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[婴儿不良睡眠习惯:婴儿猝死综合征的危险因素。初步研究]

[Bad sleeping habits in infants: Risk factor for sudden infant death syndrome. Pilot study].

作者信息

Sánchez Trinidad, Peirano Dominga, Pipino Camila, Brockmann Pablo E

机构信息

Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Escuela de Medicina, Universidad de Los Andes, Santiago, Chile.

出版信息

Rev Chil Pediatr. 2020 Aug;91(4):529-535. doi: 10.32641/rchped.vi91i4.1400. Epub 2020 Aug 23.

DOI:10.32641/rchped.vi91i4.1400
PMID:33399729
Abstract

INTRODUCTION

The American Academy of Pediatrics recommends, through the implementation of the "Back to Sleep (BTS)" campaign, the supine sleeping position for infant sleeping since it prevents to prevent Sudden Infant Death Syndrome (SIDS).

OBJECTIVE

To describe the sleeping position of a group of infants and the risk factors associated with sudden infant death syndrome (SIDS).

SUBJECTS AND METHOD

Prospective pilot study, including infants < 45 days of life in well-child care visits at a medical center.

EXCLUSION CRITERIA

Preterm-born infant (gestational age < 37 weeks) and/or comorbidities (pulmonary, metabolic, cardiologic). A brief parental questionnaire was conducted regarding general demographic data and sleep habits. The questioner was based on the BISQ - Spanish version, due to the lack of validated instruments for infants < 3-month-old.

RESULTS

We included a sample of 100 infants between 16.78 ± 12.88 days old (57% girls). Mothers were the main information source (84%). 79% of the infants slept in supine position, 19% slept on their sides, and 2% in prone position. Regarding the place where the infants slept, 66% did in their crib in the parents' room and 31% slept in parents' bed. 74% of infants fell asleep while being fed. 28% of infants were exposed to passive smoking at home. 91% of parents were informed about safe sleep positions, reporting that pediatricians were the main source of information (54%). Conclu sion: We found a high percentage of infants < 45 days of life who slept in an unsafe position, and frequently co-sleep with their parents. Thus, it is important to implement local SIDS prevention campaigns to reinforce safe infant sleep.

摘要

引言

美国儿科学会通过开展“仰睡(BTS)”运动,建议婴儿睡眠时采用仰卧姿势,因为这样可预防婴儿猝死综合征(SIDS)。

目的

描述一组婴儿的睡眠姿势以及与婴儿猝死综合征(SIDS)相关的危险因素。

研究对象与方法

前瞻性试点研究,纳入在医疗中心进行健康儿童检查的45日龄以下婴儿。

排除标准

早产儿(胎龄<37周)和/或合并症(肺部、代谢、心脏方面)。就一般人口统计学数据和睡眠习惯进行了简短的家长问卷调查。由于缺乏针对3月龄以下婴儿的有效工具,问卷基于BISQ - 西班牙语版本。

结果

我们纳入了100名年龄在16.78±12.88日龄之间的婴儿样本(57%为女孩)。母亲是主要信息来源(84%)。79%的婴儿仰卧睡眠,19%侧卧睡眠,2%俯卧睡眠。关于婴儿睡眠的地点,66%在父母房间的婴儿床睡觉,31%在父母床上睡觉。74%的婴儿在喂奶时入睡。28%的婴儿在家中接触过被动吸烟。91%的家长了解安全睡眠姿势,报告称儿科医生是主要信息来源(54%)。结论:我们发现45日龄以下的婴儿中有很大比例睡眠姿势不安全,且经常与父母同睡。因此,开展当地的SIDS预防运动以加强婴儿安全睡眠非常重要。

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