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Study from Pediatrics: Some new moms get too little advice from doctors (usatoday.com)

New mothers get a lot of advice, but when it comes to key issues of infant health and safety, some moms hear surprisingly little from doctors, a new study shows.

 

The study, published Monday in Pediatrics, does show moms get more advice from doctors and nurses than from family members and the media on vaccinations, breastfeeding, pacifier use and sleep safety. Advice from health professionals also is more likely to match recommendations from the American Academy of Pediatrics.

But in the nationally representative survey of more than 1,000 mothers of infants, 75% said they heard nothing from doctors about pacifier use and more than 50% said they heard nothing about where babies should sleep – for example, in their own cribs or in parents' beds.

 

About 20% reported no doctors' advice on breastfeeding or how infants should be positioned for sleep. And 11% said doctors offered no advice on vaccinations.

"The amount of 'no advice' we found was a little surprising," says lead author Staci Eisenberg, a pediatrician at Boston Medical Center. "We know that advice matters. We know from previous studies that mothers getting advice from more sources, and more correct advice, changes behavior."

 

The pediatrics group has stances on all of the issues covered in the survey. For example, it says babies should always be put to sleep on their backs and should sleep near parents, but in their own cribs or bassinets, to lower risks of sudden infant death syndrome (SIDS). The group recommends breastfeeding for a least a year and says pacifiers used at nap and bedtime can lower SIDS risks.

 

When doctors do give advice on those issues, it usually matches those guidelines, mothers reported. But there were exceptions: 26% heard differing advice on sleep positions and 29% heard differing advice on sleep location.

 

For more information on this article by Kim Painter, please see this link: http://www.usatoday.com/story/...tor-advice/30634057/

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(Here is a Link to the Full Text PDF from Pediatrics, July 27th 2015)

 

Maternal Report of Advice Received for Infant Care 

 

BACKGROUND: Advice has been associated with increased adherence to recommended infant care practices, and may represent a modifiable factor to promote infant health.

 

 

METHODS: A stratified, 2-stage, clustered design, with oversampling of black and Hispanic mothers, was used to survey a nationally representative sample of 1031 mothers of infants aged 2 to 6 months. Survey questions assessed advice received from doctors, birth hospital nurses, family, and media regarding immunization, breastfeeding, sleep position, sleep location, and pacifier use. Weighted frequencies of no advice and advice consistent with recommendations were calculated to obtain prevalence estimates. Multivariable logistic regression analyses were performed to assess factors associated with receipt of recommendation consistent advice.

 

 

RESULTS: Although doctors were the most prevalent source of reported advice, ∞20% of mothers reported no doctor advice for breastfeeding or sleep position, and more than 50% reported no advice regarding sleep location or pacifier use. Reported advice from nurses was generally similar to doctors. The prevalence of any advice from family or media was 20% to 56% for nearly all care practices, and advice given was often inconsistent with recommendations. The only factors that were consistently associated with receipt of recommendation consistent advice were race/ethnicity and parity; black and Hispanic mothers and first-time mothers were more likely to report recommendation consistent advice.

 

 

CONCLUSIONS: Mothers commonly report receiving either no advice or recommendation inconsistent advice from each of the 4 sources we studied. By identifying care practices with low prevalence of recommendation consistent advice from potentially important advisors, our findings highlight opportunities for future intervention. 

 

http://pediatrics.aappublicati...5-0551.full.pdf+html

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