Outcomes are reported from a survey of Māori mothers who gave birth in the Counties Manukau District Health Board area. This survey investigated what these mothers know about SIDS prevention, and sought to determine their SIDS-related child care practices. Results were compared with a similar 2005 survey of a largely European sample. Knowledge of Māori mothers about SIDS prevention was much lower than for European mothers. More Māori infants slept prone and Māori mothers stopped breastfeeding significantly earlier. Although co-sleeping rates were similar, bedsharing increased to 65% for some part of the night. In addition, more than half of the Māori mothers had smoked in pregnancy and 21% of them were sharing a bed with their infant. Potentially unsafe soft objects such as rolled blankets or pillows were used by a third of mothers to help maintain the sleep position.
It would be easy to appoint blame with mums (“why can’t you stop smoking, breastfeed longer and stop sleeping with baby?”) but as the authors say, the information should be used to develop appropriate measures. SIDS continues to be a major cause of Māori babies dying; providers must ensure better outcomes for pēpi through the provision of effective education, support and resources.
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.
