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:
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:
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
McMullen, S. L., Fioravanti, I. D., Brown, K., and Carey, M. G. (2016). Safe sleep for hospitalized infants. MCN; 41(1), 43.
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