pre-test

SAFE BEGINNINGS

A PREVENTION PROGRAM FOR

SACRAMENTO COUNTY TO REDUCE

INFANT SLEEP-RELATED DEATHS

IN CHILDREN AGES 0-5

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PRE-TEST

Please take a few minutes to take the pre-test.

TEST REVIEW

QUESTIONS?

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Almost all (90 of the 95 deaths) had at least one known infant sleep environmental risk factor:

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95 Infant Sleep Related Deaths in Sacramento County from 2007-2011

SAFE BEGINNINGS COLLABORATIVEFOCUS GROUPS

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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

Parent Response Provider Response

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

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ABC’S OF INFANT SAFE SLEEPING VIDEO

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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.

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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.” 8

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. 9

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.

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www.firstcandle.org

TRIPLE RISK MODEL

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Vulnerable Infant

Critical Development Period (2-4

months)

Sleep Environment Risk Factors

SIDS

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.

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AMERICAN ACADEMY OF PEDIATRICS ESTABLISHED RISK FACTORS PART 1:

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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

Male sex

African American

Native American

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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:

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Risk Factor: Sleeping on stomach or on side.

Recommendation: Back to sleep always, for every sleep.

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AMERICAN ACADEMY OF PEDIATRICS ESTABLISHED SLEEP ENVIRONMENT

RISK FACTORS & RECOMMENDATIONS:

Risk Factor: Soft sleep surface (adult bed, couch or pillow)

Recommendation: Firm Sleep Surface

Recommendation: Keep soft objects out of

the crib

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AMERICAN ACADEMY OF PEDIATRICS ESTABLISHED SLEEP ENVIRONMENT

RISK FACTORS & RECOMMENDATIONS:

Risk Factor: Overheating

Recommendation: No more than one more layer than an adult

would wear to be comfortable.

Recommendation: Infant clothing that is designed to keep infants warm without possible head covering or entrapment (such as loose blankets).

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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

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Recommendation: Breastfeeding lowers the

riskPut your baby back into his or her own

crib to sleep after feeding.

AMERICAN ACADEMY OF PEDIATRICS INFANT SAFE SLEEPING 2011 RECOMMENDATIONS

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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.

Recommendation: Consider offering

a clean, dry pacifier at nap and bedtime,

but do not force it.

If you are breast-feeding

consult your lactation

consultant and/or your

doctor.

POST-TEST

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Please take a few minutes to take the post-test.

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) 874-2599Services provided by the Medi-CalFresh Service Center are for cases managed by Sacramento

County only.

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SACRAMENTO COUNTY FAMILY RESOURCE CENTERS

La Familia Counseling Center5523 34th StreetSacramento, 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 200Rancho Cordova, CA 95670(916) 361-8684

River Oak Family Resource Center4322 4th AvenueSacramento, CA 95817(916) 244-5800

The Effort Resource Center6015 Watt Avenue, Suite 2North Highlands, CA 95660(916) 679-3925

The Firehouse - Mutual Assistance Network810 Grand AvenueSacramento, CA 95838(916) 567-9567

Meadowview Family Resource Center2251 Florin Road, Suite 158Sacramento, CA 95822(916) 394-6300

Valley Hi Family Resource Center7000 Franklin Blvd., Suite 820Sacramento, CA 95823(916) 290-8281

ACCESSING RESOURCES

Child Abuse Prevention Centerwww.thecapcenter.org

Sacramento County WIC officeshttp://www.dhhs.saccounty.net/PRI/WIC/Pages/Women-Infants-and-Children-Home.aspx

First Candlewww.firstcandle.org

American Academy of Pediatrics www.aap.org Halo Sleep Sack www.halosleep.com

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EVALUATIONS

Are there any other questions?

Please take a minute and fill out the evaluation.

Thank you!!

Becky Honig, M.S.(916) 244-1938

bhonig@thecapcenter.org 25