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Using a pacifier to decrease sudden infant death syndrome: an emergency department educational intervention
Background. Pacifier use decreases the risk of sudden infant death syndrome (SIDS). An emergency department (ED) visit may provide an opportunistic ‘teachable moment’ for parents. Objectives. To test the hypotheses (1) that caregivers were less familiar with the role of pacifiers in sudden infant de...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PeerJ Inc.
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961164/ https://www.ncbi.nlm.nih.gov/pubmed/24688883 http://dx.doi.org/10.7717/peerj.309 |
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author | Walsh, Paul Vieth, Teri Rodriguez, Carolina Lona, Nicole Molina, Rogelio Habebo, Emnet Caldera, Enrique Garcia, Cynthia Veazey, Gregory |
author_facet | Walsh, Paul Vieth, Teri Rodriguez, Carolina Lona, Nicole Molina, Rogelio Habebo, Emnet Caldera, Enrique Garcia, Cynthia Veazey, Gregory |
author_sort | Walsh, Paul |
collection | PubMed |
description | Background. Pacifier use decreases the risk of sudden infant death syndrome (SIDS). An emergency department (ED) visit may provide an opportunistic ‘teachable moment’ for parents. Objectives. To test the hypotheses (1) that caregivers were less familiar with the role of pacifiers in sudden infant death (SIDS) prevention than other recommendations, and (2) that an ED educational intervention would increase pacifier use in infants younger than six months, and (3) that otitis media would not occur more frequently in pacifier users. Methods. We did an intervention-group-only longitudinal study in a county hospital ED. We measured pacifier use infants and baseline knowledge of SIDs prevention recommendations in caregivers. We followed up three months later to determine pacifier use, and 12 months later to determine episodes of otitis media. Results. We analyzed data for 780 infants. Parents knew of advice against co-sleeping in 469/780 (60%), smoking in 660/776 (85%), and prone sleeping in 613/780 (79%). Only 268/777 (35%) knew the recommendation to offer a pacifier at bedtime. At enrollment 449/780 (58%) did not use a pacifier. Of 210/338 infants aged less than 6 months followed up 41/112 (37%) non-users had started using a pacifier at bedtime (NNT 3). Over the same period, 37/98 (38%) users had discontinued their pacifier. Otitis media did not differ between users and non-users at 12 months. Conclusion. Caregiver knowledge of the role of pacifiers in SIDS prevention was less than for other recommendations. Our educational intervention appeared to increase pacifier use. Pacifier use was not associated with increased otitis media. |
format | Online Article Text |
id | pubmed-3961164 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | PeerJ Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-39611642014-03-31 Using a pacifier to decrease sudden infant death syndrome: an emergency department educational intervention Walsh, Paul Vieth, Teri Rodriguez, Carolina Lona, Nicole Molina, Rogelio Habebo, Emnet Caldera, Enrique Garcia, Cynthia Veazey, Gregory PeerJ Emergency and Critical Care Background. Pacifier use decreases the risk of sudden infant death syndrome (SIDS). An emergency department (ED) visit may provide an opportunistic ‘teachable moment’ for parents. Objectives. To test the hypotheses (1) that caregivers were less familiar with the role of pacifiers in sudden infant death (SIDS) prevention than other recommendations, and (2) that an ED educational intervention would increase pacifier use in infants younger than six months, and (3) that otitis media would not occur more frequently in pacifier users. Methods. We did an intervention-group-only longitudinal study in a county hospital ED. We measured pacifier use infants and baseline knowledge of SIDs prevention recommendations in caregivers. We followed up three months later to determine pacifier use, and 12 months later to determine episodes of otitis media. Results. We analyzed data for 780 infants. Parents knew of advice against co-sleeping in 469/780 (60%), smoking in 660/776 (85%), and prone sleeping in 613/780 (79%). Only 268/777 (35%) knew the recommendation to offer a pacifier at bedtime. At enrollment 449/780 (58%) did not use a pacifier. Of 210/338 infants aged less than 6 months followed up 41/112 (37%) non-users had started using a pacifier at bedtime (NNT 3). Over the same period, 37/98 (38%) users had discontinued their pacifier. Otitis media did not differ between users and non-users at 12 months. Conclusion. Caregiver knowledge of the role of pacifiers in SIDS prevention was less than for other recommendations. Our educational intervention appeared to increase pacifier use. Pacifier use was not associated with increased otitis media. PeerJ Inc. 2014-03-13 /pmc/articles/PMC3961164/ /pubmed/24688883 http://dx.doi.org/10.7717/peerj.309 Text en © 2014 Walsh et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Emergency and Critical Care Walsh, Paul Vieth, Teri Rodriguez, Carolina Lona, Nicole Molina, Rogelio Habebo, Emnet Caldera, Enrique Garcia, Cynthia Veazey, Gregory Using a pacifier to decrease sudden infant death syndrome: an emergency department educational intervention |
title | Using a pacifier to decrease sudden infant death syndrome: an emergency department educational intervention |
title_full | Using a pacifier to decrease sudden infant death syndrome: an emergency department educational intervention |
title_fullStr | Using a pacifier to decrease sudden infant death syndrome: an emergency department educational intervention |
title_full_unstemmed | Using a pacifier to decrease sudden infant death syndrome: an emergency department educational intervention |
title_short | Using a pacifier to decrease sudden infant death syndrome: an emergency department educational intervention |
title_sort | using a pacifier to decrease sudden infant death syndrome: an emergency department educational intervention |
topic | Emergency and Critical Care |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961164/ https://www.ncbi.nlm.nih.gov/pubmed/24688883 http://dx.doi.org/10.7717/peerj.309 |
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