The Education of Parents on Proper Bedsharing Techniques for Reduction of the Risk of SIDS

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Date

2013-01-13

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Indiana University South Bend

Abstract

Evidence based practice (EBP) is a problem-solving approach to delivering quality healthcare. Integration of best evidence from well-designed studies, patient care data and research combined with clinical expertise and patient values can improve the quality of care as well as patient outcomes. EBP begins with an inquiry that is either problem focused or knowledge focused. The PICOT question formulated focuses on the etiology of SIDS (Sudden Infant Death Syndrome) and asks “Are babies who properly bedshare at greater risk for sudden infant death syndrome (SIDS) than those who do not?” The controversy over this debate is both delicate and multifaceted, making this a difficult topic to research and discuss. It requires an understanding of correct terminology, basic biologic necessities and cultural appreciation. The problem posed from my PICOT question stems from the concern that providers are not accurately assessing babies sleep habits and therefore not accurately providing important and essential education in order to promote a healthy sleep environment. Bedsharing is an important component from a biological standpoint. However the fear of SIDS and the recommendations regarding safe sleep from the AAP have had a damaging impact on proper bedsharing practices. Science has already determined that breastfeeding is protective against SIDS. Bottle fed babies are twice as likely to die of SIDS compared with breastfed babies. The “collective wisdom” surrounding this controversial topic remains conflicted due to the current AAP recommendations, however, best evidence illustrates that proper bedsharing is not a risk factor for SIDS, and may potentially decrease the risk of SIDS. Proper bedsharing promotes maternal/infant bonding which can lay a solid foundation for a healthy child. Educating parents on proper bedsharing in order to create a safe sleep environment and reducing the risk of SIDS without sacrificing maternal/child bonding must be executed and may be potentially lifesaving.

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Evidence-based medicine, Evidence-based nursing, Evidence-based pediatrics, Sudden infant death syndrome -- Prevention, Infants -- Sleep

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Presentation