Document Detail

Does the supine sleeping position have any adverse effects on the child? I. Health in the first six months. The ALSPAC Study Team.
MedLine Citation:
PMID:  9200385     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess whether the recommendations that infants sleep supine could have adverse health consequences. DESIGN: A prospective study of infants, delivered before, during, and after the Back to Sleep Campaign in the United Kingdom (UK), followed to 6 months of age. The children were part of the Avon Longitudinal Study of Pregnancy and Childhood (ALSPAC). Subjects. Singletons born to mothers resident in the three former Bristol-based health districts of Avon in the period June 1991 to December 1992, and for whom questionnaires were completed on sleeping position at 4 to 6 weeks of age (n = 9777); for these infants 8524 questionnaires were also completed at 6 to 8 months of age. MAIN OUTCOME MEASURES: Subjective measures of health, the presence of specific signs and symptoms, duration of sleep at night, and calling the family doctor to the home. RESULTS: Of 43 outcomes considered, after adjustment for 12 factors using logistic regression only 2 were associated with raised risk among infants put to sleep on their back (diaper rash and cradle cap). Infants put to sleep prone had increased risk of a number of health outcomes, including cough and possibly pyrexia. CONCLUSIONS: There is no evidence that putting infants to sleep in the supine position results in increased morbidity, although changes in prevalence of rare disorders would not have been identified.
L Hunt; P Fleming; J Golding
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Pediatrics     Volume:  100     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  1997 Jul 
Date Detail:
Created Date:  1998-09-11     Completed Date:  1998-09-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  E11     Citation Subset:  IM    
Institute of Child Health, University of Bristol, Bristol, England.
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MeSH Terms
Breast Feeding
Colic / diagnosis,  epidemiology
Confidence Intervals
Dermatitis / diagnosis,  epidemiology
Earache / diagnosis,  epidemiology
Educational Status
Gastrointestinal Diseases / diagnosis,  epidemiology
Health Status Indicators*
Infant, Newborn
Longitudinal Studies
Prospective Studies
Respiration / physiology
Respiratory Tract Infections / diagnosis,  epidemiology
Risk Assessment
Sex Characteristics
Sleep / physiology*
Socioeconomic Factors
Supine Position / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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