PRE-TEST Please take a few minutes to take the pre-test. Safe Beginnings A prevention program for Sacramento County to reduce infant sleep-related deathsin children ages 0-5
95 Infant Sleep Related Deaths in Sacramento County from 2007-2011 Almost all (90 of the 95 deaths) had at least one known infant sleep environmental risk factor:
Safe Beginnings CollaborativeFocus Groups Parent Response Provider Response • What do you know about infant sleep-related deaths? • … they are a completely natural phenomenon. • …believe parents have little ability to prevent these deaths • …agreed Infant sleep-related deaths are a major problem • …heard of infant sleep-related deaths on TV, but not within their families/communities • What do you think are the major risk factors for infant sleep-related deaths? • Co-sleeping • Infant sleeping somewhere other than a crib • Infant sleeping on their tummy
Sacramento County parent and service providers focus group participants overwhelmingly agreed: • An education campaign to raise awareness of the importance of infants (particularly those 6 months of age and younger) sleeping in safe environments was needed for Sacramento County. • With information delivered by: • Birthing Hospitals • Health Care Professionals • Child Care Providers • Family Resource Centers • Community Programs
Sacramento County ABC’s of Infant Safe Sleeping A for Alone • Babies should always sleep alone in their own crib or bassinette. • Co-sleeping with other children or even parents can be dangerous – others in bed with your baby can accidentally suffocate them by simply lying too close to their mouth or nose, or by rolling onto them while asleep. • Your baby should not sleep with stuffed animals, pillows or blankets — these soft items could accidentally fall over your baby’s face and suffocate them. • A blanket sleeper or sleep sack is enough to keep your baby comfortable.
Sacramento County – ABC’s of Infant Safe Sleeping B for Back • Babies who sleep on their backs are much less likely to die of infant sleep-related deaths. • According to doctors, “back sleeping” will not increase a baby’s risk of choking. • Many of our own mothers and grandmothers were taught to put a baby on their tummy to sleep — so you’ll need to gently remind them that to prevent infant sleep-related deaths, it’s “back to sleep.”
Sacramento County – ABC’s of Infant Safe Sleeping C for Crib • Cribs and bassinets are the safest places for babies to sleep – as long as you keep them safe! • To make breastfeeding easier keep a crib or bassinet next to your bed and always put your baby back to sleep afterwards. • Cribs should be free of pillows, bumpers, stuffed toys, extra blankets or anything that could accidentally cover your babies face and suffocate them.A blanket sleeper or sleep sack is sufficient. • Make sure that the crib mattress is firm and fits snuggly with no space between the mattress and the side of the crib, where the baby could become trapped. • Unlike firm crib mattresses, today’s adult beds are soft and can cause babies to suffocate.
Infant Sleep-Related Deaths:A Quick and Silent Killer • Infant sleep-related deaths are the leading cause of death for babies one month to one year of age. • Most babies that have an infant sleep-related death appear to be healthy prior to death. • Infant sleep-related deaths occur in all socio-economic, racial and ethnic groups. African American and Native American babies are 2-3 times more likely than Caucasian babies to have an infant sleep-related death. www.firstcandle.org
Triple Risk Model Critical Development Period (2-4 months) Vulnerable Infant SIDS Sleep Environment Risk Factors Infant Sleep-Related Deaths
Infant Safe Sleeping • Recent research from the American Academy of Pediatrics indicates that infant sleep-related deaths can be prevented by implementing safe sleeping techniques for every nap and every night. • Recommendations for sleep position and environment should be used consistently for infants up to 1 year of age.
American Academy of PediatricsEstablished Risk Factors Part 1: • Male sex • African American • Native American • Maternal smoking during pregnancy • Young maternal age • Late or no prenatal care • Maternal drinking and /or drug use SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment; Pediatrics Journal, October 2011
American Academy of Pediatrics Established Sleep Environment Risk Factors & Recommendations: Room-sharing without bed-sharing is recommended. Risk Factor: Co-Sleeping
American Academy of Pediatrics Established Sleep Environment Risk Factors & Recommendations: Recommendation: Back to sleep always, for every sleep. Risk Factor: Sleeping on stomach or on side. Sleep Environment Risk Factors: • Extra items in the crib: bumpers, quilts, blankets, toys • Overheating • Environmental tobacco smoke
American Academy of Pediatrics Established Sleep Environment Risk Factors & Recommendations: Recommendation: Keep soft objects out of the crib Recommendation: Firm Sleep Surface Risk Factor: Soft sleep surface (adult bed, couch or pillow)
American Academy of Pediatrics Established Sleep Environment Risk Factors & Recommendations: Recommendation: Infant clothing that is designed to keep infants warm without possible head covering or entrapment (such as loose blankets). Recommendation: No more than one more layer than an adult would wear to be comfortable. Risk Factor: Overheating
American Academy of Pediatrics Infant Safe Sleeping 2011 Recommendations Recommendation: Supervised tummy-time while awake… …beginning at as early of an age as possible, to promote motor development.
American Academy of Pediatrics Infant Safe Sleeping 2011 Recommendations Recommendation: Breastfeeding lowers the risk Put your baby back into his or her own crib to sleep after feeding.
American Academy of Pediatrics Infant Safe Sleeping 2011 Recommendations When breastfeeding, wait 3-4 weeks to introduce the pacifier until the baby has a good latch. If you are breast-feeding consult your lactation consultant and/or your doctor. Recommendation: Consider offering a clean, dry pacifier at nap and bedtime, but do not force it.
Medical Resources If you do not have health insurance or a primary care provider, please contact your local Family Resource Center for more information on the Medi-Cal program. Or Contact: Medi-Cal Fresh Service Center (916) 874-3100 https://www.mybenefitscalwin.org/ TDD/TTY, Hearing Impaired (916) 874-2599 Services provided by the Medi-CalFresh Service Center are for cases managed by Sacramento County only.
Sacramento County Family Resource Centers La Familia Counseling Center 5523 34th Street Sacramento, CA 95820 (916) 452-3601 North Sacramento Family Resource Center 1217 Del Paso Blvd. Sacramento, CA 95815 (916) 679-3743 Folsom Cordova Community Partnership 10665 Coloma Rd., Suite 200 Rancho Cordova, CA 95670 (916) 361-8684 River Oak Family Resource Center 4322 4th Avenue Sacramento, CA 95817 (916) 244-5800 The Effort Resource Center 6015 Watt Avenue, Suite 2 North Highlands, CA 95660 (916) 679-3925 The Firehouse - Mutual Assistance Network 810 Grand Avenue Sacramento, CA 95838 (916) 567-9567 Meadowview Family Resource Center 2251 Florin Road, Suite 158 Sacramento, CA 95822 (916) 394-6300 Valley Hi Family Resource Center 7000 Franklin Blvd., Suite 820 Sacramento, CA 95823 (916) 290-8281
Accessing Resources • Child Abuse Prevention Center www.thecapcenter.org • Sacramento County WIC offices http://www.dhhs.saccounty.net/PRI/WIC/Pages/Women-Infants-and-Children-Home.aspx • First Candle www.firstcandle.org • American Academy of Pediatrics www.aap.org • Halo Sleep Sack www.halosleep.com
Evaluations Are there any other questions? Please take a minute and fill out the evaluation. Thank you!! Becky Honig, M.S. (916) 244-1938 firstname.lastname@example.org