Safe%20Beginnings%20%20A%20prevention%20program%20for%20Sacramento%20County%20to%20reduce%20infant%20sleep-related%20deaths%20in%20children%20ages%200-5

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Safe Beginnings A prevention program for
Sacramento County to reduce infant
sleep-related deathsin children ages 0-5
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Test ReviewQuestions?
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95 Infant Sleep Related Deaths in Sacramento
County from 2007-2011

• Almost all (90 of the 95 deaths) had at least one
  known infant sleep environmental risk factor

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Safe Beginnings CollaborativeFocus Groups

• Parent Response

• Provider Response

• What do you know about infant sleep-related
  deaths?
• they are a completely natural phenomenon.
• believe parents have little ability to prevent
  these deaths
• agreed Infant sleep-related deaths are a major
  problem
• heard of infant sleep-related deaths on TV, but
  not within their families/communities

• What do you think are the major risk factors for
  infant sleep-related deaths?
• Co-sleeping
• Infant sleeping somewhere other than a crib
• Infant sleeping on their tummy

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Sacramento County parent and service providers
focus group participants overwhelmingly agreed

• An education campaign to raise awareness of the
  importance of infants (particularly those 6
  months of age and younger) sleeping in safe
  environments was needed for Sacramento County.
• With information delivered by
• Birthing Hospitals
• Health Care Professionals
• Child Care Providers
• Family Resource Centers
• Community Programs

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ABCs of Infant Safe Sleeping Video
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Sacramento County ABCs of Infant Safe Sleeping

• A for Alone
• Babies should always sleep alone in their own
  crib or bassinette.
• Co-sleeping with other children or even parents
  can be dangerous others in bed with your baby
  can accidentally suffocate them by simply lying
  too close to their mouth or nose, or by rolling
  onto them while asleep.
• Your baby should not sleep with stuffed animals,
  pillows or blankets these soft items could
  accidentally fall over your babys face and
  suffocate them.
• A blanket sleeper or sleep sack is enough to keep
  your baby comfortable.

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Sacramento County ABCs of Infant Safe Sleeping

• B for Back
• Babies who sleep on their backs are much less
  likely to die of infant sleep-related deaths.
• According to doctors, back sleeping will not
  increase a babys risk of choking.
• Many of our own mothers and grandmothers were
  taught to put a baby on their tummy to sleep so
  youll need to gently remind them that to prevent
  infant sleep-related deaths, its back to
  sleep.

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Sacramento County ABCs of Infant Safe Sleeping

• C for Crib
• Cribs and bassinets are the safest places for
  babies to sleep as long as you keep them safe!
• To make breastfeeding easier keep a crib or
  bassinet next to your bed and always put your
  baby back to sleep afterwards.
• Cribs should be free of pillows, bumpers, stuffed
  toys, extra blankets or anything that could
  accidentally cover your babies face and suffocate
  them. A blanket sleeper or sleep sack is
  sufficient.
• Make sure that the crib mattress is firm and fits
  snuggly with no space between the mattress and
  the side of the crib, where the baby could become
  trapped.
• Unlike firm crib mattresses, todays adult beds
  are soft and can cause babies to suffocate.

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Infant Sleep-Related DeathsA Quick and Silent
Killer

• Infant sleep-related deaths are the leading cause
  of death for babies one month to one year of age.
• Most babies that have an infant sleep-related
  death appear to be healthy prior to death.
• Infant sleep-related deaths occur in all
  socio-economic, racial and ethnic groups. African
  American and Native American babies are 2-3 times
  more likely than Caucasian babies to have an
  infant sleep-related death.

www.firstcandle.org
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Triple Risk Model
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Infant Safe Sleeping

• Recent research from the American Academy of
  Pediatrics indicates that infant sleep-related
  deaths can be prevented by implementing safe
  sleeping techniques for every nap and every
  night.
• Recommendations for sleep position and
  environment should be used consistently for
  infants up to 1 year of age.

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American Academy of Pediatrics Established Risk
Factors Part 1

• Maternal smoking during pregnancy
• Young maternal age
• Late or no prenatal care
• Maternal drinking and /or drug use

• Male sex
• African American
• Native American

SIDS and Other Sleep-Related Infant Deaths
Expansion of Recommendations for a Safe Infant
Sleeping Environment Pediatrics Journal, October
2011
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American Academy of Pediatrics Established Sleep
Environment Risk Factors Recommendations
Risk Factor Co-Sleeping
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American Academy of Pediatrics Established Sleep
Environment Risk Factors Recommendations

• Sleep Environment Risk Factors
• Extra items in the crib bumpers, quilts,
  blankets, toys
• Overheating
• Environmental tobacco smoke

• Risk Factor Sleeping on stomach or on side.

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American Academy of Pediatrics Established Sleep
Environment Risk Factors Recommendations
Risk Factor Soft sleep surface (adult bed,
couch or pillow)
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American Academy of Pediatrics Established Sleep
Environment Risk Factors Recommendations
Recommendation No more than one more layer than
an adult would wear to be comfortable.
Risk Factor Overheating
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American Academy of Pediatrics Infant Safe
Sleeping 2011 Recommendations
Recommendation Supervised tummy-time while awake
beginning at as early of an age as possible, to
promote motor development.
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American Academy of Pediatrics Infant Safe
Sleeping 2011 Recommendations
Recommendation Breastfeeding lowers the risk
Put your baby back into his or her own crib to
sleep after feeding.
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American Academy of Pediatrics Infant Safe
Sleeping 2011 Recommendations
When breastfeeding, wait 3-4 weeks to introduce
the pacifier until the baby has a good latch.
If you are breast-feeding consult your lactation
consultant and/or your doctor.
Recommendation Consider offering a clean, dry
pacifier at nap and bedtime, but do not force
it.
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Post-test
Please take a few minutes to take the post-test.
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Medical Resources

• If you do not have health insurance or a primary
  care provider, please contact your local Family
  Resource Center for more
• information on the Medi-Cal program.
• Or Contact
• Medi-Cal Fresh Service Center
• [phone]
• https//www.mybenefitscalwin.org/
• TDD/TTY, Hearing Impaired [phone]
• Services provided by the Medi-CalFresh Service
  Center are for cases managed by Sacramento County
  only.

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Sacramento County Family Resource Centers

• La Familia Counseling Center
• 5523 34th Street
• Sacramento, CA 95820
• [phone]
• North Sacramento Family Resource Center
• 1217 Del Paso Blvd.
• Sacramento, CA 95815
• [phone]
• Folsom Cordova Community Partnership
• 10665 Coloma Rd., Suite 200
• Rancho Cordova, CA 95670
• [phone]
• River Oak Family Resource Center
• 4322 4th Avenue
• Sacramento, CA 95817

The Effort Resource Center 6015 Watt Avenue,
Suite 2 North Highlands, CA 95660 (916)
679-3925 The Firehouse - Mutual Assistance
Network 810 Grand Avenue Sacramento, CA
95838 [phone] Meadowview Family Resource
Center 2251 Florin Road, Suite 158 Sacramento, CA
95822 [phone] Valley Hi Family Resource
Center 7000 Franklin Blvd., Suite 820 Sacramento,
CA 95823 [phone]
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Accessing Resources

• Child Abuse Prevention Center
• www.thecapcenter.org
• Sacramento County WIC offices
• http//www.dhhs.saccounty.net/PRI/WIC/Pages/Women
  -Infants-and-Children-Home.aspx
• First Candle
• www.firstcandle.org
• American Academy of Pediatrics
• www.aap.org
• Halo Sleep Sack
• www.halosleep.com

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Evaluations

• Are there any other questions?
• Please take a minute and fill out the evaluation.
• Thank you!!
• Becky Honig, M.S.
• [phone]
• bhonig_at_thecapcenter.org