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Infant Sleep Position: A Randomized Clinical Trial of an Educational Intervention in the Maternity Ward in Porto Alegre, Brazil
Author(s) -
Issler Roberto Mário Silveira,
Marostica Paulo José Cauduro,
Giugliani Elsa Regina Justo
Publication year - 2009
Publication title -
birth
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.233
H-Index - 83
eISSN - 1523-536X
pISSN - 0730-7659
DOI - 10.1111/j.1523-536x.2009.00308.x
Subject(s) - supine position , medicine , randomized controlled trial , logistic regression , intervention (counseling) , sudden infant death syndrome , position (finance) , pediatrics , physical therapy , nursing , surgery , finance , economics
Background:Few studies in Brazil have been published about sudden infant death syndrome (SIDS), and none has addressed the mother's orientation about placing the infant to sleep in the supine position. The aim of this study was to evaluate the effect on mothers of an individual educational intervention in the maternity ward about infant sleep position.Methods:A randomized clinical trial was conducted with a study sample of 228 mother‐infant pairs assigned to an intervention or a control group. The intervention consisted of an individual orientation session at the maternity ward, at which folders and an oral explanation were given to mothers at discharge about the importance of the supine position as a preventive measure for SIDS. The outcome was the sleeping position at 3 months of age assessed during a home visit. The variables with p< 0.2 at a bivariate analysis were included in a logistic regression model.Results:Among mothers in the intervention group, 42.9 percent put their infants to sleep in a supine position at the 3‐month visit, compared with 24 percent of mothers in the control group (p = 0.009). In a multivariate analysis, the intervention at the hospital was the only variable that influenced maternal practices with respect to infant sleep positioning (OR 2.22; 95% CI 1.17–4.19).Conclusions:An individual educational session in the maternity ward about infant sleep position significantly increased the prevalence of supine position for sleeping in the infant's third month. Nevertheless, the intervention was not sufficient to guarantee that most mothers would put their infants to sleep in the recommended position.