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Physician Recommendations Regarding SIDS Risk Reduction: A National Survey of Pediatricians and Family Physicians

Division of General and Community Pediatrics, Diana L. and Stephen A. Goldberg Center for Community Pediatric Health, Center for Health Services and Community Research, Children's Research Institute, Children's National Medical Center, Washington, DC, Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, rmoon{at}cnmc.org

Marit Kington, MS

Department of Family Medicine, University of Virginia, Charlottesville, Virginia, School of Public Health, University of North Carolina, Chapel Hill, NC

Rosalind Oden

Division of General and Community Pediatrics, Diana L. and Stephen A. Goldberg Center for Community Pediatric Health

Joana Iglesias, BA

Division of General and Community Pediatrics, Diana L. and Stephen A. Goldberg Center for Community Pediatric Health

Fern R. Hauck, MD, MS

Department of Family Medicine, University of Virginia, Charlottesville, Virginia, Department of Public Health Sciences, University of Virginia, Charlottesville, Virginia

Background: Sudden infant death syndrome (SIDS) is a leading cause of death among infants. Recently, new SIDS risk factors have emerged. Objective: To determine knowledge and recommendations of pediatricians and family physicians regarding SIDS-relevant practices. Methods: Cross-sectional survey of 3005 pediatricians and family physicians. Results: Of the 783 respondents, pediatricians comprised 64% and females 52%; 78% recognized supine as the recommended sleep position; 69% recommended supine. Almost all physicians recommended a firm mattress, 82% recommended a crib or bassinet, and 42% recommended a separate room for infants; 63% had no preference about or did not recommend restricting pacifier use. Pediatricians were more likely to discuss infant sleep position and room sharing at every well-child visit. Conclusions: Knowledge about recommended infant sleep position is relatively high, but there are gaps in physician knowledge regarding safe sleep recommendations. Greater dissemination of information is required, and barriers to implementation need to be identified and addressed.

Key Words: SIDS • sleep position • pacifier • bed sharing • recommendations

This version was published on December 1, 2007

Clinical Pediatrics, Vol. 46, No. 9, 791-800 (2007)
DOI: 10.1177/0009922807303894


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