safer sleeping practices for babies - nsw health · babies in nsw phos must: + be returned to their...
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SAFER SLEEPING PRACTICES FOR BABIES In Service Presentation May 2015 Endorsed by SIDS and Kids NSW
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Sudden Unexpected Death in Infancy (SUDI)
+ Major cause of death in the post neonatal period (developed countries)
+ In 2012
– 115 SUDI deaths in Australia – 50 were in NSW – 37/50 were in the sleep environment
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6 Modifiable Risk Factors
1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping environment night and day
– Safe cot – Safe mattress – Safe bedding
5. Sleep baby in safe cot in parents’ room 6. Breastfeed baby.
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How do the following pictures of babies positioned for sleep not comply with safer sleeping practices?
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Is side sleeping, cot tilting, toys/hats SAFE?
Side sleeping + Misconception
+ Doubles the risk
Cot tilting
+ Misconception
+ Increases the risk of suffocation
Toys and hats
+ Are suffocation hazzards
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Co-sleeping + Definition
+ Conflicting views
+ General consensus that the following are risk factors for SUDI when co-sleeping:
– somewhere other than a bed i.e. a couch or bean bag
– in a bed if the woman/caregiver • smokes and or • takes drugs and or • alcohol
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Is co-sleeping SAFE in some circumstances?
In the absence of these risk factors does co-sleeping increase the risk of SUDI?
A 2013 analysis of 5 major case controlled studies found that:
Even when parents did not smoke and or take drugs/alcohol an estimated 88% of SUDI could have
been avoided if zero co-sleeping was practiced R. Carpenter CM, Edwin Mitchell, David Tappen, Mechtild Vennemann, Melanie Smuk, James Carpenter. Bed sharing when parents do not smoke: is there a risk of SIDS? An individual level analysis of five major case-control studies. BMJ Open. 2013; 3
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What affects adherence to safer sleep practices
Mothers + Socio-cultural
+ Parity
+ Age
+ Breastfeeding
+ Education level
+ Education and modelling received from health professionals
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What affects adherence to safer sleep practices
Health professional + Beliefs
+ Length of practice
+ Education
+ Conflicting information, opinions and views
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Have safer sleep practices made a difference?
60,000
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NSW Policy Directive Under NSW Policy Directive NSW PD2012_062 Maternity - Safer Sleeping Practices for Babies in NSW Public Health Organisations, all well term babies in NSW PHOs must: + be returned to their cot prior to the mother falling
asleep + be placed on their back for sleep in the cot + have a flat cot (no cot tilt) + have bedding tucked firmly + have feet positioned at the foot of the cot + not have toys in the cot + not have a hat on while sleeping
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Key Message
Consistent modelling by staff of safer sleeping practices has been shown to increase the likelihood of parents to follow safer sleeping practices once they are at home
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Thank you to the families and staff at Royal North Shore Hospital
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NOTE: No babies were at risk at any time during the taking of the photos