预防婴儿猝死综合症，母婴同室不同床

时间 : 2009-11-26 14:57:09 来源：www.91sqs.com

[摘要]

Nearly half of mothers participating in the Women, Infants and Children (WIC) program are following recommendations on sleeping arrangements for their

NearlyhalfofmothersparticipatingintheWomen,InfantsandChildren（WIC）programarefollowingrecommendationsonsleepingarrangementsfortheirbabies.However,almostonethirdreportsharingabedwiththeirinfant,aknownriskfactorforsuddeninfantdeathsyndrome（SIDS）,newresearchpublishedintheJournalofPediatricsshows.

NotingthattheAmericanAcademyofPediatricsrecommendshavingbabiessleepintheirowncribintheparents'room,Dr.LindaY.Fusaid,"Wewouldhighlyrecommendthatparentsfollowtherecommendationsandroomsharewithoutbedsharing."Dr.Fu,attheChildren'sNationalMedicalCenterinWashington,DC,isoneoftheresearchersonthestudy.

Since1992,whentheAAPfirststatedthatinfantsshouldbeplacedontheirbackstosleep,theoccurrenceofSIDShasfallenbyhalf,Fuandhercolleaguesnoteintheirreport.However,rateshaveplateauedoverthepastfiveyears,raisingconcernsaboutotherSIDSriskfactors,includingbed-sharing,theresearchersadd.

TheAAPrecommendedin2005thatbabiesfrombirthtoageonesleepinthesameroomastheirparents,tomakeiteasierformothersandfatherstomonitorthechild,butshouldnotshareabed.

Toinvestigatefactorsinvolvedinhowparentschooseasleepingplacefortheirinfants,theresearcherslookedat708mothersofbabiesuptoeightmonthsoldwhoweregettingnutritionalassistancefromWIC,afederalprogramtohelplow-incomefamilies.

Theresearchersfoundthat48.6percentofmothersreportedsharingaroom,butnotabed,withtheirinfants;32.5percentsharedabedwiththeirchild;and18.9percenthadthebabysleepinhisorherownroom.

Teenagemothersweremorelikelytobed-share,aswerelesseducatedmothers.African-Americanmothersalsobed-sharedmorefrequentlythanwomenfromotherethnicities.BothAfrican-AmericanethnicityandteenmotherhoodareinthemselvesSIDSriskfactors,theauthorsnote,"likelyrenderinginfantswiththesecharacteristicsathighriskforSIDS."

Thereasonwhybed-sharingisrelatedtoSIDSisn'tyetclear,Funoted."Itmaynotbebedsharingitselfbutsomeoftheaccompanyingfactorswhenpeoplebed-share,"shetoldReutersHealth,forexamplesleepingonsoftsurfacesorusingmultipleblankets.

Somefamiliesmaynothavetheresourcestobuyacriborbassinetfortheirbabies,Fuandherteamnoted,andseveralcities,includingWashington,DC,nowrunfreecribdistributionprogramstohelpthesefamilies.

SOURCE:JournalofPediatrics,October2008.

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