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        "resumen" => "<span class="elsevierStyleSectionTitle">Antecedentes</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La posici&#243;n boca abajo al dormir &#40;dec&#250;bito prono&#41; se ha identificado como el principal factor de riesgo para el s&#237;ndrome de muerte s&#250;bita del lactante &#40;SMSL&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Este estudio&#44; a trav&#233;s de una encuesta especialmente dise&#241;ada&#44; pretende conocer la prevalencia de las distintas posiciones al dormir en reci&#233;n nacidos en hospitales de Am&#233;rica Latina y el Caribe y las recomendaciones que se dan a los padres sobre la mejor posici&#243;n para acostar al reci&#233;n nacido y otras pr&#225;cticas que son factores de riesgo para el SMSL&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo transversal basado en hospitales&#46; Se contact&#243; con los hospitales de Am&#233;rica Latina y el Caribe por intermedio de las representaciones de la Organizaci&#243;n Panamericana de la Salud en cada pa&#237;s&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">De los 213 hospitales que respondieron la encuesta&#44; en 18 &#40;8&#44;5 &#37;&#41; se acostaba a los ni&#241;os sanos boca abajo&#44; en 104 &#40;48&#44;8 &#37;&#41; de costado&#44; en 53 &#40;25&#44;2 &#37;&#41; boca arriba y en 37 &#40;17&#44;5 &#37;&#41; no se adoptaba una posici&#243;n definida o las respuestas fueron inconsistentes&#46; Con respecto a las recomendaciones a los padres al alta hospitalaria&#44; en 54 hospitales &#40;25&#44;7 &#37;&#41; se recomendaba la posici&#243;n boca arriba&#44; en 16 &#40;7&#44;6 &#37;&#41; boca abajo&#44; en 124 &#40;59&#44;0 &#37;&#41; de costado y en 16 &#40;7&#44;6 &#37;&#41; no se daban recomendaciones&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los resultados muestran que en los hospitales encuestados existe la pr&#225;ctica de no acostar a los ni&#241;os sanos boca abajo&#46; Sin embargo la posici&#243;n m&#225;s utilizada es de costado&#44; posici&#243;n que no deber&#237;a ser recomendada ya que aumenta el riesgo de SMSL&#46; Se deben implementar campa&#241;as a nivel hospitalario y poblacional para que los ni&#241;os sean acostados boca arriba con el fin de reducir la incidencia de SMSL&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The prone sleeping position for sleeping has been identified as the principal risk factor for sudden infant death syndrome &#40;SIDS&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to determine the prevalence of different sleeping positions and other risk factors for SIDS and to identify the advice given to parents in several maternity units in Latin America and the Caribbean through a specially-designed questionnaire&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Descriptive cross-sectional study based in hospitals&#46; All the countries in Latin America and the Caribbean were contacted through the Pan American Health Organization and responses were obtained from 16 countries&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Two hundred thirteen hospitals answered the survey&#46; The preferred sleeping position for healthy infants was prone in 8&#46;5&#37; of the hospitals&#44; side in 48&#46;8 &#37;&#44; and supine in 25&#46;2 &#37;&#46; In 17&#46;5 &#37; of the hospitals no position was preferred or the answers were inconsistent&#46; Concerning the recommendations given to parents on the best position for their infants at home&#44; 25&#46;7 &#37; recommended the supine position&#44; 7&#46;6 &#37; the prone position&#44; 59&#46;0 &#37; the side position while 7&#46;6 &#37; made no recommendations&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The results of this study show that in the hospitals surveyed there is a policy of not placing healthy neonates in the prone position&#46; However&#44; the most frequent position was the side&#44; which is not advisable as it increases the risk of SIDS&#46; To reduce in the incidence of SIDS&#44; campaigns to increase the use of the supine position should be carried out in hospitals and among the general public&#46;</p>"
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                        "paginaFinal" => "609"
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                      "titulo" => "Child care practices and cot death in Hong Kong"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;A&#46; Nelson"
                            1 => "P&#46;H&#46; Chan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "New Zealand Medical Journal"
                        "fecha" => "1996"
                        "volumen" => "109"
                        "paginaInicial" => "144"
                        "paginaFinal" => "146"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8649671"
                            "web" => "Medline"
                          ]
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                      ]
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                ]
              ]
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            7 => array:3 [
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                      "titulo" => "Clothing and bedding and its relevance to sudden infant death syndrome&#58; further results from the New Zealand Cot Death Study"
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                          "autores" => array:5 [
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                            1 => "B&#46;J&#46; Taylor"
                            2 => "R&#46;M&#46; Liang"
                            3 => "S&#46;M&#46; Williams"
                            4 => "E&#46;A&#46; Mitchell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
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                        "tituloSerie" => "J Paediatr Child Health"
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                        "paginaInicial" => "506"
                        "paginaFinal" => "512"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7865263"
                            "web" => "Medline"
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                          "autores" => array:1 [
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                            4 => "C&#46; Bacon"
                            5 => "E&#46; Taylor"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8696194"
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                      "titulo" => "Side sleeping position and bed sharing in the sudden infant death syndrome"
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                          "autores" => array:2 [
                            0 => "R&#46;K&#46; Scragg"
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                    ]
                  ]
                  "host" => array:1 [
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                        "tituloSerie" => "Ann Med"
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                        "paginaInicial" => "345"
                        "paginaFinal" => "349"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9783832"
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                          "autores" => array:2 [
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                        "volumen" => "7"
                        "paginaInicial" => "680"
                        "paginaFinal" => "683"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10911537"
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                      "titulo" => "Pacifiers&#58; Protection against sudden infant death syndrome"
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                        "volumen" => "355"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10832866"
                            "web" => "Medline"
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                  "host" => array:1 [
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                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Dis Child"
                        "fecha" => "2000"
                        "volumen" => "82"
                        "paginaInicial" => "267"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10722419"
                            "web" => "Medline"
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                            0 => "E&#46;A&#46; Mitchell"
                            1 => "A&#46;C&#46; Engelberts"
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                        "fecha" => "1991"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1677096"
                            "web" => "Medline"
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                ]
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                      "titulo" => "Positioning and sudden infant death syndrome &#40;SIDS&#41;&#58; Update&#46; American Academy of Pediatrics Task Force on Infant Positioning and SIDS"
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                          "colaboracion" => "Anonymous"
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                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "1996"
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                        "paginaInicial" => "1216"
                        "paginaFinal" => "1218"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8951285"
                            "web" => "Medline"
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                      "titulo" => "Maternity advice survey&#58; Sleeping position in Eastern Europe&#46; MAS Study Group for WHO Euro region"
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                            1 => "A&#46; Serra"
                            2 => "S&#46; Cowan"
                            3 => "V&#46; Mangiaterra"
                          ]
                        ]
                      ]
                    ]
                  ]
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                        "paginaFinal" => "306"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10999862"
                            "web" => "Medline"
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                      "titulo" => "Project Link-raising SIDS awareness amongst Argentine nurses"
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Vol. 57. Núm. 6.
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Vol. 57. Núm. 6.
Páginas 558-564 (diciembre 2002)
Acceso a texto completo
Posición al dormir en hospitales de América Latina y el Caribe para la prevención del síndrome de muerte súbita del lactante
Sleeping position to prevent sudden infant death syndrome in latin-american and caribbean hospitals
Visitas
10388
M.aL. Cafferataa, F. Althabea,
Autor para correspondencia
althabef@clap.ops-oms.org

Correspondencia: Centro Latinoamericano de Perinatología (CLAP). Casilla de Correo, 627. Montevideo 11000. Uruguay
, J.M. Belizána, S. Cowanb, E.A.S. Nelsonc, el Grupo de Estudio sobre Consejos en las Maternidades (MAS Study group) para América Latina y el Caribe
a Centro Latinoamericano de Perinatología, Organización Panamericana de la Salud. Organización Mundial de la Salud. Montevideo. Uruguay
b Education for Change Limited. Christchurch. Nueva Zelanda
c Department of Pediatrics. The Chinese University of Hong Kong. Shatin. Hong Kong
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Estadísticas
Antecedentes

La posición boca abajo al dormir (decúbito prono) se ha identificado como el principal factor de riesgo para el síndrome de muerte súbita del lactante (SMSL).

Objetivos

Este estudio, a través de una encuesta especialmente diseñada, pretende conocer la prevalencia de las distintas posiciones al dormir en recién nacidos en hospitales de América Latina y el Caribe y las recomendaciones que se dan a los padres sobre la mejor posición para acostar al recién nacido y otras prácticas que son factores de riesgo para el SMSL.

Métodos

Estudio descriptivo transversal basado en hospitales. Se contactó con los hospitales de América Latina y el Caribe por intermedio de las representaciones de la Organización Panamericana de la Salud en cada país.

Resultados

De los 213 hospitales que respondieron la encuesta, en 18 (8,5 %) se acostaba a los niños sanos boca abajo, en 104 (48,8 %) de costado, en 53 (25,2 %) boca arriba y en 37 (17,5 %) no se adoptaba una posición definida o las respuestas fueron inconsistentes. Con respecto a las recomendaciones a los padres al alta hospitalaria, en 54 hospitales (25,7 %) se recomendaba la posición boca arriba, en 16 (7,6 %) boca abajo, en 124 (59,0 %) de costado y en 16 (7,6 %) no se daban recomendaciones.

Conclusiones

Los resultados muestran que en los hospitales encuestados existe la práctica de no acostar a los niños sanos boca abajo. Sin embargo la posición más utilizada es de costado, posición que no debería ser recomendada ya que aumenta el riesgo de SMSL. Se deben implementar campañas a nivel hospitalario y poblacional para que los niños sean acostados boca arriba con el fin de reducir la incidencia de SMSL.

Palabras clave:
Muerte súbita infantil
Factores de riesgo
Lactantes
Recién nacidos
Posición supina
Sueño
Background

The prone sleeping position for sleeping has been identified as the principal risk factor for sudden infant death syndrome (SIDS).

Objective

The aim of this study was to determine the prevalence of different sleeping positions and other risk factors for SIDS and to identify the advice given to parents in several maternity units in Latin America and the Caribbean through a specially-designed questionnaire.

Methods

Descriptive cross-sectional study based in hospitals. All the countries in Latin America and the Caribbean were contacted through the Pan American Health Organization and responses were obtained from 16 countries.

Results

Two hundred thirteen hospitals answered the survey. The preferred sleeping position for healthy infants was prone in 8.5% of the hospitals, side in 48.8 %, and supine in 25.2 %. In 17.5 % of the hospitals no position was preferred or the answers were inconsistent. Concerning the recommendations given to parents on the best position for their infants at home, 25.7 % recommended the supine position, 7.6 % the prone position, 59.0 % the side position while 7.6 % made no recommendations.

Conclusions

The results of this study show that in the hospitals surveyed there is a policy of not placing healthy neonates in the prone position. However, the most frequent position was the side, which is not advisable as it increases the risk of SIDS. To reduce in the incidence of SIDS, campaigns to increase the use of the supine position should be carried out in hospitals and among the general public.

Key words:
Sudden infant death syndrome
Cot death
Risk factors
Case-control studies
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Bibliografía
[1.]
M. Willinger, L.S. James, C. Catz.
Defining the sudden infant death syndrome (SIDS): Deliberations of an expert panel convened by the National Institute of Child Health and Human Development.
Pediatr Pathol, 11 (1991), pp. 677-684
[2.]
E.A. Michell.
International trends in postneonatal mortality.
Arch Dis Child, 65 (1990), pp. 607-609
[3.]
D.P. Davies.
Cot death in Hong Kong: a rare problem.
Lancet, 2 (1985), pp. 1346-1349
[4.]
S.M. Beal.
Sudden infant death syndrome. Epidemiological comparisons between South Australia and communities with a different incidence.
Aust Paediatr J, 22 (1986), pp. 13-16
[5.]
S.M. Beal, C.F. Finch.
An overview of retrospective case-control studies investigating the relationship between prone sleeping position and SIDS.
J Paediatr Child Health, (1991), pp. 334-339
[6.]
T. Dwyer, A.L. Ponsonby, N.M. Newman, L.E. Gibbons.
Prospective cohort study of prone sleeping position and sudden infant death syndrome.
Lancet, 337 (1991), pp. 1244-1247
[7.]
E.A. Nelson, P.H. Chan.
Child care practices and cot death in Hong Kong.
New Zealand Medical Journal, 109 (1996), pp. 144-146
[8.]
C.A. Wilson, B.J. Taylor, R.M. Liang, S.M. Williams, E.A. Mitchell.
Clothing and bedding and its relevance to sudden infant death syndrome: further results from the New Zealand Cot Death Study.
J Paediatr Child Health, 30 (1994), pp. 506-512
[9.]
J. Golding.
Sudden infant death syndrome and parenteral smoking: A literature review.
Paediatr Perinat Epidemiol, 11 (1997), pp. 67-77
[10.]
P.S. Blair, P.J. Fleming, D. Bensley, I. Smith, C. Bacon, E. Taylor, et al.
Smoking and the sudden infant death syndrome: Results from 1993-5 case-control study for confidential inquiry into stillbirths and deaths in infancy.
BMJ, 313 (1996), pp. 195-198
[11.]
R.K. Scragg, E.A. Mitchell.
Side sleeping position and bed sharing in the sudden infant death syndrome.
Ann Med, 30 (1998), pp. 345-349
[12.]
P. Lequien, C. Carpentier.
Co-sleeping and sudden infant death syndrome.
Arch Pediatr, 7 (2000), pp. 680-683
[13.]
J. Díaz Rossello, A. Conde-Agudelo, A.C. Forteza.
Pacifiers: Protection against sudden infant death syndrome.
[14.]
A.C. Engelberts, M.P. L'Hoir.
Pacifier use and SIDS.
Arch Dis Child, 82 (2000), pp. 267
[15.]
Report on SIDS mortality and total postneonatal mortality during the last decade in 17 selected countries. Global Strategy Task Force. Rouen, France. April 1998
[16.]
E.A. Mitchell, A.C. Engelberts.
Sleeping position and cot deaths.
Lancet, 338 (1991), pp. 192
[17.]
Anonymous.
Positioning and sudden infant death syndrome (SIDS): Update. American Academy of Pediatrics Task Force on Infant Positioning and SIDS.
Pediatrics, 98 (1996), pp. 1216-1218
[18.]
E.A. Nelson, A. Serra, S. Cowan, V. Mangiaterra.
Maternity advice survey: Sleeping position in Eastern Europe. MAS Study Group for WHO Euro region.
Arch Dis Child, 83 (2000), pp. 304-306
[19.]
S.F. Cowan, A. Jenik.
Project Link-raising SIDS awareness amongst Argentine nurses.
Rouen: 5th SIDS International Conference,, (1998),
[20.]
D. Ford, C. Quayle, C. Middleton.
The next phase: Establishing the reducing the risk of SIDS child care practices into routine parent education.
Rouen: 5th SIDS International Conference,, (1998),
Copyright © 2002. Asociación Española de Pediatría
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