Promoting Safe Sleep, Tobacco Cessation and Breastfeeding to Rural Women during the COVID-19 Pandemic (Preprint)

2021 ◽  
Author(s):  
Carolyn R Ahlers-Schmidt ◽  
Christy Schunn ◽  
Ashley M Hervey ◽  
Maria Torres ◽  
Jill Nelson
Keyword(s):  
Rural Women ◽  
Private Insurance ◽  
Second Hand Smoke ◽  
Educational Materials ◽  
Safe Sleep ◽  
Infant Deaths ◽  
Priority Populations ◽  
Virtual Events ◽  
Intention To Breastfeed ◽  
Group Comparisons

BACKGROUND Safe Sleep Community Baby Showers address strategies to prevent sleep-related infant deaths. Due to the COVID-19 pandemic, these events transitioned from in-person to virtual. OBJECTIVE This study seeks to describe the outcomes of transitioning Safe Sleep Community Baby Showers to a virtual format and comparing outcomes to previous in-person events. METHODS Participants from four rural Kansas counties were emailed the pre-survey, provided educational materials (videos, live-stream or digital documents), and completed a post-survey. Those who completed both surveys received a portable crib and wearable blanket. Within group comparisons were assessed between pre- and post-surveys; between group comparisons (virtual vs in-person) were assessed by post-surveys. RESULTS Based on data from 74 virtual and 143 in-person participants, virtual participants were more likely to be married (p<.001), have private insurance (p<.001), and less likely to report tobacco use (p<.001). Both event formats significantly increased knowledge and intentions regarding safe sleep and avoidance of second-hand smoke (all p≤.001). Breastfeeding intentions did not change. Differences were observed between virtual and in-person participants regarding confidence in ability to avoid second-hand smoke (72% vs 84%; p=.031), intention to breastfeed ≥6 months (79% vs 62%; p=.008) and confidence in ability to breastfeed ≥6 months (64% vs 47%; p=.02). CONCLUSIONS While both event formats demonstrated increase knowledge/intentions to follow safe sleep recommendations, virtual events may further marginalize groups who are high risk for poor birth outcomes. Strategies to increase technology access, recruit priority populations and ensure disparities are not enhanced will be critical for implementation of future virtual events.

Qualitative Analysis of Infant Safe Sleep Public Campaign Messaging

2017 ◽  
Vol 19 (2) ◽  
pp. 203-212 ◽  
Author(s):  
Nadine R. Peacock ◽  
Susan Altfeld ◽  
Allison L. Rosenthal ◽  
Caitlin E. Garland ◽  
Jill M. Massino ◽  
...  
Keyword(s):  
Public Education ◽  
Full Range ◽  
Fear Appeals ◽  
Computer Assisted ◽  
Safe Sleep ◽  
Infant Deaths ◽  
Public Education Campaign ◽  
Public Campaign ◽  
Priority Populations ◽  
The Impact

The 1994 Back to Sleep public education campaign resulted in dramatic reductions in sleep-related infant deaths, but comparable progress in recent years has been elusive. We conducted qualitative analyses of recent safe sleep campaigns from 13 U.S. cities. Goals were to (a) determine whether the campaigns reflect the full range of American Academy of Pediatrics (AAP) 2011 safe sleep recommendations, (b) describe tone and framing of the messages (e.g., use of fear appeals), (c) describe targeting/tailoring of messages to priority populations, and (d) ascertain whether the campaigns have been evaluated for reach and/or effectiveness. Methods included computer-assisted analyses of campaign materials and key informant interviews. All campaigns included “ABC” (Alone, Back, Crib) messaging; many ignored other AAP recommendations such as breastfeeding, room-sharing, immunizations, and avoiding smoke exposure. Campaigns frequently targeted priority populations such as African Americans. Fear appeals were used in three quarters of the campaigns, and 60% of the fear-based campaigns used guilt/blame messaging. We did not find published evaluation data for any of the campaigns. More attention is needed in public education campaigns to the full range of AAP recommendations, and evaluations are needed to determine the impact of these interventions on knowledge, behavior, and health outcomes.

An Evidence-Based Infant Safe Sleep Program to Reduce Sudden Unexplained Infant Deaths

2016 ◽  
Vol 116 (11) ◽  
pp. 48-55 ◽  
Author(s):  
Whitney Zachritz ◽  
Megan Fulmer ◽  
Nicole Chaney
Keyword(s):  
Evidence Based ◽  
Safe Sleep ◽  
Infant Deaths ◽  
Infant Safe Sleep

scholarly journals Implementation of Safe Sleep Practices by Mothers with 0-1 Year-Old Infants

2021 ◽  
Vol 10 (2) ◽  
pp. 56-64
Author(s):  
Ilknur Yildiz
Keyword(s):  
Supine Position ◽  
Family Health ◽  
Active Role ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
Safe Sleep ◽  
Infant Deaths ◽  
Chi Squared ◽  
Sleep Environment ◽  
Number Percentage

Aim: The sleep environment of an infant affects the likelihood of sudden infant death syndrome and other sleep-related infant deaths. This study was performed to determine the safe sleep practices of mothers with 0–1 year-old infants. Methods: This descriptive study included 204 mothers with 0–1 year-old infants who visited family health centers between October 30 and December 28, 2018. The data were collected using a questionnaire form and evaluated using the number, percentage, mean, standard deviation, and chi-squared test. Results: The mean age of the mothers was 28.48 ±5.83 years; 43.1% were primary school graduates and 84.8% were housewives; 53.9% of the infants were girls and 39.2% were 0–3 months old. It was found that 47.5% of the mothers put their infant to sleep in the supine position, 46.1% in the non-supine position, 70.1% on a soft bed, and 76.5% by using a pillow. In addition, 41.2% of the mothers stated that they used pacifiers while putting their infant to sleep, 9.8% stated that they slept in the same bed with their infant, and 92.9% stated that they slept in the same room. Conclusion: It was determined that the mothers performed certain risky practices related to the sleep environment, particularly regarding soft beds’ use, sleeping positions, pillow use, and bed-sharing. It may be recommended that healthcare professionals play an active role and take responsibility in increasing the level of knowledge and awareness of parents regarding safe sleep. Keywords: sleep, infant, mothers, family practice

scholarly journals Impact of statewide safe sleep legislation on hospital practices and rates of sudden unexpected infant deaths

2020 ◽  
Vol 7 (S1) ◽  
Author(s):  
Kirsten Bechtel ◽  
Marcie Gawel ◽  
Gregory A. Vincent ◽  
Pina Violano
Keyword(s):  
Safe Sleep ◽  
Infant Deaths ◽  
Hospital Practices

scholarly journals Evaluation of a Multisite Safe Infant Sleep Education and Crib Distribution Program

2021 ◽  
Vol 18 (13) ◽  
pp. 6956
Author(s):  
Trina C. Salm Ward ◽  
Terri J. Miller ◽  
Iman Naim
Keyword(s):  
Research Literature ◽  
The State ◽  
Infant Sleep ◽  
Safe Sleep ◽  
Infant Deaths ◽  
Cohort Design ◽  
Final Sample ◽  
Post Test ◽  
Sleep Location

Rates of sleep-related infant deaths have plateaued in the past few decades despite ongoing infant sleep practice recommendations to reduce risk of sleep-related infant deaths by the American Academy of Pediatrics. The state department of public health trained facilitators at 28 sites across the state to facilitate a group safe sleep educational program. A prospective, matched pre- and post-test cohort design with follow-up was used to evaluate changes in self-reported knowledge, intentions, and practices. The final sample included 615 matched pre- and post-test surveys, and 66 matched follow-up surveys. The proportion of correct responses on all knowledge and intended practice items increased significantly from pre- to post-test. When asked where their babies would have slept if they had not received the portable crib, 66.1% of participants planned to use a recommended sleep location (e.g., crib or bassinet). At post-test, 62.3% planned to change something about their infant’s sleep based on what they learned. At follow-up, knowledge was maintained for all but two items and practices and for half of practice items. The results suggest that participating in the education program was associated with increased knowledge and intended adherence, but that these changes were not maintained at follow-up. These results are in line with the research literature that finds a difference in intentions and actual practices after the baby is born.

scholarly journals CHILDREN MORTALITY AND FAMILY PATTERNS;

2008 ◽  
Vol 15 (02) ◽  
pp. 225-228
Author(s):  
MUGHEES ANJUM ◽  
USMAN RASOOL LODH LODHI
Keyword(s):  
Rural Women ◽  
Family Formation ◽  
Large Family ◽  
Childhood Mortality ◽  
Early Marriage ◽  
Child Loss ◽  
Cross Sectional ◽  
Infant Deaths ◽  
Family Patterns ◽  
Formation Pattern

. Introduction: Some of the mother’s risk factors associated with the infant and childhood death wereinvestigated in Bahawalpur. Objective: To have the knowledge of childhood mortality and family formation pattern inBahawalpur. Design: Cross sectional descriptive epidemiological study. Setting: Quaid-e-Azam Medical CollegeBahawalpur. Period: From January to May 2007. Material & Methods: 320 urban women were interviewed forpregnancy histories and their attitude towards family formation were sought. Results: Early marriage, low educationlevel, and high parity were associated with infant deaths. Thirty-seven percent of urban families and 28.5% of ruralfamilies had lost one or more children, usually all in infancy. Generally half of the deaths were caused by infectiousdiseases. Most women preferred a large family and majority of those who had lost children had replaced them. Nodifference were found between urban and rural women regarding attitudes towards child loss and family formationpatterns. Conclusions: Preventive measures should be adopted to control infectious diseases to reduce childrenmortality.

scholarly journals Edukasi Pentingnya Bakteri Asam Laktat (BAL) Terhadap Kesehatan Saluran Cerna Bayi

2021 ◽  
Vol 3 (3) ◽  
pp. 341
Author(s):  
Suci Rahmani Nurita ◽  
Tuhu Perwitasari
Keyword(s):  
Lactic Acid ◽  
Gastrointestinal Tract ◽  
Lactic Acid Bacteria ◽  
Further Education ◽  
Infant Mortality Rate ◽  
Educational Materials ◽  
Infant Deaths ◽  
Educational Videos ◽  
Postpartum Mothers ◽  
The Relationship

Infant Mortality Rate is one indicator that determines health status. Every year there are 3 million infant deaths in the world, 80% of which occur in the first 6 days of life, with pneumonia and diarrhea still being the main causes of death. Based on Nurita's research (2019) on postpartum mothers and newborns, which aims to determine the relationship between the frequency of giving colostrum and birth mode with the number of Lactic Acid Bacteria (LAB) colonies in the neonatal gastrointestinal tract. The results of the study found that the number of LAB colonies in babies born vaginally and C-Section was not much different, but the number of LAB colonies would increase in number if breast milk was often given. The education carried out targets an increase in the knowledge of educational participants with the outputs in the form of informative leaflets, educational video, educational X-Banners, activity reports and journal publications. Community service activities begin with licensing arrangements, time contracts, preparation of educational tools and materials, visits to Independent Midwives Practice (PMB, explanations of educational materials, discussions and questions-answers, showing educational videos, and handing over Educational X-Banners. It can be concluded that educational participants are still unfamiliar with lactic acid bacteria (LAB) and their role in the health of the baby's gastrointestinal tract, so further education is needed

Whose reproductive futures? Race-biopolitics and resistance in the Black infant mortality reduction campaigns in Milwaukee

2016 ◽  
Vol 35 (2) ◽  
pp. 299-318
Author(s):  
Kristin M Sziarto
Keyword(s):  
Infant Mortality ◽  
Population Data ◽  
Health Department ◽  
Infant Mortality Rate ◽  
Black Parents ◽  
Mortality Reduction ◽  
Safe Sleep ◽  
Infant Deaths ◽  
The City ◽  
Black Infant

This paper contributes to Foucauldian population geographies by examining an infant mortality reduction campaign in Milwaukee. The infant mortality rate for Milwaukee’s Black community is about three times that for whites and higher than rates for other racialized groups. This paper asks how Milwaukee’s public health interventions came to focus on sleep deaths, when population data show that preterm birth and congenital abnormalities are the leading causes of all infant deaths in the city, and the greatest contributor to the racial gap. The City of Milwaukee Health Department and partners drew on contradictory biopolitical logics and practices: On one hand, they located the problem of the “gap” in particular segregated neighborhoods-in-crisis, and on the other hand, they used an ostensibly “race-blind” strategy of promoting safe sleep environments. These spatializations together shifted blame for the crisis onto “failing” parents, especially Black parents. Tracing instances of resistance through the development and implementation of the campaign suggests possibilities for an anti-racist biopolitics.

scholarly journals An Integrated Analysis of Maternal-Infant Sleep, Breastfeeding, and Sudden Infant Death Syndrome Research Supporting a Balanced Discourse

2019 ◽  
Vol 35 (3) ◽  
pp. 510-520 ◽  
Author(s):  
Kathleen A. Marinelli ◽  
Helen L. Ball ◽  
James J. McKenna ◽  
Peter S. Blair
Keyword(s):  
Sudden Infant Death ◽  
Research Literature ◽  
Integrated Analysis ◽  
Sudden Infant ◽  
Infant Sleep ◽  
Policy And Practice ◽  
Safe Sleep ◽  
Infant Deaths ◽  
Bed Sharing ◽  
Parental Alcohol

Breastfeeding and the place of sleep for the mother and the infant have been controversial internationally due to reported concerns regarding infant deaths despite the known benefits of exclusive and prolonged breastfeeding, which are increased by breastfeeding at night. The aims of this integrated analysis were to (a) review breastfeeding and maternal and infant sleep research literature via historical, epidemiological, anthropological, and methodological lenses; (b) use this information to determine where we are currently in safeguarding both infant lives and breastfeeding; and (c) postulate the direction that research might take from this point forward to improve our knowledge and inform our policy and practice. Despite well-meaning but unsuccessful campaigns in some countries to dissuade parents from sleeping with their babies, many breastfeeding mothers and caregivers do sleep with their infants whether intentionally or unintentionally. Taking cultural contexts and socio-ecological circumstances into consideration, data supports policies to counsel parents and caregivers on safe sleep practices, including bed-sharing in non-hazardous circumstances, particularly in the absence of parental smoking, recent parental alcohol consumption, or sleeping next to an adult on a sofa. Further research with appropriate methodology is needed to drill down on actual rates of infant deaths, paying close attention to the definitions of deaths, the circumstances of the deaths, and confounding factors, in order to ensure we have the best information with which to derive public health policy. Introduction and use of the concept of “breastsleeping” is a plausible way to remove the negative connotations of “co-sleeping” and redirect ongoing data-driven discussions and education of best practices of breastfeeding and sleep.

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