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Safe Sleep for South Carolina’s Babies
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Safe Sleep for South Carolina’s Babies

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From Safe Sleep Summit 2014 held by Children's Trust of South Carolina. Presentation by, Deborah Greenhouse MD, FAAP, President, South Carolina Chapter, American Academy of Pediatrics …

From Safe Sleep Summit 2014 held by Children's Trust of South Carolina. Presentation by, Deborah Greenhouse MD, FAAP, President, South Carolina Chapter, American Academy of Pediatrics

Published in: Health & Medicine

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  • 1. Deborah Greenhouse MD, FAAP President South Carolina Chapter American Academy of Pediatrics
  • 2. The AAP and Safe Sleep  1992- Initial recommendation for supine sleep for all newborns and young infants  Resulted in significant initial decrease in SIDS but the rate has stabilized and other causes of sleep-related death including suffocation, asphyxia and entrapment have increased over time
  • 3. Sleep- Related infant deaths in the US- By the Numbers  SIDS deaths 1992- 120 deaths per 100,000 live births  SIDS deaths 2001- 56 deaths per 100,000. The rate has remained constant through 2006.
  • 4. Sleep Related Infant Deaths by the Numbers  Racial Disparities  Non-Hispanic Black infant SIDS rates 2005- 99 deaths per 100,000 live births  American Indian/ Alaskan native infants- 112 deaths per 100,000 live births  Non-Hispanic White infants- 55 deaths per 100,000 live births
  • 5. The AAP and Safe Sleep  2011- Expanded recommendations released in an AAP policy statement focusing on safe sleep with the goal of decreasing all sleep-related deaths, both explained and unexplained.
  • 6. What’s are the Expanded AAP Recommendations?  Back to Sleep for every sleep until 1 year of age. Once the baby can roll supine to prone and prone to supine, the infant can be allowed to remain in the position that he or she assumes.  Use a firm sleep surface- A firm crib mattress with a fitted sheet is recommended. Sitting devices including car seats, swings, slings etc. are not recommended.
  • 7. Expanded AAP Recommendations  Room sharing without bed sharing is recommended. Devices designed to make bed sharing safe (ex. In-bed cosleepers) are not recommended.  The crib should be free of soft objects and loose bedding. Bumper pads are not recommended.
  • 8. Expanded AAP Recommendations  Avoid smoke exposure during pregnancy and after birth. There are multiple reasons for this recommendation in addition to safe sleep concerns.  Avoid alchohol and illicit drug use during pregnancy and after birth.
  • 9. Expanded AAP Recommendations  Breastfeeding is recommended. Exclusive breastfeeding provides the most protection in the first 6 months but any breastfeeding provides more protection than no breastfeeding at all.  Consider offering a pacifier at naptime and bedtime. Breastfed infants should not use a pacifier until breastfeeding is well established.
  • 10. Expanded AAP Recommendations  Avoid overheating- This is difficult to define. Overbundling and covering the face and head should be avoided.  Infants should be immunized according to the AAP and CDC recommendations.  Avoid commercial devices marketed to reduce the risk of SIDS.
  • 11. Expanded AAP Recommendations  Do not use home monitors to decrease the risk of SIDS. There is no evidence that they are effective.  Supervised, awake tummy time is recommended. This promotes development of motor skills and prevents positional plagiocephaly.
  • 12. Expanded AAP Recommendation  Health care professionals, staff in hospital nurseries and neonatal ICUs and child care providers should endorse these recommendations from birth.  Media and manufacturers should follow these guidelines in their messaging and advertising.
  • 13. Expanded AAP Recommendations  A national campaign should be undertaken to spread the message of safe sleep recommendations.  Research should continue to further determine the risk factors for sleep-related infant deaths with the ultimate goal of completely eliminating them.
  • 14. Perfection is not attainable, but if we chase perfection we can catch excellence. Vince Lombardi