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SAFE SLEEP BABY
1
Provider Training
Trainer: Kalyca SeabrookInfant Safe Sleep Specialist
Child Abuse Prevention Center
DEFINITIONS
2
Infant Sleep-Related Death (ISR)
Infant sleep-related deaths consist of children under the age of one who die while sleeping
Sudden Infant Death Syndrome (SIDS): Unexplained following an investigation of
the case, including a complete autopsy and review of clinical history
True SIDS
Sudden Unexpected Infant Death Syndrome (SUIDS): external stressors [risk
factors], such as co-sleeping or bed sharing
Undetermined
Unknown or
cause of death may or may not
be medically identifiable
BABIES ARE DYING WHILE SLEEPINGA QUICK AND SILENT KILLER
•Every week three babies in California die while sleeping1
•Nearly all babies are found in unsafe sleep conditions
•Second leading cause of death for babies one month to one year of age (Majority in first six months)
•Occur in all socio-economic, racial and ethnic groups
•African-American/non-Hispanic rate ~5 times higher than White/non-Hispanic and Hispanic rate1
31California MCAH Bulletin, Sudden Infant Death Syndrome California, 2012
ESTABLISHED UNSAFE SLEEP CONDITIONS
Sleep position-on stomach or sideOverheatingEnvironmental tobacco smoke
Soft sleep surface (adult bed, couch or pillow)
Co-sleeping Extra items in
the crib: loose bedding, toys
4
SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment; Pediatrics Journal, October 2011
American Academy of Pediatrics and
Safe to Sleep National Education Campaign
SACRAMENTO COUNTY CHILD DEATH REVIEW TEAM
INFANT SLEEP-RELATED DEATHS
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•90% of all sleep-related deaths of Sacramento babies had at least one known unsafe sleep condition:
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Sacramento County2010 - 2012
SACRAMENTO COUNTY SAFE SLEEP BABY EDUCATION
CAMPAIGN
Created for parents, grandparents
and other caregivers by
parents and health professionals
6
Consistent MessageRepeat, Repeat, Repeat
Parents, Grandparents & Family/Friends
Prenatal & Perinatal
“We want services and information! But we only get it when something bad has happened or we are in trouble.”
7
SAFE SLEEP BABY EDUCATION CAMPAIGN
STEP 1 TO SAFE SLEEP BABY
Sleep me Alone
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Sleep your baby by him or herself in a crib, portable crib or bassinet
Do not sleep with your babyDo not let your baby sleep with
other adults or children
Sleep me ALONE.
1
STEP 2 TO SAFE SLEEP BABY
Sleep me on my BACK
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Always put your baby to sleep on his or her back
for EVERY sleep
Sleep me on my BACK.
2
10
Doctors now know “Back to Sleep” will NOT increase a baby’s risk of choking.
STEP 2 TO SAFE SLEEP BABYSleep me
on my BACK.
2
Sleep me in a CRIB
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Cribs and bassinets are the safest places for your baby to sleep!
Use your CRIB or bassinet to sleep your baby for all naps and at night
Return your baby to sleep his or her crib after feeding or soothing
Sleep me in CRIB. 3
STEP 3 TO SAFE SLEEP BABY
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Use a firm crib mattress with a tightly fitted sheet
Today’s adult beds are soft and can cause your baby to suffocate
Do not place your baby to sleep in an adult bed, couch, car seat or chair.
Sleep me in CRIB. 3
STEP 3 TO SAFE SLEEP BABY
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Nothing in my sleep area
No pillows, blankets or bumpers
No toys, stuffed animals or other soft things
Nothing in my sleep area.
4
STEP 4 TO SAFE SLEEP BABY
Do not overdress me
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Do not overdress baby when sleeping
If you are comfortable, your baby is comfortable
STEP 5 TO SAFE SLEEP BABYDo not
overdress me.
5
15
No smoking anything around me
Put your baby’s safety first
STEP 6 TO SAFE SLEEP BABYNo
smoking around
me.
6
16
Breastfeed baby to reduce the risk of dying while sleeping.
OTHER SAFE SLEEP TIPS
Tummy time is important.
Do Tummy Time when the baby is awake and
supervised.
Use a clean, dry pacifier
SAFE SLEEP BABY VIDEO
17
CHALLENGES TO CHANGING BEHAVIOR
• Fear of Choking when baby sleeps on back
• Baby Sleeps better with me
• Bonding
• My mother and grandmother slept their kids on their stomach and they’re okay
• Nap/Day-time Sleeping
18
Create Awareness
Persuade & Motivate
Educate
Facilitate Action
Reinforce Change, Reminder Communications
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NEXT STEPS: FACILITATE & REINFORCE ACTION
ACCESSING RESOURCESSafe to Sleep National Public Education Campaign
nichd.nih.gov/sts
First Candle
firstcandle.org
American Academy of Pediatricsaap.org
California SIDS Program
californiasids.cdph.ca.gov
California Department of Public Health (SIDS)
cdph.ca.gov/programs/SIDS
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KALYCA SEABROOKINFANT SAFE SLEEP PROJECT SPECIALIST
THANK YOU!