AAP-recommended sleep surface [crib, cradle, bassinet, playpen] versus non-recommended surface [adult bed, sofa, car seat, co-sleeper, or swing]), (2) sleep location (parent room, own room, other), (3) sleep position (supine, side, prone, indeterminate), and (4) presence of non-recommended loose items on or around the sleep surface (loose bedding, bumper pad, stuffed animal). Of 167 participants enrolled, 162 had at least 1 videotape and were included in analysis; 147 had videotapes from all 3 time-points. Most parent participants were white, married, and had at least some college education. At 1, 3, and 6 months, 21%, 10%, and 12% of infants, respectively, were initially put to bed on non-recommended sleep surfaces; 14%, 18%, and 33% were placed in non-supine positions; and 91%, 87%, and 93% were surrounded by non-recommended loose items on the sleep surface. Among 1-month-old infants, 28% slept in at least 2 locations during the night, with 36% placed in a non-supine position at the second location and 67% sharing the sleep surface of the second location with another person. Among the 18% of 3 month olds and 12% of 6 month olds who slept in 2 locations during the night, 67% and 78% were placed in a non-supine position at the second location, respectively. The authors conclude that most parents place their infants in sleep environments with established risk factors and, among infants moved during the night, many were placed in the non-supine position in the second location. Dr. Phillipi has disclosed no financial relationship relevant to this commentary. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device. The 1992 Back to Sleep Campaign was rebooted in 2011 by the American Academy of Pediatrics with additional evidence-based recommendations to promote safe infant sleep and reduce the risk of infant sleep-related deaths.1 Some of these recommendations, like placing infants on their backs for sleep and breastfeeding, are met with universal accord, whereas others, such as pacifiers and bed-sharing, are debated. Exhausted new parents are the recipients of conflicting recommendations from their health care providers, their family and friends, the media, and retailers. Pediatricians who are clearly in a position to impart evidence-based information are opting out; 1 in 5... You do not currently have access to this content.