護理師指導新手媽媽關於嬰兒猝死症候群(SIDS)的預防,應包含什麼?
A nurse is teaching a new mother about SIDS prevention. What should she include?
- AUse a soft, fluffy blanket for warmth使用柔軟蓬鬆的毯子保暖
- BKeep the crib in the parents' bed將嬰兒床放在父母的床上
- CPlace the baby on the back to sleep✓ 正解讓嬰兒仰睡
- DPlace the baby on the side to sleep讓嬰兒側睡
預防嬰兒猝死症候群(SIDS)的核心在於維持嬰兒呼吸道暢通,並減少睡眠環境中的窒息風險。根據美國兒科學會(AAP)的指引,所有嬰兒在 1 歲前,每次睡眠(包含小睡)都必須採取仰睡姿勢。仰睡能降低嬰兒因俯臥導致的上呼吸道阻塞風險。嬰兒床內應保持淨空,禁止放入枕頭、鬆軟毯子、毛絨玩具或防撞墊,以免造成嬰兒窒息或再吸入二氧化碳。
SIDS prevention centers on keeping the infant's airway clear and reducing suffocation risks in the sleep environment. According to American Academy of Pediatrics (AAP) guidelines, infants younger than 1 year should be placed on their backs for every sleep (including naps). Supine positioning lowers the risk of upper-airway obstruction associated with prone sleep. The crib should be kept empty, with no pillows, loose blankets, stuffed toys, or bumper pads, to prevent suffocation or rebreathing of carbon dioxide.
美國非常強調「Safe Sleep」環境,護理師需在產後衛教中明確告知 AAP 準則。在台灣,雖然也推廣仰睡,但部分傳統觀念仍有側睡或使用枕頭的習慣,護理師需特別加強衛教,強調「不依賴枕頭」的重要性。