Rao Harish, May Caroline, Hannam Simon, Rafferty Gerrard F, Greenough Anne
Division of Asthma, Allergy and Lung Biology, King's College London, MRC-Asthma Centre, Denmark Hill, UK.
Eur J Pediatr. 2007 Aug;166(8):809-11. doi: 10.1007/s00431-006-0325-7. Epub 2006 Nov 14.
Prematurely born infants are at an increased risk of sudden infant death syndrome (SIDS), particularly when sleeping prone. Parents are strongly influenced in their choice of sleeping position for their infant by practitioners. The aim of this study was to determine the neonatal units' recommendations regarding the sleeping position for premature infants prior to and after discharge and ascertain whether there had been changes from those recorded in a survey performed in 2001-2002.
A questionnaire survey was sent to all 229 neonatal units in the United Kingdom; 80% responded.
The majority (83%) of units utilized the supine sleep position for infants at least 1-2 weeks prior to discharge, but after discharge, only 38% of the units actively discouraged prone sleeping and 17% additionally recommended side sleeping. Compared to the previous survey, significantly more units started infants with supine sleeping 1-2 weeks prior to discharge (p < 0.0001) and fewer recommended side sleeping after discharge (p = 0.0015). However, disappointingly, less actively discouraged prone sleeping after discharge (p = 0.0001).
Recommendations regarding sleeping position for prematurely born infants after neonatal discharge by some practitioners remain inappropriate. Evidence-based guidelines are required as these would hopefully inform all neonatal units' recommendations.
早产婴儿患婴儿猝死综合征（SIDS）的风险增加，尤其是在俯卧睡眠时。从业者对父母为婴儿选择睡眠姿势有很大影响。本研究的目的是确定新生儿病房在早产婴儿出院前后关于睡眠姿势的建议，并确定这些建议与2001 - 2002年进行的一项调查记录的建议相比是否有变化。
向英国所有229个新生儿病房发送了问卷调查；80%做出了回应。
大多数（83%）病房在婴儿出院前至少1 - 2周采用仰卧睡眠姿势，但出院后，只有38%的病房积极劝阻俯卧睡眠，17%的病房还建议侧卧睡眠。与之前的调查相比，更多的病房在出院前1 - 2周让婴儿开始仰卧睡眠（p < 0.0001），而出院后建议侧卧睡眠的病房更少（p = 0.0015）。然而，令人失望的是，出院后积极劝阻俯卧睡眠的病房更少（p = 0.0001）。
一些从业者关于早产婴儿出院后睡眠姿势的建议仍然不合适。需要基于证据的指南，因为这些指南有望为所有新生儿病房的建议提供依据。
