Infant Suffocation Incidents Related to Co-Sleeping or Breastfeeding in the Side-Lying Position in Japan
Infant Suffocation Incidents Related to Co-Sleeping or Breastfeeding in the Side-Lying Position in Japan
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DOI：
10.1620/tjem.246.121
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发表时间：
2018-10-01
影响因子：
2.2
通讯作者：
Kanai, Makoto
中科院分区：
文献类型：
--
作者：
Tokutake, Chitaru;Haga, Akiko;Kanai, Makoto
最近有人指出，同睡和侧卧位母乳喂养是睡眠中婴儿窒息的危险因素;然而，没有关于“事件”的实际报告。““事件”的定义是一种紧张或清醒的经验，没有随之而来的致命窒息事故。重要的是要了解婴儿窒息事件，以防止在侧卧位共睡和母乳喂养期间发生事故。我们调查的因素和频率的婴儿窒息事件与共睡和母乳喂养的侧卧位使用自填式问卷调查的895名母亲在他们的婴儿的1个月，4个月，或10个月的健康检查。分别有28.3%和56.0%的母亲采用侧卧位共睡和母乳喂养;因此，84.3%的受访母亲采用侧卧位共睡或母乳喂养。在接受医疗专业人员指导的人中，36.1%的人只实行共睡，而60.1%的人只实行侧卧母乳喂养。在同床组中，10.6%的婴儿面临过窒息事件，而在侧卧位母乳喂养组中，13.2%的婴儿面临过类似事件。关于与窒息事件相关的因素，与10个月大的婴儿相比，1个月和4个月大的婴儿的母亲发生窒息事件的频率明显更高。在侧卧位母乳喂养时面临窒息事件的母亲中，45%的人在同睡时也面临类似事件。这些结果表明，对母亲进行全面教育的重要性，了解与侧卧位共睡和母乳喂养有关的风险，以防止婴儿窒息。
Co-sleeping and breastfeeding in the side-lying position have recently been pointed out as risk factors for suffocation in sleeping infants; however, there is no actual report on an "incident." "Incident" is defined as a tense or sobering experience without a consequential fatal suffocation accident. It is important to understand infant suffocation incidents to prevent accidents during co-sleeping and breastfeeding in the side-lying position. We investigated factors and frequency of infant suffocation incidents associated with co-sleeping and breastfeeding in the side-lying position using a self-administered questionnaire survey of 895 mothers during their infant's 1-, 4-, or 10-month health checkups. Co-sleeping and breastfeeding in the side-lying position were practiced by 28.3% and 56.0% of mothers, respectively; thus, 84.3% of the mothers surveyed were practicing either co-sleeping or breastfeeding in the side-lying position. Of those who received guidance from a medical professional, 36.1% practiced only co-sleeping while 60.1% practiced only side-lying breastfeeding. In the co-sleeping group, 10.6% had faced infant suffocation incidents, while 13.2% in the breastfeeding in the side-lying position group had faced similar incidents. Regarding factors associated with suffocation incidents while co-sleeping, the frequency of occurrence was significantly more in mothers of 1-month and 4-month-old infants compared with those of 10-month-old infants. Of mothers who faced suffocation incidents while breastfeeding in the side-lying position, 45% also had faced similar incidents while co-sleeping. These results demonstrate the importance of thoroughly educating mothers about the risks associated with co-sleeping and breastfeeding in the side-lying position for preventing infant suffocation.