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Safe to Sleep Guidelines
February 2016
In 2011, the American Academy of Pediatrics revised and expanded their guidelines to the Back to Sleep campaign, renaming it "Safe to Sleep." It included the following:
- Breastfeeding is recommended and is associated with a reduced risk of SIDS.
- Always place your baby on his or her back for every sleep time.
- Always use a firm sleep surface. Car seats and other sitting devices are not recommended for routine sleep.
- The baby should sleep in the same room as the parents, but not in the same bed (room-sharing without bed-sharing).
- Wedges and positioners should not be used.
- Pregnant woman should receive regular prenatal care.
- Don't smoke during pregnancy or after birth.
- Offer a pacifier at nap time and bedtime (after breastfeeding has been well-established).
- Avoid covering the infant's head or overheating.
- Do not use home monitors or commercial devices marketed to reduce the risk of SIDS.
- Infants should receive all recommended vaccinations.
- Supervised, awake tummy time is recommended daily to facilitate development and minimize the occurrence of positional plagiocephaly (flat heads).
In the U.S., this program is now being tied to the potential for lawsuits if an infant dies and the birthing center documentation does not document all the proper teaching for Safe to Sleep. Half of the SUID (Sudden Unexpected Infant Death) cases have been documented as SIDS.
In a Quality Improvement Project published in 2016, McMullen, Fioravanti, Brown, and Carey provided education to 658 pediatric and obstetrical nurses, child life specialists, and patient care technicians in a Plan-Do-Study-Act framework at their large hospital. The authors state, "The priority of this QI project was to have all caregivers constantly role model the correct sleep practices for parents. It was important for parents to hear and see consistent safe sleep practices so their infants could be safe when they left the hospital. Similar to car seat compliance, individuals may not understand or agree with the rationale, but full compliance remains the expectation."
I found it extremely interesting that this particular hospital removed all loose bedding and blankets from the bassinets/cribs within the hospital, implementing the use of sleep sacks (HALO brand) for warmth and safely. Some safe swaddling was still used in the well-baby areas, but only sleep sacks were used in the NICU, PICU, and cardiac care center. For swaddling, nurses had to teach safe technique and parents had to provide return demonstration prior to discharge.
I have several questions for you:
- Outside of the United States, is SIDS a major concern? If so, what are you doing in your facility to decrease SIDS rates? If not, do you know what is different?
- Within the U.S., do you still keep blankets and loose bedding in the cribs that you use?
- How do you provide the U.S. required teaching on Safe to Sleep?
- Has anyone, in any location, begun using sleep sacks instead of blankets in the hospital?
Share away, as this is a very vital topic in our hospitals and birthing facilities as we work the 4-D Pathway toward Baby-Friendly.
Kathy Parkes, MSN-Ed, BSPsy, RN, IBCLC, RLC, FILCA
Professional Development Educator, Step 2 Education International
References:
McMullen, S. L., Fioravanti, I. D., Brown, K., and Carey, M. G. (2016). Safe sleep for hospitalized infants. MCN; 41(1), 43.
Step 2 Education International Inc.
Montreal, Quebec, Canada
H4A 1G2
Courriel
This Privacy Policy describes how your personal information is collected, used, and shared when you visit or make a purchase from https://step2education.com (the "Site").
PERSONAL INFORMATION WE COLLECT
When you visit the Site, we automatically collect certain information about your device, including information about your web browser, IP address, time zone, and some of the cookies that are installed on your device. Additionally, as you browse the Site, we collect information about the individual web pages or products that you view, what websites or search terms referred you to the Site, and information about how you interact with the Site. We refer to this automatically-collected information as Device Information."
We collect Device Information using the following technologies:
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- "Log files" track actions occurring on the Site, and collect data including your IP address, browser type, Internet service provider, referring/exit pages, and date/time stamps.
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Additionally when you make a purchase or attempt to make a purchase through the Site, we collect certain information from you, including your name, billing address, shipping address, payment information (including credit card numbers), email address, and phone number. We refer to this information as "Order Information."
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When we talk about "Personal Information" in this Privacy Policy, we are talking about Device Information, Order Information and Student Access Information.
HOW DO WE USE YOUR PERSONAL INFORMATION?
We use the Order Information that we collect generally to fulfill any orders placed through the Site (including processing your payment information, arranging for shipping, and providing you with invoices and/or order confirmations). Additionally, we use this Order Information to:
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We use Student Access Information to provide accurate tracking to Users and Clients on completion and use of the courses, as well as for analysis on how to improve our services.
We use the Device Information that we collect to help us screen for potential risk and fraud (in particular, your IP address), and more generally to improve and optimize our Site (for example, by generating analytics about how our customers browse and interact with the Site, and to assess the success of our marketing and advertising campaigns).
SHARING YOUR PERSONAL INFORMATION
We share your Personal Information with third parties to help us use your Personal Information, as described above. For example, with your employer who needs to verify your completion or progress of your studies. We also use Google Analytics to help us understand how our customers use the Site--you can read more about how Google uses your Personal Information here: https://www.google.com/intl/en/policies/privacy/. You can also opt-out of Google Analytics here: https://tools.google.com/dlpage/gaoptout.
Finally, we may also share your Personal Information to comply with applicable laws and regulations, to respond to a subpoena, search warrant or other lawful request for information we receive, or to otherwise protect our rights.
BEHAVIOURAL ADVERTISING
As described above, we use your Personal Information to provide you with targeted advertisements or marketing communications we believe may be of interest to you. For more information about how targeted advertising works, you can visit the Network Advertising Initiative's ("NAI") educational page at https://www.networkadvertising.org/understanding-online-advertising/how-does-it-work.
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If you are a European resident, you have the right to access personal information we hold about you and to ask that your personal information be corrected, updated, or deleted. If you would like to exercise this right, please contact us through the contact information below.
Additionally, if you are a European resident we note that we are processing your information in order to fulfill contracts we might have with you (for example if you make an order through the Site), or otherwise to pursue our legitimate business interests listed above. Additionally, please note that your information will be transferred outside of Europe, including to Canada and the United States.
DATA RETENTION
When you place an order through the Site, we will maintain your Order Information and Student Access Information for our records unless and until you ask us to delete this information. We are required to keep course completion records for at least 5 years in order to comply with certain accreditation requirements.
CHANGES
We may update this privacy policy from time to time in order to reflect, for example, changes to our practices or for other operational, legal or regulatory reasons.
CONTACT US
For more information about our privacy practices, if you have questions, or if you would like to make a complaint, please contact us by e-mail at [email protected] or by mail using the details provided below:
5890 Monkland Avenue, #16, Montreal, QC, H4A 1G2, Canada
Last Updated: September 2018