Sentences with phrase «of supine sleep»

Dr. Hwang and her colleagues analyzed data from the Pregnancy Risk Assessment Monitoring System (PRAMS) to compare the prevalence of supine sleep positioning after hospital discharge for preterm and term infants.

The most preterm group of infants (less than 28 weeks) had the lowest rate of supine sleep positioning at 60 percent.

Results showed both preterm and term infants had suboptimal rates of supine sleep positioning after hospital discharge.

Despite the simplicity and effectiveness of the supine sleep position in lowering SIDS risk, 24.4 % of care providers do not regularly place infants on their backs to sleep.22 Use of the prone sleep position remains highest in care providers who are young, black, or of low income or who have low educational attainment.

Despite a 56 % decrease in the national incidence of sudden infant death syndrome (SIDS) from 1.2 deaths per 1000 live births in 19921 to 0.53 death per 1000 live births in 2003,2 SIDS continues to be the leading cause of postneonatal mortality in the United States.3 The decreased rate of SIDS is largely attributed to the increased use of the supine sleep position after the introduction of the «Back to Sleep» campaign in 1994.4 - 7 More recently, it has been suggested that the decrease in the SIDS rate has leveled off coincident with a plateau in the uptake of the supine sleep position.8 Although caretakers should continue to be encouraged to place infants on their backs to sleep, other potentially modifiable risk factors in the sleep environment should be examined to promote further decline in the rate of SIDS.

Although improving the methods used to convey the importance of the supine sleep position remains paramount, use of a fan in the room of a sleeping infant may be an easily available means of further reducing SIDS risk that can be readily accepted by care providers from a variety of social and cultural backgrounds.

Because of concerns about safety of the supine sleep position for infants, this study was conducted to determine if infants sleeping in the supine position in the first 6 months of life (peak risk period for SIDS) are at greater risk for specific non-SIDS adverse health consequences compared with those placed to sleep prone.

Prevalence of supine sleep positioning according to maternal race and ethnic origin, 1992 — 2010.

Background The incidence of sudden infant death syndrome has decreased in the United States as the percentage of infants sleeping prone has decreased, but persisting concerns about the safety of supine sleeping likely contribute to prone sleeping prevalence rates that remain higher than 10 %.

For example, an adverse consequence of supine sleeping before 4 weeks of life could have led to a change to the side or prone sleep position, and infants would be classified only according to the new position.

A third potential limitation is that any adverse consequence of supine sleeping leading to a change in sleep position after age 1 month would be missed in these analyses restricted to infants maintaining the same sleep position at ages 1 to 6 months.

The incidence of sudden infant death syndrome has decreased in the United States as the percentage of infants sleeping prone has decreased, but persisting concerns about the safety of supine sleeping likely contribute to prone sleeping prevalence rates that remain higher than 10 %.

This study provides important new information about the safety of supine sleeping for infants through age 6 months.

The supine sleeping position should be encouraged in hospital newborn nurseries to increase the rate of supine sleeping subsequently in the home.

Between 1992 and 2001, the SIDS rate declined, and the most dramatic declines occurred in the years immediately after the first nonprone recommendations, consistent with the steady increase in the prevalence of supine sleeping (Fig 1).11 The US SIDS rate declined from 120 deaths per 100 000 live births in 1992 to 56 deaths per 100 000 live births in 2001, representing a decrease of 53 % over 10 years.

Rates of supine sleeping (being placed on the back for sleep) are as low as 50 percent in some states, according to a study to be presented Saturday, May 3, at the Pediatric Academic Societies (PAS) annual meeting in Vancouver, British Columbia, Canada.

Not exact matches

The first benefit of swaddling is its potential to lower SIDS (sudden infant death syndrome) because swaddling helps infants sleep in the supine position.

This is important as the supine sleep position reduces the risk of sudden infant death syndrome (SIDS).

Since the policy and recommendation change the prevalence of babies sleeping in the supine position has increased from 13 % in 1992 to 72 % in 2001 and 75 % as early as 2010.

The rise in supine sleeping position has coincided with the drop in occurrence of SIDS (see Figure below).

After the recommendation for newborns» sleep position was changed from prone (tummy) to supine (back), the incidence of SIDS in the U.S. showed a sharp decline (more than 50 percent) over the first 10 - year period.

Parents of multiples may find snug swaddling helps some babies calm or sleep on their backs (supine) for longer periods of time.

After the recommendation for newborns» sleep position was changed from prone (tummy) to supine (back), the incidence of SIDS in the U.S. showed a sharp...

Rather, they are intended to show the very low probability of a SIDS event occurring and the lower probability of it being prevented by placing an infant in the supine sleeping position.

Similarly, many parents are conflicted by their instinctive rejection of the supine infant sleeping position and their fear of charges of negligence in the event a SIDS death should occur.

The ClevaSleep + promotes a supine sleeping position recommended to reduce the risk of SIDS, whilst ClevaFoam technology protects the round shape of your baby's soft head to help prevent Flat Head Syndrome (Plagiocephaly).

Positional plagiocephaly, or plagiocephaly without synostosis (PWS), can be associated with supine sleeping position (OR: 2.5).113 It is most likely to result if the infant's head position is not varied when placed for sleep, if the infant spends little or no time in awake, supervised tummy time, and if the infant is not held in the upright position when not sleeping.113, — , 115 Children with developmental delay and / or neurologic injury have increased rates of PWS, although a causal relationship has not been demonstrated.113, 116, — , 119 In healthy normal children, the incidence of PWS decreases spontaneously from 20 % at 8 months to 3 % at 24 months of age.114 Although data to make specific recommendations as to how often and how long tummy time should be undertaken are lacking, supervised tummy time while the infant is awake is recommended on a daily basis.

The American Academy of Pediatrics states, «Despite common beliefs, there is no evidence that choking is more frequent among infants lying on their backs (the supine position) when compared to other positions, nor is there evidence that sleeping on the back is harmful to healthy babies.»

The high incidence of infant suffocation underscores the importance of a safe sleeping environment as recommended by the American Academy of Pediatrics, which includes supine positioning, a firm sleep surface, room - sharing without bed - sharing, and avoiding loose bedding (9).

Supine sleeping was less common among blacks and Hispanics and more common among infants of older mothers and mothers with low parity.

Compared with infants sleeping prone, infants sleeping supine had an OR for ear infections of 0.54 (95 % confidence interval, 0.31 - 0.95).

A prospective study8 of a Tasmanian high - risk birth cohort of 6213 infants reported no increase in cyanosis, pallor, or breathing symptoms at age 5 weeks for infants sleeping in the supine position, and, in fact, the risk for these symptoms was increased among infants sleeping in the prone position.

Indeed, infants whose reported sleep position was consistently supine or side through age 6 months had fewer reports of fever at 1 month and fewer reports of stuffy nose at 6 months than infants sleeping in the prone position.

SUDDEN INFANT death syndrome (SIDS) is the sudden death of an infant, unexpected by history and unexplained by a thorough postmortem examination, including a complete autopsy, death scene investigation, andreview of the medical history.1 The decreased risk of SIDS associated with nonprone sleep positions led to the recommendation in 1992 by the American Academy of Pediatrics that infants be placed to sleep on the side or back.2 In 1994, the national public education campaign «Back to Sleep» was launched, and the supine position is now recommended.3 Sudden infant death syndrome rates in the United States have decreased by about 40 % as prone prevalence has decreased from 70 % in 1992 to 17 % in 199sleep positions led to the recommendation in 1992 by the American Academy of Pediatrics that infants be placed to sleep on the side or back.2 In 1994, the national public education campaign «Back to Sleep» was launched, and the supine position is now recommended.3 Sudden infant death syndrome rates in the United States have decreased by about 40 % as prone prevalence has decreased from 70 % in 1992 to 17 % in 199sleep on the side or back.2 In 1994, the national public education campaign «Back to Sleep» was launched, and the supine position is now recommended.3 Sudden infant death syndrome rates in the United States have decreased by about 40 % as prone prevalence has decreased from 70 % in 1992 to 17 % in 199Sleep» was launched, and the supine position is now recommended.3 Sudden infant death syndrome rates in the United States have decreased by about 40 % as prone prevalence has decreased from 70 % in 1992 to 17 % in 1998.3,4

Because one of the barriers to the use of nonprone sleep positions has been the belief that infants sleep better prone, 4,5,7 it is noteworthy that sleep problems were not more frequent in infants sleeping in the supine position at any age and, in fact, were significantly less frequent at 6 months.

Six (2.4 %) of 246 admissions were related to an apparent life - threatening event, but there was no relationship with usual sleep position (2 prone, 3 side, and 1 supine).

Furthermore, the findingsfor infants sleeping in the side position tended to be intermediate between those of the prone and supine sleepposition groups.

Adjusted ORs comparing supine and prone sleeping infants were calculated, and there was no evidence of effect modification.

Our observations of reduced fever at 1 month and reduced stuffy nose at 6 months associated with nonprone sleep positions are consistent with this hypothesis, as is the reported observation that adults with upper respiratory tract infections have lower nasal bacterial counts after lying supine for 1 hour vs lying prone for 1 hour.11 Also, infants sleeping supine swallow more frequently than infants sleeping prone in response to a pharyngeal fluid stimulus, suggesting more effective clearing of nasopharyngeal secretions in the supine position and, hence, less potential for eustachian tube obstruction and fewer ear infections.12

A secondary observation of a decrease in reported ear infections associated with infants sleeping in the side and supine positions warrants further study.

Multiple concerns were raised regarding the safety of nonprone sleep positions, especially the supine, following dissemination of the American Academy of Pediatrics recommendation.

Referrals to craniofacial centers for evaluation of deformational plagiocephaly and brachycephaly are increasing.8 This increase in deformations has been temporally linked to the Back to Sleep program advanced by the American Academy of Pediatrics in 1992 that advises the avoidance of the prone sleeping position as a method of reducing the rates of sudden infant death syndrome.10,, 12,13 There is a delay in early gross motor milestones in children forced to sleep supine but these delays seem transient and have not been linked as yet to any longer term problems.14 Children who are encouraged to sleep on their backs and develop abnormal head shapes as a result are a different population than children who spontaneously restricted their movement in bed for one reason or anoSleep program advanced by the American Academy of Pediatrics in 1992 that advises the avoidance of the prone sleeping position as a method of reducing the rates of sudden infant death syndrome.10,, 12,13 There is a delay in early gross motor milestones in children forced to sleep supine but these delays seem transient and have not been linked as yet to any longer term problems.14 Children who are encouraged to sleep on their backs and develop abnormal head shapes as a result are a different population than children who spontaneously restricted their movement in bed for one reason or anosleep supine but these delays seem transient and have not been linked as yet to any longer term problems.14 Children who are encouraged to sleep on their backs and develop abnormal head shapes as a result are a different population than children who spontaneously restricted their movement in bed for one reason or anosleep on their backs and develop abnormal head shapes as a result are a different population than children who spontaneously restricted their movement in bed for one reason or another.

7,23 The breastfed infant is more likely to sleep supine and suckle frequently through the night, naturally achieving the potentially SIDS reducing goals of less deep sleep and frequent brief arousals.

My recommendation to you is this - if your hospital staff are some of those 50 % who are not placing your baby supine («back to sleep») when it seems they should be, mention it to them, ask them why.

Because nursery nurses place newborns on their sides due to fear of aspiration, it is important to know if newborns aspirate when they sleep in the supine position.

A study of infants in England indicated that supine sleeping is not associated with an increase in significant morbidity outcomes, and the risk of respiratory problems was reduced compared with that of prone sleepers.17 In Asian countries, aspiration is not a problem despite the traditional practice of placing newborns to sleep in the supine position.18 The review by Malloy19 of US vital statistics mortality files for the years 1991 to 1996 showed no significant increase in the proportion of postneonatal mortality rate associated with aspiration, asphyxia, or respiratory failure.

Fewer than 4 % of newborns spit up while sleeping in the supine position in the first 24 hours of life, and none required significant intervention or experienced serious sequelae.

Furthermore, of the 3.4 % of newborns who did spit up during sleep while supine, none required significant intervention or had immediate adverse outcomes.

When prone vs. supine sleep was first studied in the 70s and 80s, when lots of babies were sleeping prone, the ORs for SIDS and prone sleep weren't really that high (though significant).

The study showed that infants sleeping supine did not have an increase in cyanosis, pallor, or breathing problems at 1 month of age.