Keep Infants Sleeping Safely

Presented by:

Calhoun County Infant Safe Sleep Coalition

By the end of the presentation you will:

*Have an awareness of the issue

*Know prevention strategies

*See the value in informing others

*Know the importance of becoming an Infant Safe Sleep Advocate

The Problem

Too many infants around the state and

in Calhoun County are dying in unsafe sleep environments.

These are preventable deaths!

Live Births Deaths Before Age 1

Rate per 1,000 births

2006 127,537 940 7.4

2007 125,172 997 8.0

2008 121,231 894 7.4

2009 116,743 881 7.5

2010 114,717 817 7.1

Infant Deaths: Michigan

Live Births Deaths Before Age 1

Rate per 1,000 births

2006 1,797 17 9.5

2007 1,921 28 14.6

2008 1,776 14 7.9

2009 1,704 20 11.7

2010 1,648 18 10.9

Infant Deaths: Calhoun County

Infant Mortality Rate: County to State to National Comparison

2001 2002 2003 2004 2005 2006 2007 2008 2009 20100

2

4

6

8

10

12

14

16

Calhoun CountyMichiganUnited States

Rate

per

1,0

00

Liv

e B

irth

s

Sudden Unexpected Infant Deaths due to Accidental Suffocation and

SIDS: Calhoun County

2005 2006 2007 2008 2009 20100

1

2

3

4

5

6

SIDS

Nu

mb

er

of

Infa

nt

Death

s

Infant Death Rate due to Accidental Suffocation in Bed

2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

0.2

0.4

0.6

0.8

1

1.21.06

0.91 0.89

0.55

0.37

0.2

0.350.4 0.42 0.43 0.47 0.47

Calhoun CountyMichigan

Rate

per

1,0

00

liv

e b

irth

s

Infant Death Rate due to SIDS

2003-05 2004-06 2005-07 2006-08 2007-09 2008-100

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

1.8

0.18

0.54

1.07

1.27

1.67

1.37

0.38 0.39 0.38 0.39 0.38 0.39

Calhoun County

Michigan

Rate

per

1,0

00

liv

e b

irth

s

Safe Sleep Recommendations

*Place baby on back for every sleep time

*Use a firm mattress with tightly fitted sheet – no loose bedding

*Baby should sleep in the same room as the parents, but not in the same bed (room-sharing without bed-sharing)

*Baby should sleep alone in a crib, portable crib, or bassinet.

*Nothing in sleep area: no pillows, blankets, comforters, stuffed animals, bumper pad, or other soft items.

*Do not smoke during pregnancy and avoid an infant’s exposure to second-hand smoke

*Recommendations from American Academy of Pediatrics: Task Force on SIDS (2011)

Safe Sleep Recommendations*Offer a pacifier at nap time and bed time. (For breastfed infants,

delay pacifier introduction until breastfeeding has been firmly established, usually 3-4 weeks of age.)

*Breastfeeding is recommended.

*Do not use home apnea monitors or commercial devices marketed to reduce the risk of SIDS.

*Avoid covering baby’s head or dressing the baby too warmly. Dress the baby in as much or as little clothing as you are wearing.

*Encourage tummy time when infant is awake and observed.*Recommendations from American Academy of Pediatrics: Task Force on SIDS (2011)

Important additions to the 2011 AAP Guidelines

*Breastfeeding is recommended and is associated with reduced risk of SIDS.

*Infants should be immunized. Evidence suggests that immunization reduces the risk of SIDS by 50%.

*Bumper pads should not be used in cribs. There is no evidence that bumper pads prevent injuries and there is potential risk of suffocation, strangulation, or entrapment.

*Recommendations from American Academy of Pediatrics: Task Force on SIDS (2011)

Lessons from death scenes Prone position, soft bedding

Lessons from death scenesSoft bedding / prone position / head

covered

Lessons from death scenes Wedging

Hazardous Sleep Environments for Infants

*Sleeping with or on others; including mothers falling asleep while breastfeeding

*Unsafe infant bedding, such as, loose bedding, pillows, heavy quilts, blankets, toys, bumper pads

*Unsafe infant sleeping locations, such as, adult beds, waterbeds, couches, chairs, swings, car seats

XX

Beyond Back to Sleep…….

The back sleep position, by itself, is not protective when the infant’s sleep

environment is unsafe.

We need to move beyond “Back to Sleep” to teaching infant safe sleep environment.

Our Community Response

The Calhoun County Infant Safe Sleep Coalition was formed in

2006 to address the increasing incidence of preventable infant

deaths.

Calhoun County Infant Safe Sleep Coalition Partners

and Advocates* Bronson Battle Creek

* Calhoun County Public Health Department

* Early Childhood Connections

* Educators

* Family Health Center of Battle Creek

*Maternal Infant Health Program/Connect Health Services

*Medical Examiner

* Nurse Family Partnership

* Oaklawn Hospital

* Physicians

* Regional Health Alliance

* Summit Pointe

* The Coordinating Council

* Tomorrow’s Child

*WIC

Our Goal

Every baby is placed in a safe sleep

environment.

What can you do?*Assess your policies and practices

*Revise if necessary to reflect infant safe sleep recommendations

*Share information with parents and other caretakers

*Advocate for infant safe sleep

*Provide resources to those caring for babies

Resources Available To You* Safe Sleep Tip Cards

*Available in English, Spanish, and Burmese

* Safe Sleep brochure

*Available in English and Spanish

* Safe Sleep Videos

*Available in English and Spanish

* Safe Sleep Posters

*Available in English and Spanish

* Pack-N-Play Program

* Refer to 211

* Presentations / Training

** borntobehealthy.org

Questions or Comments?

Thank You!For more information contact:

Infant Safe Sleep CoalitionEducator – Mary Humphreys RN

275-0011 Co-chair - Jill Wise 966-2600 Co-chair – Sallie Shears 441-5914

Tomorrow’s Child (800) 331-7437