NICU Visitation Time and Adherence to Safe Sleep Practices Among Mothers of Very Preterm Infants.
Sunah S Hwang, Blair W Weikel, Mauricio A Palau and 7 others
PMID 37036938WHAT IT FOUND
More days per week in the NICU was not associated with whether mothers followed all safe sleep practices after discharge. 77% fully complied, but public or no insurance and depression or anxiety symptoms were linked with less compliance.
Key findings
01After adjustment, maternal days per week in the NICU was not significantly associated with adherence to all recommended safe infant sleep practices.
02Overall, 77% of mothers were fully compliant with all recommended safe sleep practices; the lowest adherence was removal of unsafe objects in the crib at 79%, and the highest was supine sleep positioning at 92%.
03In adjusted analyses, mothers with public or no insurance and mothers reporting depression or anxiety symptoms had lower odds of full safe sleep compliance, while mothers with some college or associate-level education had greater odds than mothers with a bachelor's degree.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 109 of 203 enrolled dyads completed the 6-week follow-up survey, and the follow-up group was not the full enrolled cohort. The sample was mostly non-Hispanic White, privately insured, married, and more educated, with few Black or American Indian/Alaska Native mothers, so the results may not apply to other groups. Maternal presence was measured only as days per week from the electronic medical record, not hours, activities, or quality of education received. Safe sleep practices were self-reported by mothers about 6 weeks after discharge, not observed. Formal assessment of each NICU's safe sleep policies and compliance with guidelines could not be performed. Covariates were chosen using a P < .2 threshold because of the small sample size, which may affect the adjusted models.
The easy way to misread this
Do not conclude that more maternal NICU visitation days improve safe sleep after discharge. In the multivariable analysis, maternal days per week in the NICU was not significantly associated with adherence to all recommended safe infant sleep practices.