Abel Sally, Tipene-Leach David
Faculty of Health Sciences/Te Manga Maori, EIT Hawke's Bay, 501 Gloucester Street, Taradale, Napier 4142, New Zealand.
N Z Med J. 2013 Aug 2;126(1379):86-94.
Recent research and policy around sudden unexpected death in infancy (SUDI) have emphasised the place of safe sleeping practices within SUDI prevention strategies. Maori SUDI prevention workers have focussed on innovations around the safe sleep environment for some time now, as they have grappled with difficult to change and disproportionately high Maori SUDI rates. The wahakura (a flax bassinet modelled on a traditional Maori infant sleeping item) was developed in 2006 aiming to mitigate some of the risks of bedsharing with vulnerable infants, in particular infants exposed to maternal smoking in pregnancy. Early wahakura projects in Gisborne and Hawke's Bay showed high acceptability, effectiveness as an infant health promotion vehicle but difficulty maintaining a low/no cost supply for vulnerable families. The Hawke's Bay project revealed two pathways forward: the need for robust research to ensure the safety of the wahakura and the exploration of financially viable and more readily available alternatives. Work on both pathways is currently in progress around the country, signalling New Zealand's ongoing contribution to SUDI prevention and its potential contribution to knowledge and practices applicable to indigenous and other marginalised communities worldwide.
近期关于婴儿意外猝死（SUDI）的研究和政策强调了安全睡眠习惯在SUDI预防策略中的地位。毛利族SUDI预防工作者一段时间以来一直专注于围绕安全睡眠环境的创新，因为他们一直在应对难以改变且毛利族SUDI发生率过高的问题。瓦哈库拉（一种仿照传统毛利婴儿睡眠用品制作的亚麻摇篮）于2006年研发出来，旨在降低与脆弱婴儿同床共眠的一些风险，尤其是那些母亲在孕期吸烟的婴儿。吉斯伯恩和霍克斯湾早期的瓦哈库拉项目显示出较高的可接受性，作为促进婴儿健康的工具很有效，但难以维持为脆弱家庭提供低成本或免费的供应。霍克斯湾项目揭示了两条前进的道路：需要进行有力的研究以确保瓦哈库拉的安全性，以及探索经济上可行且更容易获得的替代方案。目前全国范围内这两条道路的工作都在进行中，这表明新西兰在持续为SUDI预防做出贡献，以及它对适用于全球土著和其他边缘化社区的知识和实践可能做出的贡献。
