Safe Sleeping Positions: Practice and Policy for Babies with Cleft Palate

Overview

Journal Eur J Pediatr

Specialty Pediatrics

Date 2017 Mar 24

PMID 28331972

Citations 3

Authors

Karen Davies

Iain A Bruce

Patricia Bannister

Peter Callery

Affiliations

Soon will be listed here.

Abstract

Conclusion: Specialist practitioners face a clinical dilemma between adhering to standard 'back to sleep' guidance and responding to clinical assessment of respiratory effort for infants with cleft palate. In the absence of clear evidence, specialist centres rely on clinical judgement regarding respiratory problems to identify what they believe is the most appropriate sleeping position for infants with cleft palate. Further research is needed to determine the best sleep position for an infant with cleft palate. What is Known • Supine sleep positioning reduces the risk of sudden infant death in new born infants. • There is uncertainty about the benefits or risks of lateral sleep positioning for infants with upper airway restrictions arising from cleft palate. What is New • Variability exists in the information/advice provided to parents of infants with cleft palate regarding sleep positioning. • Over half the national specialist centres for cleft palate in the UK advise positioning infants with CP in the lateral position as a routine measure to reduce difficulties with respiration.

Citing Articles

Study protocol for randomised clinical trial comparing the effectiveness of side-lying sleep positioning to back-lying at reducing oxygen desaturation resulting from obstructive sleep apnoea in infants with cleft palate (SLUMBRS2).

Metryka A, Cuniffe C, Evans H, Gavlak J, Hudson N, Kirby N BMJ Open. 2021; 11(4):e049290.

PMID: 33827851 PMC: 8031693. DOI: 10.1136/bmjopen-2021-049290.

Does Sleep Position Influence Sleep-Disordered Breathing in Infants With Cleft Palate: A Feasibility Study?.

Murray C, Walsh T, Bannister T, Metryka A, Davies K, Lin Y Cleft Palate Craniofac J. 2021; 59(2):254-261.

PMID: 33792409 PMC: 8750130. DOI: 10.1177/10556656211003459.

How can the process of postnatal adaptation be changed by the presence of congenital abnormalities of lip and palate.

Brucknerova I, Dubovicky M, Ujhazy E Interdiscip Toxicol. 2018; 10(4):168-171.

PMID: 30147425 PMC: 6102672. DOI: 10.1515/intox-2017-0024.

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