Infant sleep position in licensed child care centers
Infant sleep position in licensed child care centers
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DOI：
10.1542/peds.100.1.75
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发表时间：
1997-07-01
期刊：
影响因子：
8
通讯作者：
Moon, RY
中科院分区：
文献类型：
--
作者：
Gershon, NB;Moon, RY
目的：确定1）托儿所对美国儿科学会（AAP）有关婴儿睡眠姿势建议的熟悉程度，2）托儿所环境中婴儿主要的睡眠姿势，以及3）针对6个月以下婴儿睡眠姿势的托儿所政策。
设计：一项描述性的横断面电话调查，包括所照顾婴儿的年龄和数量、目前使用的婴儿睡眠姿势以及有关睡眠姿势政策原因的细节。
参与者：华盛顿特区、马里兰州蒙哥马利县和乔治王子县所有接收6个月以下婴儿的有执照的托儿所。
结果：在这些地区接收6个月以下婴儿的137个托儿所中，131个完成了调查。只有57%（75个）的托儿所了解有关婴儿睡眠姿势的建议。49%（64个）的托儿所让婴儿俯卧，20%（26个）的托儿所只让婴儿俯卧。在这些托儿所中，75%（98个）没有关于睡眠姿势的书面政策。让婴儿俯卧的最常见原因包括婴儿舒适、担心窒息以及婴儿家长的指导。只采用俯卧姿势的托儿所平均照顾的婴儿数量明显少于从不或只是偶尔让婴儿俯卧的托儿所。
结论：在大华盛顿特区接受调查的有执照的托儿所中，几乎一半（43%）不了解婴儿猝死综合征（SIDS）与婴儿睡眠姿势之间的关联。了解俯卧姿势是SIDS风险的托儿所不太可能让婴儿以这种姿势入睡，许多此类托儿所完全避免俯卧姿势。然而，对于了解SIDS风险的托儿所来说，如果家长要求或担心婴儿舒适，仍然让婴儿俯卧是很常见的。需要针对托儿所提供者开展进一步的教育工作。
Objective. To determine 1) familiarity of child care centers with American Academy of Pediatrics (AAP) recommendations regarding infant sleep position, 2) predominant infant sleep positions in child care settings, and 3) child care policies pertaining to sleep position for infants less than 6 months of age.Design. A descriptive, cross-sectional telephone survey including the age and number of infants cared for, infant sleep positions currently in use, and details regarding reasons for sleep position policies.Participants. All licensed child care centers caring for infants less than 6 months of age in Washington, DC, and Montgomery and Prince Georges Counties in Maryland.Results. Out of 137 centers in these areas that accept infants less than 6 months of age, 131 completed the survey. Only 57% (75) of the centers were aware of recommendations regarding infant sleep position. Infants were placed prone in 49% (64) of the centers and 20% (26) of the centers positioned infants exclusively in the prone position. Of the centers, 75% (98) did not have a written policy regarding sleep position. Most common reasons for placing infants in the prone position included child comfort, fear of choking, and guidance by the parents of the infants. Centers that used the prone position exclusively cared for significantly fewer infants on average than centers that never or only sometimes placed infants prone.Conclusions. Almost half (43%) of licensed child care centers surveyed in the greater Washington, DC area were unaware of the association between sudden infant death syndrome (SIDS) and infant sleep position. Child care centers aware of prone positioning as a SIDS risk were less likely to place infants to sleep in this position, with many such centers avoiding prone positioning entirely. However, it was common far centers aware of the SIDS risk to still place infants prone if directed to do so by parents or if concerned about child comfort. Further educational efforts directed toward child care providers are needed.