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- 1. Sleep Safety SlideSleep Safety Slide 11 Childproofing Basics for New Parents Click ENTER to go to the next slide. Click ESC at any time to exit the slide show. Disclaimer: This presentation is offered as a service for patients of Mason Pediatrics. It contains general advice about child safety issues. Mason Pediatrics assumes no liability for the use or misuse of the information provided. Sleep Safety SlideSleep Safety Slide 11 Mason Pediatrics
- 2. Sleep Safety SlideSleep Safety Slide 22 Childproofing Basics for New Parents 1. CHILDPROOFI NG SUPPLIES 3. BE READY FOR EMERGENCIES Sleep Safety Bathtime Safety Food Safety General Safety 2. SAFETY Sleep Safety SlideSleep Safety Slide 22
- 3. Sleep Safety SlideSleep Safety Slide 33 SLEEP SAFETY In this section: • Causes and Prevention of Sudden Infant Death Syndrome (SIDS) • Current Crib Guidelines • Crib Recall Information < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More Sleep Safety SlideSleep Safety Slide 33
- 4. Sleep Safety SlideSleep Safety Slide 44 Sleep Safety Take a look… …what are your first impressions? Sleep Safety SlideSleep Safety Slide 44 < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 5. Sleep Safety SlideSleep Safety Slide 55 Sleep Safety Take a look… < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 6. Sleep Safety SlideSleep Safety Slide 66 Sudden Infant Death Syndrome (SIDS) • the sudden and unexplained death of an infant who is younger than 1 year old • the leading cause of death in children between one month and one year of age • the diagnosis comes only after all other possible causes of death have been ruled out < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 7. Sleep Safety SlideSleep Safety Slide 77 Causes of SIDS Still unknown, but a few factors seem to increase the likelihood of SIDS. • Sleeping on the stomach or side • Sleeping on a soft surface • Sleeping with parents < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 8. Sleep Safety SlideSleep Safety Slide 88 SIDS Prevention •Put baby “Back to Sleep” •Deaths have declined by over 50% since 1994 < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 9. Sleep Safety SlideSleep Safety Slide 99 SIDS Prevention •Create a safe sleep environment < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More 11 22 33 44 5566 77
- 10. Sleep Safety SlideSleep Safety Slide 1010 SIDS Prevention Safe Sleep Environment • Keep your baby's sleep area separate from where you and others sleep. • Don’t let your baby overheat during sleep. • Don’t use home monitors to reduce the risk of SIDS. • Consider using a clean, dry pacifier when placing the infant down to sleep. • Avoid products that claim to reduce the risk of SIDS. • Provide "Tummy Time" when your baby is awake and someone is watching. < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 11. Sleep Safety SlideSleep Safety Slide 1111 Spread the Word! < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 12. Sleep Safety SlideSleep Safety Slide 1212 Look Again… < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 13. Sleep Safety SlideSleep Safety Slide 1313 Look Again… < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 14. Sleep Safety SlideSleep Safety Slide 1414 Current Crib Guidelines < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 15. Sleep Safety SlideSleep Safety Slide 1515 Current Crib Guidelines New Federal Safety Law (effective 6/28/11) < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 16. Sleep Safety SlideSleep Safety Slide 1616 Structural Dangers • Drop-side cribs are often dangerous. • Past 5 years: 18 recalls/9 million cribs • Cribs older than 10 years are often dangerous. • Broken or modified cribs are often dangerous. < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 17. Sleep Safety SlideSleep Safety Slide 1717 Structural Dangers This crib had an unattached side and was pushed against a wall as a solution to the problem. < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 18. Sleep Safety SlideSleep Safety Slide 1818 Structural Dangers • No duct tape or other “fixes” to broken cribs. < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 19. Sleep Safety SlideSleep Safety Slide 1919 Current Crib Guidelines Dimensions There should be: • At least 26” between raised crib rails and the top of the mattress. • At least 9” between lowered crib rails and the top of the mattress. • Slats less than or equal to 2 3/8 inches apart. < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 20. Sleep Safety SlideSleep Safety Slide 2020 Crib Guidelines Proper Techniques • Follow the assembly instructions carefully! • Prevent suffocation by removing excess bedding • Don’t place cribs near a window with cords or a monitor with cords < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 21. Sleep Safety SlideSleep Safety Slide 2121 Crib Guidelines Mattress Support Structure • End panels should extend below the mattress with mattress at its lowest position. • Metal mattress supports are stronger than wood supports (important for withstanding a jumping toddler!) • Mattress support hangers (which attach the mattress support to the end panels) must be secure and able to withstand upward force from beneath the crib. < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 22. Sleep Safety SlideSleep Safety Slide 2222 • Mattress should fit snuggly - no more than one inch (about 2 finger-widths) between mattress and crib sides. • Mattress should be firm and have squared corners. • Make sure your crib mattress is fire-retardant. New crib mattresses are required to be fire-resistant, but some older mattresses were not. Crib Guidelines Mattress Specifications < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 23. Sleep Safety SlideSleep Safety Slide 2323 • Inspect the crib for damage every time you change the crib sheets. Crib Guidelines Inspections < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 24. Sleep Safety SlideSleep Safety Slide 2424 Crib Recall Information More than 11 million cribs have been recalled since 2007. Play it safe! Check yours now! http://www.cpsc.gov/cgi-bin/cribs.aspx < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 25. Sleep Safety SlideSleep Safety Slide 2525 Crib Recall Information Register Your Crib • Send in the product registration card that comes with every new crib or register online. • By registering, you will be notified if your crib is recalled. < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More
- 26. Sleep Safety SlideSleep Safety Slide 2626 Learn More The links provided are solely for the users’ information and convenience. When a user selects a link to an outside website, s/he is leaving our website and is subject to the privacy and security policies of the owner of the outside website. Hyperlinks to websites created and maintained by other public and private organizations should not be construed as an endorsement of the views or privacy policies contained on those linked pages. Mason Pediatrics does not control or guarantee the accuracy, relevance, timeliness or completeness of information contained on a linked website. Mason Pediatrics cannot authorize the use of copyrighted materials contained in linked websites. Mason Pediatrics is not responsible for transmissions users receive from linked websites. Mason Pediatrics does not guarantee that outside websites comply with Section 508 (Accessibility Requirements) of the Rehabilitation Act. < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More ONLINE RESOURCES KIDSHEALTH.ORG Sudden Infant Death Syndrome (SIDS) http://kidshealth.org/parent/general/sleep/sids.html NATIONAL INST. OF CHILD HEALTH & HUMAN DEVELOPMENT Back to Sleep Public Education Campaign http://www.nichd.nih.gov/sids/ Safe Sleep for Your Baby: What does a safe sleep environment look like? http://www.nichd.nih.gov/publications/pubs_details.cfm?from=&pubs_id=5034 What can I do to lower my baby's risk of SIDS? http://www.nichd.nih.gov/publications/pubs/safe_sleep_gen.cfm#risk U.S. CONSUMER PRODUCT SAFETY COMMISSION Crib Information Center http://www.cpsc.gov/info/cribs/index.html Sign Up for Email Alerts http://www.cpsc.gov/cpsclist.aspx Safe Sleep, Part 1: The Crib http://www.cpsc.gov/onsafety/2010/02/safe-sleep-part-1-the-crib/
- 27. Sleep Safety SlideSleep Safety Slide 2727 Check Your Understanding < Previous Slide | Next Slide > Home Causes of SIDS Prevention of SIDS Current Crib Guidelines Crib Recall Information Check Your Understanding Learn More Congratulations! You’ve just completed the section on Sleep Safety. Now take a few minutes to “Check Your Understanding”. It’s a quick way to tell whether you know the basics of sleep safety and it might mean the difference between life and death. You’ll see your results right after the quiz.
- 28. Sleep Safety SlideSleep Safety Slide 2828 Sorry! This module is beyond the scope of this prototype. Back
Editor's Notes
- Welcome to Childproofing Basics for New Parents. This presentation is offered as a service for patients of Mason Pediatrics. It contains general advice about child safety issues. Mason Pediatrics assumes no liability for the use or misuse of the information provided.
- There are three sections to this course – Childproofing Supplies, Safety, and Be Ready for Emergencies. You can select whichever module you wish to take, in whatever order you like. Also, you can pause or stop the course as needed and return to it when you are able. You are currently in Module 2, Safety. In this module, you will learn important information on sleep safety, bath-time safety, and food safety.
- Sleep safety. In this section, we’ll talk about the causes and prevention of Sudden Infant Death Syndrome, current crib guidelines, and crib recall information.
- Let’s discuss sleep safety. Part of keeping your baby safe at home means making sure he’s out of harm’s way, even when he’s sleeping. Take a moment to look at this picture of a baby boy sleeping in his crib. What are your first impressions when you see this picture?
- Now look at this little boy. Does anything strike you in particular when you look at him? Most newborns sleep 14-18 hours a day, waking every 2 or 3 hours to eat. By 3-6 months old, though, your baby might be able to sleep 5 or 6 hours in a stretch. If you’re like most parents, you’re glad to get that extra sleep. But there are a few important things you should know before the next time you put baby down to sleep.
- One thing you should know about is SIDS, which stands for Sudden Infant Death Syndrome. According to the National Institute of Child Health and Human Development, “SIDS is the sudden, unexplained death of an infant younger than one year old. It is the leading cause of death in children between one month and one year of age. Most SIDS deaths happen when babies are between 2 months and 4 months of age. http://www.nichd.nih.gov/health/topics/Sudden_Infant_Death_Syndrome.cfm SIDS is sometimes called “crib death” because in many cases, the otherwise healthy babies are unexpectedly found dead in their cribs. According to the Mayo Clinic, “most SIDS diagnoses come only after all other possible causes of death have been ruled out through a review of the infant&apos;s medical history and environment.” (“Sudden Infant Death Syndrome,&quot; 2010).
- Thus, though doctors know that SIDS is real, and they know some of the biological and genetic risk factors, the exact cause of SIDS is still unknown. The Mayo Clinic, however, has uncovered a few sleep environmental factors that seem to increase the likelihood of SIDS.The items in a baby&apos;s crib and his or her sleeping position can combine with a baby&apos;s physical problems to increase the risk of SIDS. Examples include: Sleeping on the stomach or side. Babies who are placed on their stomachs or sides to sleep may have more difficulty breathing than those placed on their backs. Sleeping on a soft surface. Lying face down on a fluffy comforter or a waterbed can block an infant&apos;s airway. Draping a blanket over a baby&apos;s head is also risky. Sleeping with parents. While the risk of SIDS is lowered if an infant sleeps in the same room as his or her parents, the risk increases if the baby sleeps in the same bed — partly because there are more soft surfaces to impair breathing. http://www.mayoclinic.com/health/sudden-infant-death-syndrome/DS00145/DSECTION=causes#
- So what can you do to prevent SIDS and reduce your baby’s risk? You can start by putting your baby “back to sleep.” The National Institutes of Health created the Back to Sleep campaign in 1994 as a way to educate parents, caregivers, and health care providers about ways to reduce the risk for Sudden Infant Death Syndrome (SIDS). The main message of the campaign is that parents should always place healthy babies on their backs to sleep. Since the campaign started, the percentage of infants placed on their backs to sleep has increased dramatically, and the overall SIDS rates have declined by more than 50 percent (“Back To Sleep,” 2011), proving that putting your baby down on his back is the simplest and most effective thing you can do. Don’t worry that your baby will choke if he sleeps on his back. Healthy babies automatically swallow or cough up fluids. There has been no increase in choking or other problems for babies who sleep on their backs.
- Also, to reduce the risk of harm to your baby, you should create a safe sleep environment each and every time you put him down to sleep. A safe sleep environment lowers the risk of SIDS. This poster shows what a safe crib looks like when you follow the practices recommended by the National Institutes of Child & Human Development and the US Consumer Product Safety Commission (CPSC). 1. Always place your baby on his or her back to sleep, for naps and at night. The back sleep position is the safest, and every sleep time counts. 2. Place your baby on a firm sleep surface, such as on a safety-approved* crib mattress, covered by a fitted sheet. 3. Make sure nothing covers the baby’s head and keep any items away from your baby&apos;s face. 4. Don&apos;t use pillows, blankets, quilts, sheepskins, and pillow-like crib bumpers in your baby&apos;s sleep area and never place your baby to sleep on pillows, quilts, sheepskins, or other soft surfaces. 5. Keep soft objects, toys, and loose bedding out of your baby&apos;s sleep area. 6. Do not allow smoking around your baby. Don&apos;t smoke before or after the birth of your baby, and don&apos;t let others smoke around your baby.7. Use sleep clothing, such as a one-piece sleeper, instead of a blanket.
- Keep your baby&apos;s sleep area close to, but separate from, where you and others sleep. Your baby should not sleep in a bed or on a couch or armchair with adults or other children, but he or she can sleep in the same room as you. If you bring the baby into bed with you to breastfeed, put him or her back in a separate sleep area, such as a bassinet, crib, cradle, or a bedside cosleeper (infant bed that attaches to an adult bed) when finished. Think about using a clean, dry pacifier when placing the infant down to sleep,but don&apos;t force the baby to take it. (If you are breastfeeding your baby, wait until your child is 1 month old or is used to breastfeeding before using a pacifier.) Do not let your baby overheat during sleep. Dress your baby in light sleep clothing, and keep the room at a temperature that is comfortable for an adult. Avoid products that claim to reduce the risk of SIDS because most have not been tested for effectiveness or safety. Do not use home monitors to reduce the risk of SIDS. If you have questions about using monitors for other conditions talk to your health care provider. Reduce the chance that flat spots will develop on your baby&apos;s head:provide &quot;Tummy Time&quot; when your baby is awake and someone is watching; change the direction that your baby lies in the crib from one week to the next; and avoid too much time in car seats, carriers, and bouncers.
- Spread the word! Make sure everyone who cares for your baby knows the basics of baby sleep safety! Tell grandparents, babysitters, childcare providers, and other caregivers to always place your baby on his or her back to sleep to reduce the risk of SIDS. Babies who usually sleep on their backs but who are then placed on their stomachs, even for a nap, are at very high risk for SIDS—so every sleep time counts!
- Now that you know the basics of Sleep Safety, take a second look at the pictures we saw before. What do you see now? How many safety issues can you spot in the picture?
- And what about this one? What would you do to make this nap safer?
- Just as important as HOW you put your baby to sleep is the crib itself. Cribs are a leading cause of injury and death in babies and toddlers. In this section, we will see the hazards cribs can contain and learn the importance of the crib and how to make sure that YOUR baby is safe.
- As a new parent, you may have assumed that the crib your baby sleeps in is safe. After all, you bought it from a store, from a friend, at a yard sale from another parent, or maybe it was given to you as a gift. Recently, a law was enacted pertaining to crib safety guidelines, and all retail outlets in the United States must follow these new guidelines. This is an excellent step towards reducing the numbers of crib injuries and deaths, but there are still many things for you to be aware of and consider. Parents and families must be vigilant to avoid purchasing unsafe cribs at garage sales or on-line on sites where they might find a &quot;good deal.&quot; Hand-me-down cribs that are passed through families that do not comply with current crib standards should be sent to the landfill. Be informed about what you are buying or receiving as a gift from a family member. These &quot;heirloom&quot; cribs can be the most dangerous gift you have ever accepted as a parent. Take a look at the picture on the left. Could your baby fit through the slats like this doll? Do you know whether your crib meets safety standards? Now look at the crib on the right. Do you have a drop-down side for easier access to your baby? Are you certain the crib was assembled properly? What about broken pieces – are they OK as long as you can tape or glue the piece together?
- Drop-side cribs, as shown in this picture, are especially dangerous. A drop-side crib has a movable side of the crib that allows caregivers easier access to the crib. In the past 5 years, the Consumer Product Safety Commission has announced 18 recalls of 9 million drop-side cribs. In fact, the majority of recalled cribs are drop-side cribs. They tend to be less structurally sound compared to fixed-side cribs. Every week, the Consumer Product Safety Commission receives dozens of complaints about drop-side cribs. Do not use cribs older than 10 years or broken or modified cribs. Many older cribs may not meet current standards and may have numerous safety problems. The more use a crib experiences over time, the more that crib will sustain wear and tear on hardware and joints, allowing screws to loosen and fall out and plastic parts to break. In addition, wood warps and shrinks over time and glue can become brittle. This can lead to joint and slat failures.
- If you experience a broken crib, don’t try to fix it yourself. This crib had an unattached side and was pushed against a wall as a solution to the problem. The baby fell, suffocated, and died.
- This parent used duct tape to repair something believed to be minor. This repair was involved in the death of a child. Never use duct tape or other homemade fixes to repair a crib. These so-called fixes can stretch, loosen or break.
- The dimensions of the crib are extremely important. There should be at least 26 inches between the raised crib rails and the top of the crib mattress. Also, there should be at least 9 inches between the lowered crib rails and the top of the crib mattress. Slats must be less than or equal to 2 3/8 inches apart to keep your baby safe.
- Proper assembly of cribs is paramount. Follow the instructions provided and make sure that every part is installed correctly. If you are not sure, call the manufacturer for assistance. Infants can strangle to death if their bodies pass through the gaps between loose components or broken slats while their heads remain entrapped. To prevent suffocation, never place crib bumpers, pillows or thick quilts in a baby’s sleep environment. Also, never place a crib near a window with blind or curtain cords, or near a baby monitor with cords.
- Pay close attention to the mattress support structure, or mattress holder. The end panels should extend below the mattress when the mattress with the mattress at its lowest position. Metal mattress supports are stronger than wood support. This is especially important when toddler begin to jump up and down in the crib. Mattress support hangers, which attach the mattress support to the end panels, must be secure and able to withstand upward force from beneath the crib. Go ahead and climb under the crib if you can, and push upward forcefully to ensure the pieces stay in place. The family dog, another child, or even the child, if playing under the crib, could dislodge a piece or pieces, creating a safety hazard.
- The crib mattress should fit snuggly, no more than 1 inch between the mattress and the crib sides. The mattress should be firm and have squared corners. Make sure the crib mattress is fire-retardant. New crib mattresses are required to be fire-resistant, but some older mattresses were not.
- A good practice is to inspect the structure of the crib every time you change the sheets. Make sure all visible bolts and screws are tight. With the mattress out of the crib, wiggle the crib to see how tight all the joints are. If the crib feels loose, wobbly or structurally not sound, tighten all hardware. If the crib remains wobbly after tightening, look for loose wood-to-wood joints that may be causing the problem. Stop using the crib if loose wood-to-wood joints are found.
- The Consumer Product Safety Commission reports that more than 11 million cribs have been recalled in the past 5 years. If have not checked the recall list recently, please click on the link to the site and check your crib now. If it has been recalled, stop using it immediately.
- If you’re in the market for a new crib, make sure you send in the product registration card or register online. By doing so, you will be notified in the event of a product recall.
- References: Sudden Infant Death Syndrome (SIDS). (2011). Retrieved July 14, 2011, from http://kidshealth.org/parent/general/sleep/sids.html Back To Sleep Public Education Campaign. (2010). Retrieved July 14, 2011, from http://www.nichd.nih.gov/sids/ What Does A Safe Sleep Environment Look Like? http://www.nichd.nih.gov/publications/pubs_details.cfm?from=&pubs_id=5034 Safe Sleep for Your Baby: Reduce the Risk of Sudden Infant Death Syndrome (SIDS) http://www.nichd.nih.gov/publications/pubs/safe_sleep_gen.cfm#risk
- Check Your Understanding http://mason.gmu.edu/~astolpe/stolpe705project/SleepSafetyQuizUpdated.swf