title: Impact of an educational intervention to improve adherence to the recommendations on safe infant sleep.
abstract: In developed countries, public campaigns promoting recommendations on safe infant sleep increased adherence to the supine sleeping position to more than 70% and, at the same time, reduced the incidence of sudden infant death syndrome by 53%.
  
  
  
  To determine the impact, at 60 days of life, of an educational intervention conducted in maternity centers aimed at improving adherence to the recommendations on safe infant sleep.
  
  
  
  Intervention study with historical control conducted between February 1st and September 30th of 2014 at the Maternity Center of Hospital Meisner and Hospital Universitario Austral. The intervention was called “crib card” and consisted in training health care team members and providing families with information on safe infant sleep by means of lessons, written material and using stickers on cribs.
  
  
  
  Five hundred and fifty newborn infants were included. After the intervention, a 35% increase in the supine sleeping position (p < 0.0001) was observed; exclusive breastfeeding increased by 11% (p= 0.01); and co-sleeping decreased from 31% to 18% (p< 0.0005). No differences were observed in relation to bedroom sharing, living with tobacco users, or paci er use at 60 days of life.
  
  
  
  The educational intervention was useful to improve adherence to the recommendations on safe sleep at 60 days of life: using the supine position and breastfeeding improved, and the rate of co-sleeping decreased. No changes were observed in the number of household members who smoke, bedroom sharing, and pacifier use.
authors.affiliation: Departamento Materno Infantil, Hospital Universitario Austral, Pilar, Buenos Aires, Argentina. mrrivarola@cas.austral.edu.ar.
authors.forename: Manuel
authors.initials: M
authors.lastname: Rocca Rivarola
authors.affiliation: Departamento Materno Infantil, Hospital Universitario Austral, Pilar, Buenos Aires, Argentina.
authors.forename: Pablo
authors.initials: P
authors.lastname: Reyes
authors.affiliation: Departamento Materno Infantil, Hospital Universitario Austral, Pilar, Buenos Aires, Argentina.
authors.forename: Caterina
authors.initials: C
authors.lastname: Henson
authors.affiliation: Departamento Materno Infantil, Hospital Universitario Austral, Pilar, Buenos Aires, Argentina.
authors.forename: Juan
authors.initials: J
authors.lastname: Bosch
authors.affiliation: Secretaría de Salud, Partido de Pilar, Buenos Aires, Argentina.
authors.forename: Pablo
authors.initials: P
authors.lastname: Atchabahian
authors.affiliation: Hospital Comodoro Meisner, Pilar, Buenos Aires, Argentina.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Franzosi
authors.affiliation: Facultad de Ciencias Biomédicas, Universidad Austral, Pilar, Buenos Aires, Argentina.
authors.forename: Carla
authors.initials: C
authors.lastname: Di Pietro
authors.affiliation: Facultad de Ciencias Biomédicas, Universidad Austral, Pilar, Buenos Aires, Argentina.
authors.forename: Constanza
authors.initials: C
authors.lastname: Balboni
authors.affiliation: Facultad de Ciencias Biomédicas, Universidad Austral, Pilar, Buenos Aires, Argentina.
authors.forename: Norberto
authors.initials: N
authors.lastname: Giglio
mesh_terms: D005260:Female; D006266:Health Education; D006801:Humans; D007224:Infant Care / Q000592:standards*; D007231:Infant, Newborn; D008297:Male; D009035:Mothers / Q000193:education*; D012890:Sleep; D013398:Sudden Infant Death / Q000517:prevention & control; D016683:Supine Position
keywords: Crib death; Education; SIDS; Sudden infant death syndrome