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Safe Slumber: Creating a Safe Sleep Environment Christy Schunn, LSCSW Executive Director SIDS Network of Kansas

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Physicians do know that babies who die of SIDS: Do not cry out, Do not suffocate or choke, Do not suffer Safe Slumber: Creating a Safe Sleep Environment * SIDS ... – PowerPoint PPT presentation

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Title: Safe Slumber: Creating a Safe Sleep Environment Christy Schunn, LSCSW Executive Director SIDS Network of Kansas


1
Safe Slumber Creating a Safe Sleep
EnvironmentChristy Schunn, LSCSWExecutive
Director SIDS Network of Kansas
2
What is SIDS?
  • Sudden Infant Death Syndrome (SIDS) is the
    sudden death of an infant under one year of age
    which remains unexplained after a thorough case
    investigation, including
  • performance of a complete autopsy,
  • examination of the death scene, and
  • review of the clinical history.
  • National Institute of Child Health and Human
    Development, Willinger et al, 1991

3
Introduction
4
2005 March of Dimes Peristats
5
SIDS Mortality Rateby Race of Mother
  1. Native American 145.7
  2. African American 113.5
  3. White 45.6
  4. Hispanic 27.1
  5. Asian 18.5

Mathews, Menacker, and MacDorman, 2003 from birth
and infant death certificates.
6
Infants at Highest Risk for SIDS
  • Babies who sleep on their tummies (5x greater
    risk)
  • Babies put on their tummies to sleep who usually
    sleep on their backs (as much as 18x)

7
Infants at HighestRisk for SIDS
  • Mothers who smoke during pregnancy (3x greater
    risk)
  • Babies who breathe secondhand smoke (2.5x
    greater risk)

8
SIDS in Child CareRachel Y. Moon, MD, Childrens
National Medical Center, Washington, D.C.
  • Approximately 20 of SIDS deaths occurred while
    the infant was in the care of a nonparental
    caregiver.
  • 60 in family child care
  • 20 in child care centers

9
SIDS in Child Care Rachel Y. Moon, MD,
Childrens National Medical Center, Washington,
D.C.
  • Approximately 1/3 of SIDS-related deaths in child
    care occur in the first week, 1/2 of these on the
    first day.
  • Something intrinsic to child care? No
  • Unaccustomed tummy sleeping? Yes

10
Facts about SIDS
  • When an infant seems to be healthy, but dies
    usually while sleeping, for no other reason, it
    is called Sudden Infant Death Syndrome (SIDS).
  • Highest risk is at 2 to 4 months 91 occur
    between 1 and 6 months of age.
  • SIDS is sometimes called crib death.
  • No one can predict which infants will die from
    SIDS.
  • There is no known prevention for SIDS.

11
What we do know
  • Infants who die of SIDS
  • Do Not cry out
  • Do Not suffocate or choke
  • Do Not suffer

12
SIDS is not
  • Caused by spitting up, choking or smothering
  • Caused by child abuse/neglect
  • Contagious
  • Caused by immunizations
  • Caused by external suffocation
  • The cause of every unexpected infant death
  • Caused by co-sleeping

13
Triple Risk SIDS Theory Hannah C. Kinney,
Harvard Medical School, Boston
14
Triple Risk SIDS Theory Hannah C. Kinney,
Harvard Medical School, Boston
Infant Physiologic Responses Arousal response
deficit Subtle brainstem dysfunction Slow
development

Infant Physiologic Responses
SIDS
External Stress Factors
Development
  • External Stress Factors
  • Sleep position
  • Bedding
  • Temperature
  • Season
  • Swaddling
  • Smoking
  • Drug use
  • Minor respiratory symptoms
  • Poverty
  • Limited prenatal care

Development (autonomic nervous system) 2-4
months most unstable 4-6 months decreasing
instability
15
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16
Method
17
1996 AAP SIDS Statement
Healthy term infants should sleep wholly on
their back as the safest sleep position.
"Positioning and SIDS Update, Pediatrics, Vol.
98, No. 6, December 1996
18
Anatomy when sleeping on stomach
Revised - 0408
19
Anatomy when supine
Revised 12/08
20
We dont recommend this
21
How to Create a Safe Sleep Environment
  • Place baby on his/her back to sleep
  • at nighttime and naptime
  • Place baby on a firm
  • tight-fitting mattress in
  • safety approved crib

22
Creating Safe Sleep
  • If using a blanket, put baby with feet at the
    foot of the crib. Tuck a thin blanket around the
    crib mattress, reaching only as far as the baby's
    chest.

23
Remove all fluffy andloose bedding from the
sleep areaThese include Pillows Quilts
Comforters Sheepskins Stuffed toys
Other soft products
Sleeping Safely
24
Unsafe Sleeping Environments
25
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26
Placed Placed down on right side
27
Found Prone face/nose down
28
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29
Placed Placed down on right side, head resting
on right arm
30
Found Prone, head turned slightly to right
31
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32
Placed down on left side with use of wedge
33
Found rolled forward face down
34
Safe Sleep
  • Make sure the baby's head remains uncovered
    during sleep.
  • There should one infant per crib.

35
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36
Safe Sleep
Consider using a wearable sleeper or other sleep
clothing as an alternative to blankets.
37
Safe Sleep
  • Dress the baby in light sleep clothing
  • Keep the room at a temperature that is
    comfortable for an adult (68º-72º)

38
Encourage the use of a fan to keep the room well
ventilated.
39
Encourage Breastfeeding
40
No smoking around infants
  • Go outside to smoke
  • Wear an overcoat
  • Removed the overcoat upon return
  • Exposure to smoke in a room where babies sleep,
    is linked to an increased risk of SIDS.

41
Tummy Time
  • Is needed to develop strong muscles
  • Is for babies who are awake and being observed
  • Offered 2 to 3 times a day and increase the
    amount as the baby becomes stronger.
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