Implementation of safe infant sleep recommendations during night-time sleep in the first year of life in a German birth cohort

Gaertner, Vincent and Malfertheiner, Sara Fill and Postpischil, Janina and Brandstetter, Susanne and Seelbach-Goebel, Birgit and Apfelbacher, Christian and Melter, Michael and Kabesch, Michael and Kerzel, Sebastian (2023) Implementation of safe infant sleep recommendations during night-time sleep in the first year of life in a German birth cohort. SCIENTIFIC REPORTS, 13 (1): 875. ISSN 2045-2322,

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Abstract

The aim of our study was to assess the extent to which families followed recommendations, issued by the German society for sleep medicine, for the prevention of sudden infant death syndrome (SIDS) during night-time sleep. Analyzing longitudinal data from a birth cohort located at the University Children's Hospital Regensburg in Bavaria (Germany), we determined data regarding the infant's sleep location, sleep settings and body position, and exposure to environmental factors. Data were collected in a structured interview after birth and by standardized questionnaires at 4 weeks, 6 months, and 1 year of life, respectively. The majority of 1,400 surveyed infants (94% at 4 weeks) were reported to sleep in the parents' sleeping room during the first months of life. While the most common furniture was a bedside sleeper (used by 48%), we also observed a considerable proportion of families who regularly practiced bed-sharing and, for 16% of infants, the parents' bed was the default sleeping place. 12% of infants were still put regularly in the prone position. The vast majority (87%) of the infants were breastfed at some timepoint and 17% lived in a household with one or more smokers. Although most parents implemented many SIDS recommendations, our analysis illustrates a considerable gap between recommendations and intentions after birth on the one hand and actual implementation in real life on the other. The number-one deviation from the current SIDS guidelines during night-time sleep was bed-sharing with an adult.

Item Type: Article
Uncontrolled Keywords: DEATH-SYNDROME; UNITED-STATES; RISK; POSITION; SMOKING; TRENDS;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Dermatologie und Venerologie
Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Geburtshilfe)
Medicine > Lehrstuhl für Innere Medizin II
Medicine > Lehrstuhl für Kinder- und Jugendmedizin
Medicine > Lehrstuhl für Zahnerhaltung und Parodontologie
Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Medicine > Institut für Epidemiologie und Präventivmedizin
Medicine > Institut für Epidemiologie und Präventivmedizin > Lehrstuhl für Genetische Epidemiologie
Medicine > Lehrstuhl für Kinder- und Jugendpsychiatrie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 09 Mar 2024 12:20
Last Modified: 09 Mar 2024 12:20
URI: https://pred.uni-regensburg.de/id/eprint/59334

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