Safe Sleep Knowledge and Use of Provided Cribs in a Crib Delivery Program

Introduction. Risk of infant sleep-related death can be reducedthrough safe sleep practices. Barriers to infant safe sleep have beenmitigated through education and crib distribution, however, previousstudies have not explored whether distributed cribs are put to use. Methods. In a rural Michigan county, the Great Start Sleep Initiativesupplied cribs and education shortly after infant birth to familieswith high-risk of infant mortality, as assessed through comprehensiveinterviews with families by program staff. Participant knowledgewas evaluated using structured pre- and post-assessments beforeand after education. Further, a home visit was conducted to evaluatethe infant’s sleeping environment. Data from the program, collectedbetween January 2012 and December 2014, were evaluated. Results. Cribs and concomitant education were delivered to 75caregivers. Knowledge of safe sleep practices increased significantlyat follow-up with 67 caregivers (89%) affirming back positioning,68 (91%) endorsing removal of unsafe items or soft objects, suchas blankets, from the sleeping area, and 42 (56%) renouncing bedsharing.At the home visit, 74 caregivers (99%) were using a crib toput their infant down to sleep, 70 (93%) were using the providedcrib, and 67 (89%) had no unsafe items in the child’s sleeping area. Conclusion. Providing education to high-risk mothersresulted in improved safe sleep knowledge and providedcribs are used in these homes. KS J Med 2017;10(3):59-61