Home > Review Articles > Safe sleep practices > Wahakura versus bassinet for safe infant sleep: a randomized trial

Wahakura versus bassinet for safe infant sleep: a randomized trial

Making Education Easy

Authors:
Summary:

This study enrolled 200 mainly Māori pregnant women living in deprived areas of New Zealand and provided them with either a bassinet or wahakura (flax bassinet). Mothers were asked to sleep the infant in this device from birth. The researchers investigated breastfeeding, infant sleep position, the amount of infant head covering during sleep, the amount of bed-sharing (without the device), and maternal sleep and fatigue. At 1, 3 and 6 months, mothers completed questionnaires about babies’ sleep and at 1 month infra-red video was used to record the baby’s overnight sleep. Between-group comparisons revealed no differences at 1, 3, and 6 months in infant-adult direct bed-sharing, but at 6 months, the wahakura group reported twice the level of full breastfeeding (22.5% vs 10.7%; p=0.04). Maternal sleep and fatigue were not significantly different between groups. Video recordings identified no increase in head covering, prone/side sleep position, or bed-sharing in the wahakura group.

Comment:
This has received a lot of media attention lately, so I thought readers would like to see the original article!
Reference: Pediatrics. 2017 Jan 2. [Epub ahead of print]
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

Related Articles

Post-neonatal mortality in New Zealand has decreased by 29% from 2009 to 2015, reaching 2.0

This audit assessed adherence to safe sleeping guidelines in a special care nursery (SCN, encompassing

Explore Māori Health Reviews

Dive into our publications and videos content from over 50 areas of medicine including Cardiology, Diabetes, Oncology, Haematology and Psychiatry. 

It looks like you are closest to our Australia site.

Australia
Australia
Find Reviews in Your Clinical Area
Please select your country of practice.
Terms and Conditions

Website terms of use 

By using our website, you agree to follow these terms and conditions. 

 

Privacy policy 

We take your privacy seriously. To understand how we collect, use, and protect your information, please read our Privacy Policy, which is part of these terms. 

 

Copyright and use of website content 

The content of our website is protected by copyright, trademarks, and other legal rights. You can: view, download, or print a single copy of content for your personal or professional use. 

You cannot:  copy, modify, or distribute website content, or use our website content for commercial purposes or in other works without permission. 

 

Links to third-party websites 

The Research Review website may link to third-party websites for your convenience. However: 

We do not endorse or approve their products, services, or actions. 

We are not responsible for their content or how they operate. 

There is no formal partnership between us and third parties unless we clearly state otherwise. 

 

Disclaimer and limitation of liability 

We do our best to keep the information on our website accurate, but we do not guarantee that it is always correct or up to date. 

To the fullest extent allowed by law, we are not responsible for: 

Any loss, damage, or costs you may suffer from using (or being unable to use) our website. 

Any decisions you make based on the information provided. 

Any business losses, such as lost profits, lost data, or business interruptions. 

 

Governing law 

These terms are governed by New Zealand law. If there is a dispute, it must be resolved in a New Zealand court.