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) SIDS Rate and Sleep Position, 1988-2009 1 1.3 1.3 100 1.2 1.17 75.7 74.1 71.6 71.1 72.8 70.1 72.2 70.3 72.1 66.6 1.03 64.4 55.7 0.87 0.77 0.74 0.720.67 50 0.62 35.3 38.6 53.1 0.560.570.530.560.540.550.570.550.54 26.9 0.5 13 17 0 0 Year Pre-AAP recommendation Post-AAP Sleep Position Source: NICHD Household Survey SIDS Rate Source: National Center for Health Statistics, CDC BTS Campaign Percent Back Sleeping SIDS Rate 1.5 1.4 1.39 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) 3 2.54 Deaths/1000 live births 2.5 2 White Black AI Hispanic TOTAL 2.36 1.91 2.03 1.8 2.31 1.92 1.96 0.98 0.96 0.98 0.97 0.88 0.87 0.9 0.9 0.58 0.6 0.58 0.54 2006 2007 2008 2009 2.03 1.63 1.5 1 0.5 0 0.65 2005 Source: National Center for Health Statistics, CDC 0.97 0.85 U.S. SUID-Specific Infant Mortality Rates 1990-2009 Deaths per 100,000 births 160 SIDS UNK ASSB Combined SUID 140 120 100 80 60 40 20 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 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 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) or http://www.nichd.nih.gov/SIDS