Infant Care Practices, Caregiver Awareness of Safe Sleep Advice and Barriers to Implementation: A Scoping Review

Int J Environ Res Public Health. 2022 Jun 23;19(13):7712. doi: 10.3390/ijerph19137712.

Abstract

Modifiable infant sleep and care practices are recognised as the most important factors parents and health practitioners can influence to reduce the risk of sleep-related infant mortality. Understanding caregiver awareness of, and perceptions relating to, public health messages and identifying trends in contemporary infant care practices are essential to appropriately inform and refine future infant safe sleep advice. This scoping review sought to examine the extent and nature of empirical literature concerning infant caregiver engagement with, and implementation of, safe sleep risk-reduction advice relating to Sudden Unexpected Deaths in Infancy (SUDI). Databases including PubMed, CINAHL, Scopus, Medline, EMBASE and Ovid were searched for relevant peer reviewed publications with publication dates set between January 2000-May 2021. A total of 137 articles met eligibility criteria. Review results map current infant sleeping and care practices that families adopt, primary infant caregivers' awareness of safe infant sleep advice and the challenges that families encounter implementing safe sleep recommendations when caring for their infant. Findings demonstrate a need for ongoing monitoring of infant sleep practices and family engagement with safe sleep advice so that potential disparities and population groups at greater risk can be identified, with focused support strategies applied.

Keywords: Sudden Unexpected Death in Infancy (SUDI); health promotion; infant care practices; public health campaign; safe sleeping advice; sleep-related infant mortality; sudden infant death syndrome (SIDS).

Publication types

  • Research Support, Non-U.S. Gov't
  • Scoping Review

MeSH terms

  • Caregivers
  • Child
  • Humans
  • Infant
  • Infant Care / methods
  • Infant Mortality
  • Risk Factors
  • Sleep
  • Sudden Infant Death* / prevention & control

Grants and funding

This project received funding from Wishlist (RHD Scholarship 2016-24) and was supported by an Australian Government Research Training Program Scholarship for RC.