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Bebeklerde Uyku Güvenliğinin Değerlendirilmesi: Bir Pilot Çalışmanın Ön Sonuçları

Year 2018, Volume: 18 Issue: 3, 135 - 139, 01.10.2018

Gülbin Gökçay Öykü Özbörü Aşkan Gonca Keskindemirci Ayşe Kılıç

https://doi.org/10.5222/j.child.2018.63307

Abstract

Amaç: Çalışmamızda, polikliniğimize başvuran çocukların uyku alışkanlıklarını ve ailelerin güvenli uyku ve risk oluşturacak faktörleri hakkındaki bilgi düzeyini değerlendirmeyi amaçladık. Gereç ve Yöntem: Çalışmamız, Ağustos 2016-Ekim 2016 tarihleri arasında İstanbul Üniversitesi İstanbul Tıp Fakültesi Çocuk Sağlığı İzlem Polikliniği ve Genel Pediatri Polikliniğine rutin izlem veya genel muayene için başvuran yaşları 6-59 ay olan çocuklar ve ebeveynleri ile gerçekleştirildi. Ailelere uyku alışkanlıklarını değerlendiren anket hazırlanarak yüz yüze ortamda soruldu. Anne ve baba boy, kiloları ölçüldü, vücut kitle indeksleri hesaplandı.Bulgular: Çocukların yaş ortalaması 30.0±18.1 ay idi. İlk 6 ay yalnızca anne sütü ile beslenme oranı %67.4 n=139 idi. Değerlendirme sonunda oda paylaşımı %88.3 n=182 , sırtüstü yatış pozisyonu oranı ise %27.6 n=57 olarak bulundu. Aynı yatağı paylaşan ebeveynlerde sigara içme oranının ise %60.7 olduğu görüldü. Sonuç: Çalışmamız, doğum sonrasında emzirme danışmanlığı verilirken güvenli uyku alışkanlığı konusunda ayrıntılı bilgilendirme yapılması gerekliliğini ortaya koymuştur

Keywords

ABÖS güvenli uyku uyku çevresi

References

  • Willinger M, James LS, Catz C. Defining the sudden infant death syndrome (SIDS): deliberations of an expert panel convened by the National Institute of Child Health and Human Development. Pediatr Pathol. 1991;11(5):677-84.
  • https://doi.org/10.3109/15513819109065465
  • Centers for Disease Control and Prevention. Sudden unexpected infant death and sudden infant death syndrome. https://www.cdc.gov/sids/index.htm. Son erişim tarihi: 20.12.2018.
  • AAP Task Force On Sudden Infant Death Syndrome. SIDS and Other Sleep Related Infant Deaths: Updated 2016 recommendations for a safe infant sleeping envi- ronment. Pediatrics 2016;138(5):1-12.
  • Peacock NR, Altfeld S, Rosenthal AL, Garland CE, Massino JM, Smith SL, et al. Qualitative analysis of infant safe sleep public campaign messaging. Health Promotion Practice 2017;19(2):203-12.
  • https://doi.org/10.1177/1524839917690339
  • Bartick M, Smith LJ. Speaking out on safe sleep: Evidence-based infant sleep recommendations. Breastfeeding Medicine 2014;9(9):417-22.
  • https://doi.org/10.1089/bfm.2014.0113
  • World Health Organisation. Global strategy for ınfant and young children feeding: The optimal duration of exclusive breast feeding. Fifty-Fourth World Health Assembly. Document A54 /INF.DOC./4. 1 May 2001. Erişim: http://apps.who.int/gb/archive/pdf_files/wha54/ ea54id4.pdf
  • McKenna JJ, Mosko SS, Richard CA. Bedsharing pro- motes breastfeeding. Pediatrics 1997;100:214-9.
  • https://doi.org/10.1542/peds.100.2.214
  • Ball HL. The atlantic divide: Contrasting U.K. and U.S. recommendations on cosleeping and bed-sharing. J Hum Lact. 2017;33(4):765-9.
  • https://doi.org/10.1177/0890334417713943
  • Kural B, Gökçay G. Co-sleeping of mother-infant dyad and breastfeeding. J Ist Faculty Med. 2018;81(2):62-6.
  • Escott A, Elder DE, Zuccollo JM. Sudden unexpected infant death and bed sharing: referrals to the Wellington Coroner 1997-2006. NZ Med J. 2009;122:59-68.
  • AAP Task Force on Sudden Infant Death Syndrome. “The changing concept of sudden infant death syndro- me: diagnostic coding shifts, controversies regarding the sleeping environment, and new variables to consi- der in reducing risk”. Pediatrics 2005;116:1245-55.
  • https://doi.org/10.1542/peds.2005-1499
  • Waters KA, Gonzalez A, Jean C, Morielle A, Brouillette RT. Face-straight-down and face-near-straight-down positions in healthy, prone-sleeping infants. J Pediatr. 1996;128:616-25.
  • https://doi.org/10.1016/S0022-3476(96)80125-9
  • Willinger M, Hoffman HJ, Wu KT, Hou JR, Kessler RC, Ward SL, Keens TG, et al. Factors associated with the transition to nonprone sleep positions of infants in the United States: the National Infant Sleep Position Study. JAMA 1998;280:329-35.
  • https://doi.org/10.1001/jama.280.4.329
  • McKenna JJ, McDade T. Why babies should never sleep alone: a review of the co-sleeping controversy in relation to SIDS, bedsharing and breast feeding. Paediatr Respir Rev. 2005;6:134-52.
  • https://doi.org/10.1016/j.prrv.2005.03.006
  • McKenna JJ. Safe cosleeping guidelines. Erişim: http:// cosleeping. nd.edu/safe-co-sleeping-guidelines/. Son erişim tarihi: 20.12.2018.
  • Moon RY. SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant slee- ping environment. Pediatrics. 2011;128:1341-67.
  • https://doi.org/10.1542/peds.2011-2285
  • Kendall-Tackett K, Cong Z, Hale T. Mother-infant sleep locations and nighttime feeding behavior: U.S. data from the survey of mothers’ sleep and fatigue. Clin Lact. 2010;1:27-31.
  • https://doi.org/10.1891/215805310807011837
  • Moon RY and AAP Task Force on Sudden Infant Death Syndrome. SIDS and Other Sleep-Related Infant Deaths: Evidence Base for 2016 Updated Recommen- dations for a Safe Infant Sleeping Environment. Pediatrics. 2016;138(5):e20162940
  • https://doi.org/10.1542/peds.2016-2940
  • United Kingdom National Institute for Health and Care Excellence, Addendum to Clinical Gideline 37, Postnatal Care, December 2014. Erişim: https://www. nice.org.uk/guidance/cg37/evidence/cg37-postnatal- care-full-guideline-addendum2. Son Erişim tarihi: 20.12.2018.
  • The Academy of Breastfeeding Medicine Protocol Committee. ABM Clinical Protocol #6: Guideline on Co-Sleeping and Breastfeeding Revision, March 2008. Breastfeed Medicine 2008;3:38-43.
  • Protecting, Promoting and Supporting Breast-feeding: The special role of maternity services. World Health Organization. Erişim: https://www.who.int/nutrition/ publications/infantfeeding/9241561300/en/. Son erişim tarihi. 7.1.2019.

Bebeklerde Uyku Güvenliğinin Değerlendirilmesi: Bir Pilot Çalışmanın Ön Sonuçları

Year 2018, Volume: 18 Issue: 3, 135 - 139, 01.10.2018

Gülbin Gökçay Öykü Özbörü Aşkan Gonca Keskindemirci Ayşe Kılıç

https://doi.org/10.5222/j.child.2018.63307

Abstract

Objective: The aim of the study was to evaluate the safe sleeping habits of the children, knowledge level of parents about safe sleep and related risk factors. Material and Method: The study carried out in Istanbul University Istanbul Medical Faculty Hospital, Well Child Clinic and General Pediatric Clinic, between September and November 2016. The population of the study consisted of the children between 6-59 months of age and their parents, The survey questions about sleeping habits were asked to the parents during a face-to-face interview. The weight and height of parents were measured and body mass indexes were also calculated.Results: The mean age of the children was 30.0±18.1 months. For the first 6 months 67.4% n=139 of the babies were breastfed for the first 6 months of their lives was n=139 . At the end of the evaluations it was found that 88.3% n=18 of the parents shared their rooms with their children, and 27.6% n=57 of the children slept in supine position. More than half of the parents 60.7% who shared their beds with their children smoked.Conclusion: Our study revealed the need to provide detailed information about safe sleep habits when providing breastfeeding counseling after birth

Keywords

SIDS safe sleep sleep environment

References

  • Willinger M, James LS, Catz C. Defining the sudden infant death syndrome (SIDS): deliberations of an expert panel convened by the National Institute of Child Health and Human Development. Pediatr Pathol. 1991;11(5):677-84.
  • https://doi.org/10.3109/15513819109065465
  • Centers for Disease Control and Prevention. Sudden unexpected infant death and sudden infant death syndrome. https://www.cdc.gov/sids/index.htm. Son erişim tarihi: 20.12.2018.
  • AAP Task Force On Sudden Infant Death Syndrome. SIDS and Other Sleep Related Infant Deaths: Updated 2016 recommendations for a safe infant sleeping envi- ronment. Pediatrics 2016;138(5):1-12.
  • Peacock NR, Altfeld S, Rosenthal AL, Garland CE, Massino JM, Smith SL, et al. Qualitative analysis of infant safe sleep public campaign messaging. Health Promotion Practice 2017;19(2):203-12.
  • https://doi.org/10.1177/1524839917690339
  • Bartick M, Smith LJ. Speaking out on safe sleep: Evidence-based infant sleep recommendations. Breastfeeding Medicine 2014;9(9):417-22.
  • https://doi.org/10.1089/bfm.2014.0113
  • World Health Organisation. Global strategy for ınfant and young children feeding: The optimal duration of exclusive breast feeding. Fifty-Fourth World Health Assembly. Document A54 /INF.DOC./4. 1 May 2001. Erişim: http://apps.who.int/gb/archive/pdf_files/wha54/ ea54id4.pdf
  • McKenna JJ, Mosko SS, Richard CA. Bedsharing pro- motes breastfeeding. Pediatrics 1997;100:214-9.
  • https://doi.org/10.1542/peds.100.2.214
  • Ball HL. The atlantic divide: Contrasting U.K. and U.S. recommendations on cosleeping and bed-sharing. J Hum Lact. 2017;33(4):765-9.
  • https://doi.org/10.1177/0890334417713943
  • Kural B, Gökçay G. Co-sleeping of mother-infant dyad and breastfeeding. J Ist Faculty Med. 2018;81(2):62-6.
  • Escott A, Elder DE, Zuccollo JM. Sudden unexpected infant death and bed sharing: referrals to the Wellington Coroner 1997-2006. NZ Med J. 2009;122:59-68.
  • AAP Task Force on Sudden Infant Death Syndrome. “The changing concept of sudden infant death syndro- me: diagnostic coding shifts, controversies regarding the sleeping environment, and new variables to consi- der in reducing risk”. Pediatrics 2005;116:1245-55.
  • https://doi.org/10.1542/peds.2005-1499
  • Waters KA, Gonzalez A, Jean C, Morielle A, Brouillette RT. Face-straight-down and face-near-straight-down positions in healthy, prone-sleeping infants. J Pediatr. 1996;128:616-25.
  • https://doi.org/10.1016/S0022-3476(96)80125-9
  • Willinger M, Hoffman HJ, Wu KT, Hou JR, Kessler RC, Ward SL, Keens TG, et al. Factors associated with the transition to nonprone sleep positions of infants in the United States: the National Infant Sleep Position Study. JAMA 1998;280:329-35.
  • https://doi.org/10.1001/jama.280.4.329
  • McKenna JJ, McDade T. Why babies should never sleep alone: a review of the co-sleeping controversy in relation to SIDS, bedsharing and breast feeding. Paediatr Respir Rev. 2005;6:134-52.
  • https://doi.org/10.1016/j.prrv.2005.03.006
  • McKenna JJ. Safe cosleeping guidelines. Erişim: http:// cosleeping. nd.edu/safe-co-sleeping-guidelines/. Son erişim tarihi: 20.12.2018.
  • Moon RY. SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant slee- ping environment. Pediatrics. 2011;128:1341-67.
  • https://doi.org/10.1542/peds.2011-2285
  • Kendall-Tackett K, Cong Z, Hale T. Mother-infant sleep locations and nighttime feeding behavior: U.S. data from the survey of mothers’ sleep and fatigue. Clin Lact. 2010;1:27-31.
  • https://doi.org/10.1891/215805310807011837
  • Moon RY and AAP Task Force on Sudden Infant Death Syndrome. SIDS and Other Sleep-Related Infant Deaths: Evidence Base for 2016 Updated Recommen- dations for a Safe Infant Sleeping Environment. Pediatrics. 2016;138(5):e20162940
  • https://doi.org/10.1542/peds.2016-2940
  • United Kingdom National Institute for Health and Care Excellence, Addendum to Clinical Gideline 37, Postnatal Care, December 2014. Erişim: https://www. nice.org.uk/guidance/cg37/evidence/cg37-postnatal- care-full-guideline-addendum2. Son Erişim tarihi: 20.12.2018.
  • The Academy of Breastfeeding Medicine Protocol Committee. ABM Clinical Protocol #6: Guideline on Co-Sleeping and Breastfeeding Revision, March 2008. Breastfeed Medicine 2008;3:38-43.
  • Protecting, Promoting and Supporting Breast-feeding: The special role of maternity services. World Health Organization. Erişim: https://www.who.int/nutrition/ publications/infantfeeding/9241561300/en/. Son erişim tarihi. 7.1.2019.
There are 33 citations in total.

Details

Primary Language Turkish
Journal Section Research Articles
Authors

Gülbin Gökçay This is me

Öykü Özbörü Aşkan This is me

Gonca Keskindemirci This is me

Ayşe Kılıç This is me

Publication Date October 1, 2018
Published in Issue Year 2018 Volume: 18 Issue: 3

Cite

APA Gökçay, G., Özbörü Aşkan, Ö., Keskindemirci, G., Kılıç, A. (2018). Bebeklerde Uyku Güvenliğinin Değerlendirilmesi: Bir Pilot Çalışmanın Ön Sonuçları. Çocuk Dergisi, 18(3), 135-139. https://doi.org/10.5222/j.child.2018.63307
AMA Gökçay G, Özbörü Aşkan Ö, Keskindemirci G, Kılıç A. Bebeklerde Uyku Güvenliğinin Değerlendirilmesi: Bir Pilot Çalışmanın Ön Sonuçları. Çocuk Dergisi. October 2018;18(3):135-139. doi:10.5222/j.child.2018.63307
Chicago Gökçay, Gülbin, Öykü Özbörü Aşkan, Gonca Keskindemirci, and Ayşe Kılıç. “Bebeklerde Uyku Güvenliğinin Değerlendirilmesi: Bir Pilot Çalışmanın Ön Sonuçları”. Çocuk Dergisi 18, no. 3 (October 2018): 135-39. https://doi.org/10.5222/j.child.2018.63307.
EndNote Gökçay G, Özbörü Aşkan Ö, Keskindemirci G, Kılıç A (October 1, 2018) Bebeklerde Uyku Güvenliğinin Değerlendirilmesi: Bir Pilot Çalışmanın Ön Sonuçları. Çocuk Dergisi 18 3 135–139.
IEEE G. Gökçay, Ö. Özbörü Aşkan, G. Keskindemirci, and A. Kılıç, “Bebeklerde Uyku Güvenliğinin Değerlendirilmesi: Bir Pilot Çalışmanın Ön Sonuçları”, Çocuk Dergisi, vol. 18, no. 3, pp. 135–139, 2018, doi: 10.5222/j.child.2018.63307.
ISNAD Gökçay, Gülbin et al. “Bebeklerde Uyku Güvenliğinin Değerlendirilmesi: Bir Pilot Çalışmanın Ön Sonuçları”. Çocuk Dergisi 18/3 (October 2018), 135-139. https://doi.org/10.5222/j.child.2018.63307.
JAMA Gökçay G, Özbörü Aşkan Ö, Keskindemirci G, Kılıç A. Bebeklerde Uyku Güvenliğinin Değerlendirilmesi: Bir Pilot Çalışmanın Ön Sonuçları. Çocuk Dergisi. 2018;18:135–139.
MLA Gökçay, Gülbin et al. “Bebeklerde Uyku Güvenliğinin Değerlendirilmesi: Bir Pilot Çalışmanın Ön Sonuçları”. Çocuk Dergisi, vol. 18, no. 3, 2018, pp. 135-9, doi:10.5222/j.child.2018.63307.
Vancouver Gökçay G, Özbörü Aşkan Ö, Keskindemirci G, Kılıç A. Bebeklerde Uyku Güvenliğinin Değerlendirilmesi: Bir Pilot Çalışmanın Ön Sonuçları. Çocuk Dergisi. 2018;18(3):135-9.