Safe to sleep public education campaign. Maybe you’ve participated in a sleep research study. POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. Report of receiving health care provider advice was associated with an increased prevalence of safe sleep practices, ranging from 12% (room-sharing without bed-sharing) to 28% (back sleep position) higher, with absolute prevalence differences ranging from 6.0 to 17.3 percentage points. Approximately 9% of observations were missing covariate data and were excluded from regression analysis. Many of these deaths o… In collaboration with other organizations. Sleep improves mental health. Approximately 3500 infants die annually in the United States from sleep-related sudden unexpected causes. Education on safe sleep. This study aims to assess caregivers’ implementation of safe sleep … Before 2005, the AAP recommended room-sharing only as an alternative to bed-sharing, which may explain lower rates of provider advice. Both racial and ethnic groups have SUID rates twice as high as non-Hispanic white mothers.27 However, non-Hispanic Asian or Pacific Islander mothers had the lowest prevalence of using separate approved sleep surfaces and were less likely to report back sleep position and avoiding soft bedding yet have SUID rates less than half of non-Hispanic white mothers.27 This paradox may arise from differences in other risk and protective factors,28 such as lower smoking22,29 and higher breastfeeding30,31 rates. Analyses accounted for the complex sampling design of PRAMS by using SAS-callable SUDAAN 11.0.0. Co-Sleeping With Infants: Science, Public Policy, and Parents Civil Rights, with James McKenna, PhD. 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? The technique is helpful when babies fuss and fidget, especially when going to sleep. Comparative evolutionary studies indicate that human infants are poorly neurologically developed at birth, and thus require close physical contact for safety, physiological regulation and frequent feeding. Usual Safe Infant Sleep Practices by Sociodemographic, Behavioral, and Health Care Characteristics, 29 States, PRAMS, 2016. Reported receipt of provider advice ranged from 48.8% (room-sharing without bed-sharing) to 92.6% (back sleep position). Use a firm mattress with a tightly fitted sheet. Address correspondence to Ashley H. Hirai, PhD, Maternal and Child Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Rockville, MD 20857. Prenatal alcohol and/or illicit drug … The weighted overall mean response rate was 61% (range: 55%–73%). Early studies indicate that high dosages of CBD may support sleep. Avoid alcohol and illicit drug use during pregnancy and after birth. Keep baby’s sleep … Video Abstract OBJECTIVES: To examine prevalence of safe infant sleep practices and variation by sociodemographic, behavioral, and health care characteristics, including provider advice. Although its main message was initially focused solely on reducing SIDS risk, the Back to Sleep campaign has included messages about safe sleep … 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. Studies show it … Guidance For Safe Sleep And Bed-Sharing Parents should never sleep with a baby if they use drugs, drink or smoke. To improve interpretation and translation, we converted estimated odds to marginal probabilities and adjusted prevalence ratios.23 Unadjusted and model-adjusted state-level prevalence estimates were compared to assess the contribution of covariates in explaining state variation. Safe to Sleep® started in 1994 as Back to Sleep to teach people about reducing the risk of SIDS. Sleep Studies: In the Sleep Laboratory and in the Home. Sociodemographic characteristics obtained from the birth certificate included maternal age, race and ethnicity, education, marital status, and state of residence as well as infant gestational age. Mothers who smoke are still encouraged to breast feed their children as studies found increased nicotine levels in babies of mothers who report smoking during pregnancy compared to babies of non-smoking mothers, were a result of … The single most effective action that parents and caregivers can take to lower a baby's risk of SIDS is to place the baby to sleep on his or her back for naps and at night. Behavioral characteristics from the PRAMS survey included breastfeeding and smoking at time of survey. Safe Sleep for Oregon’s Infants. Blankets were most commonly reported (50.5%), followed by crib bumper pads (17.6%) and toys, cushions, or pillows (8.9%). In particular, teenage mothers were 34% less likely than 25- to 29-year-olds to avoid soft bedding, whereas non-Hispanic Asian or Pacific Islander mothers were ∼40% less likely than non-Hispanic white mothers to use separate approved sleep surfaces and avoid soft bedding. Through the Pregnancy Risk Assessment Monitoring System (PRAMS), a population-based survey of mothers with recent live births, information on sleep position has been collected in participating states since 1996 and on bed-sharing and use of soft bedding in select states since 2009. FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. Back to sleep for every sleep. In 2017, a study was published on the topic of infants and sleep. METHODS: Using 2016 Pregnancy Risk Assessment Monitoring System data from 29 states, we examined maternal report of 4 safe sleep practices indicating how their infant usually slept: (1) back sleep position, (2) separate approved sleep surface, (3) room-sharing without bed-sharing, and (4) no soft objects or loose bedding as well as receipt of health care provider advice corresponding to each sleep practice. We also explore state variation and examine associations between provider advice and each of 4 corresponding sleep-related practices. It can be normal to have trouble sleeping from time to time, but if you are having trouble sleeping most nights, you may have a sleep problem. The Stanford Center for Human Sleep Research conducts clinical trials that improve ways to treat and manage sleep disorders. Approximately 3500 infants die annually in the United States from sudden unexpected infant deaths (SUIDs), including sudden infant death syndrome (SIDS), undetermined causes, and accidental suffocation and strangulation in bed.1–4 SUID rates declined 45% from 1990 to 1998,4 coinciding with the 1992 American Academy of Pediatrics (AAP) recommendation that infants be placed on their backs to sleep5,6 and the accompanying Back to Sleep (now Safe to Sleep) campaign led by the National Institutes of Health.7 Since 1998, however, the SUID rate has declined <10%,4 whereas the prevalence of back sleep position has plateaued.8–10 To further reduce SUID, the AAP expanded safe sleep recommendations to include using a firm sleep surface (eg, crib or bassinet), room-sharing without bed-sharing, and avoiding soft objects and loose bedding.3,11–13 Data from the National Infant Sleep Position (NISP) study, conducted among nighttime caregivers, show that bed-sharing doubled from 1993 to 2010 (from 6.5%→13.5%),14 whereas soft bedding declined by over a third (from 85.9% to 54.7%).15. 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