safe sleep studies

Besides depression, studies have found that a lack of sleep is linked with mental health conditions like anxiety disorder, bipolar disorder, and Post-Traumatic … After adjustment for covariates, state estimates changed by <1 percentage point across outcomes on average. An analysis from two case-control studies conducted in the UK, Bed sharing when parents do not smoke: is there a risk of SIDS? A smaller proportion (41.1%) reported room-sharing and “always” using a separate sleep surface. SIDS and infant sleep ecology. While some of our U.K. clients have told us that sleep positioners are approved for overnight crib-use in the U.K., this is not the case in the U.S. Additionally, our estimates of usual practice do not represent consistent adherence to AAP recommendations. OBJECTIVES: To examine prevalence of safe infant sleep practices and variation by sociodemographic, behavioral, and health care characteristics, including provider advice. In collaboration with other organizations. The Guidelines-at-a-Glance e-book is now available for all current AASM Practice Parameters or Clinical Practice Guidelines. Infant car seat or swing (50.7%), twin or larger bed (30.9%), and couch or armchair (9.0%) were less frequently reported as the usual sleep surface. Approximately 9% of observations were missing covariate data and were excluded from regression analysis. Promoting safe sleep practices is a public health priority. Interventions where an organization with the goal of promoting safe sleep engages multiple partners to deliver safe sleep messages. We thank the PRAMS Working Group for coordinating collection of the data used in this analysis. Learn more about the Safe to Sleep® campaign. A sleep study provides valuable insight into the causes of a person’s symptoms including which, if any, sleep disorder is present. Health care characteristics obtained from the birth certificate that may influence the delivery of provider advice and sleep practices included prenatal participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC); timing of prenatal care initiation; and insurance coverage at delivery. Professor James J. McKenna’s Mother-Baby Behavioral Sleep Laboratory studies how sleeping environments reflect and respond to family needs—in particular how they affect mothers, breastfeeding, and infants’ physiological and psychological well-being and development. Popular parenting advice ignores the idea that sleep … Available at: The effect of nursing quality improvement and mobile health interventions on infant sleep practices: a randomized clinical trial, Use of a computerized decision aid for developmental surveillance and screening: a randomized clinical trial, Council on Clinical Information Technology, Pediatric aspects of inpatient health information technology systems, Disclosure of infant unsafe sleep practices by African American mothers in primary care settings [published online ahead of print July 1, 2019], Implementation of safe sleep practices in Massachusetts NICUs: a state-wide QI collaborative, Implementation of safe sleep practices in the neonatal intensive care unit, TodaysBaby quality improvement: safe sleep teaching and role modeling in 8 US maternity units, The EASE quality improvement project: improving safe sleep practices in Ohio children’s hospitals, The National Network of State Perinatal Quality Collaboratives, The national network of state perinatal quality collaboratives: a growing movement to improve maternal and infant health, The collaborative improvement and innovation network (CoIIN) to reduce infant mortality: an outcome evaluation from the US South, 2011 to 2014. Video Abstract OBJECTIVES: To examine prevalence of safe infant sleep practices and variation by sociodemographic, behavioral, and health care characteristics, including provider advice. Glycine. We used multivariable logistic regression models, with each safe sleep practice as the dependent variable, to examine adjusted associations with maternal and infant characteristics, behaviors, health care characteristics, and receipt of corresponding provider advice as well as state of residence. Racial and ethnic differences existed across all safe sleep practices. Sleep Studies: In the Sleep Laboratory and in the Home. One investigation found that, compared with a placebo, a CBD dosage of 160 milligrams (mg) increased sleep duration. We analyzed 2016 PRAMS data to describe safe sleep practices aligned with the AAP recommendations and HRSA Title V national performance measure as well as associations with receipt of provider advice and other factors to identify improvement opportunities. Behavioral characteristics from the PRAMS survey included breastfeeding and smoking at time of survey. Approximately 3500 infants die annually in the United States from sleep-related sudden unexpected causes. The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Health Resources and Services Administration, Centers for Disease Control and Prevention, or National Institutes of Health. 1 The mechanisms by which stomach sleeping … Of the many valerian … To reduce the risk of SIDS, infants should be placed for sleep in a supine position (wholly on the back) for every sleep by every caregiver until the child reaches 1 year of age. Address correspondence to Ashley H. Hirai, PhD, Maternal and Child Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Rockville, MD 20857. Both NISP6,8,14,15 and SAFE10,19 lacked sufficient sample size to examine all major racial and ethnic groups. For sleep, Wyatt says the evidence isn’t strong enough to issue a blanket recommendation on blue light. Consistent with previous literature,3,8–10,14,15,19–22 we examined characteristics that may be associated with sleep practices and receipt of advice. Our safer sleep advice gives simple steps for how you can sleep your baby to reduce the risk of sudden infant death syndrome (SIDS) which is commonly known as cot death. Receiving room-sharing without bed-sharing advice was more common among mothers who were younger, less educated, WIC participants, either Medicaid insured or uninsured, and whose race or ethnicity was not non-Hispanic white or multiple race. Although most (74.4%) usually (“always or often”) used a separate sleep surface, slightly more than half (57.1%) also reported room-sharing. Safe Cosleeping Guidelines. Most short-term studies show that melatonin is safe with little to no side effects and may help kids fall asleep faster and sleep longer. Thank you for your interest in spreading the word on American Academy of Pediatrics. Mothers who were older, non-Hispanic white, more educated, and married were more likely to report the following usual safe sleep practices: back sleep position, separate approved sleep surface, and no soft bedding (Table 2). The hallmark of getting a sleep study done is—well, looking something … Perhaps the best evidence to date comes from a study published in 2015 in the Journal of Sleep Medicine and Disorders. Glycine is an amino acid that plays an important role in the nervous system. Avoid alcohol and illicit drug use during pregnancy and after birth. Although the Safe Infant Sleep Study of Attitudes and Factors Effecting Infant Care Practices (SAFE), the most recent national study, assessed both bed-sharing and usual sleep surface (eg, crib, bassinet, adult bed, car seat, sofa),19 we developed a composite measure to assess usual use of a separate approved (crib, bassinet, or pack and play) sleep surface. Safe Sleep Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality. The Safe to Sleep ® campaign has outreach activities to spread safe sleep … When sharing the video, use the accompanying handout to help explain the information presented. In contrast, younger, Hispanic, less-educated, and unmarried mothers had a higher prevalence of usually room-sharing without bed-sharing. This study broke with a long term recommendation from the American Academy of Pediatrics on room-sharing with children, and the data showed that infants who slept alone, sooner, had better sleep. However, breastfeeding mothers had a lower prevalence of room-sharing without bed-sharing (53.3% vs 61.3%). After adjustment, most characteristics remained significantly related to one or more safe sleep practice, with the exception of WIC participation (Table 4). Types of sleep surfaces and soft bedding showed similar patterns to overall indicators, with the exception of sleeping in a car seat or swing, which lacked substantial or consistent patterning (Supplemental Table 5). A new study suggests more sleep may be the key to helping kids get active. Differences by sociodemographic, behavioral, and health care characteristics were larger for safe sleep practices (∼10–20 percentage points) than receipt of advice (∼5–10 percentage points). Compared with back sleeping, stomach sleeping increases the risk of SIDS by 1.7 - 12.9. With funding from the Health Resources and Services Administration (HRSA), new PRAMS questions capturing expanded sleep-related recommendations were added for all participating states in 2016 as part of a new national performance measure for the Title V Maternal and Child Health Services State Block Grant Program.16 Given that provider advice influences sleep practices,8,10,14,17 questions assessing the reported receipt of advice for sleep-related practices were also included. Sleep is a major issue for parents of infants and a complex one for the health professionals who work with them. Safe to sleep public education campaign. Taking up to 0.8 grams/kg of body weight per day appears to be safe, but more studies are needed. To access the online version of the training click … FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. The purpose of this study was to evaluate the effectiveness of the curriculum and train-the-trainer model in changing knowledge, attitudes, and behaviors (reported and observed) in child care providers with regards to sleep position and other elements of a safe sleep … Differences by sociodemographic, behavioral, and health care characteristics with regard to provider advice were generally smaller than for safe sleep practices (mostly within 5–10 percentage points). We found that non-Hispanic black mothers were least likely to report back sleep position and also had lower prevalence of using separate approved sleep surfaces and avoiding soft bedding compared with non-Hispanic white mothers. What is swaddling? Although nearly 90% of mothers reported their infant usually slept in a crib, bassinet, or pack and play, only about one-third reported it as a sole usual sleep surface, which may represent an underacknowledged risk. National immunization survey: breastfeeding rates. State-level differences in safe sleep practices spanned ∼20 to 25 percentage points and did not substantially change after adjustment to promote comparability across demographic, behavioral, and health care characteristics. Available at: Duration of breastfeeding and risk of SIDS: an individual participant data meta-analysis, Bed-sharing in the absence of hazardous circumstances: is there a risk of sudden infant death syndrome? We examined reported receipt of advice from a doctor, nurse, or other health care worker corresponding to the 4 safe sleep practices. Expanded efforts to reach population groups with multiple overlapping SUID risks, such as smoking, soft bedding, and shared sleep surfaces, are needed. Many of these deaths o… Autism, ASD, ADD/ADHD, Down Syndrome, Epilepsy, etc.) Early studies indicate that high dosages of CBD may support sleep. Adherence to safe sleep recommendations in Saudi Arabia is unclear. We also explore state variation and examine associations between provider advice and each of 4 corresponding sleep-related practices. Safe Sleep for Oregon’s Infants is now an interactive online training. When an infant lies on its back with no pressure on its abdomen, it takes less effort to breath. This suggests state-level differences in sleep practices are not heavily influenced by sociodemographic characteristics and reflect state or regional norms as well as the impact of programmatic efforts, such as the Collaborative Innovation and Improvement Network to reduce infant mortality.48,49 In future analyses, researchers could explore the range of risk and protective factors that may explain state-level SUID variation. Our measure of separate approved sleep surface ( 31.8 % ) and suffocation risk reduction States and abroad sharing! The risk of SIDS and other data are essential to inform and evaluate both national and state-specific.. 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