Scragg L K, Mitchell E A, Tonkin S L, Hassall I B
University of Auckland.
N Z Med J. 1993 Jan 27;106(948):8-10.
The National Cot Death Prevention Programme aims to reduce the prevalence of four modifiable risk factors for cot death, namely infant sleeping prone, maternal smoking, lack of breast feeding and infant sharing a bed with another person. This study evaluated the knowledge of 200 mothers of infants in South Auckland and estimated the prevalence of these infant care practices, which were compared with that found in the New Zealand Cot Death Study.
200 mothers were interviewed.
The prevalence of these modifiable risk factors in this study and that found in 1987/89 in Auckland were: prone sleep position: 2.5% compared with 36.8%, p < 0.001; infant sharing a bed with another person: 23.5% and 45.2%, p < 0.001; maternal smoking: 24.0% and 26.1%, p = ns; lack of breast feeding at 4 weeks of age: 11.0% and 13.6%, p = ns. The following percentage of mothers knew that there were risk factors for cot death: prone sleep position 95.5%, maternal smoking 89.4%, lack of breast feeding 63.1% and infant sharing a bed with another person 68.0%.
This study shows that infant care practices are changing and highlights the need for continuing efforts, especially relating to maternal smoking and the practice of infants sharing a bed with another person.
全国婴儿猝死预防计划旨在降低婴儿猝死的四个可改变风险因素的发生率，即婴儿俯卧睡眠、母亲吸烟、缺乏母乳喂养以及婴儿与他人同床睡。本研究评估了南奥克兰200名婴儿母亲的相关知识，并估算了这些婴儿护理习惯的发生率，与新西兰婴儿猝死研究中的结果进行比较。
对200名母亲进行了访谈。
本研究中这些可改变风险因素的发生率与1987/89年奥克兰的研究结果相比为：俯卧睡眠姿势：2.5% 对比 36.8%，p < 0.001；婴儿与他人同床睡：23.5% 和 45.2%，p < 0.001；母亲吸烟：24.0% 和 26.1%，p = 无显著性差异；4周龄时缺乏母乳喂养：11.0% 和 13.6%，p = 无显著性差异。知晓存在婴儿猝死风险因素的母亲比例如下：俯卧睡眠姿势95.5%、母亲吸烟89.4%、缺乏母乳喂养63.1%、婴儿与他人同床睡68.0%。
本研究表明婴儿护理习惯正在改变，并突出了持续努力的必要性，特别是在母亲吸烟和婴儿与他人同床睡的问题上。
