Sentences with phrase «suggest supine sleep»

The researchers say these findings suggest supine sleep position may be an additional risk for late - pregnancy, especially in vulnerable cases and more research is needed.

Not exact matches

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

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 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 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 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 sleep, other potentially modifiable risk factors in the sleep environment should be examined to promote further decline in the rate of sleep environment should be examined to promote further decline in the rate of SIDS.

For instance, it has been suggested that the physical restraint associated with swaddling may prevent infants placed supine from rolling to the prone position.299 One study's results suggested a decrease in SIDS rate with swaddling if the infant was supine, 182 but it was notable that there was an increased risk of SIDS if the infant was swaddled and placed in the prone position.182 Although a recent study found a 31-fold increase in SIDS risk with swaddling, the analysis was not stratified according to sleep position.171 Although it may be more likely that parents will initially place a swaddled infant supine, this protective effect may be offset by the 12-fold increased risk of SIDS if the infant is either placed or rolls to the prone position when swaddled.182, 300 Moreover, there is no evidence that swaddling reduces bed - sharing or use of unsafe sleep surfaces, promotes breastfeeding, or reduces maternal cigarette smoking.

The prone or side sleep position can increase the risk of rebreathing expired gases, resulting in hypercapnia and hypoxia.54, — , 57 The prone position also increases the risk of overheating by decreasing the rate of heat loss and increasing body temperature compared with infants sleeping supine.58, 59 Recent evidence suggests that prone sleeping alters the autonomic control of the infant cardiovascular system during sleep, particularly at 2 to 3 months of age, 60 and can result in decreased cerebral oxygenation.61 The prone position places infants at high risk of SIDS (odds ratio [OR]: 2.3 — 13.1).62, — , 66 However, recent studies have demonstrated that the SIDS risks associated with side and prone position are similar in magnitude (OR: 2.0 and 2.6, respectively) 63 and that the population - attributable risk reported for side sleep position is higher than that for prone position.65, 67 Furthermore, the risk of SIDS is exceptionally high for infants who are placed on their side and found on their stomach (OR: 8.7).63 The side sleep position is inherently unstable, and the probability of an infant rolling to the prone position from the side sleep position is significantly greater than rolling prone from the back.65, 68 Infants who are unaccustomed to the prone position and are placed prone for sleep are also at greater risk than those usually placed prone (adjusted OR: 8.7 — 45.4).63, 69,70 Therefore, it is critically important that every caregiver use the supine sleep position for every sleep period.