Hazardous Bedding in Infants’ Sleep Environment Is Still Common and a Cause for Concern

Moon, Rachel Y.; Hauck, Fern R.

doi:10.1542/peds.2014-3218

Cited by 8 publications

(4 citation statements)

References 13 publications

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“…The importance of removing unsafe items from infants’ sleeping area should be emphasized in future prevention and intervention programs. 8 Previous interventions focused on this problem have already brought promising results. For example, Mathews et al 11 reported that enhanced messages about the risks of soft bedding lead to a decrease in the use of such items among a sample of 637 African American caregivers.…”

Section: Discussionmentioning

confidence: 99%

“…6 In light of these findings, further intervention efforts to remove unsafe items from infants’ sleeping area are warranted. 7,8 The current study was developed to examine the effect of a targeted safe sleep intervention focusing on the overall safe sleep environment, including infant sleep position and potentially hazardous items in the infants’ sleeping area.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of a Comprehensive Hospital-Based Program to Remove Unsafe Items from Infant’s Sleeping Area: A Prospective Longitudinal Study

Shin

Jiskrova

Kimbrough

et al. 2019

Clin Pediatr (Phila)

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of a Comprehensive Hospital-Based Program to Remove Unsafe Items from Infant’s Sleeping Area: A Prospective Longitudinal Study

Shin

Jiskrova

Kimbrough

et al. 2019

Clin Pediatr (Phila)

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“…SUID includes death due to sudden infant death syndrome (SIDS), accidental suffocation and strangulation in bed, and ill-defined deaths [ 1 ]. SUID is the leading cause of unintentional, injury-related infant death in the United States [ 2 ] and is often related to unsafe infant sleep environments, including, but not limited to, prone sleeping, bed sharing, use of soft bedding, or unsafe sleep surfaces [ 3 4 ]. Recent characteristics of identified SUID deaths included that almost 60% of infants were sharing a sleep surface when they died and at least 76% had multiple unsafe sleep factors present [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Photos Shared on Facebook in the Context of Safe Sleep Recommendations: Content Analysis of Images

Pretorius,

Kang,

Choi

2024

JMIR Pediatr Parent

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Background Sudden unexpected infant death (SUID) remains a leading cause of infant mortality; therefore, understanding parental practices of infant sleep at home is essential. Since social media analyses yield invaluable patient perspectives, understanding sleep practices in the context of safe sleep recommendations via a Facebook mothers’ group is instrumental for policy makers, health care providers, and researchers. Objective This study aimed to identify photos shared by mothers discussing SUID and safe sleep online and assess their consistency with infant sleep guidelines per the American Academy of Pediatrics (AAP). We hypothesized the photos would not be consistent with guidelines based on prior research and increasing rates of accidental suffocation and strangulation in bed. Methods Data were extracted from a Facebook mothers’ group in May 2019. After trialing various search terms, searching for the term “SIDS” on the selected Facebook group resulted in the most relevant discussions on SUID and safe sleep. The resulting data, including 20 posts and 912 comments among 512 mothers, were extracted and underwent qualitative descriptive content analysis. In completing the extraction and subsequent analysis, 24 shared personal photos were identified among the discussions. Of the photos, 14 pertained to the infant sleep environment. Photos of the infant sleep environment were then assessed for consistency with safe sleep guidelines per the AAP standards by 2 separate reviewers. Results Of the shared photos relating to the infant sleep environment, 86% (12/14) were not consistent with AAP safe sleep guidelines. Specific inconsistencies included prone sleeping, foreign objects in the sleeping environment, and use of infant sleeping devices. Use of infant monitoring devices was also identified. Conclusions This study is unique because the photos originated from the home setting, were in the context of SUID and safe sleep, and were obtained without researcher interference. Despite study limitations, the commonality of prone sleeping, foreign objects, and the use of both infant sleep and monitoring devices (ie, overall inconsistency regarding AAP safe sleep guidelines) sets the stage for future investigation regarding parental barriers to practicing safe infant sleep and has implications for policy makers, clinicians, and researchers.

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“…The American Academy of Pediatrics (AAP) recommended against soft bedding use in infants’ sleeping environments as early as 1996 (AAP Task Force 1996). While a recent study found a decline in soft bedding use, from 85.9 to 54.7% (Shapiro-Mendoza et al 2015), use remains fairly common (Moon and Hauck 2015). A recent survey of mothers from 13 states and New York City (NYC) found that 38.5% reported the use of any soft bedding (Bombard et al 2018).…”

Section: Introductionmentioning

confidence: 99%

Reports of Injury Risks and Reasons for Choice of Sleep Environments for Infants and Toddlers

Scheers¹,

Dayton

Batcher³

et al. 2019

Matern Child Health J

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ObjectiveCompare mothers’ reports of injuries for infants and toddlers sleeping with crib-bumpers/mesh-liners/no-barriers and reasons for these sleep environment choices.MethodsA cross-sectional survey of mothers subscribing to a parenting magazine and using crib bumpers (n = 224), mesh liners (n = 262), and no barriers (n = 842). Analyses of four possible injuries (face-covered, climb-out/fall, slat-entrapment, hit-head) including multivariate logistic regression adjusted for missing data/demographics and Chi squared analyses of reasons for mothers’ choices.ResultsMaternal reports of finding infants/toddlers with face covered had 3.5 times higher adjusted odds (aOR) for crib bumper versus mesh liner use. Breathing difficulties and wedgings were reported for infants/toddlers using crib bumpers but not mesh liners. Climb-outs/falls showed no significant difference in aORs for crib bumpers versus no-barriers and mesh liners versus no barriers. Reports of slat-entrapment were less likely for mothers using crib bumpers and mesh liners than using no barrier (aOR = .28 and .32). Reports of hit-heads were less likely for crib bumpers vs no barrier (aOR = .38) with no significant difference between mesh liners versus no barrier use. Mothers using crib bumpers and mesh liners felt their choice prevented slat-entrapment (89%, 91%); 93.5% of crib bumper users felt their choice prevented hit-heads. Significantly more mesh liner than crib bumper users chose them because “There is no suffocation risk” (64.1% vs. 40.6%), while 83.6% of no-barrier users chose them because “I was concerned about suffocation risk.”Conclusions for PracticeMothers appeared to be more concerned about preventing minor risks than suffocation. Understanding reasons for mothers’ use of barriers/no-barriers is important in tailoring counseling for mothers with infants/toddlers.Electronic supplementary materialThe online version of this article (10.1007/s10995-019-02803-7) contains supplementary material, which is available to authorized users.

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Hazardous Bedding in Infants’ Sleep Environment Is Still Common and a Cause for Concern

Cited by 8 publications

References 13 publications

Impact of a Comprehensive Hospital-Based Program to Remove Unsafe Items from Infant’s Sleeping Area: A Prospective Longitudinal Study

Impact of a Comprehensive Hospital-Based Program to Remove Unsafe Items from Infant’s Sleeping Area: A Prospective Longitudinal Study

Photos Shared on Facebook in the Context of Safe Sleep Recommendations: Content Analysis of Images

Reports of Injury Risks and Reasons for Choice of Sleep Environments for Infants and Toddlers

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