One of the first purchases parents of new babies face is the crib and everything that goes with it. The presents from the baby shower will include many of these items and the market is huge for bumpers, mattresses, blankets, stuffed animals etc. But recently there has been some evidence to suggest that the bedding in an infant's crib may increase the risk of Sudden Infant Death Syndrome (SIDS). This may be the result of the baby re-breathing air in an enclosed space such as under a blanket.
What is the risk of SIDS an when is it most likely to occur?
The occurrence of SIDS is rare during the first month of life, increases to a peak during the 2nd to 4th months of life and then declines. The incidence of SIDS is now .62/1000 live births.
What are some of the risk factors?
We have known for some time some of the risk factors for SIDS and they include prone sleep position (infants sleeping on their tummies), maternal smoking during pregnancy, and overheating. The Back to Sleep program, which began in 1992, has resulted in a 40% decrease in SIDS deaths in the US and other countries that have programs to have babies sleep on their backs.
What should I do to create a safe sleep environment?
The recommendations from both the Academy of Pediatrics and the First Candle/SIDS Alliance are:
Always place you baby to sleep on his or her back at nighttime and naptime.
Use a firm tight fitting mattress, in a safety approved crib, the mattress should be covered only with a sheet.
Remove all loose bedding,
soft fluffy pillows, blankets, quilts, comforters, soft or pillow like bumpers, wedges, sheepskins, stuffed toys and other soft products.
Consider a wearable blanket instead of loose blankets.
Never place an infant on soft surfaces quilt, blanket, sofa, waterbed, pillow, soft mattress or mattress cover chair, cushion or a beanbag
Be careful not to overheat your baby with excessive clothing or bedding. And keep the room at a comfortable temperature, but not overheated. (65 to 71 degrees)
My baby rolls over and won't sleep on his/her back?
If your baby is rolling over he or she is probably older than 5 months and also has good neck control. Babies of this age can lift their heads up off a mattress. This may be why the rate of SIDS decreases sharply after 4 months. You can do your best, but the older the infant, the more likely the baby is to decide the sleep position.
My baby is attached to his blanket or stuffed animal?
If your baby has become attached to a "transitional object he or she is probably over 6 months of age, is less at risk for SIDS from rebreathing and can move the item away from his or her face.
What about co-sleeping?
Many families choose to co-sleep with their infants, especially if the infant is breastfeeding. Although the studies on whether co-sleeping increases or decreases an infant's risk of SIDS are inconclusive, an infant sharing the adult bed may be exposed to some other risk factors and should be done carefully. If a parent chooses to co-sleep, the same bedding concerns apply and parents should review the recommendations at
www.firstcandle.org http://www.firstcandle.org .To facilitate breastfeeding the AAP recommends keeping the baby in a bassinet close to the mother's bed or in a small crib that attaches to the bed.
For more information on safe sleep practices for babies go the Academy of Pediatrics website www.aap.org http://www.aap.org to www.firstcandle.org http://www.firstcandle.org
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