PRE-TEST

1. PRE-TEST Please take a few minutes to take the pre-test. Safe Beginnings A prevention program for Sacramento County to reduce infant sleep-related deathsin children ages 0-5

2. Test ReviewQuestions?

3. 95 Infant Sleep Related Deaths in Sacramento County from 2007-2011 Almost all (90 of the 95 deaths) had at least one known infant sleep environmental risk factor:

4. Safe Beginnings CollaborativeFocus Groups Parent Response Provider Response • What do you know about infant sleep-related deaths? • … they are a completely natural phenomenon. • …believe parents have little ability to prevent these deaths • …agreed Infant sleep-related deaths are a major problem • …heard of infant sleep-related deaths on TV, but not within their families/communities • What do you think are the major risk factors for infant sleep-related deaths? • Co-sleeping • Infant sleeping somewhere other than a crib • Infant sleeping on their tummy

5. Sacramento County parent and service providers focus group participants overwhelmingly agreed: • An education campaign to raise awareness of the importance of infants (particularly those 6 months of age and younger) sleeping in safe environments was needed for Sacramento County. • With information delivered by: • Birthing Hospitals • Health Care Professionals • Child Care Providers • Family Resource Centers • Community Programs

6. ABC’s of Infant Safe Sleeping Video

7. Sacramento County ABC’s of Infant Safe Sleeping A for Alone • Babies should always sleep alone in their own crib or bassinette. • Co-sleeping with other children or even parents can be dangerous – others in bed with your baby can accidentally suffocate them by simply lying too close to their mouth or nose, or by rolling onto them while asleep. • Your baby should not sleep with stuffed animals, pillows or blankets — these soft items could accidentally fall over your baby’s face and suffocate them. • A blanket sleeper or sleep sack is enough to keep your baby comfortable.

8. Sacramento County – ABC’s of Infant Safe Sleeping B for Back • Babies who sleep on their backs are much less likely to die of infant sleep-related deaths. • According to doctors, “back sleeping” will not increase a baby’s risk of choking. • Many of our own mothers and grandmothers were taught to put a baby on their tummy to sleep — so you’ll need to gently remind them that to prevent infant sleep-related deaths, it’s “back to sleep.”

9. Sacramento County – ABC’s of Infant Safe Sleeping C for Crib • Cribs and bassinets are the safest places for babies to sleep – as long as you keep them safe! • To make breastfeeding easier keep a crib or bassinet next to your bed and always put your baby back to sleep afterwards. • Cribs should be free of pillows, bumpers, stuffed toys, extra blankets or anything that could accidentally cover your babies face and suffocate them.A blanket sleeper or sleep sack is sufficient. • Make sure that the crib mattress is firm and fits snuggly with no space between the mattress and the side of the crib, where the baby could become trapped. • Unlike firm crib mattresses, today’s adult beds are soft and can cause babies to suffocate.

10. Infant Sleep-Related Deaths:A Quick and Silent Killer • Infant sleep-related deaths are the leading cause of death for babies one month to one year of age. • Most babies that have an infant sleep-related death appear to be healthy prior to death. • Infant sleep-related deaths occur in all socio-economic, racial and ethnic groups. African American and Native American babies are 2-3 times more likely than Caucasian babies to have an infant sleep-related death. www.firstcandle.org

11. Triple Risk Model Critical Development Period (2-4 months) Vulnerable Infant SIDS Sleep Environment Risk Factors Infant Sleep-Related Deaths

12. Infant Safe Sleeping • Recent research from the American Academy of Pediatrics indicates that infant sleep-related deaths can be prevented by implementing safe sleeping techniques for every nap and every night. • Recommendations for sleep position and environment should be used consistently for infants up to 1 year of age.

13. American Academy of PediatricsEstablished Risk Factors Part 1: • Male sex • African American • Native American • Maternal smoking during pregnancy • Young maternal age • Late or no prenatal care • Maternal drinking and /or drug use SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment; Pediatrics Journal, October 2011

14. American Academy of Pediatrics Established Sleep Environment Risk Factors & Recommendations: Room-sharing without bed-sharing is recommended. Risk Factor: Co-Sleeping

15. American Academy of Pediatrics Established Sleep Environment Risk Factors & Recommendations: Recommendation: Back to sleep always, for every sleep. Risk Factor: Sleeping on stomach or on side. Sleep Environment Risk Factors: • Extra items in the crib: bumpers, quilts, blankets, toys • Overheating • Environmental tobacco smoke

16. American Academy of Pediatrics Established Sleep Environment Risk Factors & Recommendations: Recommendation: Keep soft objects out of the crib Recommendation: Firm Sleep Surface Risk Factor: Soft sleep surface (adult bed, couch or pillow)

17. American Academy of Pediatrics Established Sleep Environment Risk Factors & Recommendations: Recommendation: Infant clothing that is designed to keep infants warm without possible head covering or entrapment (such as loose blankets). Recommendation: No more than one more layer than an adult would wear to be comfortable. Risk Factor: Overheating

18. American Academy of Pediatrics Infant Safe Sleeping 2011 Recommendations Recommendation: Supervised tummy-time while awake… …beginning at as early of an age as possible, to promote motor development.

19. American Academy of Pediatrics Infant Safe Sleeping 2011 Recommendations Recommendation: Breastfeeding lowers the risk Put your baby back into his or her own crib to sleep after feeding.

20. American Academy of Pediatrics Infant Safe Sleeping 2011 Recommendations When breastfeeding, wait 3-4 weeks to introduce the pacifier until the baby has a good latch. If you are breast-feeding consult your lactation consultant and/or your doctor. Recommendation: Consider offering a clean, dry pacifier at nap and bedtime, but do not force it.

21. Please take a few minutes to take the post-test. Post-test

22. Medical Resources If you do not have health insurance or a primary care provider, please contact your local Family Resource Center for more information on the Medi-Cal program. Or Contact: Medi-Cal Fresh Service Center (916) 874-3100 https://www.mybenefitscalwin.org/ TDD/TTY, Hearing Impaired (916) 874-2599 Services provided by the Medi-CalFresh Service Center are for cases managed by Sacramento County only.

23. Sacramento County Family Resource Centers La Familia Counseling Center 5523 34th Street Sacramento, CA 95820 (916) 452-3601 North Sacramento Family Resource Center 1217 Del Paso Blvd. Sacramento, CA 95815 (916) 679-3743 Folsom Cordova Community Partnership 10665 Coloma Rd., Suite 200 Rancho Cordova, CA 95670 (916) 361-8684 River Oak Family Resource Center 4322 4th Avenue Sacramento, CA 95817 (916) 244-5800 The Effort Resource Center 6015 Watt Avenue, Suite 2 North Highlands, CA 95660 (916) 679-3925 The Firehouse - Mutual Assistance Network 810 Grand Avenue Sacramento, CA 95838 (916) 567-9567 Meadowview Family Resource Center 2251 Florin Road, Suite 158 Sacramento, CA 95822 (916) 394-6300 Valley Hi Family Resource Center 7000 Franklin Blvd., Suite 820 Sacramento, CA 95823 (916) 290-8281

24. Accessing Resources • Child Abuse Prevention Center www.thecapcenter.org • Sacramento County WIC offices http://www.dhhs.saccounty.net/PRI/WIC/Pages/Women-Infants-and-Children-Home.aspx • First Candle www.firstcandle.org • American Academy of Pediatrics www.aap.org • Halo Sleep Sack www.halosleep.com

25. Evaluations Are there any other questions? Please take a minute and fill out the evaluation. Thank you!! Becky Honig, M.S. (916) 244-1938 bhonig@thecapcenter.org