昆士兰Pepi-Pod®项目| 推荐十大靠谱网堵平台 |十大正规网堵平台

Accessibility links

The Queensland Pepi-Pod® Program

Introduction

澳大利亚土著婴儿的婴儿突然意外死亡(SUDI)是非土著婴儿的四倍. Co-sleeping is a culturally valued practice by many Indigenous families, 但与危险环境下婴儿死亡的风险增加有关. 便携式睡眠空间允许在成人睡眠表面上与父母密切接触的地方有一个单独的表面,已在新西兰的高危人群中成功使用, with infant mortality reductions observed. Indigenous communities identified this area as a priority for investigation.

来自南加州大学的一个项目团队与新西兰的Change for our Children有限公司合作,在澳大利亚进行了安全睡眠促进剂的首次试验. ponpii - pod®安全睡眠计划是由“为十大正规网堵平台的孩子改变”于2011年在新西兰发起的,是与Wahakura篮子计划合作的一项针对患SUDI风险较高婴儿的公共卫生应对措施.

Objectives

This study aimed to determine:

a) ponpii - pod®项目在昆士兰土著居民和托雷斯海峡岛民家庭中的安全性和可行性;

b) ponpii - pod®项目在为脆弱婴儿提供更安全的睡眠环境方面的有效性,通过在风险已确定的共享睡眠环境中使用单独的婴儿睡眠表面来衡量.

Methods

The Pēpi-Pod® Program comprised a portable sleep space, safe sleeping parent education and safety briefing; and a family commitment to share safe sleeping messages within social networks. 新西兰项目根据澳大利亚的情况进行了调整,并交付给了同意的有SUDI风险的土著和托雷斯海峡岛民家庭, 通过政府和非政府妇幼保健服务机构招聘(n=11个服务机构), 27 communities) who undertook Pēpi-Pod® competency training, across Queensland’s metropolitan, regional and rural/remote areas, encompassing a geographical area of 1,727,000 square kilometres. Parent questionnaires were administered face-to-face or by telephone within 2 weeks of receiving the Pēpi-Pod®; then monthly thereafter until Pēpi-Pod use ceased.

Results

Data collection continues; >300 families recruited to date. Of respondents, all had SUDI risk factors; 76% had ≥2 known risks including smoking during pregnancy (53%), LBW (15%), prematurity (14%), alcohol use (8%), recreational (3%) and prescription drugs (4%), crowded living conditions (35%). Most families intended to cosleep (79%); shared infant sleep with a maternal smoker was common (41%). 对ponpii - pod的回应涉及三个关键主题:安全性、便捷性和可移植性. 在家庭(99%)和通过社区社交网络(90%)提高安全睡眠意识. Most families utilised the pod beyond infant age 4 weeks (71%); 14.5% beyond >17weeks. Pēpi-Pod use reduced co-sleeping with known risk factors including: smoking, drug and alcohol use, multiple bed-sharers, prematurity, low birth weight. 与实施相关的卫生专业反馈表明,ponpii - pod®方案是可行的, accessible, sustainable, 并通过整合现有的服务模式来建设当地的劳动力能力.

Conclusions

This is the first evaluation of a safe sleep enabler in Australia. 居住在昆士兰土著社区的父母接受并适当使用了ponpii - pod项目,并在已知风险因素的情况下降低了SUDI的风险. 项目原则适用于照顾弱势家庭的主流服务. Innovative strategies which allow for co-sleeping benefits, respect cultural norms and infant care practices, whilst enabling safe sleep environments are necessary to further reduce SUDI.

据信,新西兰的Wahakura和ponpii - pod项目在2009-2016年期间将围产期后婴儿死亡率(1-52周)降低了36%. 在方案实施期间,将继续监测昆士兰州的婴儿死亡率.

Awards

The Queensland Pēpi-Pod® Program has been recognised with two national awards:

  • Winner, HESTA Australian Nursing Awards - Team Innovation
  • National Winner, 创新实施临床实践国家首席临床医生小组优秀奖(土著健康类别)

Future of the Queensland Pēpi-Pod® Program

ponpii - pod®项目已与孕产妇和儿童健康服务机构合作,纳入孕产妇和儿童健康服务.

With the support of the Change for our Children New Zealand, Department of Communities, Child Safety and Disability, 昆士兰农村医生协会基金会的Pepi-Pod项目在2017-2019年期间继续在几家参与,重点是25岁或以下的土著和托雷斯海峡岛民母亲.

在2020-2021年期间,昆士兰儿科质量委员会和南加州大学合作开展了一项评估,以确定ponpii - pod®项目在降低昆士兰婴儿死亡率方面的作用.

More information

Please contact Professor Jeanine Young, Chief Investigator, Australian Pepi-Pod® Program.

有关新西兰和澳大利亚Pepi-Pod®安全睡眠计划的更多信息,请参阅:

Reports

  • YOUNG J, COWAN S, KEARNEY L, WATSON K, CRAIGIE L. (2020) 在土著和托雷斯海峡岛民社区促进安全睡眠环境和减少婴儿突然意外死亡风险的战略. (ID: 99489008702621)儿童安全部门最终实施项目报告, Youth and Women, Queensland Government, 2018. Available at http://doi.org/10.25907/00011

  • YOUNG J, CRAIGIE L, COWAN S, KEARNEY L, WATSON K. (2018) 降低土著和托雷斯海峡岛民婴儿的风险:试验一种安全睡眠促进剂,以降低高风险环境中婴儿突然意外死亡的风险(昆士兰Pepi-Pod方案). Final Research Project Report. University of the Sunshine Coast, Sippy Downs, Queensland. DOI: http://dx.doi.org/10.25907/5c6b462922760


Peer Review Publications

    • YOUNG J, WATSON K, CRAIGIE L, NEVILLE J, HUNT J. (2019)在土著和托雷斯海峡岛民社区开展研究的最佳实践原则:婴儿安全睡眠策略的案例研究. Women and Birth 32(5): 460-465. 10.1016/j.wombi.2019.06.022.
    • YOUNG J, WATSON K, CRAIGIE L, COWAN S, KEARNEY L. (2017)为脆弱的澳大利亚土著婴儿结合文化习俗和安全睡眠环境. Australian Nursing and Midwifery Journal. April 24(9): 37. [PMID: 29272090]