The Controversy About What Constitutes Safe and Nurturant Infant Sleep Environments

Morgan, Katherine; Groër, Maureen; Smith, Linda J.

doi:10.1111/j.1552-6909.2006.00099.x

Cited by 15 publications

(14 citation statements)

References 39 publications

(52 reference statements)

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“…Hull et al (1996a, b) support giving general advice and reinforcing parents' awareness of infants' sweatiness and coldness and adjusting the amount of clothing insulation in accordance with ambient air temperature, rather than giving more speciWc advice, due to wide variation in infants' sleeping metabolic rates. The relative risks and beneWts should be considered, providing evidence-based information to Wt the individual needs and the cultural context of the family (Morgan et al 2006). …”

Section: Discussionmentioning

confidence: 99%

Evaluation of the thermal insulation of clothing of infants sleeping outdoors in Northern winter

et al. 2010

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It is a common practice in Northern countries that children aged about 2 weeks to 2 years take their daytime sleep outdoors in prams in winter. The aim was to evaluate the thermal insulation of clothing of infants sleeping outdoors in winter. Clothing data of infants aged 3.5 months was collected, and sleep duration, skin and microclimate temperatures, humidity inside middle wear, air temperature and velocity of the outdoor environment were recorded during sleep taken outdoors (n = 34) and indoors (n = 33) in families' homes. The insulation of clothing ensembles was measured by using a baby-size thermal manikin, and the values were used for defining clothing insulation of the observed infants. Required clothing insulation for each condition was estimated according to ISO 11079. Clothing insulation did not correlate with ambient air temperature. The observed and required insulation of the study group was equal at about -5 °C, but overdressing existed in warmer and deficiency in thermal insulation in colder temperatures (r (s) 0.739, p< 0.001). However, even at -5 °C a slow cooling (ca. 0.012 °C/min) of mean skin temperature (T (sk)) was observed. When the difference between observed and required insulation increased, the cooling rate of T (sk) increased linearly (r (s) 0.605, p < 0.001) and the infants slept for a shorter period (r (s) 0.524, p = 0.001). The results of this study show the difficulty of adjusting systematically the optimal thermal insulation for outdoor sleeping infants during northern winter. Therefore, the necessity for guidelines is obvious. The study provides information for adequate cold protection of infants sleeping in cold conditions.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the thermal insulation of clothing of infants sleeping outdoors in Northern winter

et al. 2010

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“…They must not be smokers, overly exhausted or under the influence of alcohol or other substances that could alter their response or sensitivity to their newborn. It's advised that babies not sleep between parents and that mothers fall asleep in a sidelying position so that their body encircles and protects the baby and allows the baby to roll onto its back after coming off the breast (Buswell & Spatz, 2007;Hoogsteen, 2010;Morgan et al, 2006;Rosen, 2008, UNICEF U.K. Baby Friendly Initiative, 2004.…”

Section: Minimizing Risksmentioning

confidence: 99%

“…This unintended sleeping is called "reactive" cosleeping and is common among breastfeeding mothers. It's also related to extended breastfeeding duration (Buswell & Spatz, 2007;Hoogsteen, 2010;Morgan, Groer, & Smith, 2006;Rosen, 2008). For a mother who is exclusively breastfeeding and falls asleep with her newborn while facilitating TBC, the baby doesn't need to be placed in the bassinet unless there are other risk factors or contraindications for cosleeping, such as maternal smoking (see Box 3).…”

Section: Minimizing Risksmentioning

confidence: 99%

Understanding the Breast Crawl: Implications for Nursing Practice

Henderson

2011

Nursing for Women's Health

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“…23 La controversia complejiza las indicaciones del pediatra. 24 Esta recomendación propone ofrecer a los padres una amplia y balanceada comunicación, que incluya tanto los beneficios como los riesgos del colecho, para permitirles adoptar una decisión informada, como sugiere el Instituto Nacional de Salud y Atención de Excelencia del Reino Unido (National Institute for Health and Care Excellence, NICE), 2014.…”

Section: Introductionunclassified

Colecho en el hogar, lactancia materna y muerte súbita del lactante. Recomendaciones para los profesionales de la salud. Texto completo

2017

Arch Argent Pediat

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RESUMENEl Grupo de Trabajo en Muerte Súbita e Inesperada del Lactante, junto con la Subcomisión de Lactancia Materna de la Sociedad Argentina de Pediatría, elaboraron nuevas recomendaciones sobre la práctica del colecho, en la cual el niño duerme en la misma superficie junto a su madre, situación que es motivo de controversia. El colecho favorece la lactancia materna, que, a su vez, es protectora de la muerte súbita del lactante. Un pequeño grupo de niños presenta mayor riesgo de muerte súbita del lactante y accidentes fatales durante el colecho en ciertas circunstancias, que incluyen dormir en un sillón o sofá, padres fumadores, ingesta de sedantes, drogas y/o consumo de alcohol, niños prematuros y/o de bajo peso. El colecho en niños alimentados con leche humana, sin los factores de riesgo mencionados y con padres responsables de implementar un ambiente de sueño seguro, no aumenta el riesgo de muerte súbita del lactante. Esta guía no recomienda taxativamente la prohibición del colecho. Instruye a los profesionales de la salud a propalar a las familias un mensaje balanceado que incluya tanto los riesgos como los beneficios del colecho, lo que les permite a los padres una decisión informada al respecto. El documento señala que la cohabitación sin colecho es el lugar más seguro para los bebés al momento de dormir. Palabras clave: muerte súbita del lactante, lactancia materna, colecho, cohabitación.

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The Controversy About What Constitutes Safe and Nurturant Infant Sleep Environments

Cited by 15 publications

References 39 publications

Evaluation of the thermal insulation of clothing of infants sleeping outdoors in Northern winter

Evaluation of the thermal insulation of clothing of infants sleeping outdoors in Northern winter

Understanding the Breast Crawl: Implications for Nursing Practice

Colecho en el hogar, lactancia materna y muerte súbita del lactante. Recomendaciones para los profesionales de la salud. Texto completo

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