Safe sleep environment in first year of life


  • Lúcia Azevedo UCSP Amadeo Souza Cardoso, Centro de Saúde de Amarante
  • Liliana Mota UCSP Amarante 1, Centro de Saúde de Amarante
  • Ana Inês Machado USF São Gonçalo, Centro de Saúde de Amarante



Infant, safe sleep, sudden infant death syndrome


Background: Most of anticipatory care to promoting a safe sleep environment is related to the prevention of Sudden Infant Death Syndrome. Nowadays, it is unknown if the recommended preventive measures are followed by parents.

Objectives: Characterize maternal behaviours to promoting of a safe sleep environment during the first year of life.

Material and Methods: An observational, descriptive, cross-sectional study was conducted with a convenience sample consisting of mothers whose children have ! 12 months, with medical appointment between 01.09.2012 and 30.12.2012. Data were collected using an anonymous selffulfilment questionnaire realized by the mothers and then it was performed a descriptive statistical analysis.

Results: 89 questionnaires were validated; 38.2% of the inquired mothers prefer the recommended supine position for placing their infant for sleep; 75.0% from the 58.4% that elect side positioning did so because they believed to be the safest position; 89.9% of infants slept in the same room as their parents; 68.5% of the inquired mothers said they had fallen asleep with the child in his bed at least once and the major reasons for bed sharing were: to calm a fussy infant (60.7%) and / or facilitate breastfeeding (31.1%).

Discussion/Conclusion: Despite study limitations, there was evidence of low compliance to the current recommendations related to promoting a safe sleep environment. Therefore, it is important that health professionals ensure that parents understand the risks and benefits of their practices.


Direção Geral da Saúde. Programa Nacional de Saúde Infantil e Juvenil. Norma 010/2013; 2013. Disponível em: [acedido em 06/10/2013].

Hauck FR, Tanabe KO. International Trends in Sudden Infant Death Syndrome: Stabilization of Rates Requires Further Action. Pediatrics 2008; 122:660-6.

Task Force on Sudden Death Syndrome. The Changing Concept of Sudden Infant Death Syndrome: Coding Shifts, Controversies Regarding the Sleeping Environment, and New Variables to Consider in Reducing Risk. Pediatrics 2005; 116:1245-55.

Hunt CE, Hauck FR. Sudden Infant Death Syndrome. CMAJ 2006; 174:1861-9.

Adams SM, Good MW, DeFranco GM. Sudden Infant Death Syndrome. American Family Physician 2009; 79:870-4.

Ostfeld BM, Esposito L, Perl H, Hegyi T. Concurrent Risks in Sudden Infant Death Syndrome. Pediatrics 2010; 125:447-53.

SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for Safe Infant Sleeping Environment. Pediatrics 2011; 128:1030-9.

Sociedade Portuguesa de Pediatria (SPP) e Secção de Neonatologia da SPP. Como reduzir o risco de Síndrome da Morte Súbita do Latente. 2009. Disponível em: [acedido em 06/04/2012].

DGS. Boletim de Saúde Infantil e Juvenil. Disponível em: [acedido em 06/10/2013].

Remoaldo PCA. Comportamentos preventivos dos pais relacionados com o Síndrome de Morte Súbita do Lactente. Saúde Infantil 2000; 22:19-22.

Ferreira MC, Gomes A, Pinto E, Marques R. Síndrome da morte súbita do lactente. Estaremos mesmo a prevenir? Saúde Infantil 2004; 26:13-22.

Monn RY, Omron R. Determinants of infant sleep positioning in na urban population. Clin Pediatr (Phila) 2002; 41:569-73.

Hauck FR, Signore C, Fein SB, Raju TNK. Infant sleeping arrangements and practices during the first year of life. Pediatrics 2008; 122:S113-20.

Fernandes A, Fernandes CA, Amador A, Guimarães F. Síndrome da morte súbita do lactente: o que sabem os pais?. Acta Pediatr Port 2012; 43:59-62.



How to Cite

Azevedo, L., Mota, L., & Machado, A. I. (2016). Safe sleep environment in first year of life. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 24(1), 18–23.



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