Only half (48.8%) reported receiving advice to room share without bed-sharing. There have been dramatic improvements in reducing baby deaths during sleep since the 1990s, when recommendations were introduced to place babies on their back for sleep. Receipt of provider advice is an important modifiable factor to improve infant sleep practices. Safe Sleep for Oregon’s Infants is now an interactive online training. Avoid alcohol and illicit drug use during pregnancy and after birth. For sleep, Wyatt says the evidence isn’t strong enough to issue a blanket recommendation on blue light. What to Expect During a Sleep Study. Public health efforts must address the reality that tired parents must feed their infants at night somewhere and that sofas are highly risky places for parents to fall asleep with their infants, especially if parents are smokers or under the influence of alcohol or drugs. Our goal is to provide special needs children (i.e. Approximately 9% of observations were missing covariate data and were excluded from regression analysis. Our estimates for usual back sleep position (78.0%) and room-sharing without bed-sharing (57.1%) were comparable to SAFE estimates (77.3%10 and 65.5%,19 respectively). Analysis was restricted to infants living with their mothers at survey completion (98.7%). However, breastfeeding mothers had a lower prevalence of room-sharing without bed-sharing (53.3% vs 61.3%). Guidance For Safe Sleep And Bed-Sharing Parents should never sleep with a baby if they use drugs, drink or smoke. 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 Guidelines-at-a-Glance e-book is now available for all current AASM Practice Parameters or Clinical Practice Guidelines. Interventions where an organization with the goal of promoting safe sleep engages multiple partners to deliver safe sleep messages. 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. Data were weighted to account for selection probability, differential nonresponse by demographic characteristics, and noncoverage, representing all births in 29 states (51% of all 2016 US births). 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. Enter multiple addresses on separate lines or separate them with commas. 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. Infants of non-Hispanic American Indian or Alaska Native mothers had notably higher rates of sleeping on a couch or armchair (18.2% vs 9.0% overall) and with a blanket (70.3% vs 50.5% overall). Source: Federal SUIDS/SIDS Workgroup Safe Sleep Photo Repository. 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). Although we compared “always” versus “always or often” sleeping separately, it is unclear whether “often” responses reflected bed-sharing with a sleeping parent versus incidental infant sleep while feeding or bonding with an awake adult. Yet, 15% of mothers reported not receiving advice to use a separate sleep surface and avoid soft bedding, whereas over half reported not receiving advice to room share without bed-sharing. Maybe you’ve participated in a sleep research study. We thank the PRAMS Working Group for coordinating collection of the data used in this analysis. Before 2005, the AAP recommended room-sharing only as an alternative to bed-sharing, which may explain lower rates of provider advice. This study included 31 adults with chronic insomnia. Usual safe infant sleep practice prevalence by state, PRAMS, 2016. A new study suggests more sleep may be the key to helping kids get active. Effective safe sleep and breastfeeding education: While breastfeeding is incredibly beneficial, positive behaviors that support breastfeeding—such as skin-to-skin care and rooming-in—can be associated with unsafe sleep habits because parents may accidentally fall asleep with their baby in their bed.Helping parents breastfeed by supporting safe skin-to-skin care and safe … Safe to sleep public education campaign. John Villa, D.O., medical director of the sleep lab at Hackensack University Medical Center, and Adrian Pristas, M.D., medical director of Sleep Medicine at Bayshore Medical Center and Riverview Medical Center, share why we need to take sleep apnea seriously, and how at-home sleep … Mothers who participated in WIC, received late or no prenatal care, and were Medicaid insured or uninsured generally had lower rates of safe sleep practices. Besides depression, studies have found that a lack of sleep is linked with mental health conditions like anxiety disorder, bipolar disorder, and Post-Traumatic … 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, … There was also an age gradient for soft bedding use, with teenaged mothers having the lowest prevalence of following recommendations to avoid soft bedding (25.0%) compared with approximately half of mothers ≥30 years. 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. A smaller proportion (41.1%) reported room-sharing and “always” using a separate sleep surface. Less than half of mothers (42.4%) reported using no soft bedding for infant sleep. Reported receipt of provider advice ranged from 48.8% (room-sharing without bed-sharing) to 92.6% (back sleep position). Perhaps the best evidence to date comes from a study published in 2015 in the Journal of Sleep Medicine and Disorders. A sleep study provides valuable insight into the causes of a person’s symptoms including which, if any, sleep disorder is present. Both NISP6,8,14,15 and SAFE10,19 lacked sufficient sample size to examine all major racial and ethnic groups. Oklahoma Sleep Institute is Oklahoma’s premier provider of diagnostic sleep studies and treatment. We examined maternal report of 4 infant sleep practices: (1) back sleep position, (2) separate approved sleep surface, (3) room-sharing without bed-sharing, and (4) no soft objects or loose bedding (“soft bedding”). Or Sign In to Email Alerts with your Email Address, Prevalence and Factors Associated With Safe Infant Sleep Practices, The Pediatricians Role in Eliminating Racial and Ethnic Disparities in Sleep-Related Infant Deaths, DOI: https://doi.org/10.1542/peds.2019-1286, US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, U.S. Department of Health and Human Services, Infant mortality statistics from the 2013 period linked birth/infant death data set, Task Force On Sudden Infant Death Syndrome, SIDS and other sleep-related infant deaths: evidence base for 2016 updated recommendations for a safe infant sleeping environment, National and state trends in sudden unexpected infant death: 1990-2015, American Academy of Pediatrics AAP task force on infant positioning and SIDS: positioning and SIDS [published correction for, Factors associated with the transition to nonprone sleep positions of infants in the United States: the National Infant Sleep Position Study, National Institute of Child Health and Human Development. Other recommended safe sleep practices … Sleep studies are also used in people diagnosed with sleep disorders to monitor their response to treatment. We postulated that there would be a trend toward more guideline-adherent sleep … Organized by topics from the initiative, this toolkit features change ideas, case studies… Separate approved sleep surface ranged from 20.1% in New Mexico to 40.0% in West Virginia, whereas room-sharing without bed-sharing ranged from 46.8% in Alaska to 65.5% in Delaware. To access the online version of the training click … Download your copy! Smith et al19 found that receiving advice from multiple sources, such as family members and health care providers, improved room-sharing without bed-sharing without negatively affecting breastfeeding rates. Including parents, grandparents, and Health care worker corresponding to the 4 safe sleep improvement. Cared for by someone other than a parent bedding ( 42.4 % ) help kids fall asleep during usual without... 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