@article{ref1,
title="Infant suffocation incidents related to co-sleeping or breastfeeding in the side-lying position in Japan",
journal="Tohoku journal of experimental medicine",
year="2018",
author="Tokutake, Chitaru and Haga, Akiko and Sakaguchi, Kesami and Samejima, Atsuko and Yoneyama, Miki and Yokokawa, Yoshiharu and Ohira, Masayoshi and Ichikawa, Motoki and Kanai, Makoto",
volume="246",
number="2",
pages="121-130",
abstract="Co-sleeping and breastfeeding in the side-lying position have recently been pointed out as risk factors for suffocation in sleeping infants; however, there is no actual report on an &quot;incident.&quot; &quot;Incident&quot; is defined as a tense or sobering experience without a consequential fatal suffocation accident. It is important to understand infant suffocation incidents to prevent accidents during co-sleeping and breastfeeding in the side-lying position. We investigated factors and frequency of infant suffocation incidents associated with co-sleeping and breastfeeding in the side-lying position using a self-administered questionnaire survey of 895 mothers during their infant's 1-, 4-, or 10-month health checkups. Co-sleeping and breastfeeding in the side-lying position were practiced by 28.3% and 56.0% of mothers, respectively; thus, 84.3% of the mothers surveyed were practicing either co-sleeping or breastfeeding in the side-lying position. Of those who received guidance from a medical professional, 36.1% practiced only co-sleeping while 60.1% practiced only side-lying breastfeeding. In the co-sleeping group, 10.6% had faced infant suffocation incidents, while 13.2% in the breastfeeding in the side-lying position group had faced similar incidents. Regarding factors associated with suffocation incidents while co-sleeping, the frequency of occurrence was significantly more in mothers of 1-month and 4-month-old infants compared with those of 10-month-old infants. Of mothers who faced suffocation incidents while breastfeeding in the side-lying position, 45% also had faced similar incidents while co-sleeping. These results demonstrate the importance of thoroughly educating mothers about the risks associated with co-sleeping and breastfeeding in the side-lying position for preventing infant suffocation.<p /> <p>Language: en</p>",
language="en",
issn="0040-8727",
doi="10.1620/tjem.246.121",
url="http://dx.doi.org/10.1620/tjem.246.121"
}