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Maternal and Child Health Journal
Published in: Maternal and Child Health Journal 7/2016

01-07-2016

Grandmothers’ Beliefs and Practices in Infant Safe Sleep

Authors: Mary E. Aitken, Alison Rose, S. Hope Mullins, Beverly K. Miller, Todd Nick, Mallikarjuna Rettiganti, Rosemary Nabaweesi, Leanne Whiteside-Mansell

Published in: Maternal and Child Health Journal | Issue 7/2016

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Abstract

Background Sudden infant death syndrome (SIDS) and suffocation are leading causes of infant mortality. Supine sleep position and use of appropriate sleep surfaces reduce SIDS risk but are not universally practiced. Mothers’ decisions about sleep position and environment may be influenced by guidance provided by infants’ grandmothers and other caregivers. Methods A survey was conducted of a convenience sample of grandmothers aged 30–70 years who provide care at least weekly for an infant grandchild <6 months old. The survey was distributed through community partners of a university-based research team. Respondents received home safety items as compensation. Analyses focused on the relationship of grandmother demographic characteristics and beliefs on their reported practices related to infant sleep. Results Among the 239 grandmothers, 45 % reported placing infants to sleep supine on an appropriate sleep surface at the grandmother’s house, while 58 % reported doing so when the infant was sleeping in the mother’s house. After adjusting for other factors, respondents were less likely to adhere to recommended guidelines when they believed supine position increased choking risk (OR 0.34, 95 % CI 0.18–0.62) or believed infants are more comfortable or sleep longer when on their stomachs (OR 0.51, 95 % CI 0.28–0.93). Discussion Grandmothers do not universally observe evidence-based safe sleep practices, particularly if the infant is not sleeping in the home of the parent. Interventions for senior caregivers focused on perceived choking risk, infant comfort in the supine position, and other recent changes in recommended safety practices are warranted.
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Metadata
Title
Grandmothers’ Beliefs and Practices in Infant Safe Sleep
Authors
Mary E. Aitken
Alison Rose
S. Hope Mullins
Beverly K. Miller
Todd Nick
Mallikarjuna Rettiganti
Rosemary Nabaweesi
Leanne Whiteside-Mansell
Publication date
01-07-2016
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 7/2016
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-016-1945-9

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