INFANT SAFE SLEEP RESOURCES
The following are some additional resources for parents and child care professionals.
Dr. Rachel Moon of George Washington University has advised parents to steer clear of commercial sleep websites, such as those from retailers selling infant products. She and her colleagues found 185 relevant websites from companies or interest groups; 54 of them (29 percent) gave incorrect information.
Here are some useful safe sleep resources:
- Safe Sleep Brochure produced by the Colorado Safe Sleep Coalition
- Segura Folleto Dormir en Español
- Infant Sleep Safety page at Children’s Hospital Colorado Sleep Center
- Safe to Sleep campaign: the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD); et al
information for health care practitioners
Another study by Dr. Rachel Y. Moon, of Children's National Medical Center in Washington, D.C. shows evidence of poor compliance with AAP recommendations on sleep positioning by both health personnel (the primary birth hospitals were surprisingly among the last, rather than first, to implement the AAP recommendations) and parents.
Two years after the AAP recommendations were issued, only 60 percent of all the parents surveyed reported receiving instructions consistent with AAP recommendations. Among the inner-city, low-income parents, only 48 percent reported receiving AAP instructions, whereas nearly three-quarters of the private practice patients had been appropriately instructed. The following is information and resources for pediatricians, childcare workers and parents:
- THE JOURNAL of the AMERICAN PEDIATRICS ASSOCIATION. SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for Safe Infant Sleep Environment. AAP Safe Sleep Recommendations
- THE JOURNAL of the AMERICAN PEDIATRICS ASSOCIATION: Bed Sharing Remains Greatest Risk Factor for Sleep Related Infant Deaths. A new study, published July 14, 21014 in the journal Pediatrics, shows that the risk factors that contribute to SIDS vary with a baby's age. The majority of infants in the study younger than 4 months old who died while sleeping were bed sharing, whereas older infants who died were likelier to be found on their stomachs, or with blankets, stuffed animals or pillows around them, said study co-author Dr. Jeffrey Colvin, a pediatrician at Children's Mercy Hospital in Missouri.
Stomach sleeping is tied to sleep-related deaths, perhaps because prone infants tend to sleep more deeply, which can make them less likely to wake up if their airway gets blocked or if they stop breathing, Colvin said. And the risk of SIDS is up to 19 times higher for babies when they are used to sleeping on their backs, but wind up on their stomachs for some reason, the researchers wrote in the paper. Co-sleeping is another common risk factor. In two-thirds of 8,207 cases reviewed in the study, infants were sharing a bed, sofa or other surface with an adult at the time of death, but a larger proportion of younger infants (ages 0 to 3 months) were bed-sharing compared with older infants, 74% vs. 59%. Many babies are also found with pillows, stuffed animals, blankets and bumpers in their sleeping area. About 70 percent of the babies who died were three months old or younger, the researchers found. Sleep-related deaths are also more common in very young infants, with the risk falling off sharply by the time babies are 6 months old, Colvin said. About 75 percent of the babies who were younger than 3 months old when they died were sharing a bed with another person at the time, compared with about 60 percent of infants 4 months old and older. Bed Sharing Remains Greatest Risk Factor for Sleep Related Infant Deaths
- NURSES’ CONTINUING EDUCATION PROGRAM on (SIDS) RISK REDUCTION. In partnership with several nursing organizations, First Candle/SIDS Alliance, and the National Institute of Nursing Research, the NICHD has designed this CE offering to provide you with the information and tools necessary to effectively communicate SIDS risk-reduction messages. NICHD's Nurses' CE on SIDS Risk-Reduction
- DEATHS and INJURIES ATTRIBUTED to INFANT CRIB BUMPER PADS. Most infant cribs sold in the United States are used with bumper pads. Twenty-seven accidental deaths reported by medical examiners or coroners were attributed to bumper pads. The mechanism of death included suffocation and strangulation by bumper ties. Twenty-five nonfatal injuries were identified, and most consisted of minor contusions (survey 2007). The First Candle Sudden Infant Death Syndrome Alliance cautions that bumper pads should be “thin, firm but not pillow like. Death by Crib Bumpers
- CEREBRAL OXYGENATION Is DEPRESSED DURING SLEEP In HEALTHY TERM INFANTS WHEN THEY SLEEP PRONE. Babies who slept on their stomachs had lower levels of oxygen in their brains, which may help to explain why this sleeping position is associated with an increase in the incidence of sudden infant death syndrome (SIDS), say Australian researchers. Prone sleeping reduces cerebral oxygen in infants
- ABNORMALITIES in the PLACENTA of PREGNANT WOMEN MAY PREDISPOSE NEWBORNS to an INCREASED RISK OF SIDS according to a study in Early Human Development. Signs of SIDS Risks in the Womb
- BELIEFS and PERCEPTIONS about SIDS in AFRICAN-AMERICAN MOTHERS. Many African-American mothers may not understand the connection between SIDS and sleep behaviors or believe that behavior (other than vigilance) cannot affect risk. These beliefs, if acted on, may affect rates of safe sleep practices. Efforts to explain a plausible link between SIDS and safe sleep recommendations and to improve consistency of the message may result in increased adherence to these recommendations. Beliefs and Perceptions about SIDS in African-American Mothers
- SLEEP DISORDERS IN CHILDREN For information on general sleep disorders in children, please visit: Children's Hospital Sleep Center