Nighttime parenting strategies and sleep-related risks to infants.
Nighttime parenting strategies and sleep-related risks to infants.
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DOI：
10.1016/j.socscimed.2012.05.043
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发表时间：
2013-02
影响因子：
5.4
通讯作者：
McKenna, James J.
中科院分区：
文献类型：
--
作者：
Volpe, Lane E.;Ball, Helen L.;McKenna, James J.
大量的社会科学和公共卫生文献讨论了婴儿睡眠安全问题，以及在意外死亡和婴儿猝死综合症（SIDS）的背景下对婴儿死亡率的影响。作为美国降低风险运动的一部分，鼓励父母让婴儿仰卧，并改变婴儿床上用品和睡眠环境的元素，并不鼓励让婴儿在无人监督的情况下睡觉，无论是在任何情况下还是在特定情况下，都不鼓励婴儿与他人同床或共用沙发。这些建议是基于大规模流行病学研究的结果，这些研究产生了各种做法的比值比或相对风险统计数据;然而，关于夜间养育和婴儿睡眠环境的详细行为数据是有限的。为了解决这个问题，本文提出并讨论了四个案例研究的基础上进行过夜观察与第一次母亲和他们的四个月大的婴儿的影响。这些研究于2002年9月至2004年6月在美国圣母大学母婴行为睡眠实验室收集。每个案例研究都提供了一个详细的描述，基于视频分析的睡眠相关风险，而母婴二人组在睡眠实验室度过了一个晚上。这些案例研究提供了一些母亲参与夜间育儿的战略管理的例子，这些策略导致了婴儿睡眠相关风险的产生。虽然风险降低指南的重点是消除潜在的危险婴儿睡眠的做法，如果从每一个死亡的概率是相等的，大多数情况下，这些发生不太可能导致婴儿死亡。因此，我们假设，母亲评估潜在的成本和效益的风险范围内，这是不承认的风险降低运动。探索为什么母亲可能会选择管理睡眠和夜间养育的方式，似乎增加了婴儿的潜在风险，可能有助于阐明风险是如何发生的个别婴儿。
A large social science and public health literature addresses infant sleep safety, with implications for infant mortality in the context of accidental deaths and Sudden Infant Death Syndrome (SIDS). As part of risk reduction campaigns in the USA, parents are encouraged to place infants supine and to alter infant bedding and elements of the sleep environment, and are discouraged from allowing infants to sleep unsupervised, from bed-sharing either at all or under specific circumstances, or from sofa-sharing. These recommendations are based on findings from large-scale epidemiological studies that generate odds ratios or relative risk statistics for various practices; however, detailed behavioural data on nighttime parenting and infant sleep environments are limited. To address this issue, this paper presents and discusses the implications of four case studies based on overnight observations conducted with first-time mothers and their four-month old infants. These case studies were collected at the Mother-Baby Behavioral Sleep Lab at the University of Notre Dame USA between September 2002 and June 2004.Each case study provides a detailed description based on video analysis of sleep-related risks observed while mother-infant dyads spent the night in a sleep lab. The case studies provide examples of mothers engaged in the strategic management of nighttime parenting for whom sleep-related risks to infants arose as a result of these strategies. Although risk reduction guidelines focus on eliminating potentially risky infant sleep practices as if the probability of death from each were equal, the majority of instances in which these occur are unlikely to result in infant mortality. Therefore, we hypothesise that mothers assess potential costs and benefits within margins of risk which are not acknowledged by risk-reduction campaigns. Exploring why mothers might choose to manage sleep and nighttime parenting in ways that appear to increase potential risks to infants may help illuminate how risks occur for individual infants.
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影响因子：
3.5
作者：
Ball, HL;Hooker, E;Kelly, PJ
通讯作者：
Kelly, PJ
影响因子：
0.6
作者：
SCHEPERHUGHES, N
通讯作者：
SCHEPERHUGHES, N
DOI：
10.1136/bmj.b3666
发表时间：
2009-10-13
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Blair PS;Sidebotham P;Evason-Coombe C;Edmonds M;Heckstall-Smith EM;Fleming P
通讯作者：
Fleming P
影响因子：
8
作者：
Baddock, Sally A.;Galland, Barbara C.;Bolton, David P. G.
通讯作者：
Bolton, David P. G.
影响因子：
5.1
作者：
Quinlan, RJ;Quinlan, MB;Flinn, MV
通讯作者：
Flinn, MV