Prevención del síndrome de muerte súbita del lactante

Ruiz-Cabello, J. Sánchez; González, Luis Carlos Ortiz; PrevInfad, Grupo

doi:10.1016/s1696-2818(12)70110-5

Cited by 5 publications

(30 citation statements)

References 18 publications

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“…exclusiva tiene una media nacional de 1,8 meses [12]. La trascendencia de la lactancia materna está dada por la disminución de la morbimortalidad infantil [2] determinada por la prevención de condiciones clínicas de tipo infeccioso [13], alérgico y carencial, hematológico, metabólico y respiratorio [14,15], entre otros.…”

Section: Introductionunclassified

Factores asociados a la lactancia materna en mujeres de un municipio colombiano

Celestino¹,

Flórez-Salazar

Revelo-Moreno

et al. 2018

Rev. Médica Risaralda

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Introducción:la lactancia materna es una de las estrategias más costo-efectivas para disminuir la morbimortalidad infantil. UNICEF afirma que la Lactancia Materna Exclusiva en la población infantil mundial fue 38%. La Encuesta Nacional de Demografía y Salud reportó que Caldas-Risaralda-Quindío tienen la menor duración de Lactancia Materna en Colombia, y la Lactancia Materna Exclusiva en Risaralda es de 2.1 meses.Identificar los factores que determinaron la adherencia y el abandono de la lactancia materna y el papel del profesional de la salud, en madres de dos comunidades de Dosquebradas, Colombia. Métodos: estudio de corte transversal sobre una muestra de 117 madres de niños a quienes a se aplicó una encuesta que indagó por aspectos biopsicosociales que impactan sobre la lactancia materna. Resultados:la duración de la lactancia materna exclusiva tuvo una mediana de 5 meses y la complementaria una mediana de 10 meses. La principal causa de adherencia fue “es el alimento ideal” (27,9 %) y de abandono fue “poca producción de leche” (58,1 %). Los factores que impactaron significativamente la duración la lactancia materna exclusiva fueron la ocupación de la madre, incomodidad al lactar, uso de sucedáneos de la leche y tiempo de lactancia materna complementaria. El papel del profesional de salud no impactó la duración de la lactancia materna. Conclusiones: existe una amplia brecha entre lo recomendado por la Organización Mundial de la Salud y lo practicado por las comunidades.

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Section: Introductionunclassified

Factores asociados a la lactancia materna en mujeres de un municipio colombiano

Celestino¹,

Flórez-Salazar

Revelo-Moreno

et al. 2018

Rev. Médica Risaralda

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“…No document was identified from the US Preventive Services Task Force (USPSTF) website, but we found their position published through the American Academy of Pediatrics (AAP), in a manuscript that was first published in 2011, with updated recommendations in 2016 [2]. The recommendations from the PrevInfad workgroup (Spanish Association of Primary Care Pediatrics) were also published in 2016, together with their supportive document [4]. The Centers of Disease Control and Prevention (CDC) supports the AAP recommendations and summarize them in their website [5,6].…”

Section: Search Methods and Selected Manuscriptsmentioning

confidence: 99%

“…The different institutions developed their recommendations based on these statistical associations together with the assessment of other factors such as the balance between potential benefit from reducing the risk and any harm derived from the preventive strategy. Although the evidence exposed below show the association between identified risk factors and SIDS, there is limited evidence assessing the effect of the recommendations through knowledge, attitude, and practices, with the exception of the sleep position [4,11]. We mainly retrieved the evidence from the two supportive documents developed for the PrevInfad and AAP recommendations [2,4,10].…”

Section: Existing Evidencementioning

confidence: 99%

“…Although the evidence exposed below show the association between identified risk factors and SIDS, there is limited evidence assessing the effect of the recommendations through knowledge, attitude, and practices, with the exception of the sleep position [4,11]. We mainly retrieved the evidence from the two supportive documents developed for the PrevInfad and AAP recommendations [2,4,10]. Therefore, the references cited below were used in these documents and do not correspond with an additional literature review conducted by the authors of this summary document.…”

Section: Existing Evidencementioning

confidence: 99%

“…Only in a specific medical indication (severe gastroesophageal reflux, active respiratory illness in preterm infants and certain upper way malformations) can prone decubitus be recommended." (Grade A recommendation) [4].…”

Section: Supine Position For Sleepingmentioning

confidence: 99%

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Sudden infant death syndrome prevention

Jullien

2021

BMC Pediatr

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We looked at existing recommendations and supporting evidence for successful strategies to prevent the sudden infant death syndrome (SIDS).We conducted a literature search up to the 14th of December 2020 by using key terms and manual search in selected sources. We summarized the recommendations and the strength of the recommendation when and as reported by the authors. We summarized the main findings of systematic reviews with the certainty of the evidence as reported.Current evidence supports statistical associations between risk factors and SIDS, but there is globally limited evidence by controlled studies assessing the effect of the social promotion strategies to prevent SIDS through knowledge, attitude and practices, due to obvious ethical reasons. A dramatic decline in SIDS incidence has been observed in many countries after the introduction of “Back to Sleep” campaigns for prevention of SIDS. All infants should be placed to sleep in a safe environment including supine position, a firm surface, no soft objects and loose bedding, no head covering, no overheating, and room-sharing without bed-sharing. Breastfeeding on demand and the use of pacifier during sleep time protect against SIDS and should be recommended. Parents should be advised against the use of tobacco, alcohol and illicit drugs during gestation and after birth.

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Bedsharing among breastfeeding physicians: Results of a nationwide survey

Louis-Jacques,

Bartick,

Awomolo

et al. 2024

PLoS ONE

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Introduction Bedsharing is common but advised against by the American Academy of Pediatrics. It is unknown if breastfeeding physicians bedshare more or less than the general population. Objectives To determine the prevalence of bedsharing among physicians, their reasons for bedsharing or not, and whether bedsharing was associated with a longer duration of breastfeeding. Methods An online survey was adapted from surveys administered by the Centers for Disease Control and Prevention. The survey was administered to physicians and medical students who birthed children from October 2020 through August 2021. Respondents were asked to report on a singleton birth, and questions centered around sleep practices and breastfeeding. Survival analysis was used to examine the association between bedsharing and breastfeeding duration. Results Of 546 respondents with bedsharing data, 68% reported some history of bedsharing, and 77% were in specialties that involved caring for pregnant people and/or infants. Those who bedshared breastfed an average of four months longer than those who never bedshared (18.08 versus 14.08 months p<0.001). The adjusted risk of breastfeeding cessation was markedly lower for those who bedshared compared to those who did not (Hazard Ratio 0.57, 95% Confidence Interval 0.45, 0.71). The primary reason for bedsharing was to breastfeed (73%); the primary reason for not bedsharing was safety concerns (92%). Among those who bedshared (n = 373), 52% did not inform their child’s healthcare provider. Conclusions Bedsharing is common among our sample of mainly breastfeeding physicians, including those who care for pregnant people and/or infants. It is also associated with a longer duration of breastfeeding, which has implications for population health. Practicing bedsharing implies cognitive dissidence and may affect how physicians counsel about bedsharing. Additionally, lack of disclosure of bedsharing practices has implications for practical guidance about having open non-judgmental conversations and may be a missed opportunity to counsel on bedsharing safety.

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Prevención del síndrome de muerte súbita del lactante

Cited by 5 publications

References 18 publications

Factores asociados a la lactancia materna en mujeres de un municipio colombiano

Factores asociados a la lactancia materna en mujeres de un municipio colombiano

Sudden infant death syndrome prevention

Bedsharing among breastfeeding physicians: Results of a nationwide survey

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