265547 Safe Sleep Practices and SIDS Risk Reduction Knowledge among New Mothers

Monday, October 29, 2012 : 10:45 AM - 11:00 AM

Esther Chung, MD, MPH , Pediatrics, Jefferson Medical College, Philadelphia, PA
To Dung K. Nguyen, BS , Medical College, Jefferson Medical College, Philadelphia, PA
Radha Sadacharan, BA, MPH , Medical College, Jefferson Medical College, Philadelphia, PA
Lauren M. Daley , Pediatrics, Jefferson Medical College and Nemours, Philadelphia, PA
Judilyn Arena-Ondik, RN, MSN, CPN , Nursing, Thomas Jefferson University, Philadelphia, PA
Carol Carofiglio, PhD, RN , Nursing, Thomas Jefferson University, Philadelphia, PA
Background: Sudden Infant Death Syndrome (SIDS) is the leading cause of infant death beyond the newborn period. Objective: Determine the effectiveness of SIDS education at a newborn nursery, and assess safe sleep knowledge and perceptions among new mothers. Design/Methods: Cross-sectional, telephone survey conducted at 2-4 weeks postpartum. Surveys assessed infant sleep position and safe sleep knowledge and perceptions. Results: The 247 participants were young (mean age + SD: 27 + 6 yrs), and largely low-income (68% with WIC) and African American (60%). For the majority (71%), the highest level of education was high school, 47% were single, and 39% were primiparous. 11% stated that a non-back position was the safest, and 15% reported co-bedding with their newborn. Only 64% recalled a doctor talking about safe sleep position. Though the majority (62%) of mothers reported the postpartum period as the first time a health professional (HP) spoke to them about safe sleep, 34% reported that a HP discussed safe sleep during pregnancy. As many as 22% of mothers felt that infants were more likely to choke while on their backs. Single mothers were less likely than married mothers to know that the safest sleep position is the back (80% vs. 92%, p < 0.05), and like WIC recipients were more likely to think that the back sleep position is associated with an increased risk for choking. Conclusions: HPs need to emphasize use of the back sleep position, address related concerns about choking, and educate families about the risks of co-bedding.

Learning Areas:
Advocacy for health and health education
Public health or related education
Public health or related public policy
Public health or related research

Learning Objectives:
Describe the effectiveness of current SIDS education in a newborn nursery. Assess new mother's knowledge of SIDS risk factors and perceptions of safe sleep recommendations. Discuss ways to improve SIDS risk reduction education in newborn nurseries.

Keywords: SIDS, Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am Professor of Pediatrics and have participated in many research studies. I also serve as one of three IRB Chairs at Thomas Jefferson University. My special areas of interest are advocacy education, immunizations, maternal and child health and health disparities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.