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Babies who are placed to sleep on their tummies have a 5 times greater risk of SIDS SIDS deaths occur while the infant is under non-parental care.
87%
20%
A Scottish study showed 87% of SIDS occurred in unsafe sleep environments. Only 13% were found on crib or bassinets
Non-parental caregivers may use tummy sleeping. Less ability to lift head in tummy position. Later development of upper body strength.
Davis et al, 1998
What is SIDS?
SIDS is the sudden unexplained death of a seemingly healthy infant under 12 months of age that remains unexplained after a thorough death scene investigation, autopsy and review of babys medical history. It is a diagnosis of exclusion.
What is the Challenge in SIDS Community? SIDS rates are stagnating and other sleeprelated deaths are increasing. Everybody thinks that his/her baby is the exception to the rule.
Gastro-esophageal reflux Premature Bad sleeper
These new guidelines are more explicit, concrete and based on scientific evidence. Theyve released 18 recommendations in total.
SIDS Facts
The exact causes of SIDS are unknown, but SIDS is NOT caused by
Immunizations Vomiting or choking Caused by cribs Contagious or hereditary Child abuse or neglect
GE reflux and positioning Elevating the head of the infants crib while the infant is supine is no effective in reducing GE reflux. (Meyers, 1982;Tobin, 1997)
May also result in the infant sliding to the foot of the crib into a position that may compromise respirations and therefore is not recommended.
SIDS
Vulnerable infant
External stressors
Revised 12/08
Parental preference
Lack of information Lack of education
Safe Sleep Practices: Reducing the Risk of SIDS and other related deaths Back to sleep for every sleep. Side sleeping is not safe and is not advised. Avoid overheating.
Do not overdress baby. Never cover babys head with a blanket. Room temperature should be comfortable for a lightly clothed adult.
Safe Sleep Practices: Reducing the Risk of SIDS and other related deaths
Breast-feeding is recommended. Pacifiers may be offered to babies to reduce the risk of SIDS If breastfed, wait until breastfeeding is well established (approximately 3 - 4 weeks of age), before offering a pacifier. If the baby refuses the pacifier, dont force it. If the pacifier falls out while the baby is asleep, you do not have to re-insert it.
Safe Sleep Practices: Reducing the Risk of SIDS and other related deaths Safe crib, firm mattress. Avoid chairs, sofas, air mattresses, water beds, and adult beds. Room-sharing without bed-sharing is recommended. Do not have more than one baby per crib.
Safe Sleep Practices: Reducing the Risk of SIDS and other related deaths Avoid smoke exposure during and after pregnancy. Avoid alcohol and illicit drug use during pregnancy and after birth. Do no use cardio-respiratory monitors as strategy for reducing the risk of SIDS. Spread the word.
Safe Sleep Practices: Reducing the Risk of SIDS and other related deaths
Infants should be immunized in accordance with recommendations of the AAP and CDC. Avoid commercial devices marketed to reduce the risk of SIDS. Supervised, awake tummy time is recommended to facilitate development and to minimize development of positional plagio-cephaly.
What We Need to Do
Implement the Caring for Our Children standards. Have a safe sleep policy. Train all caregivers. Talk with a child care health consultant. Be able to handle an infant medical emergency. Be aware of bereavement resources.
Law enforcement
Note babys health, behavior, etc. Take photos. Limit disturbance of the area.
Coroner/medical examiner
Conducts autopsy. Determines cause of death.
National Resource Center for Health and Safety in Child Care and Early Education
Caring for Our Children: National Health and Safety Performance Standards, Third Edition is available in three formats: Full PDF - Now available with the current changes; grayscale or color PDF by Chapter - Now available with the current changes; smaller file sizes HTML Version - Now available with the current changes
These online PDF and HTML formats of Caring for our Children, Third Edition, (CFOC3) are updated to reflect changes/additions since the second printing of CFOC3 in August 2011. (Each is updated as of April 2012.)
PDFs can be viewed with Adobe Acrobat Reader Get Adobe Acrobat Reader
NRCKIDS
Mailing Address: National Resource Center for Health and Safety in Child Care and Early Education 13120 E. 19th Ave., Mail Stop F541 PO Box 6511 Aurora, CO 80045 Fax: (303)724-0960 Our offices are open Monday through Friday 7:30am to 4:30pm Mountain Time Please send any comments or questions to info@nrckids.org or call us at 1-800-598-KIDS (5437)