Safe Sleep for your Baby Reduce the Risk of Cot
Transcription
Safe Sleep for your Baby Reduce the Risk of Cot
SIDS A5 booklet 2011:Layout 1 09/12/2011 14:23 Page 1 Safe Sleep for your Baby Reduce the Risk of Cot Death ✓ ° Cellular blanket (allows air to circulate) ° 20 68 18 65 16 60 Ideal room temperature for your baby is in the range 16–20˚C. Key Points Always place your baby on their back to sleep. Do Don’t smoke during pregnancy. Always place your baby on their back to sleep. smoke or allow anyone to smoke in the home or in the car. Don’t Keep your baby smoke free during pregnancy & after birth. The safest place for your baby to sleep at night is in a cot in your room. The safest place for your baby to sleep at night is in a cot in your room. Place baby with their feet to the foot of the cot. Place your baby with their feet to the foot of the cot. Make sure the baby’s head stays uncovered when asleep. Make sure your baby’s head stays uncovered when asleep. Don’t let your baby get too hot. Keep the cot free of soft objects and anything loose or fl uffy. Keep the cot free of soft objects and anything loose or fluffy. Breastfeed your baby, if possible. Don’t fall asleep in bed with your baby if you or your partner smoke or have taken alcohol, drugs or medication that makes you sleep more heavily. Don’t fall asleep in bed with your baby if X Don’t smoke during pregnancy. they are less than three months old, were born prematurely or had X Don’t smoke or allow anyone to smoke in the home or in the car. a low birth weight (less than 2.5kg or 5.5lbs when born). X Never fall asleep in bed with your baby if you or your partner are Breastfeed your baby, if possible. smokers or have taken alcohol, drugs or medication that makes you sleep more heavily. Never fall asleep with your baby on a sofa or an armchair. X It is not safe to bed share if your baby is less than three months old or If your baby seems unwell, call the doctor quickly. was born prematurely or had a low birth weight. X Never fall asleep with your baby on a sofa or an armchair. X Don’t let your baby get too hot. Don’t What is cot death? Cot death is another name for Sudden Infant Death Syndrome (SIDS). It is the sudden and unexpected death of a seemingly healthy baby during sleep. No cause of death can be found, even after a post-mortem examination. However, cot death does not only happen in cots. It may happen in a pram, bed, car seat or anywhere a baby is resting. A seemingly healthy baby is put down to sleep and when next checked they are found dead. There has been no sound or sign of a struggle. Because we do not know what causes cot death, we cannot completely prevent it. But research has shown that you can take steps to reduce the risk of cot death. If you follow the advice in this booklet you will help reduce your baby’s risk as much as possible. The information in this booklet is for everyone who looks after a baby, not just parents. Please share this information with your family, friends, child-minder, crèche and babysitter – and anyone else who looks after your baby. If you have any questions or would like more information about SIDS and risks: Call (01)8788455 Email npmr@cuh.ie Visit www.sidsireland.ieˇ 2 National Paediatric Mortality Register SIDS A5 booklet 2011:Layout 1 09/12/2011 14:23 Page 2 Back to sleep Back sleep Alwaysto place your baby on their back to sleep. Always place your baby on their back to sleep. Babies who sleep on their Babies who sleep on their tummies have a higher tummies have a higher risk risk of cot death. cotofdeath. Always place your baby to sleep on their back. Place your baby to sleep This does not increase the risk on their back. This does not of increase choking the or riskvomiting. of choking ✓ or vomiting. It is not safe to place your When your baby is older and baby on their side to sleep able to roll from back to front because rollfindonto and backthey again, may let them theirtummy. own position to sleep. their You should still place them on their back at the start of When your baby is older sleep time. and able to roll from back to front and again, let them It isback not safe to place your baby find on their side to sleep because their own position to sleep. they may roll onto their You should still place them on tummy. their back at the start of sleep time. Cellular blanket (allows air to circulate) Some babies develop a ‘flat-head’ (Plagiocephaly) if they lie with their head in one position for long periods of time. To prevent this you will need to alternate If your always lies with their head in the same your baby’sbaby head position regularly. position they might develop a ‘flat-head’, this is known as When placing your baby down to sleep, position their head first (either to the plagiocephaly. You can prevent putting your baby right or the left) so that your baby’s cheek/earthis-when rests on the mattress, then gently baby’s bodytheir to rollhead completely onto their back. Alternate the face downallow to your sleep, turn so that sometimes they side of the head each time you put your baby down so that an equal amount of left and sometimes they face right. time is spent facing to the right and to the left. If you prefer your baby to be facing towards you, alternate which end of the cot you place your baby. 2 3 SIDS A5 booklet 2011:Layout 1 SIDS A5 booklet 2011:Layout 1 09/12/2011 09/12/2011 14:23 14:23 Page 4 Page 4 Smoke-free zone baby Smoke-free zonefor foryour your baby Smoke-free zone for your baby Do notDo smoke during pregnancy. SIDS A5 booklet 2011:Layout 1 09/12/2011 not smoke during pregnancy. ✗✗ Do not smoke during pregnancy. 14:23 Page 4 Smoke-free zone for your bab Do not smoke during pregnancy. ✗ Smoking during pregnancy increases Smoking during increases your baby’s risk of cotpregnancy death. Smoking during pregnancy greatly your baby’s your risk of baby’s cot death. increases risk of cot death. If you smoke during pregnancy If you smoke during pregnancy your baby your babysmoke is moreduring likely topregnancy be born Smoking during pregnancy increases you isIf more likely tobirth be weight. born prematurely or prematurely or have low your baby’s risk of cot death. your baby is more likely to be born Premature and low birth weight babies have have low birth weight. Premature and prematurely or have low birth weight. a higher risk of cot death. If you smoke during pregnancy low birth weight babies have higher Premature and low birth weight babiesayour have baby is more likely to be born risk of cot a higher risk death. of cotYour death. baby’s risk goes up prematurely or have low birth weight. x15 with every cigarette you Premature and low birth weight babies ha smokeYour a daybaby’s and with a higher risk goes up risk of cot death. every smoker in your with every cigarette you home. Your baby’s risk goe x13 Your risk goes up with every cigarette you smoke a x11 baby’s RISK OF COT DEATH x9 day and with every smoker x13 smoke a day and with x15 in x7your home. So if you and x11 RISK OF COT DEATH x13 x5 every in your So if you andsmoker your partner your x9 x3 partner both smoke, your x11 RISKyour OF COT DEATH both smoke, baby’s home. x9 baby’s risk is higher than if x7 0 risk is higher than if only 1-9 10-19 20+ x7 one of you smoke. x5 of cigarettes smoked per day only one Number of you smoke. So if you and your partner x5 x3 both smoke, your baby’s Remember… x3 0 risk is higher than if only morecompletely you smoke, the higher 0the risk. If you can’tThe1-9 quit 10-19 20+ 1-9 smoke. 10-19 20+ one of you Number of cigarettes smoked per day Number of cigarettes smoked per day try to cut down the number of For information and support on quitting smoking, phone the National Smokers' Quitline onyou Callsave 1850 201daily. 203 Monday - Saturday, 7am-8pm cigarettes smoke Remember… Remember… or visit the website www.quit.ie x15 with every cigarette smoke a day and w every smoker in you home. So if you and your p both smoke, your b risk is higher than if one of you smoke. The more you smoke, the higher the risk. The more you smoke, 4 the higher the risk. Remember… For information and support on quitting smoking, phone the National Smokers' Q The more you smoke, the higher the risk. For information and support on quitting smoking, phone the National Smokers' Quitline on Callsave 1850 201 203 Monday - Saturday, 7am-8pm on Callsave 1850 201 203 Monday - Saturday, 7am-8pm or visit the website www.quit.ie or visit the website www.quit.ie 4 You are twice as likely to succeed in giving up smoking if 4 you get support to quit. 4 For more information and support on quitting smoking, phone the National Smokers’ Quitline on FREEPHONE 1800 201 203 FREETEXT QUIT to 50100 or visit the website www.quit.ie SIDS A5 booklet 2011:Layout 1 09/12/2011 14:23 Page 5 Smoke-free zone for your baby Do not smoke or allow anyone to smoke in the home or in the Smoke-free zone forcar. your Smoke-free zone forbaby your baby Do Do notnot smoke or allow anyone to smoke in in the smoke or allow anyone to smoke thehome homeor orin inthe thecar. car. Being exposed to cigarette smoke after birth also increases a baby’s risk of cot death. It is most important that no one smokes around your baby. you out, don’t Being exposed to cigarette smoke When after birth alsogo increases a baby’sbring risk your of cotbaby death.into smoky places. It is most that no one smokes around your baby. Being If exposed cigarette smoke after birth also increases awhere baby’s risk you ortoimportant your partner smoke (no matter you smokeWhen you go out, don’t bring your baby into smoky places. of cot death. even if you only smoke outside the home), you should not share a bed that with baby as thisyour greatly It is most important noyour one smokes around baby.increases the risk cot Whenof you godeath. out, don’t bring baby into smoky places. Remember… If you your cut out smoking when you’re pregnant and keep your baby away from cigarette smoke after birth, you can greatly reduce their risk of cot death. Remember… For information and support on quitting smoking, the National Smokers' Quitline Remember… If you cut out smoking when you’rephone pregnant and keep your baby Callsavesmoking 1850 201 203 Monday - Saturday, 7am-8pm If you cutonout when you’re pregnant and keep your baby away from For information and support on quitting smoking, 5phone the National Smokers' Quitline on Callsave 1850 201 203 Monday - Saturday,you 7am-8pm cigarette smoke after birth, can greatly or visit the website www.quit.ie reduce their risk of cot death. away from cigarette smoke afterorbirth, youwebsite can greatly reduce their risk of cot death. visit the www.quit.ie 5 For more information and support on quitting smoking, phone the National Smokers’ Quitline on FREEPHONE 1800 201 203 FREETEXT QUIT to 50100 or visit the website www.quit.ie 5 SIDS A5 booklet 2011:Layout 1 09/12/2011 14:24 Page 8 The safest place for your baby to sleep Thenight safest place sleeproom at is inforayour cotbaby in to your is in a cot in your room. ✓ Cellular blanket (allows air to circulate) Babies who sleep in a cot in their parents’ bedroom are less at risk of cot death than if they are on their own in a separate room. Keep your baby’s cot in your room for at least the first six months. Babies who sleep in a cot in their parents’ bedroom are less at risk of cot death than if they are on their own in a separate room. Keep your baby’s cot in your room for the first six months. A separate cot is safest. Bed-sharing can be dangerous. not share a bediswith your baby ADoseparate cot safest. Bed-sharing can be dangerous. if you or your partner: smoke (no matter where you smoke - even if you never smoke in bed) haveshare taken alcohol, drugs orwith medication that may make you sleep Do not a bed your baby more heavily if you or your partner:The safest place for your baby to sleep are extremely tired in a cot in your room. or • smoke (no matter iswhere you smoke – even if you never if your baby: smoke in bed) Is less than three months old who sleep in ✓ thatBabies was born prematurely (born before 37 weeks) a cot in theirmake parents’ • have taken alcohol, drugs orormedication may bedroom are less at had a low birth weight (less than 2.5kg or 5.5lbs when born). you sleep more heavily risk of cot death than Babies who share their parents’ bed can slip under the bed covers. They can roll if they are on their own • are extremely tired under an adult, get caught between the bed and the wall or fall out of the bed. in a separate room. Keep your baby’s cot in Your baby should not share a bed with your other children. Or your room for the first six months. if your baby: • isNever lessfallthan months A separate is safest. Bed-sharing can be dangerous. asleepthree with your baby cot old on a sofa, couch, armchairDo ornot beanbag – with your baby share a bed • was born prematurely (born before 37 weeks) or this is very dangerous. if you or your partner: (no matter where you smoke - even never smokewhen in bed) • had a low birth weightsmoke (less than 2.5 kg orif you5.5lbs have taken alcohol, drugs or medication that may make you sleep 8 more heavily born). are extremely tired or SIDS A5 booklet 2011:Layout 1 09/12/2011 14:24 Page 8 Cellular blanket (allows air to circulate) ✗ if your baby: Bed-sharing can also increase aIs less baby’s risk of suffocation as they can than three months old slip under the bed covers, roll under an adult, caught was born prematurely (born get before 37 weeks) or between the had a low birth weight (less than 2.5kg or 5.5lbs when born). bed and the wall or fall out of the bed. Your baby should not share a bed who share their parents’ bed can slip under the bed covers. They can roll with your other children. Babies under an adult, get caught between the bed and the wall or fall out of the bed. Your baby should not share a bed with your other children. Never fall asleep with your baby on a sofa, Never fall asleep with your baby on a sofa, couch, armchair beanbag – couch, armchair or beanbag – this is orvery this is very dangerous. dangerous. 8 6 ✗ SIDS A5 booklet 2011:Layout 1 09/12/2011 14:23 Page 6 Feet to foot Feet your to foot Place baby with their feet to the foot of the cot Place your baby with their feet to the foot of the and keep their face uncovered. cot and keep their face uncovered. ✓ ✗ Cellular blanket (allows air to circulate) To stop your baby wriggling down under the covers, place them to • Place yourtheir baby sleep feetorto theandfoot sleep with feet to to the footwith of thetheir cot, basket pram haveof thethe cot, moses covers below their shoulders. basket or pram so they can’t wriggle down under the covers. Tuck covers in loosely but securely and make sure they cannot slip • Tuck loosely but securely, no higher than your baby’s over covers the baby’sinhead. shoulders and make sure they cannot slip over your baby’s head. Check regularly to make sure baby’s head stays uncovered. If the slips over their head while they are asleep, they are at increased • Abedding sleeveless baby sleeping bag may be used instead of covers, it risk of cot death. should be low-tog with no hood and be the correct size for your baby’s Keep the cot free of soft objects and anything loose or fluffy (bedding, toys, age/weight and conform to safety standards. bumpers, pillows, duvets, sleep positioners, wedges or bedding rolls etc.) Use a clean, firm mattress that fits the cot baby’s correctly so your baby can't get • Check regularly to make sure head stays uncovered. If trapped in a gap between the mattress and the edge of the cot. The the bedding slips over their head while they are asleep, they are at mattress should be new, or used and in good condition (no tears) and increased risk and of cot death. has a removable washable cover. • Keep the cot free of soft objects and anything loose or fluffy (bedding, Remember… Facepillows, up, face free for a safe sleep. toys, bumpers, duvets, sleep positioners, wedges or bedding rolls etc.). 6 • Use a cot mattress that is clean, firm, flat (not elevated or tilted), that fits the cot correctly so your baby can’t get trapped in a gap between the mattress and the edge of the cot. The mattress should be new, or if used in good condition (no tears). It should have a removable and washable cover. Remember… Face up, face free for a safe sleep. 7 SIDS A5 booklet 2011:Layout 1 09/12/2011 14:23 Page 7 Don’t yourbaby baby too(orhot. Don’tlet let your getget too hot too cold). Overheating can increase your baby’s risk of cot death. Overheating can increase your baby’s risk A baby can overheat when asleep because of too much of cot death. A baby can overheat when bedding or clothes or because the room is too hot. asleep because of too much bedding or To check how warm your baby is, feel their tummy clothes because room istheir tootummy hot. – it or should feel warmthe but not hot. If • feels hot or if they are sweating anywhere your baby is too warm, so remove some of the bedding. Don’tOther wrap your baby in too many blankets. signs include flushed, red cheeks and Sheets cellular cotton are hands best, as fastand breathing. Don’t worryblankets if your baby’s feel the cool temperature – this is normal.by adding one you and can feet adjust ° ° 20 68 18 65 16 60 Do notone overdress or taking away.your baby – a nappy, vest and babygro are enough. They can wear in warm bag weather. • A sleeveless babyless sleeping is a good alternative to blankets, but Take off baby’s hat and extra do not use any other beddingclothes with as it.soon as you are indoors. Make sure the room your baby sleeps in is not too warm. The room • Do not use duvets, quilts or pillows. • temperature should range from 16 - 20oC (62 - 68oF). If the room feels too warm for you it is too warm for your baby. Consider getting Makea room sure thermometer the beddingsocan’t cover head. Your baby that you can your easily baby’s check the temperature of should your baby’s not wear a hatbedroom. when being put down to sleep. Babies lose heat through sopram covering head may cause Nevertheir placehead the cot, or bedtheir next to a radiator, heater your or firebaby or in to directoverheated. sunshine. become Don’t how wrap warm your baby in too many and light blankets • To check your baby is, blankets. look forSheets sweating or feel theirare best, as you can adjust the temperature by adding one or taking one away. tummy- it should feel warm but not hot. Other signs include flushed, In warm weather your baby may not need any bed covers at all. Remember, red cheeks fastin breathing. a blanketand folded half counts as two layers. • Don’tDoworry if duvets, your baby’s and feet feel cool - this is normal. not use quilts orhands pillows. • Do not overdress your baby-a nappy, vest and babygro are sufficient, Make sure the bedding can’t cover your baby’s head. Babies lose heat or less in warm through their weather. head so covering their head may cause your baby to become overheated. • If your baby has a fever use less bedding than normal and seek You can use aifsleeveless baby grobag instead of blankets, as it will not cover medical advice necessary. • the head if you use it properly. It should fit correctly around the neck so that your baby’s head cannot slip down inside the bag. It must be light, with no Makehood. sureDothe your baby sleeps a comfortable notroom use any other bedding withinit.isThe grobag should temperaturebe the right size warm for youror baby enough room for them to move their legsrange and feet. not too toowith cold. The room temperature should from The grobag should also meet the relevant safety standard. 16-20°C (62-68°F).Use a room thermometer so that you can easily check the temperature. Remember… • Never place the cot, pram or bed next to a radiator, heater or fire or in Overheating can increase your baby's risk of cot death. direct sunlight. 7 Remember… Overheating can increase your baby’s risk of cot death. 8 SIDS A5 booklet 2011:Layout 1 09/12/2011 SIDS A5 booklet 2011:Layout 1 14:24 09/12/2011 Page 9 14:24 Page 9 Breastfeed your your baby baby Breastfeed Breastfeed your baby • Breastfeeding your baby Breastfeeding your baby reducesthe the Breastfeeding baby reduces theyour risk of reduces cot death. risk risk of cotcot death. death.Breastfeeding Breastfeeding toto Aimof to breastfeed your baby extent andofofany any duration duration isis anyany extent and for as long as you can. protective againstcot cot death. death. protective against • Some mothers like to bring Some mothers like tobed bring their their baby like into Some mothers to bringtotheir babies into bed to breastfeed. breastfeed. pay careful babies into bed toBut breastfeed. But pay careful attention to the attention to the guidelines But guidelines pay careful attention the on safe sleep intothis on safe sleep in this booklet. guidelines booklet. on safe sleep in this •booklet. It’s safe to feed your baby It’s bed safe toas feed youras baby in bed in long you put as long as you put them back in in their cot It’s them safe to back feed your babyown in bed their own cot to sleep. to sleep. as long as you put them back in Soothers Soothers their own cot to sleep. Some research suggests that giving a baby a soother Soothers (dummy) every time they are being put down to sleep may • Some research suggests that giving a reduce the risk of cot death. Some research that(dummy) giving a baby a soother baby suggests a soother every time they (dummy)are time they down are being put down sleep put sleep may reduce Ifevery youbeing are breastfeeding andto you choose to to give your may baby a reduce the riskrisk ofwait cot death. soother, one month of age to make sure the of until cot after death. Cellular is well established. blanket Ifbreastfeeding you choose to give your baby a soother, (allows air If you are breastfeeding and you choose to give your baby a to circulate) make sureif the yousoother offerfalls it to every Don’t worry out them while your baby is asleep. soother, wait until after one month of age to make sure time they are going to sleep. Cellular breastfeeding is force well established. blanket Do not your baby to take a soother if they refuse it. • If you are breastfeeding and you choose (allows air to circulate) to give your baby a soother, wait until Don’t worry the soother falls out while your baby is asleep. Do if not attach strings and cords to soothers, as these could strangle your baby after one month of age to make sure or cause them to choke. breastfeeding is well established. Do not force your baby to take a soother if they refuse it. Keep soothers clean and never dip them in sugar, honey or other foods and drinks. • Don’t worry if the soother falls out while Do not attach cords to soothers, as these could strangle your baby 9 your strings baby isand asleep. or cause them to choke. • Do not force your baby to take a soother if they refuse it. Do not attach strings and incords soothers, these Keep•soothers clean and never dip them sugar,tohoney or otherasfoods andcould drinks. strangle your baby or cause them to choke. • Keep soothers clean and9 never dip them in sugar, honey or other food and drinks. • 9 SIDS SIDS A5 booklet 2011:Layout 1 09/12/2011 14:23 Page 3 Let your baby have time on their tummy Let your baby have time on their tummy when they are awake, while you supervise when they are awake, while you supervise. When your baby is awake, let them spend some time on their tummy and sitting up, ✓ while you supervise. Tummy time helps your baby to exercise and strengthen muscles in their neck, arms and shoulders. It also helps their brain develop and it stops the back of their head getting flat. If your baby falls asleep when on their tummy, be sure to place them onto their back. • Make your baby babyisisawake awake is never left alone on his/her Makesure sure your andand is never left alone on his/her tummy. tummy. Always place your baby on a firm, flat surface. Avoid bean bags or very paddedplace furniture. • Always your baby on a firm, flat surface. Avoid bean bags or It is important to begin tummy time from birth. very padded furniture. It is recommended that your babytime has tummy time about 3 times each • It is important to begin tummy from birth. day for 3 to 5 minutes at a time. This should slowly build up to longer • It is recommended for babies to have tummy time about three times sessions. per day for 3 – 5 minutes and slowly build up to longer sessions. Remember… Sitting On their back to sleep On their front when awake to play devices Car seats, swings, infant seats and similar devices are not recommended 3 for routine sleep in the home. Sleeping in a sitting position can cause your baby’s head to fall forward and make it difficult to breathe. If your baby falls asleep in a sitting device they should be placed on their back to sleep as soon as is practical. Babies should not be left unsupervised for long periods of time while in a seated position. 10 SIDS A5 booklet 2011:Layout 1 09/12/2011 14:24 Page 10 If your baby seems unwell, get medical advice early and quickly. Dial 999 or for 112 in an emergency. Dial 999 or 112 an ambulance if your baby: If your seems unwell • is notbaby responding to you,and you find it hard to tell whether the illness is something minor or more • stops breathing or turns blue, or serious, seek medical advice from your doctor or • cannot be woken public health nurse. or has a fit. Call the doctor if your baby is drinking less than Cot death is half their normal amount of milk. Babies and young children often have minor illnesses which you should • sudden and unpredictable not be disorder too worried about. If you find it hard to tell • a recognised medical whether callweeks your doctor • the most common causeanofillness death isinmore babiesserious, from four to one year for advice. • most common between two and four months of age (although it can happen toApnoea older babies) or breathing monitors cannot prevent • only diagnosedcot when all of death ruled out. death. other Thesecauses monitors alert are parents/carers to apnoea (stopped breathing) or an apparent life-threatening event. Cot death is not • caused by immunisations • caused by vomiting or choking • suffocation • preventable- but you can reduce the risks by following the guidelines in this booklet. Research into the cause of cot death is going on all the time. Monitors Apnoea or breathing monitors cannot prevent cot death. These monitors alert parents/carers to apnoea (stopped breathing) or an apparent lifethreatening event. IN EMERGENCY DIAL 999 or 112 Please note: rare. spoil• your ACot Mdeath B UisLstillAquite NC E Don’t • let F Ifear RE Gtime A with R Dyour AÍ baby. 10 11 National Paediatric Mortality Register This booklet was produced by the National Paediatric Mortality Register in conjunction with the HSE Dept. of Public Health (Midlands) with the support of FirstLight. If you have any questions about the information in this booklet please contact: National Paediatric Mortality Register George’s Hall, The Children’s University Hospital, Temple Street, Dublin 1. Tel: 01 8788455 www.sidsireland.ie If your baby has died or you are dealing with parents who have suffered the loss of their baby please contact FirstLight who can provide professional support nationally, free of charge, for you, the parents and family. FirstLight (www.fi rstlight.ie) 0872423777 (7 days a week) support@fi rstlight.ie Publication date: 2016 Review date: 2018 Order code: HPM00078 Further copies of this booklet can be ordered from www.healthpromotion.ie SIDS A5 booklet 2011:Layout 1 09/12/2011 14:24 Page 12 This booklet is co-produced by the HSE and the National Paediatric Mortality Register and is funded by the HSE.