Partnering with Safe to Sleep Campaign Shavon Artis, Dr.P.H., - - PowerPoint PPT Presentation

Partnering with Safe to Sleep Campaign

Shavon Artis, Dr.P.H., M.P.H. California WIC Association Webinar July 24, 2013

Back to Sleep Campaign

 Launch of Back to Sleep (BTS)

Campaign in 1994

 BTS Campaign Co-Sponsors

• American Academy of Pediatrics

(AAP)

• Health Resources and Services

Administration (HRSA)/Maternal and Child Health Bureau

• First Candle/SIDS Alliance
• Association of SIDS and Infant

Mortality Programs (ASIP)

Sleep Position Source: NICHD Household Survey SIDS Rate Source: National Center for Health Statistics, CDC

SIDS Rate and Sleep Position, 1988-2009

Pre-AAP recommendation Post-AAP BTS Campaign

1.4 1.39 1.3 1.3 1.2 1.17 1.03 0.87 0.74 0.77 0.720.670.620.560.570.530.560.540.550.570.550.54

13 17 26.9 38.635.3 53.1 55.7 64.466.671.671.172.870.172.275.770.372.174.1

50 100

0.5 1 1.5

Percent Back Sleeping

SIDS Rate Year

Getting Results

 Since then, overall U.S. SIDS rate declined by

50% across all racial/ethnic groups.

 Rate of back sleeping among infants is about

74%.

 Data show risk factors for SIDS and infant

mortality go beyond back sleeping.

 Risk factors include features in the sleep

environment.

2011 AAP Recommendations

 Always place baby on back for every sleep

time

 Use a firm sleep surface covered with fitted

sheet

 Room sharing without bed sharing  Keep soft objects and loose bedding out of

baby’s sleep area – including bumper pads

2011 AAP Recommendations (cont’d)

 Pregnant women should receive regular

prenatal care

 Avoid smoking exposure during pregnancy and

after birth

 Avoid alcohol and illicit drug use during

pregnancy and after birth

 Breastfeed baby  Consider giving a pacifier at nap time and bed

time

2011 AAP Recommendations (cont’d)

 Avoid overheating  Infants should get well-baby check-ups and

vaccines

 Avoid commercial devices marketed to reduce

SIDS

 Do not use home breathing and heart monitors

to reduce SIDS

 Give supervised tummy time

Safe to Sleep Campaign

 Expanded Back to Sleep to

Safe to Sleep in September 2012

 Campaign Collaborators

• HRSA/Maternal and Child Health

Bureau

• Centers for Disease Control and

Prevention (CDC), Division of Reproductive Health

• AAP
• American College of Obstetricians

and Gynecologists (ACOG)

• First Candle
• ASIP

Where We Are Today

 National number of sleep-related SUID deaths

(including SIDS) is approximately 4,500 deaths per year.

 Other sleep-related infant deaths have

increased.

 No national standards regarding infant death

investigations or consensus on sleep infant death classification.

Source: CDC, Division of Reproductive Health

Rates of SIDS and Other Sleep-Related Causes of Infant Death (2005-2009)

Source: National Center for Health Statistics, CDC

2.54 2.36 1.63 1.91

0.58 0.6 0.58 0.54

0.85 0.9 0.9 0.87 0.88 1.92 1.96 2.03 2.03 2.31 1.8

0.65

0.97 0.97 0.98 0.96 0.98

0.5 1 1.5 2 2.5 3

2005 2006 2007 2008 2009

Deaths/ 1000 live births

White Black AI Hispanic TOTAL

U.S. SUID-Specific Infant Mortality Rates 1990-2009

20 40 60 80 100 120 140 160

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

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 Files

Deaths per 100,000 births

Safe to Sleep Campaign’s Key Messages

 Always place baby on back for naps and at

night.

 Put baby in separate sleep area in the same

room where you sleep – room sharing

• If breastfeeding in bed, make sure to place baby

in crib, bassinet, play yard next to bed when finished.

 Use firm sleep surface, covered by a fitted

sheet with no blankets, soft objects, or toys.

Safe to Sleep Campaign Materials

Safe to Sleep Campaign Materials (cont’d)

Safe to Sleep Campaign Outreach Strategies

 Print material distribution  Community-based outreach trainings  Training for health and child care providers  Video dissemination  Message dissemination through networks  Campaign website launch

Challenges to Overcome When Promoting Safe Infant Sleep

 Common fears about

choking and death

 Concerns about comfort

• Soothing a fussing baby

 Conflicting advice from

family and media

 Cultural/traditional

practices

 Economic disparities

Reaching Parents/Caregivers

Resources

Contact the Safe to Sleep Campaign at: 1-800-505-CRIB (2742)

• r

http://www.nichd.nih.gov/SIDS