Straw Joanne, Jones Pat
Sheffield Children's NHS Foundation Trust, Sheffield, England.
Midwifery, head of maternal and child health, University of Huddersfield, Huddersfield, England.
Nurs Child Young People. 2017 Dec 5;29(10):24-29. doi: 10.7748/ncyp.2017.e945.
In 2015 the National Institute for Health and Care Excellence (NICE) updated its 2006 guideline to clarify the association between parent infant co-sleeping and sudden infant death syndrome (SIDS). The practice of co-sleeping is a topic of continuing controversy and debate. Rather than highlighting the risks, the emphasis of the NICE guideline is to provide parents with balanced information so that they can make informed decisions about where their babies sleep. This contradicts previous public health messages on co-sleeping that discourages parents from the practice. Consequently, the updated national guideline has been criticised for failing to provide parents with safer sleep information, which has led to widespread confusion for parents and professionals. Health professionals can deliver safer sleep advice to support parents in their decision-making. However, as a result of inconsistent guidelines and evidence about parent-infant co-sleeping, health professionals may feel apprehensive and ill-equipped to provide advice and support. This article draws on a non-exhaustive literature review to discuss the risks and benefits of parent-infant co-sleeping, and the implications of this practice for SIDS. It also aims to provide transparency and improve understanding for health professionals so that they can support parents to adopt safer sleep strategies for their baby.
2015年,英国国家卫生与临床优化研究所(NICE)更新了其2006年的指南,以阐明母婴同睡与婴儿猝死综合征(SIDS)之间的关联。母婴同睡的做法一直是一个备受争议和讨论的话题。NICE指南的重点不是强调风险,而是为父母提供全面的信息,以便他们能够就婴儿的睡眠地点做出明智的决定。这与之前关于母婴同睡的公共卫生信息相悖,之前的信息不鼓励父母这样做。因此,更新后的国家指南因未能向父母提供更安全的睡眠信息而受到批评,这导致父母和专业人士普遍感到困惑。健康专业人员可以提供更安全的睡眠建议,以支持父母做出决策。然而,由于关于母婴同睡的指南和证据不一致,健康专业人员可能会感到担忧,并且缺乏提供建议和支持的能力。本文通过非详尽的文献综述,讨论母婴同睡的风险和益处,以及这种做法对婴儿猝死综合征的影响。它还旨在提高透明度,增进健康专业人员的理解,以便他们能够支持父母为婴儿采取更安全的睡眠策略。