A retrospective study on infant bed-sharing in a clinical practice population
Abstract
In 2005 the American Academy of Pediatrics published new recommendations on infant sleep environment which advised against infants bed-sharing. A retrospective study was done to determine the prevalence of infant bed-sharing and its associations in a clinical practice. Demographic data were collected from 2,405 infants from a large family practice residency program, which included OB care, in Missouri between March 2002 and February 2008. Data were extracted from electronic medical records at the first four well-child visits: 1 month, 2-3 months, 4-5 months, and 6-8 months of age. Data analysis was performed using SPSS statistical software package, version 12.0 and 15.0 (SPSS, Inc, Chicago, Ill). At the first, second, third, and fourth well-child visit 19, 18, 12, and 11% of infants bed-shared with an adult. Bed-sharing was associated with an infant missing one or more well-child visits (first and third visits only), breastfeeding (first and second well-child visits only), and low SES. Stratified analysis by residence showed that over the 6-year study the decrease in the rate of bed-sharing, in the urban and non-urban areas, was statistically significant (P = 0.005, 0.04, respectively). Infants born 2006-2007 had a decreased rate of bed-sharing compared to infants born 2002-2005 (0.22, 0.30, respectively, P = 0.00). In light of the high rate of bed-sharing recorded at the first well-child visit, the researchers recommend an increased emphasis on safe sleeping education during the third trimester of pregnancy.
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Across segments of society, sleep practices and beliefs can vary to a great extent.
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From Sleep, Health, and Society (2017) · cites this paper as [109]
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- Authors
- Norton, P. J., & Grellner, K. W.
- Corresponding author
- Norton, Patricia J.
- Venue
- Maternal and Child Health Journal
- Published
- 2010-04-07
- Volume
- 15
- Issue
- 4
- Pages
- 507-513
- ISSN
- 1092-7875 (ISSN-L)
- 1573-6628
- OpenAlex
- W2083592160
- Cited by
- 20
- References
- 12
- Citations by year
- 2022: 3 · 2021: 1 · 2020: 3 · 2019: 1 · 2017: 2 · 2016: 3 · 2015: 2 · 2014: 3 · 2012: 2
- FWCI
- 1.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Maternal and Child Health Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Keywords
- infant sleep safety, infant sleep environment, American Academy of Pediatrics guidelines, breastfeeding, socioeconomic status, urban-rural differences, well-child visits, pregnancy
- MeSH terms
- Beds, Family Practice, Humans, Infant, Low Birth Weight, Infant, Newborn, Medical Audit, Missouri, Mother-Child Relations, Retrospective Studies, Sleep
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