Overview. The average change across outcomes, before and after adjustment, was <1 percentage point. It can be normal to have trouble sleeping from time to time, but if you are having trouble sleeping most nights, you may have a sleep problem. An analysis from two case-control studies conducted in the UK, Bed sharing when parents do not smoke: is there a risk of SIDS? Approximately 3500 infants die annually in the United States from sleep-related sudden unexpected causes. In 2012, the campaign was renamed Safe to Sleep and expanded to encompass all sleep-related, sudden unexpected infant deaths (SUID) as well as highlight the American Academy of … Safe Cosleeping Guidelines. NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. SIDS is related to many factors, such as the baby’s position and objects in the crib. “Room-sharing without bed-sharing” was assessed as a 2-item composite indicating whether the infant usually slept in the past 2 weeks: (1) alone in their own crib or bed (always or often versus sometimes, rarely, or never) and (2) in the same room as their mothers (yes versus no). Taking up to 0.8 grams/kg of body weight per day appears to be safe, but more studies are needed. Maybe you’ve participated in a sleep research study. Studies show it … Smith et al19 found that receiving advice from multiple sources, such as family members and health care providers, improved room-sharing without bed-sharing without negatively affecting breastfeeding rates. COMPANION PAPER: A companion to the article can be found online at www.pediatrics.org/cgi/doi/10.1542/peds.2019-2310. The prevalence of each safe sleep practice varied significantly by state, ranging ∼20 to 25 percentage points across outcomes (Supplemental Table 6). To reduce the risk of SIDS, infants should be placed for sleep in a supine position (wholly on the back) for every sleep by every caregiver until the child reaches 1 year of age. Early studies indicate that high dosages of CBD may support sleep. Now Available in Spanish: Safe infant sleep and breastfeeding video and handout. No sleep environment is completely safe. Although nearly 90% of mothers reported their infant usually slept in a crib, bassinet, or pack and play, only about one-third reported it as a sole usual sleep surface, which may represent an underacknowledged risk. A smaller proportion (41.1%) reported room-sharing and “always” using a separate sleep surface. When an infant lies on its back with no pressure on its abdomen, it takes less effort to breath. Only half (48.8%) reported receiving advice to room share without bed-sharing. We examined maternal report of 4 infant sleep practices: (1) back sleep position, (2) separate approved sleep surface, (3) room-sharing without bed-sharing, and (4) no soft objects or loose bedding (“soft bedding”). Sleep studies are safe despite death Sleep studies have gotten some unwanted publicity recently with a wrongful death lawsuit on behalf of a 25-year-old man who died during a study. Approximately 3500 infants die annually in the United States from sudden unexpected infant deaths (SUIDs), including sudden infant death syndrome (SIDS), undetermined causes, and accidental suffocation and strangulation in bed.1–4 SUID rates declined 45% from 1990 to 1998,4 coinciding with the 1992 American Academy of Pediatrics (AAP) recommendation that infants be placed on their backs to sleep5,6 and the accompanying Back to Sleep (now Safe to Sleep) campaign led by the National Institutes of Health.7 Since 1998, however, the SUID rate has declined <10%,4 whereas the prevalence of back sleep position has plateaued.8–10 To further reduce SUID, the AAP expanded safe sleep recommendations to include using a firm sleep surface (eg, crib or bassinet), room-sharing without bed-sharing, and avoiding soft objects and loose bedding.3,11–13 Data from the National Infant Sleep Position (NISP) study, conducted among nighttime caregivers, show that bed-sharing doubled from 1993 to 2010 (from 6.5%→13.5%),14 whereas soft bedding declined by over a third (from 85.9% to 54.7%).15. Back to sleep for every sleep. Prenatal alcohol and/or illicit drug … National immunization survey: breastfeeding rates. Our estimate from the component of usual (“always or often”) sleep on a separate sleep surface (74.4%; “always”: 55.7%, “often”: 18.7%) was comparable to the not usually bed-sharing estimate from SAFE (79.3%). Operationalization of these 2 measures offers a consistent assessment of usual practice across items, which aligns with previous national studies.6,8,14,15,19 We also examined report of the infant “always” versus “often, sometimes, rarely, or never” sleeping in their own crib or bed for “separate approved sleep surface” and “room-sharing without bed-sharing” to more closely reflect adherence to the AAP recommendation of separate sleep surfaces for infants. Analyses accounted for the complex sampling design of PRAMS by using SAS-callable SUDAAN 11.0.0. Both racial and ethnic groups have SUID rates twice as high as non-Hispanic white mothers.27 However, non-Hispanic Asian or Pacific Islander mothers had the lowest prevalence of using separate approved sleep surfaces and were less likely to report back sleep position and avoiding soft bedding yet have SUID rates less than half of non-Hispanic white mothers.27 This paradox may arise from differences in other risk and protective factors,28 such as lower smoking22,29 and higher breastfeeding30,31 rates. Education on safe sleep. Enter multiple addresses on separate lines or separate them with commas. Although most (74.4%) usually (“always or often”) used a separate sleep surface, slightly more than half (57.1%) also reported room-sharing. Looking for your interest in spreading the word on American Academy of Pediatrics compared with a placebo, a night. Complex sampling design of PRAMS and other data are essential to inform and evaluate both national and state-specific efforts and. 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