Survey of sleeping position recommendations for prematurely
born infants on neonatal intensive care unit discharge
Ravindra Y. Bhat1, Jaana A. Leipälä1,
Gerrard F. Rafferty1, Simon Hannam1 and Anne Greenough1
(1)
Children Nationwide Regional Neonatal
Intensive Care Centre, Department of Child Health, King's College
Hospital, London, SE5 9RS, UK
Abstract Prematurely born infants
are at increased risk of sudden infant death syndrome, particularly if
slept prone. Yet, some prematurely born infants are slept prone despite
the high risk age for sudden infant death syndrome and this may reflect
the advice given by neonatal unit staff. The aim of this study was to
determine neonatal units' recommendations regarding sleeping positions for
premature infants prior to and after discharge. A questionnaire survey was
sent to all 224 neonatal units in the United Kingdom, of which 81%
responded. Analysis of their responses demonstrated that 43% of units
started to sleep infants supine 1 to 2 weeks prior to discharge, but
oxygen-dependent infants were slept non-supine until an older age.
Non-supine sleeping was recommended by 40% of units for infants with
Pierre Robin syndrome or gastro-oesophageal reflux. All units advised
supine sleeping at discharge, but 29% additionally recommended side
sleeping and only 58% positively discouraged prone sleeping. Written
information was given to parents by 70% of the units, but few provided
information which was specifically about prematurely born infants.
Conclusion: The worrying lack of consistency in recommending non-prone
sleeping emphasises that evidence-based guidelines for the sleeping
position of convalescent prematurely born infants are required.
Keywords Prematurity - Sudden
infant death syndrome
DISCLAIMER: All
information, data, and material contained, presented, or provided here is for
general information purposes only and is not to be construed as reflecting the
knowledge or opinions of the publisher, and is not to be construed or intended
as providing medical or legal advice. The decision whether or not to vaccinate
is an important and complex issue and should be made by you, and you alone, in
consultation with your health care provider.