![]() A scoping review requires a rigorous, structured and transparent methodological approach in order to maximise the capture of relevant information, while providing reproducible results and ensuring findings are trustworthy. It is a useful way of mapping fields of study where the area is complex and where it may be difficult to visualise the range of material available. Improving the uptake of safe sleep advice by families with young infants, especially those at greater risk, has potential to prevent infant deaths.Ī scoping review suitably examines the extent, range and nature of a research activity. Moreover, understanding factors that influence caregiver choice and possible barriers encountered when implementing advice require innovative strategies that support families. Understanding caregiver receipt of, and engagement with, public health messages and identifying trends in contemporary infant care practices are both essential components required to appropriately inform and refine future safe sleeping recommendations. SUDI remains the largest contributor to post-neonatal mortality in most developed countries. Concomitantly, there has been a rapid upsurge in research and publications exploring the intersect between safe infant sleep advice, promulgated in SUDI risk-reduction campaigns and the effective and consistent translation of this advice into safe infant care practices adopted by families. Throughout the global SUDI research community, there has been increasing recognition that sleep-related infant mortality incidence has plateaued over the past two decades, and great efforts are being taken to understand where significant issues persist. Reported causes for post-neonatal deaths are vast, including birth defects, infections and accidents however, Sudden Unexpected Death in Infancy (SUDI) remains the largest contributor to post-neonatal mortality in most developed countries. Findings demonstrate a need for ongoing monitoring of infant sleep practices and family engagement with safe sleep advice so that potential disparities and population groups at greater risk can be identified, with focused support strategies applied. Review results map current infant sleeping and care practices that families adopt, primary infant caregivers’ awareness of safe infant sleep advice and the challenges that families encounter implementing safe sleep recommendations when caring for their infant. ![]() A total of 137 articles met eligibility criteria. Databases including PubMed, CINAHL, Scopus, Medline, EMBASE and Ovid were searched for relevant peer reviewed publications with publication dates set between January 2000–May 2021. This scoping review sought to examine the extent and nature of empirical literature concerning infant caregiver engagement with, and implementation of, safe sleep risk-reduction advice relating to Sudden Unexpected Deaths in Infancy (SUDI). Understanding caregiver awareness of, and perceptions relating to, public health messages and identifying trends in contemporary infant care practices are essential to appropriately inform and refine future infant safe sleep advice. Breastfeed if possible and avoid smoking.Modifiable infant sleep and care practices are recognised as the most important factors parents and health practitioners can influence to reduce the risk of sleep-related infant mortality.Keep loose blankets, pillows, stuffed toys, bumpers and other soft items out of the sleep space.Avoid sleep on a couch or armchair or in a seating device, like a swing or car safety seat (except while riding in the car). Use a crib, bassinet or portable play yard with a firm, flat mattress and a fitted sheet.Place infants on their backs for sleep in their own sleep space with no other people.The rate of sleep-related infant death declined significantly in the 1990s after the AAP and others recommended that babies be placed on their backs to sleep, but rates have since plateaued, and SIDS remains the leading cause of postneonatal mortality. Black and Native American/Alaska Native infants die at rates more than double that of white babies. Pediatricians should support all families in implementing recommendations that reduce the risk of sleep-related infant death: Help the families in your practice learn how their babies can sleep safely so parents can sleep soundly. Sleep is a big challenge for families with babies, but following safe sleep recommendations can prevent many SUID fatalities. Sudden Unexpected Infant Death (SUID), which includes Sudden Infant Death Syndrome (SIDS), is the leading cause of injury death in infancy.
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