Kenntnisse und tatsächliche Umsetzung der Empfehlungen zur Prävention des plötzlichen Säuglingstods innerhalb des ersten Lebensjahres – eine Analyse longitudinaler Daten der KUNO Kids Gesundheitsstudie

期刊论文
发表日期：

2024年5月27日

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Ludwig M. Seebauer,
Vincent D. Gaertner,
Sara Fill Malfertheiner,
Janina Postpischil,
Susanne Brandstetter,
Birgit Seelbach-Göbel,
Christian Apfelbacher,
Michael Melter,
Michael Kabesch,
Sebastian Kerzel,
Andreas Ambrosch,
Petra A. Arndt,
Andrea Baessler,
Mark Berneburg,
Stephan Böse-O’Reilly,
Romuald Brunner,
Sara Fill Malfertheiner,
André Franke,
Robert Häsler,
Sebastian Häusler,
Iris Heid,
Stefanie Heinze,
Wolfgang Högler,
Sebastian Kerzel,
Michael Koller,
Michael Leitzmann,
Áine Lennon,
David Rothfuß,
Wolfgang Rösch,
Bianca Schaub,
Stephan Weidinger,
Sven Wellmann

摘要

Background

Sudden infant death syndrome (SIDS) is still one of the leading causes of death in infancy. The aim of our study was to assess young mothers’ advance knowledge on SIDS prevention recommendations just prior to discharge from the maternity ward and to evaluate the actual implementation of these recommendations in families during the first year of life.

Materials and methods

The data were collected as part of the prospective KUNO Kids Health Study. For this purpose, standardized interviews were conducted in the maternity clinic, and questionnaires on the infant’s sleeping place, sleeping environment, and body position, as well as exposure to environmental factors, after 1, 6, and 12 months. Descriptive statistics were used to visualize the knowledge and planned implementation of SIDS prevention measures as relative and absolute frequencies.

Results

The majority of mothers were able to actively name the most important recommendations for healthy infant sleep immediately after giving birth. Actual implementation showed that 94% of the 1400 infants slept in their parents’ bedroom at 4 weeks of age. Although the most common sleeping furniture was a bedside-sleeper (48% at 4 weeks), we observed a significant proportion of families who regularly practiced bed-sharing. Thus, for 16% of the children, the parental bed was the default sleeping place. In terms of body position, a total of 12% of infants were still regularly placed in the prone position to sleep. 17% of the children lived in households with one or more smokers.

Discussion

Although most parents in our birth cohort were already implementing many recommendations for the prevention of SIDS, our analysis showed considerable differences between intentions after birth and actual implementation during the first year of life. The most striking deviation from the prevention recommendations was the frequent practice of bed-sharing (sharing the place of sleep with the infant).