Infant Sleep Position Instruction and Parental Practice: Comparison of a Private Pediatric Office and an Inner-city Clinic
To determine infant sleep instructions that hospital personnel in our community were giving to parents and actual positions practiced after the April 15, 1992 American Academy of Pediatrics recommendation for nonprone positioning. Survey of mothers of infants
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| Veröffentlicht in: | Pediatrics (Evanston) 1997-05, Vol.99 (5), p.e12-e12 |
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| container_title | Pediatrics (Evanston) |
| container_volume | 99 |
| creator | Ray, Brenda J Metcalf, Sharon C Franco, Sofia M Mitchell, Charlene K |
| description | To determine infant sleep instructions that hospital personnel in our community were giving to parents and actual positions practiced after the April 15, 1992 American Academy of Pediatrics recommendation for nonprone positioning.
Survey of mothers of infants |
| doi_str_mv | 10.1542/peds.99.5.e12 |
| format | Article |
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Survey of mothers of infants </=4 months of age from November 1993 to March 1994 with follow-up survey of selected birth hospitals.
A private practice (PP) serving predominantly white middle- and upper-income children and a pediatric clinic (CY) serving inner-city predominantly African-American low-income children in Louisville, Kentucky.
Fifty infants from each practice site.
The sleep instructions given and practiced, and other risk factors for sudden infant death syndrome (SIDS).
Nonprone sleeping instructions were received by 72% of the PP and only 48% of the CY parents, with 72% of the PP and 54% of the CY following the nonprone recommendations. Infants were more likely to be in smoking households (60% vs 12%) from the CY practice than the PP practice.
Our study showed that, despite having a higher prevalence of SIDS risk factors, there was a greater delay in discontinuing prone positioning instructions in the hospital serving the CY infants. The evidence suggests that this population is as likely as the PP group to follow medical advice given.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.99.5.e12</identifier><identifier>PMID: 9113969</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>United States: Am Acad Pediatrics</publisher><subject>Adult ; African Americans ; Female ; Follow-Up Studies ; Guideline Adherence ; Health Education - standards ; Humans ; Infant ; Kentucky ; Male ; Outpatient Clinics, Hospital - statistics & numerical data ; Parents - education ; Patient Compliance ; Pediatrics ; Personnel, Hospital ; Private Practice - statistics & numerical data ; Risk Factors ; Sleep - physiology ; Smoking - epidemiology ; Socioeconomic Factors ; Sudden Infant Death - etiology ; Sudden Infant Death - prevention & control ; Supine Position</subject><ispartof>Pediatrics (Evanston), 1997-05, Vol.99 (5), p.e12-e12</ispartof><rights>Copyright National Library of Medicine - MEDLINE Abstracts May 1997</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c392t-45a6426b5731dea191dd9dfa05a3b8ef3cfa505b19b65414dde59b85081d9e063</citedby><cites>FETCH-LOGICAL-c392t-45a6426b5731dea191dd9dfa05a3b8ef3cfa505b19b65414dde59b85081d9e063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9113969$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ray, Brenda J</creatorcontrib><creatorcontrib>Metcalf, Sharon C</creatorcontrib><creatorcontrib>Franco, Sofia M</creatorcontrib><creatorcontrib>Mitchell, Charlene K</creatorcontrib><title>Infant Sleep Position Instruction and Parental Practice: Comparison of a Private Pediatric Office and an Inner-city Clinic</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>To determine infant sleep instructions that hospital personnel in our community were giving to parents and actual positions practiced after the April 15, 1992 American Academy of Pediatrics recommendation for nonprone positioning.
Survey of mothers of infants </=4 months of age from November 1993 to March 1994 with follow-up survey of selected birth hospitals.
A private practice (PP) serving predominantly white middle- and upper-income children and a pediatric clinic (CY) serving inner-city predominantly African-American low-income children in Louisville, Kentucky.
Fifty infants from each practice site.
The sleep instructions given and practiced, and other risk factors for sudden infant death syndrome (SIDS).
Nonprone sleeping instructions were received by 72% of the PP and only 48% of the CY parents, with 72% of the PP and 54% of the CY following the nonprone recommendations. Infants were more likely to be in smoking households (60% vs 12%) from the CY practice than the PP practice.
Our study showed that, despite having a higher prevalence of SIDS risk factors, there was a greater delay in discontinuing prone positioning instructions in the hospital serving the CY infants. The evidence suggests that this population is as likely as the PP group to follow medical advice given.</description><subject>Adult</subject><subject>African Americans</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Guideline Adherence</subject><subject>Health Education - standards</subject><subject>Humans</subject><subject>Infant</subject><subject>Kentucky</subject><subject>Male</subject><subject>Outpatient Clinics, Hospital - statistics & numerical data</subject><subject>Parents - education</subject><subject>Patient Compliance</subject><subject>Pediatrics</subject><subject>Personnel, Hospital</subject><subject>Private Practice - statistics & numerical data</subject><subject>Risk Factors</subject><subject>Sleep - physiology</subject><subject>Smoking - epidemiology</subject><subject>Socioeconomic Factors</subject><subject>Sudden Infant Death - etiology</subject><subject>Sudden Infant Death - prevention & control</subject><subject>Supine Position</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUFv1DAQRi0EKkvhyBHJ4tBbFtuxk5gbWhVYqVJXajlbE3tCXWWdYDug8uvxdlcFcfLI8-ZpNB8hbzlbcyXFhxldWmu9Vmvk4hlZcaa7SopWPScrxmpeScbUS_IqpXvGmFStOCNnmvNaN3pFfm_DACHTmxFxprsp-eynQLch5bjYxxqCozuIGDKMdBeh_Fr8SDfTfoboUyGmgULp-J-Qke7QecjRW3o9DIV8nIeDMmCsrM8PdDP64O1r8mKAMeGb03tOvn2-vN18ra6uv2w3n64qW2uRK6mgkaLpVVtzh8A1d067AZiCuu9wqO0Aiqme675RkkvnUOm-U6zjTiNr6nNycfTOcfqxYMpm75PFcYSA05JMqxumldQFfP8feD8tMZTdjBBdzaVsRYGqI2TjlFLEwczR7yE-GM7MIRBzCMRobZQpgRT-3Um69Ht0T_Qpgb--O__97pePeJg_HjD9Uz75_gA5lphU</recordid><startdate>19970501</startdate><enddate>19970501</enddate><creator>Ray, Brenda J</creator><creator>Metcalf, Sharon C</creator><creator>Franco, Sofia M</creator><creator>Mitchell, Charlene K</creator><general>Am Acad Pediatrics</general><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>19970501</creationdate><title>Infant Sleep Position Instruction and Parental Practice: Comparison of a Private Pediatric Office and an Inner-city Clinic</title><author>Ray, Brenda J ; Metcalf, Sharon C ; Franco, Sofia M ; Mitchell, Charlene K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c392t-45a6426b5731dea191dd9dfa05a3b8ef3cfa505b19b65414dde59b85081d9e063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>African Americans</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Guideline Adherence</topic><topic>Health Education - standards</topic><topic>Humans</topic><topic>Infant</topic><topic>Kentucky</topic><topic>Male</topic><topic>Outpatient Clinics, Hospital - statistics & numerical data</topic><topic>Parents - education</topic><topic>Patient Compliance</topic><topic>Pediatrics</topic><topic>Personnel, Hospital</topic><topic>Private Practice - statistics & numerical data</topic><topic>Risk Factors</topic><topic>Sleep - physiology</topic><topic>Smoking - epidemiology</topic><topic>Socioeconomic Factors</topic><topic>Sudden Infant Death - etiology</topic><topic>Sudden Infant Death - prevention & control</topic><topic>Supine Position</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ray, Brenda J</creatorcontrib><creatorcontrib>Metcalf, Sharon C</creatorcontrib><creatorcontrib>Franco, Sofia M</creatorcontrib><creatorcontrib>Mitchell, Charlene K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ray, Brenda J</au><au>Metcalf, Sharon C</au><au>Franco, Sofia M</au><au>Mitchell, Charlene K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Infant Sleep Position Instruction and Parental Practice: Comparison of a Private Pediatric Office and an Inner-city Clinic</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>1997-05-01</date><risdate>1997</risdate><volume>99</volume><issue>5</issue><spage>e12</spage><epage>e12</epage><pages>e12-e12</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>To determine infant sleep instructions that hospital personnel in our community were giving to parents and actual positions practiced after the April 15, 1992 American Academy of Pediatrics recommendation for nonprone positioning.
Survey of mothers of infants </=4 months of age from November 1993 to March 1994 with follow-up survey of selected birth hospitals.
A private practice (PP) serving predominantly white middle- and upper-income children and a pediatric clinic (CY) serving inner-city predominantly African-American low-income children in Louisville, Kentucky.
Fifty infants from each practice site.
The sleep instructions given and practiced, and other risk factors for sudden infant death syndrome (SIDS).
Nonprone sleeping instructions were received by 72% of the PP and only 48% of the CY parents, with 72% of the PP and 54% of the CY following the nonprone recommendations. Infants were more likely to be in smoking households (60% vs 12%) from the CY practice than the PP practice.
Our study showed that, despite having a higher prevalence of SIDS risk factors, there was a greater delay in discontinuing prone positioning instructions in the hospital serving the CY infants. The evidence suggests that this population is as likely as the PP group to follow medical advice given.</abstract><cop>United States</cop><pub>Am Acad Pediatrics</pub><pmid>9113969</pmid><doi>10.1542/peds.99.5.e12</doi><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0031-4005 |
| ispartof | Pediatrics (Evanston), 1997-05, Vol.99 (5), p.e12-e12 |
| issn | 0031-4005 1098-4275 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult African Americans Female Follow-Up Studies Guideline Adherence Health Education - standards Humans Infant Kentucky Male Outpatient Clinics, Hospital - statistics & numerical data Parents - education Patient Compliance Pediatrics Personnel, Hospital Private Practice - statistics & numerical data Risk Factors Sleep - physiology Smoking - epidemiology Socioeconomic Factors Sudden Infant Death - etiology Sudden Infant Death - prevention & control Supine Position |
| title | Infant Sleep Position Instruction and Parental Practice: Comparison of a Private Pediatric Office and an Inner-city Clinic |
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