Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep...

17
SAFER SLEEPING PRACTICES FOR BABIES In Service Presentation May 2015 Endorsed by SIDS and Kids NSW

Transcript of Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep...

Page 1: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

SAFER SLEEPING PRACTICES FOR BABIES In Service Presentation May 2015 Endorsed by SIDS and Kids NSW

Page 2: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

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

Safer Sleeping Practices for Babies 2

Page 3: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

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.

Safer Sleeping Practices for Babies 3

Page 4: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

How do the following pictures of babies positioned for sleep not comply with safer sleeping practices?

Safer Sleeping Practices for Babies 4

Page 5: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

Safer Sleeping Practices for Babies 5

Page 6: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

Safer Sleeping Practices for Babies 6

Page 7: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

Safer Sleeping Practices for Babies 7

Page 8: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

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

Safer Sleeping Practices for Babies 8

Page 9: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

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

Safer Sleeping Practices for Babies 9

Page 10: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

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

Safer Sleeping Practices for Babies 10

Page 11: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

What affects adherence to safer sleep practices

Mothers + Socio-cultural

+ Parity

+ Age

+ Breastfeeding

+ Education level

+ Education and modelling received from health professionals

Safer Sleeping Practices for Babies 11

Page 12: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

What affects adherence to safer sleep practices

Health professional + Beliefs

+ Length of practice

+ Education

+ Conflicting information, opinions and views

Safer Sleeping Practices for Babies 12

Page 13: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

Have safer sleep practices made a difference?

60,000

Safer Sleeping Practices for Babies 13

Page 14: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

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

Safer Sleeping Practices for Babies 14

Page 15: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

Safer Sleeping Practices for Babies 15

Page 16: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

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

Safer Sleeping Practices for Babies 16

Page 17: Safer sleeping practices for babies - NSW Health · 2020. 6. 18. · 1. Sleep baby on back 2. Keep head and face uncovered 3. Keep baby smoke free before and after birth 4. Safe sleeping

Thank you to the families and staff at Royal North Shore Hospital

Safer Sleeping Practices for Babies 17

NOTE: No babies were at risk at any time during the taking of the photos