{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T02:25:06Z","timestamp":1771640706463,"version":"3.50.1"},"reference-count":24,"publisher":"Walter de Gruyter GmbH","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2022-0349_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Despite major advances in prevention, sudden infant death syndrome (SIDS) remains an important cause of infant mortality. The aim of our study was to determine actual knowledge and intentions to implement SIDS prevention measures among new mothers and to identify potential knowledge gaps for improved postpartum counselling strategies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0349_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Data was collected in a standardized interview from participants of the KUNO-Kids birth cohort study before discharge from maternity ward. The mothers did not receive any specific teaching prior to the interview.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0349_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The majority of 2,526 interviewed mothers were\u00a0able to actively report important recommendations for safe infant sleep, including the exclusive face-up position. However, 154 mothers (9%) intended to position the\u00a0newborn face-down sometimes or often. The most frequently envisaged sleeping furniture was a bedside sleeper (n=1,144, 47%), but 2.2% of mothers indicated that the intended default sleeping place for the newborn would be the parents\u2019 bed (which is discouraged by the recommendations). For 43% of the infants (n=1,079), mothers planned to have loose objects in the bed and 189 mothers (7%) intended to use a loose blanket. 22% of infants (n=554) will live in a household with a smoker. Multivariate regression showed a significant association of \u201cgood knowledge\u201d with maternal age and with not being a single parent, whereas the household size was negatively associated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0349_abs_004\">\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Although the majority of mothers in our birth cohort were aware of many recommendations for safe infant sleep, our data also uncovered weaknesses in SIDS prevention knowledge and point to specific areas with potential for improved counselling.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2022-0349","type":"journal-article","created":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T15:45:30Z","timestamp":1664466330000},"page":"423-431","source":"Crossref","is-referenced-by-count":3,"title":["Maternal knowledge of recommendations for safe infant sleep and intentions for implementation\u00a0\u2013 a cross sectional analysis of data from the KUNO-Kids birth cohort study"],"prefix":"10.1515","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4274-2526","authenticated-orcid":false,"given":"Sara","family":"Fill Malfertheiner","sequence":"first","affiliation":[{"name":"University Department of Obstetrics and Gynecology at the Hospital St. Hedwig of the Order of St. John, University of Regensburg , Regensburg , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janina","family":"Postpischil","sequence":"additional","affiliation":[{"name":"Pediatric Pneumology and Allergy , University Children\u2019s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg , Regensburg , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent D.","family":"Gaertner","sequence":"additional","affiliation":[{"name":"Pediatric Pneumology and Allergy , University Children\u2019s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg , Regensburg , Germany"},{"name":"Newborn Research, Department of Neonatology , University Hospital and University of Zurich , Z\u00fcrich , Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanne","family":"Brandstetter","sequence":"additional","affiliation":[{"name":"KUNO University Children\u2019s Hospital Regensburg, University of Regensburg , Regensburg , Germany"},{"name":"WECARE Research and Development Campus Regensburg at the Hospital St. Hedwig of the Order of St. John , Regensburg , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan J.","family":"Metcalfe","sequence":"additional","affiliation":[{"name":"Department of Molecular and Cellular Sports Medicine, German Sport University Cologne , Cologne , North Rhine-Westphalia , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Birgit","family":"Seelbach-G\u00f6bel","sequence":"additional","affiliation":[{"name":"University Department of Obstetrics and Gynecology at the Hospital St. Hedwig of the Order of St. John, University of Regensburg , Regensburg , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Apfelbacher","sequence":"additional","affiliation":[{"name":"WECARE Research and Development Campus Regensburg at the Hospital St. Hedwig of the Order of St. John , Regensburg , Germany"},{"name":"Institute of Social Medicine and Health Systems Research (ISMHSR), Otto von Guericke University Magdeburg , Magdeburg , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Melter","sequence":"additional","affiliation":[{"name":"KUNO University Children\u2019s Hospital Regensburg, University of Regensburg , Regensburg , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Kabesch","sequence":"additional","affiliation":[{"name":"Pediatric Pneumology and Allergy , University Children\u2019s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg , Regensburg , Germany"},{"name":"WECARE Research and Development Campus Regensburg at the Hospital St. Hedwig of the Order of St. John , Regensburg , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Kerzel","sequence":"additional","affiliation":[{"name":"Pediatric Pneumology and Allergy , University Children\u2019s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg , Regensburg , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2022,9,29]]},"reference":[{"key":"2023033123593978474_j_jpm-2022-0349_ref_001","doi-asserted-by":"crossref","unstructured":"Moon, RY. Task force on sudden infant death S. SIDS and other sleep-related infant deaths: evidence base for 2016 updated recommendations for a safe infant sleeping environment. Pediatrics 2016;138:e1\u201334. https:\/\/doi.org\/10.1542\/peds.2016-2940.","DOI":"10.1542\/peds.2016-2940"},{"key":"2023033123593978474_j_jpm-2022-0349_ref_002","doi-asserted-by":"crossref","unstructured":"Moon, RY, Horne, RS, Hauck, FR. Sudden infant death syndrome. Lancet 2007;370:1578\u201387. https:\/\/doi.org\/10.1016\/s0140-6736(07)61662-6.","DOI":"10.1016\/S0140-6736(07)61662-6"},{"key":"2023033123593978474_j_jpm-2022-0349_ref_003","doi-asserted-by":"crossref","unstructured":"Krous, HF, Beckwith, JB, Byard, RW, Rognum, TO, Bajanowski, T, Corey, T, et al.. Sudden infant death syndrome and unclassified sudden infant deaths: a definitional and diagnostic approach. 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