TY - JOUR PY - 2018// TI - Infant suffocation incidents related to co-sleeping or breastfeeding in the side-lying position in Japan JO - Tohoku journal of experimental medicine A1 - Tokutake, Chitaru A1 - Haga, Akiko A1 - Sakaguchi, Kesami A1 - Samejima, Atsuko A1 - Yoneyama, Miki A1 - Yokokawa, Yoshiharu A1 - Ohira, Masayoshi A1 - Ichikawa, Motoki A1 - Kanai, Makoto SP - 121 EP - 130 VL - 246 IS - 2 N2 - 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 "incident." "Incident" 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.

Language: en

LA - en SN - 0040-8727 UR - http://dx.doi.org/10.1620/tjem.246.121 ID - ref1 ER -