BookRachel Y. Moon, editor.
Summary: This book is a practical, comprehensive look at safe sleep for infants, including safe sleep for infants with co-occurring medical conditions. Currently there is a dearth of resources on this topic for general pediatricians and other clinicians who provide health care to infants. The only evidence-based information about sudden infant death syndrome (SIDS) and other sleep-related infant deaths is published in policy statements and technical reports published by the American Academy of Paediatrics. However pediatricians, public health professionals, and others who provide health care, anticipatory guidance, and/or health education to parents often have difficulty translating the policy recommendations to practice. This book gives guidance and suggestions for clinicians for counseling parents and other caretakers of infants. It discusses common barriers to adherence, as well as approaches that are evidence-based or use behavior change theory. Chapters focus on important aspects of the sleep environment, evaluating commonly sold sleep products, and common sleep practices, including roomsharing and bedsharing. There is also a thorough discussion of SIDS pathophysiology, and a closing chapter on grief and counselling families after a loss. Each chapter follows an organizational structure, to promote consistency and ensure this remains a practical, easy-to-use tool. Chapters open with a clinical vignette and close with a discussion of frequently encountered questions, and clinical pearls and pitfalls. Infant Safe Sleep is a valuable resource for pediatricians, nurse practitioners, physician assistants as well as social workers, allied health professionals, public health practitioners, health educators, WIC nutritionists and child care providers.
Contents:
Intro
Preface
Editor's Note About Nomenclature
Contents
Contributors
Chapter 1: Why This Book Is Important
Safe Sleep Chose Me
We Are Not Alone
SIDS, SUID, ASSB: The Alphabet Soup of Sleep-Related Deaths
Room for Improvement
Practical Questions and Advice
Real Stories, Real Families
It Starts with a List of Recommendations
References
Chapter 2: How Pathophysiology Explains Risk and Protective Factors
Introduction
Why Are Infants Vulnerable to Cardiorespiratory Challenges?
Risk Factors
Why Does Prone Sleeping Increase the Risk? Why Do We Advise Avoiding Loose Bedding in the Crib?
What About Swaddling?
Exposure to Cigarette Smoke, Alcohol, and Illicit Drugs Increases the Risk
Infants Born Preterm Are at an Increased Risk
Where Should Baby Sleep?
Bed-Sharing Is a Risk
Protective Factors
Breastfeeding
Pacifier Use
Immunization
Summary
References
Chapter 3: Safe Sleep Recommendations
Introduction
Background
Recommendations to Reduce the Risk of SIDS and Other Sleep-Related Infant Deaths
A-Level Recommendations
B-Level Recommendations
C-Level Recommendations
References Chapter 4: Parent Decision-Making and How to Influence Decisions
Introduction
Theoretical Perspectives
Socio-ecological Model
The Integrated Behavioral Model
Decision-Making About Infant Care Practices
Influencing Decision-Making
References
Chapter 5: Supine (Back) Sleep Position
Rationale: Why Supine Sleep?
Rebreathing
Overheating
Decreased Arousal and Autonomic Control
Barriers to Adherence and Strategies for Counseling Parents About Supine Sleep
Attitudes
Perceived Social Norms
Perceived Control
Frequently Asked Questions What Is the Best Way to Explain the Importance of Supine Sleep to Families?
Why Is Side Position Not Safe? It Seems Like a Good Compromise?
What Can I Tell Families When They Say Their Infants Will Not Sleep in the Supine Position?
What Should I Tell Families When They Are Worried that Their Infant Will Choke When Sleeping in the Supine Position?
What About Babies Who Have Gastroesophageal Reflux? Is It Safe for Them to Be on Their Backs?
How Can I Help Families Avoid Positional Plagiocephaly in Their Infants? What Do I Tell Families When They Ask Me if the Sleep Positioner They Saw in a Store Is Safe for Their Infant?
What Should I Tell Parents About What to Do When Their Infant Rolls Over?
References
Chapter 6: Room-Sharing Without Bed-Sharing
Background
The Controversy
Room-Sharing Is Protective Against SIDS
Room-Sharing May Disrupt Parents' Sleep
Guidance for Parents
Bed-Sharing Increases the Risk of SIDS
How Prevalent Is Bed-Sharing?
Why Do Parents Bed-Share?
The Controversy: Is Bed-Sharing Safe for Breastfed Infants?
Guidance for Parents
References