Sentences with phrase «supine sleep positioning»

In addition, supine sleep positioning varied widely by state, with Alabama having the lowest rate at 50 percent and Wisconsin having the highest rate at 81 percent.

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.

«Given that supine sleep positioning significantly reduces an infant's risk for SIDS, it is worrisome that only two - thirds of full - term infants born in the U.S. are being placed back - to - sleep,» said lead author Sunah S. Hwang, MD, MPH, FAAP, a neonatologist at Boston Children's Hospital and South Shore Hospital, and instructor in pediatrics at Harvard Medical School.

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.

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

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

This is another safety danger because newborns that can roll might not be able to roll themselves back into the safe supine sleeping position.

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

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.

However, the risks associated with the supine sleeping position, i.e., positional head deformities, delayed motor development, and disturbed sleep patterns, are substantive and relatively common.

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.

Supine sleeping position does not cause clinical aspiration in neonates in hospital newborn nurseries

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.

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.

Supine Sleeping Position Does Not Cause Clinical Aspiration in Neonates in Hospital Newborn Nurseries.

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.

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.

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

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.

For instance, addressing concerns about infant comfort, choking, and aspiration while the infant is sleeping prone is helpful.348, 349 Similar interventions for improving behavior of medical and nursing staff and child care providers have shown that these professionals have similar concerns about the supine sleep position.350, — , 353 Primary care providers should be encouraged to develop quality improvement initiatives to improve adherence with safe sleep recommendations among their patients.

The supine sleep position does not increase the risk of choking and aspiration in infants, even those with gastroesophageal reflux, because they have protective airway mechanisms.8, 9 Infants with gastroesophageal reflux should be placed for sleep in the supine position for every sleep, with the rare exception of infants for whom the risk of death from complications of gastroesophageal reflux is greater than the risk of SIDS (ie, those with upper airway disorders, for whom airway protective mechanisms are impaired), 10 including infants with anatomic abnormalities such as type 3 or 4 laryngeal clefts who have not undergone antireflux surgery.

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.

The other reason often cited by parents for not using the supine sleep position is the perception that the infant is uncomfortable or does not sleep well.72, — , 80 An infant who wakes frequently is normal and should not be perceived as a poor sleeper.

Not exact matches

The restricted movement will help keep babies sleeping in the supine (baby's back on bed, facing up) position.

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

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.

Newborns when swaddle properly can be help babies sleep in the supine position (sleeping on their backs).

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.

My wife and I generally sleep in the supine position, and we are grateful for the full - body support that the Beausommet mattress offers.

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...

Finally, supine sleeping is not a guarantee against SIDS since some infants succumb in the supine position as well.

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.

Infants should be placed in a «supine» position — completely on their backs — to sleep.

Physiologic studies on swaddling: an ancient child care practice, which may promote the supine position for infant sleep

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.»

Research shows that swaddling babies improves their tolerance for the supine or on the back sleep position.

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).

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.

A decreased risk associated with supine and side sleep positions, however, was observed for some health outcomes, including cough and possibly fever.

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.

Furthermore, although we did not ask about position found on awakening, almost all infants placed supine and prone for sleep are found in the same position when waking up.9

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.

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.

Compared with infants sleeping in the prone position, infants sleeping in the supine and side positions were not at increased risk for an outpatient visit for any reason (Table 4).

Supine - related symptoms having their onset before 1 month would likely be missed or incorrectly associated with the new sleep position maintained at 1, 3, and 6 months.

Results No symptoms or outpatient visits were significantly more common among infants sleeping on the side or supine than in infants sleeping prone, and 3 symptoms were less common: (1) fever at 1 month in infants sleeping in the supine (adjusted odds ratio [OR], 0.56; 95 % confidence interval [CI], 0.34 - 0.93) and side positions (OR, 0.48; 95 % CI, 0.28 - 0.82); (2) stuffy nose at 6 months in the supine (OR, 0.74; 95 % CI, 0.61 - 0.89) and side positions (OR, 0.82; 95 % CI, 0.68 - 0.99); and (3) trouble sleeping at 6 months in the supine (OR, 0.57; 95 % CI, 0.44 - 0.73) and side positions (OR, 0.69; 95 % CI, 0.53 - 0.89).