Specker Bonny L, Minett Maggie, Beare Tianna, Poppinga Nicole, Carpenter Mary, Munger Jill, Strasser Katelyn, Ahrendt Linda
EA Martin Program, South Dakota State University.
University of South Dakota Sanford School of Medicine.
S D Med. 2020 Apr;73(4):152-162.
The purpose of this report was to determine the prevalence of safe sleep practices among South Dakota mothers, and the impact that education from their healthcare provider had on infant safe sleep practices as defined by the American Academy of Pediatrics (AAP).
A population-based survey was administered to a random sample of mothers delivering in 2017. Data were weighted to obtain statewide and race-specific (white, non-Hispanic; American Indian; other races) prevalence rates.
Weighted response rate was 67 percent, with 9.9 percent of mothers giving birth in 2017 completing a survey. Greater than 85 percent of mothers met recommendations regarding placing their infant on their back, breastfeeding, not consuming alcohol or illicit drugs during pregnancy, and attending 80 percent or more of prenatal visits. Less than 85 percent met recommendations regarding infant always sleeping alone on an approved sleep surface (30.8 percent), room-sharing without bed-sharing (44.3 percent), keeping soft objects and loose bed- ding out of crib (47.7 percent), and avoiding smoke exposure during and after pregnancy (82.1 percent). Only 7.7 percent of mothers met all eight recommendations. Healthcare providers talking to the mother about placing the infant to sleep in a crib and placing the crib in the mother's room were associated with a higher percent of mothers meeting these recommendations. Although the health care provider asking the mother if she was going to breastfeed was not associated with ever breastfeeding (p=0.95), if the mother received information from the doctor about breastfeeding she was slightly more likely to breastfeed than if she did not receive information (90.3 vs. 85 percent, p=0.06).
A low percentage of South Dakota mothers met all eight AAP safe sleep recommendations that could be assessed using these data. Health care providers can influence a mother's compliance with some of the safe sleeping recommendations.
本报告旨在确定南达科他州母亲中安全睡眠习惯的流行情况，以及医疗服务提供者的教育对婴儿安全睡眠习惯的影响，这些习惯由美国儿科学会（AAP）定义。
对2017年分娩的母亲进行了一项基于人群的随机抽样调查。对数据进行加权以获得全州范围和特定种族（白人、非西班牙裔；美国印第安人；其他种族）的流行率。
加权回复率为67%，2017年分娩的母亲中有9.9%完成了调查。超过85%的母亲符合关于让婴儿仰卧、母乳喂养、孕期不饮酒或使用非法药物以及参加80%或更多产前检查的建议。不到85%的母亲符合关于婴儿始终独自睡在认可的睡眠表面（30.8%）、同室不同床（44.3%）、保持婴儿床内无柔软物品和松散被褥（47.7%）以及孕期及产后避免接触烟雾（82.1%）的建议。只有7.7%的母亲符合所有八项建议。医疗服务提供者与母亲谈论将婴儿放在婴儿床睡觉以及将婴儿床放在母亲房间，与更多母亲符合这些建议相关。虽然医疗服务提供者询问母亲是否打算母乳喂养与是否进行母乳喂养无关（p = 0.95），但如果母亲从医生那里获得了关于母乳喂养的信息，她进行母乳喂养的可能性比未获得信息时略高（90.3%对85%，p = 0.06）。
使用这些数据可评估的南达科他州母亲中，符合AAP所有八项安全睡眠建议的比例较低。医疗服务提供者可以影响母亲对一些安全睡眠建议的遵守情况。
