Two Cases of Apparent Suffocation of Newborns During Side‐lying Breastfeeding

Feldman, Kayla; Whyte, Robin

doi:10.1111/1751-486x.12053

Cited by 14 publications

(13 citation statements)

References 14 publications

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Section: | Discussionmentioning

confidence: 99%

“…36 Labor and delivery are arduous processes, often leaving the new mother exhausted. In addition, she may be receiving medications that are sedating; as a result, a mother may inadvertently fall asleep while holding her newborn or while breastfeeding, 36 which could potentially result in the mother accidentally dropping or suffocating her infant. In 2016, the American Academy of Pediatrics released a clinical report identifying mothers who may be at particularly high risk of falling asleep with their newborn during rooming-in or during skin-to-skin care, which is the practice of placing the infant in direct skin-to-skin contact with their mother.…”

Section: | Discussionmentioning

confidence: 99%

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Trends in rooming‐in practices among hospitals in the United States, 2007‐2015

Barrera

Boundy

Perrine

2018

Birth

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Background Rooming-in, or keeping mothers and infants together throughout the birth hospitalization, increases breastfeeding initiation and duration, and is one of the Ten Steps to Successful Breastfeeding. Methods The Centers for Disease Control and Prevention’s (CDC) Maternity Practices in Infant Nutrition and Care (mPINC) survey is a biennial census of all birth facilities in the United States and its territories. Data from the 2007–2015 mPINC surveys were used to assess trends in the prevalence of hospitals with most (≥90%) infants rooming-in more than 23 hours per day (ideal practice). Hospital practices among breastfed infants not rooming-in at night and reasons why hospitals without ideal rooming-in practices removed healthy, full-term, breastfed infants from their mothers’ rooms were also analyzed. Results The percentage of hospitals with ideal practice increased from 27.8% in 2007 to 51.4% in 2015. Most breastfed infants who were not rooming-in were brought to their mothers at night for feedings (91.8% in 2015). Among hospitals without ideal rooming-in practices, the percentage removing 50% or more of infants from their mothers’ rooms at any point during the hospitalization decreased for all reasons surveyed during 2007–2015; however, in 2015, hospitals still reported regularly removing infants for hearing tests (73.2%), heel sticks (65.5%), infant baths (40.2%), pediatric rounds (35.5%), and infant photos (25.4%). Conclusions Hospital implementation of rooming-in increased 23.6 percentage points during 2007–2015. Continued efforts are needed to ensure that all mothers who choose to breastfeed receive optimal lactation support during the first days after giving birth.

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Section: | Discussionmentioning

confidence: 99%

Section: | Discussionmentioning

confidence: 99%

Trends in rooming‐in practices among hospitals in the United States, 2007‐2015

Barrera

Boundy

Perrine

2018

Birth

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“…65 In addition, breastfeeding mothers may fall asleep unintentionally while breastfeeding in bed, which can result in suffocation. 66 Infant falls may be more common in the postpartum setting because of less frequent monitoring and increased time that a potentially fatigued mother is alone with her newborn(s). 67 The Oregon Patient Safety Review evaluated 7 hospitals that were part of 1 larger health system and identified 9 cases of newborn falls (from 22 866 births), for a rate of 3.94 falls per 10 000 births over a 2-year period from 2006 to 2007, which is higher than previous reports of 1.6 per 100 000.…”

Section: Safety Concerns Regarding Rooming-inmentioning

confidence: 99%

Safe Sleep and Skin-to-Skin Care in the Neonatal Period for Healthy Term Newborns

Feldman-Winter¹,

Goldsmith²

2016

Pediatrics

163

110

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Skin-to-skin care (SSC) and rooming-in have become common practice in the newborn period for healthy newborns with the implementation of maternity care practices that support breastfeeding as delineated in the World Health Organization's "Ten Steps to Successful Breastfeeding." SSC and rooming-in are supported by evidence that indicates that the implementation of these practices increases overall and exclusive breastfeeding, safer and healthier transitions, and improved maternal-infant bonding. In some cases, however, the practice of SSC and rooming-in may pose safety concerns, particularly with regard to sleep. There have been several recent case reports and case series of severe and sudden unexpected postnatal collapse in the neonatal period among otherwise healthy newborns and near fatal or fatal events related to sleep, suffocation, and falls from adult hospital beds. Although these are largely case reports, there are potential dangers of unobserved SSC immediately after birth and throughout the postpartum hospital period as well as with unobserved rooming-in for at-risk situations. Moreover, behaviors that are modeled in the hospital after birth, such as sleep position, are likely to infl uence sleeping practices after discharge. Hospitals and birthing centers have found it diffi cult to develop policies that will allow SSC and rooming-in to continue in a safe manner. This clinical report is intended for birthing centers and delivery hospitals caring for healthy newborns to assist in the establishment of appropriate SSC and safe sleep policies.

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“…En estas circunstancias, se debe cuidar que la cabeza del bebé esté girada hacia un lado con la nariz y la boca desobstruidas y con el cuello no flexionado. La madre debe permanecer despierta y alerta para evitar obstrucciones de las vías aéreas 49 y caídas. 50 El colecho no debería ser la única opción posible para familias carenciadas, sino una elección luego de conocer los beneficios y los riesgos.…”

Section: Conceptos Generalesunclassified

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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Two Cases of Apparent Suffocation of Newborns During Side‐lying Breastfeeding

Cited by 14 publications

References 14 publications

Trends in rooming‐in practices among hospitals in the United States, 2007‐2015

Trends in rooming‐in practices among hospitals in the United States, 2007‐2015

Safe Sleep and Skin-to-Skin Care in the Neonatal Period for Healthy Term Newborns

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

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