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Prevalence and factors associated with safe infant sleep practices

Pediatrics Nov 10, 2019

Hirai AH, Kortsmit K, Kaplan L, et al. - Researchers used the 2016 Pregnancy Risk Assessment Monitoring System data from 29 states, to determine the prevalence of safe infant sleep practices as well as differences by sociodemographic, behavioral, and healthcare features, including provider advice. As stated by most mothers, they often place their infants to sleep on their backs (78.0%). As reported by 57.1%, they opted for room-sharing without bed-sharing. Avoiding soft bedding (42.4%) and using a separate approved sleep surface (31.8%) was reported by fewer. The range for reported receipt of provider advice was from 48.8% (room-sharing without bed-sharing) to 92.6% (back sleep position). Increased use of safe sleep practices was reported in relation to receiving provider advice, ranging from 12% for room-sharing without bed-sharing to 28% for back sleep position. Findings revealed suboptimal safe infant sleep practices, particularly those other than back sleep position. There were demographic and state-level disparities. In order to improve infant sleep practices, a crucial modifiable factor is the receipt of provider advice.
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