Improving infant sleep safety through a comprehensive hospital-based program

Clin Pediatr (Phila). 2015 Mar;54(3):212-21. doi: 10.1177/0009922814566928.

Abstract

We evaluated a comprehensive hospital-based infant safe sleep education program on parental education and safe sleep behaviors in the home using a cross-sectional survey of new parents at hospital discharge (HD) and 4-month follow-up (F/U). Knowledge and practices of infant safe sleep were compared to the National Infant Sleep Position Study benchmark. There were 1092 HD and 490 F/U surveys. Supine sleep knowledge was 99.8% at HD; 94.8% of families planned to always use this position. At F/U, 97.3% retained supine knowledge, and 84.9% maintained this position exclusively (P < .01). Knowledge of crib as safest surface was 99.8% at HD and 99.5% F/U. Use in the parents' room fell to 91.9% (HD) and 68.2% (F/U). Compared to the National Infant Sleep Position Study, the F/U group was more likely to use supine positioning and a bassinette or crib. Reinforcing the infant sleep safety message through intensive hospital-based education improves parental compliance with sudden infant death syndrome risk reduction guidelines.

Keywords: infant sleep safety; patient safety; public education; sudden infant death syndrome; sudden unexpected infant death.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Follow-Up Studies
  • Health Education / methods*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Infant
  • Infant Care / methods*
  • Male
  • Parents / education*
  • Program Evaluation / methods
  • Risk Factors
  • Risk Reduction Behavior*
  • Sleep*
  • Sudden Infant Death / prevention & control*
  • Supine Position
  • Surveys and Questionnaires