Physiological stability in an indigenous sleep device: a randomised controlled trial

ObjectiveTo compare overnight oxygen saturation, heart rate and the thermal environment of infants sleeping in an indigenous sleep device (wahakura) or bassinet to identify potential risks and benefits.DesignRandomised controlled trial.SettingFamily homes in low socio-economic areas in New Zealand.P...

Full description

Saved in:
Bibliographic Details
Published in:Archives of disease in childhood 2018-04, Vol.103 (4), p.377-382
Main Authors: Baddock, Sally A, Tipene-Leach, David, Williams, Sheila M, Tangiora, Angeline, Jones, Raymond, Mącznik, Aleksandra K, Taylor, Barry J
Format: Article
Language:English
Subjects:
Babies
Biomarkers - blood
Body Weight
Breastfeeding & lactation
Child care
Climate
Clinical trials
Correlation
Cultural Characteristics
Ethnicity
Evidence-based medicine
Families & family life
Female
Females
Health care
Heart Rate
Humans
Infant
Infant Care - instrumentation
Infant Care - methods
Infant Care - psychology
Infants
Intention
Intention to Treat Analysis
Malayo Polynesian Languages
Male
Mothers
Motivation
New Zealand
Outcome Measures
Oximetry
Oxygen
Oxygen - blood
Pediatrics
Physiology
Pregnancy
Recording equipment
Regression (Statistics)
School Holding Power
Sleep
Sleep - physiology
Software
Sudden Infant Death - prevention & control
Womens health
Young Children
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:ObjectiveTo compare overnight oxygen saturation, heart rate and the thermal environment of infants sleeping in an indigenous sleep device (wahakura) or bassinet to identify potential risks and benefits.DesignRandomised controlled trial.SettingFamily homes in low socio-economic areas in New Zealand.Patients200 mainly Māori mothers and their infants.InterventionsParticipants received a wahakura or bassinet from birth.Main outcome measuresOvernight oximetry, heart rate and temperature at 1 month.ResultsIntention-to-treat analysis for 83 bassinet and 84 wahakura infants showed no significant differences between groups for the mean time oxygen saturation (SpO2) was less than 94% (0.54 min, 95% CI -1.36 to 2.45) or less than 90% (0.22 min, 95% CI -0.56 to 1.00), the mean number of SpO2 dips per hour >5% (-0.19, 95% CI -3.07 to 2.69) or >10% (-0.41, 95% CI -1.63 to 0.81), mean heart rate (1.99 beats/min, 95% CI -1.02 to 4.99), or time shin temperature >36°C (risk ratio (RR): 0.63, 95% CI 0.13 to 2.99) or
ISSN:0003-9888
1468-2044
1468-2044
DOI:10.1136/archdischild-2017-313512