Say YES to Safe Sleep Co-sponsored by TEAM for WV Children andCAMC Health Education and Research Institute                ...
Panelists           • Joan Phillips, MD, FAAP, Co-Director, Child             Advocacy Center at CAMC, and Clinical Direct...
Course Objectives Professionals who are working with families and caregivers with infants under one year of age will be ab...
Course Introduction           This training is a tool of Our Babies: Safe           and Sound, an educational campaign tha...
Pre-Assessment Questions                         TRUE or FALSE?           1. Suffocation and strangulation in an          ...
Pre-Assessment Questions                          TRUE or FALSE?           2. The latest guidelines on infant safe        ...
Pre-Assessment Questions                          TRUE or FALSE?           3. There is no increase in choking             ...
Pre-Assessment Questions                          TRUE or FALSE?           4. It is safe to have bumper pads in a crib,   ...
Pre-Assessment Questions                         TRUE or FALSE?           5. Infant safe sleep messages are often         ...
Sudden Infant Death                Syndrome (SIDS)           “… sudden death of an infant under one year            of age...
Sudden, Unexpected                Infant Death (SUID)  An umbrella term for infant deaths that:     Occur suddenly and un...
National Overview   1992: American Academy of Pediatrics (AAP) released its first      recommendations that infants be pl...
National Overview  In response to increasing rates of SUIDs:   2006: Centers for Disease Control began standardized repor...
National Overview              Revised AAP Guidelines           • Guidelines from the American Academy of             Pedi...
Clarifying Common Terms           Bed sharing             An infant shares a sleep surface with one or             more ad...
AAP Expanded            Recommendations 2011 AAP Expanded Policy Statement does not  recommend any specific bed sharing s...
National Incidence Data According to CDC, approximately 4600 SUID cases  yearly     383 babies are dying each month acro...
Accidental Suffocation &           Strangulation in Bed (ASSB)             Suffocation by soft bedding, pillow or        ...
US SUID-specific infant mortality rates                                                SUID-                              ...
West Virginia Overview  Data from WV Child Fatality Review Team shows:  • 33 deaths attributed to SUID in WV during 2010  ...
West Virginia Overview   Suffocation & strangulation in an adult bed or    other unsafe sleeping surface is the leading  ...
West Virginia Overview           A baby dies in WV every 10 days because of           unsafe sleep conditions6/6/2012     ...
Challenges•   Use of misleading & competing media messages          Study evaluated pictures in magazines widely read by ...
Solutions  o    Health care professionals, staff in newborn nurseries       and NICUs, and child care providers endorse an...
West Virginia’s ResponseOur Babies: Safe and Sound Campaign Goal:     Help prevent injury & death of West Virginia     inf...
Campaign Overview  Target Audiences:  • expectant parents  • parents of infants under age of one  • other caregivers of in...
Campaign Supporters  Our Babies: Safe and Sound is a project of TEAM for WV  Children, with support from:  o    Funders: W...
Campaign Overview              Say Yes to Safe Sleep6/6/2012               28
Say YES to Safe Sleep                       Messages   Put baby’s bed near where you sleep, within arm’s reach, to       ...
Say YES to Safe Sleep                     Messages     Babies should sleep in a smoke-free area – smoke           exposur...
Say YES to Safe Sleep                    Messages     Avoid alcohol and illicit drug use during           pregnancy and a...
Say YES to Safe Sleep Video6/6/2012         32
Say YES to Safe Sleep Tools                   •    Brochures                   •    Posters                   •    30 and ...
Say YES to Safe Sleep Tools           •   Say YES to Safe Sleep Pledge for parents6/6/2012                         35
Say YES to Safe Sleep Tools  • Say YES to Safe Sleep web-    based Training Module    with key talking points for    provi...
Say YES to Safe Sleep Tools                    • Resource Guide for                      Community Partners               ...
Say YES to Safe Sleep                   Implementation Protocol Provide consistent, accurate,        Each family receive...
Say YES to Safe Sleep               Implementation ProtocolIdeal steps in delivering Say YES to Safe Sleepmessages: Revie...
Say YES to Safe Sleep                  Implementation ProtocolAdditional steps in delivering Say YES to SafeSleep messages...
Say YES to Safe Sleep                      Implementation Protocol  Examples of possible settings for delivering materials...
Say YES to Safe Sleep                           Implementation Protocol   Display posters at appropriate locations such a...
Say YES to Safe Sleep                     Implementation Protocol           • Case Demonstration of teaching points       ...
Summary Review                           TRUE or FALSE?           1. Suffocation and strangulation in an adult            ...
Summary Review                          TRUE or FALSE?           2. The latest guidelines on infant safe              slee...
Summary Review                          TRUE or FALSE?           3. There is no increase in choking              problems ...
Summary Review                          TRUE or FALSE?           4. It is safe to have bumper pads in a crib,             ...
Summary Review                         TRUE or FALSE?           5. Infant safe sleep messages are often              compe...
Wrap-Up  Complete evaluation  Download teaching   points and script  Order free Say Yes to   Safe Sleep tools   safesou...
For More Information  Jim McKay  State Coordinator  Prevent Child Abuse WV  http://www.safesoundbabies.com  Email: jim@tea...
Say YES to Safe Sleep
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Say YES to Safe Sleep

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Presentation objectives:
- Identify the issues surrounding infant sleep-related deaths nationally and in West Virginia
- Deliver and reinforce infant safe sleep messages
- Change practices to prevent infant deaths in West Virginia

Published in: Education, Health & Medicine
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  • Show the safe sleeping brochure/poster and describe the key messages. Note phase out of drop down cribs new federal crib standards will take effect in June, stopping the sale, manufacture, resale, and distribution of drop-side cribs.The new rules also will prohibit drop-side crib use at motels, hotels, and child care facilities. The American Academy of Pediatrics (AAP) recommends “the safest place for your baby to sleep is in the room where you sleep. Place the baby’s crib or bassinet near your bed (within an arm’s reach). This makes it easier to breastfeed and to bond with your baby.”Baby should sleep alone in a crib on her back at every bedtime and naptime.Babies should never be put to sleep or left on an adult bed, sofa, chair, waterbed, cushion or other soft surface because of the risk of smothering.Baby should not sleep with parent or adults because of the possibility of the adult rolling over on baby causing injury or preventing baby from breathing.The crib should be in an area that is always smoke-free.Baby should have only 3 layers in the crib – diaper, sleeper and light blanket.There should be no toys, stuffed animals, heavy or fluffy blankets, comforters, bumper pads or pillows in the crib.The crib is in good shape and meets Consumer Product Safety Guidelines (www.cpsc.gov).The mattress is firm (not soft) and fits closely to the sides of the crib and the sheet fits tightly.Crib slats are narrow enough so that a soda cannot fit through.Breastfeed your baby. Experts recommend that mothers feed their children human milk at least through the first year of life because of significant health benefits.
  • Click movie to play 5 minute Say YES to Safe Sleep Video.Also Available online at:http://youtu.be/PTRgX3TGM1c
  • Transcript of "Say YES to Safe Sleep"

    1. 1. Say YES to Safe Sleep Co-sponsored by TEAM for WV Children andCAMC Health Education and Research Institute June 2012
    2. 2. Panelists • Joan Phillips, MD, FAAP, Co-Director, Child Advocacy Center at CAMC, and Clinical Director of Children‟s Services, Women‟s and Children‟s Hospital • Diane Hughes, Director, Upper Kanawha Valley Starting Points Family Resource Center and Certified Parent Educator This presentation does not include discussion of any commercial product(s) or service(s).6/6/2012 2
    3. 3. Course Objectives Professionals who are working with families and caregivers with infants under one year of age will be able to: • Identify the issues surrounding infant sleep-related deaths nationally and in West Virginia • Deliver and reinforce infant safe sleep messages • Change practices to prevent infant deaths in West Virginia6/6/2012 3
    4. 4. Course Introduction This training is a tool of Our Babies: Safe and Sound, an educational campaign that focuses on preventing infant injuries and death in West Virginia. The campaign targets parents and other caregivers of infants under the age of one, as well as expectant parents, professionals and the public.6/6/2012 4
    5. 5. Pre-Assessment Questions TRUE or FALSE? 1. Suffocation and strangulation in an adult bed or other unsafe sleeping surface is the leading cause of injury- related death for WV infants under age 1.6/6/2012 5
    6. 6. Pre-Assessment Questions TRUE or FALSE? 2. The latest guidelines on infant safe sleep from the American Academy of Pediatrics propose bed sharing as safe to encourage breastfeeding.6/6/2012 6
    7. 7. Pre-Assessment Questions TRUE or FALSE? 3. There is no increase in choking problems in babies sleeping on their backs.6/6/2012 7
    8. 8. Pre-Assessment Questions TRUE or FALSE? 4. It is safe to have bumper pads in a crib, but toys, heavy blankets and loose blankets should be removed.6/6/2012 8
    9. 9. Pre-Assessment Questions TRUE or FALSE? 5. Infant safe sleep messages are often competing with misleading media messages.6/6/2012 9
    10. 10. Sudden Infant Death Syndrome (SIDS) “… 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.” Willinger M., James L.S., Catz C., Pediatr Pathol 19916/6/2012 10
    11. 11. Sudden, Unexpected Infant Death (SUID) An umbrella term for infant deaths that:  Occur suddenly and unexpectedly in previously healthy infants  Can be explained after a case investigation. Investigations may reveal head injury, infection or overdose  Includes SIDS, suffocation, or other unknown causes  Exclude deaths with an obvious cause such as motor vehicle accidents6/6/2012 11
    12. 12. National Overview  1992: American Academy of Pediatrics (AAP) released its first recommendations that infants be placed for sleep in non-prone position  1994: Back to Sleep Campaign began to educate parents, caregivers, health providers about SIDS & placement of infants on their back to sleep; reduced incidence of rate of SIDS by 50%  State child care regulations also revised, with over 50% requiring babies to be put to sleep on their backs & soft bedding not be used in cribs  While rate of SIDS has decreased, other causes of SUID that occur during infant sleep (suffocation, asphyxia, entrapment) have increased in incidence6/6/2012 12
    13. 13. National Overview In response to increasing rates of SUIDs:  2006: Centers for Disease Control began standardized reporting, data collection, training of professionals for SIDS & SUIDS. Work is underway on SUID Case Registry to create state-level surveillance systems, use standard definitions, monitor incidence and describe demographic and environmental factors to inform prevention activities.  July 2011: National crib safety regulations were strengthened and a federal ban on drop-down side cribs was issued.  Several local jurisdictions have also banned the sale of bumper pads.  State-led awareness campaigns implemented in 37 states, including Our Babies: Safe and Sound in West Virginia6/6/2012 13
    14. 14. National Overview Revised AAP Guidelines • Guidelines from the American Academy of Pediatrics (AAP) have been revised in October 2011. • The AAP expanded its recommendations from focusing only on SIDS to focusing on safe sleep environments to reduce the risk of all sleep-related infant deaths.6/6/2012 14
    15. 15. Clarifying Common Terms Bed sharing An infant shares a sleep surface with one or more adults or other children. In past years, this was referred to as co-sleeping. Room sharing An infant sleeps near the parent or caregivers in their own crib, bassinet or portable crib.6/6/2012 15
    16. 16. AAP Expanded Recommendations 2011 AAP Expanded Policy Statement does not recommend any specific bed sharing situations as safe Room sharing without bed sharing is recommended There is evidence that this arrangement decreases the risk of SIDS by as much as 50%6/6/2012 16
    17. 17. National Incidence Data According to CDC, approximately 4600 SUID cases yearly  383 babies are dying each month across the US  Rates comparable to birth defects mortality  About 2500 of these are SIDS, the leading cause of post- neonatal mortality Accidental Suffocation & Strangulation in Bed (ASSB) rates more than tripled in the last decade  3.7 to 12.5 deaths per 100,000 live-births from 1995 to 2005  Potentially preventable infant mortality6/6/2012 17
    18. 18. Accidental Suffocation & Strangulation in Bed (ASSB)  Suffocation by soft bedding, pillow or waterbed mattress  Overlaying (rolling on top of or against infant while sleeping)  Wedging, or entrapment between, a mattress, wall, bed frame, etc.  Strangulation: infants head and neck caught between bed railings6/6/2012 18
    19. 19. US SUID-specific infant mortality rates SUID- 160 1990-2007 1990- 140 hs 0000 birth 120 100 80 Death per 100 60 hs 40 20 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 SIDS UNK ASSB Combined SUID SIDS: sudden infant death syndrome, UNK: Unknown cause, ASSB: accidental suffocation and strangulation in bed, Combined SUID: SIDS+UNK+ASSB Source: CDC WONDER, Mortality Files6/6/2012 19
    20. 20. West Virginia Overview Data from WV Child Fatality Review Team shows: • 33 deaths attributed to SUID in WV during 2010 • Of the 33 deaths • Bed sharing / Co-sleeping was a factor in 16 deaths • Hazardous bedding was a factor in 21 deaths • Leading cause of death age 1 - 12 months in WV6/6/2012 20
    21. 21. West Virginia Overview  Suffocation & strangulation in an adult bed or other unsafe sleeping surface is the leading cause of injury-related death for WV infants under age 1  Risk of sleeping-related infant death is 40 times higher for babies who sleep in adult beds compared to babies who sleep in their own cribs6/6/2012 21
    22. 22. West Virginia Overview A baby dies in WV every 10 days because of unsafe sleep conditions6/6/2012 22
    23. 23. Challenges• Use of misleading & competing media messages  Study evaluated pictures in magazines widely read by women of childbearing age for adherence to AAP guidelines for safe infant sleep practices. Results showed more than 1/3 of these pictures demonstrated infants in inappropriate sleep position, 2/3 showed infant sleep environments inconsistent with AAP recommendations. - Moon, Pediatrics, 2009  Proponents of “safe” bed sharing perceptions that bed sharing begets breastfeeding. - Santos J, Peds, 2009  Myths surrounding choking when infants placed on back6/6/2012 23
    24. 24. Solutions o Health care professionals, staff in newborn nurseries and NICUs, and child care providers endorse and support the AAP 2011 SIDS risk-reduction recommendations from birth o Consistent messaging and tools used through Our Babies: Safe and Sound campaign o Expectant and new parents and caregivers, including grandparents, targeted for education6/6/2012 24
    25. 25. West Virginia’s ResponseOur Babies: Safe and Sound Campaign Goal: Help prevent injury & death of West Virginia infants. The Campaign focuses on 2 issues: 1. Infant Safe Sleep 2. Shaken Baby/Abusive Head Trauma Prevention6/6/2012 25
    26. 26. Campaign Overview Target Audiences: • expectant parents • parents of infants under age of one • other caregivers of infants under age of one • general public (through the media)6/6/2012 26
    27. 27. Campaign Supporters Our Babies: Safe and Sound is a project of TEAM for WV Children, with support from: o Funders: WVDHHR / Children’s Trust Fund / Claude Worthington Benedum Foundation. o Advisory Panel of Experts o Parents o Media consultation o WV Broadcasters Association6/6/2012 27
    28. 28. Campaign Overview Say Yes to Safe Sleep6/6/2012 28
    29. 29. Say YES to Safe Sleep Messages  Put baby’s bed near where you sleep, within arm’s reach, to make it easier to breastfeed and bond with baby – room sharing without bed sharing  „Back to sleep‟ for every sleep  Babies should sleep alone in a crib (bassinet or portable crib) at every bedtime & naptime  Babies should not be placed to sleep on adult beds, chairs, sofas, waterbeds, or cushions  Babies should not sleep with anyone6/6/2012 29
    30. 30. Say YES to Safe Sleep Messages  Babies should sleep in a smoke-free area – smoke exposure during pregnancy and after birth should be avoided  There should be no bumper pads, toys, stuffed animals , or loose blankets in the crib  Crib should be in good condition and safe (no drop- down side cribs): www.cpsc.gov  Breastfeed your baby  Tell others: “Say Yes to Safe Sleep”6/6/2012 30
    31. 31. Say YES to Safe Sleep Messages  Avoid alcohol and illicit drug use during pregnancy and after birth*  Consider offering a pacifier at nap time and bed time*  Do not use home monitors as a strategy for reducing the risk of SIDS* * New Level A - 2011 AAP Recommendations6/6/2012 31
    32. 32. Say YES to Safe Sleep Video6/6/2012 32
    33. 33. Say YES to Safe Sleep Tools Materials & tools have been designed to be  Attractive & User-friendly with an emphasis on positive messages  Based on AAP guidelines All materials are FREE and can be ordered online or downloaded at www.safesoundbabies.com6/6/2012 33
    34. 34. Say YES to Safe Sleep Tools • Brochures • Posters • 30 and 60 second Public Service Announcements • 5 minute video on Say YES to Safe Sleep6/6/2012 34
    35. 35. Say YES to Safe Sleep Tools • Say YES to Safe Sleep Pledge for parents6/6/2012 35
    36. 36. Say YES to Safe Sleep Tools • Say YES to Safe Sleep web- based Training Module with key talking points for providers delivering materials • TV and radio spots for public education • Website: www.safesoundbabies.com for professionals & public6/6/2012 36
    37. 37. Say YES to Safe Sleep Tools • Resource Guide for Community Partners • Erasable white boards6/6/2012 37
    38. 38. Say YES to Safe Sleep Implementation Protocol Provide consistent, accurate,  Each family receives their own safe sleep messages to expectant set of materials - Say YES to Safe parents, parents, and caregivers Sleep Brochure, DVD, Safe Sleep of infants under one year of age, Pledge - distributed as one ideally within first few weeks of package baby’s life  Person delivering materials Trained providers (physicians, reviews content with parents nurses, in-home family and encourages them to share educators, child care personnel) information with others and professionals working with parents and babies deliver & reinforce Say YES to Safe Sleep materials6/6/2012 38
    39. 39. Say YES to Safe Sleep Implementation ProtocolIdeal steps in delivering Say YES to Safe Sleepmessages: Review materials one- on-one with parents by watching DVD & reviewing brochure using provided teaching points Answer any questions6/6/2012 39
    40. 40. Say YES to Safe Sleep Implementation ProtocolAdditional steps in delivering Say YES to SafeSleep messages: Confirm there is a safe place for their baby to sleep Encourage parents to share materials with others Ask parents to sign sleep pledge promising safe sleep practices for their baby Reinforce messages at follow- up visits6/6/2012 40
    41. 41. Say YES to Safe Sleep Implementation Protocol Examples of possible settings for delivering materials:  Birthing Hospitals by a trained nurse at the bedside, one-on-one (ideal)  In-Home settings by a trained in-home family educator, one-on-one  Group settings such as prenatal classes, post-natal classes, community baby showers, child care center events, etc.6/6/2012 41
    42. 42. Say YES to Safe Sleep Implementation Protocol  Display posters at appropriate locations such as doctor‟s offices, libraries, child care centers, hospitals, churches, social service agencies, retail outlets, etc.  Show the Say YES to Safe Sleep DVD via closed circuit TVs in waiting rooms, hospital rooms, community events, etc.  Set up a model nursery/safe sleep center with materials6/6/2012 42
    43. 43. Say YES to Safe Sleep Implementation Protocol • Case Demonstration of teaching points and script. • The teaching points and script can be downloaded at www.safesoundbabies.com6/6/2012 43
    44. 44. Summary Review TRUE or FALSE? 1. Suffocation and strangulation in an adult bed or other unsafe sleeping surface is the leading cause of injury-related death for WV infants under age 1.6/6/2012 44
    45. 45. Summary Review TRUE or FALSE? 2. The latest guidelines on infant safe sleep from the American Academy of Pediatrics propose bed sharing as safe to encourage breastfeeding.6/6/2012 45
    46. 46. Summary Review TRUE or FALSE? 3. There is no increase in choking problems in babies sleeping on their backs.6/6/2012 46
    47. 47. Summary Review TRUE or FALSE? 4. It is safe to have bumper pads in a crib, but toys, heavy blankets and loose blankets should be removed.6/6/2012 47
    48. 48. Summary Review TRUE or FALSE? 5. Infant safe sleep messages are often competing with misleading media messages.6/6/2012 48
    49. 49. Wrap-Up Complete evaluation Download teaching points and script Order free Say Yes to Safe Sleep tools safesoundbabies.com6/6/2012 49
    50. 50. For More Information Jim McKay State Coordinator Prevent Child Abuse WV http://www.safesoundbabies.com Email: jim@teamwv.org Twitter: @TEAM4WVChildren Phone: 1-866-4KIDSWV6/6/2012 50

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