vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v23i6.2837vsp-3654Research ArticleОРИГИНАЛЬНАЯ СТАТЬЯORIGINAL ARTICLESОрганизация пространства сна младенцев и характеристики родителей, ассоциированные с совместным сном с ребенком: одномоментное опросное исследованиеOrganization of Infant Sleep Environment and Parents’ Characteristics Associated with Co-Sleeping with Infants: Cross Sectional Survey Studyhttps://orcid.org/0000-0001-8195-8111КораблеваН. Н.KorablevaNatalya N.

Кораблева Наталья Николаевна - доктор медицинских наук, доцент, заведующая кафедрой педиатрии медицинского института Сыктывкарского государственного университета им. Питирима Сорокина

167001, Сыктывкар, Октябрьский пр., д. 55

 тел.: +7 (8212) 39-04-13

Syktyvkar

kemcard@yandex.ruhttps://orcid.org/0009-0008-1042-2430ЛебедевВ. С.LebedevVladimir S.

Сыктывкар

Syktyvkar

https://orcid.org/0000-0002-9657-5612МунхаловаЯ. А.MunkhalovaYana A.

 Якутск

Yakutsk

https://orcid.org/0000-0003-3051-5251ЕгороваВ. Б.EgorovaVera B.

Якутск

Yakutsk

https://orcid.org/0000-0002-6907-2382ЗариповаЮ. Р.ZaripovaYuliya R.

Петрозаводск

Petrozavodsk

https://orcid.org/0000-0002-4015-5109ВарламоваД. Д.VarlamovaDarina D.

Петрозаводск

Petrozavodsk

https://orcid.org/0000-0002-5346-3047УсынинаА. А.UsyninaAnna A.

Архангельск

Arkhangelsk

https://orcid.org/0000-0003-1475-1529ПастбинаИ. М.PastbinaIrina M.

Архангельск

Arkhangelsk

https://orcid.org/0009-0007-2337-2631ЕфимоваН. В.EfimovaNatalya V.

Северодвинск

Severodvinsk

Сыктывкарский государственный университет им. Питирима СорокинаРоссияPitirim Sorokin Syktyvkar State UniversityRussian FederationСеверо-Восточный федеральный университет им. М.К. АммосоваРоссияNorth-Eastern Federal UniversityRussian FederationПетрозаводский государственный университетРоссияPetrozavodsk State UniversityRussian FederationСеверный государственный медицинский университетРоссияNorthern State Medical UniversityRussian FederationСеверодвинский медицинский центр для детей раннего возрастаРоссияSeverodvinsk Medical Center for InfantsRussian Federation202403012025236456465Copyright © Кораблева Н.Н., Лебедев В.С., Мунхалова Я.А., Егорова В.Б., Зарипова Ю.Р., Варламова Д.Д., Усынина А.А., Пастбина И.М., Ефимова Н.В., 20242024Кораблева Н.Н., Лебедев В.С., Мунхалова Я.А., Егорова В.Б., Зарипова Ю.Р., Варламова Д.Д., Усынина А.А., Пастбина И.М., Ефимова Н.В.Korableva N.N., Lebedev V.S., Munkhalova Y.A., Egorova V.B., Zaripova Y.R., Varlamova D.D., Usynina A.A., Pastbina I.M., Efimova N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/3654

Обоснование. Имеются ограниченные российские данные о практиках организации пространства сна младенцев. Актуализация этой информации в масштабных исследованиях, а также определение факторов риска небезопасной организации пространства сна младенцев необходимы для целенаправленной профилактической работы и создания эффективной образовательной программы. Цель исследования — изучить организацию пространства сна младенцев и характеристики родителей, ассоциированные с совместным сном с младенцем. Методы. В исследование включали матерей детей первого года жизни, обратившихся на прием к врачу в 8 детских поликлиниках (гг. Сыктывкар, Якутск, Петрозаводск, Архангельск и Северодвинск). Регистрировали социально-демографические и поведенческие характеристики родителей. Организацию сна младенцев оценивали по наличию отдельной детской кровати, ее виду, месту расположения, использованию подушки, одеяла, наличию других предметов в кровати ребенка, практике совместного сна в одной кровати с родителями, позе ребенка в период сна, использованию специальных приспособлений для сна и пустышки. Результаты. В опросе приняли участие 2990 матерей. Совместный сон родителей с ребенком практиковали в 1849 (61,8%) семьях, допускали сон младенца на боку и животе в 1133 (37,9%), подтвердили использование подушек — в 720 (24,1%). В кроватке 1179 (39,9%) младенцев во время сна находятся игрушки и предметы ухода. По данным многофакторного анализа, совместный сон родителей с ребенком ассоциирован с низким (< 50 тыс. руб./мес) доходом семьи — отношение шансов (ОШ) 1,55 (95% доверительный интервал (ДИ) 1,30–1,86), искусственным или смешанным вскармливанием младенца — ОШ 0,55 (95% ДИ 0,47–0,64) и употреблением алкоголя в семье — ОШ 0,65 (95% ДИ 0,42–0,99). Заключение. Выявлена высокая распространенность небезопасной организации пространства сна младенцев. Модифицируемыми факторами риска при этом являются поза ребенка в период сна, использование мягких постельных принадлежностей, совместный сон с ребенком.

Background. There is limited Russian data on infant sleep environment. Updating this data within large-scale studies, as well as identifying risk factors of unsafe organization of infant sleep environment are crucial for targeted preventive work and implementation of effective educational program. Objective. The aim of the study is to examine infant sleep environment organization and parents’ characteristics associated with co-sleeping with children. Methods. The study included mothers of infants referred to a doctor in 8 children’s out-patient clinics (in cities of Syktyvkar, Yakutsk, Petrozavodsk, Arkhangelsk, and Severodvinsk). Socio-demographic and behavioral characteristics of parents were recorded. The organization of infant sleep was evaluated by the presence of separate baby bed, its appearance, location, use of pillow, blanket, presence of any other objects in the bed, co-sleeping in the same bed with parents, baby’s posture during sleep, use of special sleep devices and soother. Results. 2,990 mothers took part in the survey. Co-sleeping was practiced in 1849 (61.8%) families, allowed infant to sleep on the side or stomach — in 1133 (37.9%), confirmed the use of pillows — in 720 (24.1%). There are toys and care items in 1179 (39.9%) babies’ beds during their sleep. According to multi-factor analysis: co-sleeping is associated with low (< 50 thousand rubles/month) family income — odds ratio (OR) 1.55 (95% confidence interval (CI) 1.30–1.86), artificial or mixed infant feeding — OR 0.55 (95% CI 0.47–0.64), and family alcohol intake — OR 0.65 (95% CI 0.42–0.99). Conclusion. High prevalence of unsafe organization of infant sleep environment was revealed. Modifiable risk factors are the infant’s posture during sleep, use of soft bedding, and co-sleeping with the infant.

опросбезопасный сонмладенческая смертностьмногоцентровое исследованиеорганизация пространства снасиндром внезапной смерти младенцевсовместный сонфакторы рискаsurveysafe sleepinfant mortalitymulti-centre studyorganization of sleep environmentsudden infant death syndromeco-sleepingrisk factorsОтсутствует.Not specified.ReferencesMoon RY, Carlin RF, Hand I, et al. Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment. Pediatrics. 2022;150(1):e2022057990. doi: https://doi.org/10.1542/peds.2022-057990Moon RY, Carlin RF, Hand I, et al. Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment. Pediatrics. 2022;150(1):e2022057990. doi: https://doi.org/10.1542/peds.2022-057990Shapiro-Mendoza CK, Parks S, Lambert AE, et al. The Epidemiology of Sudden Infant Death Syndrome and Sudden Unexpected Infant Deaths: Diagnostic Shift and other Temporal Changes. In: SIDS Sudden Infant and Early Childhood Death: The Past, the Present and the Future. Duncan JR, Byard RW, eds. Adelaide (AU): University of Adelaide Press; 2018. Ch. 13. Available online: https://www.ncbi.nlm.nih.gov/books/NBK513373. Accessed on October 10, 2024.Shapiro-Mendoza CK, Parks S, Lambert AE, et al. The Epidemiology of Sudden Infant Death Syndrome and Sudden Unexpected Infant Deaths: Diagnostic Shift and other Temporal Changes. In: SIDS Sudden Infant and Early Childhood Death: The Past, the Present and the Future. Duncan JR, Byard RW, eds. Adelaide (AU): University of Adelaide Press; 2018. Ch. 13. Available online: https://www.ncbi.nlm.nih.gov/books/NBK513373. Accessed on October 10, 2024.Gao Y, Schwebel DC, Hu G. Infant Mortality Due to Unintentional Suffocation Among Infants Younger Than 1 Year in the United States, 1999-2015. JAMA Pediatr. 2018;172(4):388–390. doi: https://doi.org/10.1001/jamapediatrics.2017.4887Gao Y, Schwebel DC, Hu G. Infant Mortality Due to Unintentional Suffocation Among Infants Younger Than 1 Year in the United States, 1999-2015. JAMA Pediatr. 2018;172(4):388–390. doi: https://doi.org/10.1001/jamapediatrics.2017.4887Cole R, Young J, Kearney L, Thompson JMD. Infant care practices and parent uptake of safe sleep messages: a cross-sectional survey in Queensland, Australia. BMC Pediatr. 2020;20(1):27. doi: https://doi.org/10.1186/s12887-020-1917-5Cole R, Young J, Kearney L, Thompson JMD. Infant care practices and parent uptake of safe sleep messages: a cross-sectional survey in Queensland, Australia. BMC Pediatr. 2020;20(1):27. doi: https://doi.org/10.1186/s12887-020-1917-5Shapiro-Mendoza CK, Colson ER, Willinger M, et al. Trends in infant bedding use: National Infant Sleep Position study, 1993– 2010. Pediatrics. 2015;135(1):10–17. doi: https://doi.org/10.1542/peds.2014-1793Shapiro-Mendoza CK, Colson ER, Willinger M, et al. Trends in infant bedding use: National Infant Sleep Position study, 1993– 2010. Pediatrics. 2015;135(1):10–17. doi: https://doi.org/10.1542/peds.2014-1793Salm Ward TC, Kanu FA, Anderson AK. Trends and Factors Associated with Breastfeeding and Infant Sleep Practices in Georgia. J Community Health. 2018;43(3):496–507. doi: https://doi.org/10.1007/s10900-017-0442-4Salm Ward TC, Kanu FA, Anderson AK. Trends and Factors Associated with Breastfeeding and Infant Sleep Practices in Georgia. J Community Health. 2018;43(3):496–507. doi: https://doi.org/10.1007/s10900-017-0442-4Hirabayashi M, Yoshinaga M, Nomura Y, et al. Environmental risk factors for sudden infant death syndrome in Japan. Eur J Pediatr. 2016;175(12):1921–1926. doi: https://doi.org/10.1007/s00431-016-2786-7Hirabayashi M, Yoshinaga M, Nomura Y, et al. Environmental risk factors for sudden infant death syndrome in Japan. Eur J Pediatr. 2016;175(12):1921–1926. doi: https://doi.org/10.1007/s00431-016-2786-7Nelson EA, Taylor BJ, Jenik A, et al. International Child Care Practices Study: infant sleeping environment. Early Hum Dev. 2001;62(1):43–55. doi: https://doi.org/10.1016/s0378-3782(01)00116-5Nelson EA, Taylor BJ, Jenik A, et al. International Child Care Practices Study: infant sleeping environment. Early Hum Dev. 2001;62(1):43–55. doi: https://doi.org/10.1016/s0378-3782(01)00116-5Кораблева Н.Н., Трофимова Е.В., Гарипова Д.В. и др. Безопасное пространство сна младенцев: анализ ситуации на Европейском Севере России // Российский педиатрический журнал. — 2015. — Т. 18. — № 6. — С. 4–9.Korableva NN, Trofimova EV, Garipova DV, et al. Safe Sleep Space for Infants: Analysis of the Situation in the European North of Russia. Rossiyskiy Pediatricheskiy Zhurnal. 2015;18(6):4–9. (In Russ).Монид Е.В., Савченко П.А. Обеспечение безопасности сна младенцев для профилактики возникновения синдрома внезапной детской смерти // Международный журнал гуманитарных и естественных наук. — 2024. — № 5-5. — С. 27–31. — doi: https://doi.org/10.24412/2500-1000-2024-5-5-27-32Monid EV, Savchenko PA. Ensuring the safety of infants’ sleep to prevent the occurrence of sudden infant death syndrome. International Journal of Humanities and Natural Sciences. 2024;(5-5):27–31. (In Russ). doi: https://doi.org/10.24412/2500-1000-2024-5-5-27-32Heere M, Moughan B, Alfonsi J, et al. Factors Associated With Infant Bed-Sharing. Glob Pediatr Health. 2017;4:2333794X17690313. doi: https://doi.org/10.1177/2333794X17690313Heere M, Moughan B, Alfonsi J, et al. Factors Associated With Infant Bed-Sharing. Glob Pediatr Health. 2017;4:2333794X17690313. doi: https://doi.org/10.1177/2333794X17690313Wennergren G, Strömberg Celind F, Goksör E, Alm B. Swedish survey of infant sleep practices showed increased bed-sharing and positive associations with breastfeeding. Acta Paediatr. 2021;110(6):1835–1841. doi: https://doi.org/10.1111/apa.15719Wennergren G, Strömberg Celind F, Goksör E, Alm B. Swedish survey of infant sleep practices showed increased bed-sharing and positive associations with breastfeeding. Acta Paediatr. 2021;110(6):1835–1841. doi: https://doi.org/10.1111/apa.15719Al-Shehri H, Almozaai R, Kariri M, et al. Factors Associated with Safe Infant Sleep Practices in Saudi Arabia. Pediatric Health Med Ther. 2021;12:533–541. doi: https://doi.org/10.2147/PHMT.S343535Al-Shehri H, Almozaai R, Kariri M, et al. Factors Associated with Safe Infant Sleep Practices in Saudi Arabia. Pediatric Health Med Ther. 2021;12:533–541. doi: https://doi.org/10.2147/PHMT.S343535Thompson JMD, Tanabe K, Moon RY, et al. Duration of Breastfeeding and Risk of SIDS: An Individual Participant Data Meta-analysis. Pediatrics. 2017;140(5):e20171324. doi: https://doi.org/10.1542/peds.2017-1324Thompson JMD, Tanabe K, Moon RY, et al. Duration of Breastfeeding and Risk of SIDS: An Individual Participant Data Meta-analysis. Pediatrics. 2017;140(5):e20171324. doi: https://doi.org/10.1542/peds.2017-1324Kim TH, Lee H, Woo S, et al. Prenatal and postnatal factors associated with sudden infant death syndrome: an umbrella review of meta-analyses. World J Pediatr. 2024;20(5):451–460. doi: https://doi.org/10.1007/s12519-024-00806-1Kim TH, Lee H, Woo S, et al. Prenatal and postnatal factors associated with sudden infant death syndrome: an umbrella review of meta-analyses. World J Pediatr. 2024;20(5):451–460. doi: https://doi.org/10.1007/s12519-024-00806-1Vennemann MM, Hense HW, Bajanowski T, et al. Bed sharing and the risk of sudden infant death syndrome: can we resolve the debate? J Pediatr. 2012;160(1):44–48.e2. doi: https://doi.org/10.1016/j.jpeds.2011.06.052Vennemann MM, Hense HW, Bajanowski T, et al. Bed sharing and the risk of sudden infant death syndrome: can we resolve the debate? J Pediatr. 2012;160(1):44–48.e2. doi: https://doi.org/10.1016/j.jpeds.2011.06.052Tappin D, Mitchell EA, Carpenter J, et al. Bed-sharing is a risk for sudden unexpected death in infancy. Arch Dis Child. 2023;108(2): 79–80. doi: https://doi.org/10.1136/archdischild-2021-322480Tappin D, Mitchell EA, Carpenter J, et al. Bed-sharing is a risk for sudden unexpected death in infancy. Arch Dis Child. 2023;108(2): 79–80. doi: https://doi.org/10.1136/archdischild-2021-322480MacFarlane ME, Thompson JMD, Wilson J, et al. Infant Sleep Hazards and the Risk of Sudden Unexpected Death in Infancy. J Pediatr. 2022;245:56–64. doi: https://doi.org/10.1016/j.jpeds.2022.01.044MacFarlane ME, Thompson JMD, Wilson J, et al. Infant Sleep Hazards and the Risk of Sudden Unexpected Death in Infancy. J Pediatr. 2022;245:56–64. doi: https://doi.org/10.1016/j.jpeds.2022.01.044McKenna JJ, Gettler LT. There is no such thing as infant sleep, there is no such thing as breastfeeding, there is only breastsleeping. Acta Paediatr. 2016;105(1):17–21. doi: https://doi.org/10.1111/apa.13161.McKenna JJ, Gettler LT. There is no such thing as infant sleep, there is no such thing as breastfeeding, there is only breastsleeping. Acta Paediatr. 2016;105(1):17–21. doi: https://doi.org/10.1111/apa.13161.Mileva-Seitz VR, Bakermans-Kranenburg MJ, Battaini C, Luijk MP. Parent-child bed-sharing: The good, the bad, and the burden of evidence. Sleep Med Rev. 2017;32:4–27. doi: https://doi.org/10.1016/j.smrv.2016.03.003Mileva-Seitz VR, Bakermans-Kranenburg MJ, Battaini C, Luijk MP. Parent-child bed-sharing: The good, the bad, and the burden of evidence. Sleep Med Rev. 2017;32:4–27. doi: https://doi.org/10.1016/j.smrv.2016.03.003Yikilkan H, Unalan PC, Cakir E, et al. Sudden infant death syndrome: how much mothers and health professionals know. Pediatr Int. 2011;53(1):24–28. doi: https://doi.org/10.1111/j.1442-200X.2010.03202Yikilkan H, Unalan PC, Cakir E, et al. Sudden infant death syndrome: how much mothers and health professionals know. Pediatr Int. 2011;53(1):24–28. doi: https://doi.org/10.1111/j.1442-200X.2010.03202Möllborg P, Wennergren G, Norvenius SG, Alm B. Bed-sharing among six-month-old infants in western Sweden. Acta Paediatr. 2011;100(2):226–230. doi: https://doi.org/10.1111/j.1651-2227.2010.02008.xMöllborg P, Wennergren G, Norvenius SG, Alm B. Bed-sharing among six-month-old infants in western Sweden. Acta Paediatr. 2011;100(2):226–230. doi: https://doi.org/10.1111/j.1651-2227.2010.02008.xProvini LE, Corwin MJ, Geller NL, et al. Differences in Infant Care Practices and Smoking among Hispanic Mothers Living in the United States. J Pediatr. 2017;182:321–326.e1. doi: https://doi.org/10.1016/j.jpeds.2016.11.053Provini LE, Corwin MJ, Geller NL, et al. Differences in Infant Care Practices and Smoking among Hispanic Mothers Living in the United States. J Pediatr. 2017;182:321–326.e1. doi: https://doi.org/10.1016/j.jpeds.2016.11.053Strömberg Celind F, Wennergren G, Möllborg P, et al. Area-based study shows most parents follow advice to reduce risk of sudden infant death syndrome. Acta Paediatr. 2017;106(4):579–585. doi: https://doi.org/10.1111/apa.13711Strömberg Celind F, Wennergren G, Möllborg P, et al. Area-based study shows most parents follow advice to reduce risk of sudden infant death syndrome. Acta Paediatr. 2017;106(4):579–585. doi: https://doi.org/10.1111/apa.13711Ball HL, Moya E, Fairley L, et al. Bed- and sofa-sharing practices in a UK biethnic population. Pediatrics. 2012;129(3):e673-e681. doi: https://doi.org/10.1542/peds.2011-1964Ball HL, Moya E, Fairley L, et al. Bed- and sofa-sharing practices in a UK biethnic population. Pediatrics. 2012;129(3):e673-e681. doi: https://doi.org/10.1542/peds.2011-1964Nongkynrih R, Cutinho SP, D’Almeida V. A Study on Knowledge and Practice on Maternal Bed sharing Among Mothers in A Selected Hospital at Mangalore. Nitte Univ J Health Sci. 2017;7(4):3–7.Nongkynrih R, Cutinho SP, D’Almeida V. A Study on Knowledge and Practice on Maternal Bed sharing Among Mothers in A Selected Hospital at Mangalore. Nitte Univ J Health Sci. 2017;7(4):3–7.CPSC ALERT: CPSC and Fisher-Price Warn Consumers About Fisher-Price Rock ‘N Play Due to Reports of Death When Infants Roll Over in the Product. Release Date: April 05, 2019. Release Date: April 05, 2019. Available online: https://www.cpsc.gov/Newsroom/News-Releases/2019/CPSC-ALERT-CPSC-and-Fisher-Price-Warn-Consumers-About-Fisher-Price-Rock-N-Play-Due-to-Reports-of-Death-When-Infants-Roll-Over-in-the-Product. Accessed on December 12, 2024.CPSC ALERT: CPSC and Fisher-Price Warn Consumers About Fisher-Price Rock ‘N Play Due to Reports of Death When Infants Roll Over in the Product. Release Date: April 05, 2019. Release Date: April 05, 2019. Available online: https://www.cpsc.gov/Newsroom/News-Releases/2019/CPSC-ALERT-CPSC-and-Fisher-Price-Warn-Consumers-About-Fisher-Price-Rock-N-Play-Due-to-Reports-of-Death-When-Infants-Roll-Over-in-the-Product. Accessed on December 12, 2024.Blair PS, Ball HL, Pease A, Fleming PJ. Bed-sharing and SIDS: an evidence-based approach. Arch Dis Child. 2023;108(4):e6. doi: https://doi.org/10.1136/archdischild-2021-323469Blair PS, Ball HL, Pease A, Fleming PJ. Bed-sharing and SIDS: an evidence-based approach. Arch Dis Child. 2023;108(4):e6. doi: https://doi.org/10.1136/archdischild-2021-323469Möllborg P, Wennergren G, Almqvist P, Alm B. Bed sharing is more common in sudden infant death syndrome than in explained sudden unexpected deaths in infancy. Acta Paediatr. 2015;104(8): 777–783. doi: https://doi.org/10.1111/apa.13021Möllborg P, Wennergren G, Almqvist P, Alm B. Bed sharing is more common in sudden infant death syndrome than in explained sudden unexpected deaths in infancy. Acta Paediatr. 2015;104(8): 777–783. doi: https://doi.org/10.1111/apa.13021Cunningham HM, Vally H, Bugeja L. Bed-Sharing in the First 8 Weeks of Life: An Australian Study. Matern Child Health J. 2018;22(4): 556–564. doi: https://doi.org/10.1007/s10995-017-2424-7Cunningham HM, Vally H, Bugeja L. Bed-Sharing in the First 8 Weeks of Life: An Australian Study. Matern Child Health J. 2018;22(4): 556–564. doi: https://doi.org/10.1007/s10995-017-2424-7

The authors declare that there are no conflicts of interest present.