Implementation of safe infant sleep recommendations during night-time sleep in the first year of life in a German birth cohort.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
17 01 2023
Historique:
received: 14 10 2022
accepted: 11 01 2023
entrez: 17 1 2023
pubmed: 18 1 2023
medline: 20 1 2023
Statut: epublish

Résumé

The aim of our study was to assess the extent to which families followed recommendations, issued by the German society for sleep medicine, for the prevention of sudden infant death syndrome (SIDS) during night-time sleep. Analyzing longitudinal data from a birth cohort located at the University Children's Hospital Regensburg in Bavaria (Germany), we determined data regarding the infant's sleep location, sleep settings and body position, and exposure to environmental factors. Data were collected in a structured interview after birth and by standardized questionnaires at 4 weeks, 6 months, and 1 year of life, respectively. The majority of 1,400 surveyed infants (94% at 4 weeks) were reported to sleep in the parents' sleeping room during the first months of life. While the most common furniture was a bedside sleeper (used by 48%), we also observed a considerable proportion of families who regularly practiced bed-sharing and, for 16% of infants, the parents' bed was the default sleeping place. 12% of infants were still put regularly in the prone position. The vast majority (87%) of the infants were breastfed at some timepoint and 17% lived in a household with one or more smokers. Although most parents implemented many SIDS recommendations, our analysis illustrates a considerable gap between recommendations and intentions after birth on the one hand and actual implementation in real life on the other. The number-one deviation from the current SIDS guidelines during night-time sleep was bed-sharing with an adult.

Identifiants

pubmed: 36650217
doi: 10.1038/s41598-023-28008-1
pii: 10.1038/s41598-023-28008-1
pmc: PMC9845375
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

875

Investigateurs

Andreas Ambrosch (A)
Petra A Arndt (PA)
Andrea Baessler (A)
Mark Berneburg (M)
Stephan Böse-O'Reilly (S)
Romuald Brunner (R)
Wolfgang Buchalla (W)
Sara Fill Malfertheiner (SF)
André Franke (A)
Sebastian Häusler (S)
Iris Heid (I)
Stefanie Heinze (S)
Wolfgang Högler (W)
Sebastian Kerzel (S)
Michael Koller (M)
Michael Leitzmann (M)
David Rothfuß (D)
Wolfgang Rösch (W)
Bianca Schaub (B)
Stephan Weidinger (S)
Sven Wellmann (S)

Informations de copyright

© 2023. The Author(s).

Références

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Auteurs

Vincent D Gaertner (VD)

Department of Pediatric Pneumology and Allergy, University Children's Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg, 93049, Regensburg, Germany.
Dr. von Hauner Children's Hospital, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.

Sara Fill Malfertheiner (SF)

University Department of Obstetrics and Gynecology at the Hospital St. Hedwig of the Order of St. John, University of Regensburg, Regensburg, Germany.

Janina Postpischil (J)

Department of Pediatric Pneumology and Allergy, University Children's Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg, 93049, Regensburg, Germany.

Susanne Brandstetter (S)

WECARE Research and Development Campus Regensburg at the Hospital St. Hedwig of the Order of St. John, Regensburg, Germany.
University Children's Hospital Regensburg (KUNO), University of Regensburg, Regensburg, Germany.

Birgit Seelbach-Göbel (B)

University Department of Obstetrics and Gynecology at the Hospital St. Hedwig of the Order of St. John, University of Regensburg, Regensburg, Germany.

Christian Apfelbacher (C)

WECARE Research and Development Campus Regensburg at the Hospital St. Hedwig of the Order of St. John, Regensburg, Germany.
Institute of Social Medicine and Health Systems Research (ISMHSR), Otto von Guericke University Magdeburg, Magdeburg, Germany.

Michael Melter (M)

University Children's Hospital Regensburg (KUNO), University of Regensburg, Regensburg, Germany.

Michael Kabesch (M)

Department of Pediatric Pneumology and Allergy, University Children's Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg, 93049, Regensburg, Germany.
WECARE Research and Development Campus Regensburg at the Hospital St. Hedwig of the Order of St. John, Regensburg, Germany.

Sebastian Kerzel (S)

Department of Pediatric Pneumology and Allergy, University Children's Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg, 93049, Regensburg, Germany. sebastian.kerzel@barmherzige-regensburg.de.

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