Posts Tagged ‘SIDS’

September is Infant Mortality Awareness month

Monday, September 18th, 2017

Infant mortality is the death of a baby before his or her first birthday. According to the CDC, in 2015 the infant mortality rate in the United States was 5.9 deaths per 1,000 live births. That means that in 2015 over 23,000 infants died before their first birthday.

Causes of infant mortality

In the US, the leading causes of infant mortality are:

  1. Birth defects
  2. Premature birth and low birthweight
  3. Sudden infant death syndrome (SIDS)
  4. Maternal pregnancy complications
  5. Injuries (such as suffocation).

What can you do?

Not all causes of infant mortality can be prevented. But there are some steps that you can take to reduce the risks of certain birth defects, premature birth, some pregnancy complications, and SIDS.

Take a multivitamin with 400mcg of folic acid. While there are many different types of birth defects, taking folic acid before and during early pregnancy can help prevent birth defects of the brain and spine called neural tube defects (NTDs). Some studies show that it also may help prevent heart defects and cleft lip and palate.

Get a preconception checkup before pregnancy. Being healthy before pregnancy can help prevent pregnancy complications when you do get pregnant. Your provider can also identify any risk factors and make sure they are treated before you get pregnant.

Get early and regular prenatal care. This lets your provider make sure you and your baby are healthy. She can also identify and treat any problems that may arise during your pregnancy.

Stay at a healthy weight and be active. Getting to a healthy weight before pregnancy may help you to avoid some complications during pregnancy.

Quit smoking and avoid alcohol and street drugs. Alcohol, drugs and harmful chemicals from smoke can pass directly through the umbilical cord to your baby. This can cause serious problems during pregnancy, including miscarriage, birth defects and premature birth.

Space pregnancies at least 18 months apart. This allows your body time to fully recover from your last pregnancy before it’s ready for your next pregnancy. Getting pregnant again before 18 months can increase the chance of premature birth, low birthweight, and having a baby that is small for gestational age.

Create a safe sleeping environment for your baby. Put your baby to sleep on his or her back on a flat, firm surface (like a crib mattress). The American Academy of Pediatrics (AAP) recommends that you and your baby sleep in the same room, but not in the same bed, for the first year of your baby’s life, but at least for the first 6 months.

The March of Dimes is helping improve babies’ chances of being born healthy and staying healthy by funding research into the causes of birth defects, premature birth and infant mortality.

Have questions? Email us at AskUs@marchofdimes.org.

 

 

 

Sleep soundly knowing your baby is sleeping safely

Monday, April 17th, 2017

back to sleepNewborns sleep a lot, about 16 hours a day. It’s safe to say that sleeping is a big part of your baby’s life. So as your baby drifts off, dreaming of your cuddles, be sure she’s sleeping safely. Safe sleep can help protect your baby from SIDS (sudden infant death syndrome).

Here are some tips:

  • Back to sleep: always put your baby to sleep on her back on a flat surface.
  • Share a room with your baby but don’t share a bed. Make sure your baby has her own crib or bassinet to sleep in.
  • Besides your baby, the bassinet or crib should be empty. Crib bumpers, loose bedding, toys and stuffed animals can be dangerous and lead to suffocation.
  • After you and your baby have established breastfeeding (around 4 weeks) give your baby a pacifier for naps and at bedtime. Pacifiers may help protect against SIDS. If your baby doesn’t want a pacifier, don’t force it. If the pacifier falls out while your baby is sleeping, that’s OK.
  • Thinking of a cardiorespiratory monitor? These monitors track a baby’s heart rate and breathing, and in rare cases a baby may need this kind of monitor for medical problems. But there is no evidence these monitors help reduce the risk of SIDS in healthy babies.
  • Dress your baby in light sleep clothes. A blanket sleeper, a kind of clothing just for sleeping, can help keep your baby warm without covering his face or head. If your baby is sweating or her chest feels hot, she may be overheated.

If you are worried about your baby’s sleep, talk to her health care provider.

Have questions? Email or text us at AskUs@marchofdimes.org.

U.S. study shows fewer babies are dying in their first year of life

Wednesday, March 22nd, 2017

The death of a baby before his or her first birthday is called infant mortality. A new report released by the CDC shows that the infant mortality rate in the U.S. dropped 15% from 2005 to 2014. In kangaroo-care-242005 the rate was 6.86 infant deaths per 1,000 live births. In 2014, the rate dropped to 5.82 deaths per 1,000 live births.

While the study did not look at the underlying causes of the decline, it did report valuable information:

  • Infant mortality rates declined in 33 states and the District of Columbia. The other 17 states saw no significant changes.
  • Declines were seen in some of the leading causes of infant death including birth defects (11% decline), preterm birth and low birthweight (8% decline), and maternal complications (7% decline).
  • The rate of sudden infant death syndrome (SIDS) declined by 29%.
  • Infant mortality rates declined for all races, except American Indian or Alaska Natives.
  • Infants born to non-Hispanic black women continue to have an infant mortality rate more than double that of non-Hispanic white women.

“On the surface, this seems like good news. But it is far from time to celebrate,” said Dr. Paul Jarris, chief medical officer for the March of Dimes. “What is concerning, though, is that the inequities between non-Hispanic blacks and American Indians and the Caucasian population have persisted.” Dr. Jarris adds, “This report highlights the need to strengthen programs that serve low income and at-risk communities, especially those with the highest infant mortality rates.”

The infant mortality rate is one of the indicators that is often used to measure the health and well-being of a nation, because factors affecting the health of entire populations can also impact the mortality rate of infants.

What can you do?

Having a healthy pregnancy may increase the chance of having a healthy baby. Here are some things you can do before and during pregnancy:

Have questions? Text or email us at AskUs@marchofdimes.org.

Smoking increases the chance of premature birth

Friday, November 18th, 2016

cigarette-buttsAlthough many people know that smoking during pregnancy can cause problems, 10% of pregnant women reported smoking during the last 3 months of pregnancy. When you smoke during pregnancy, your baby is exposed to dangerous chemicals like nicotine, carbon monoxide and tar. These chemicals can lessen the amount of oxygen that your baby gets. This can slow your baby’s growth before birth and can damage your baby’s heart, lungs and brain.

If you smoke during pregnancy, you’re more likely to have:

If you smoke during pregnancy, your baby is more likely to:

Secondhand and thirdhand smoke are also bad for your baby’s health. Being around secondhand smoke during pregnancy can cause your baby to be born with low birthweight.  Babies who are around secondhand smoke are more likely than babies who aren’t to have health problems, like pneumonia, ear infections and breathing problems, such as asthma, bronchitis and lung problems. There are also at an increased risk of SIDS.

If you quit smoking during pregnancy, you and your baby immediately benefit. According to the CDC, here’s how:

  • Your baby will get more oxygen, even after just one day of not smoking.
  • There is less risk that your baby will be born too early.
  • There is a better chance that your baby will come home from the hospital with you.
  • You will be less likely to develop heart disease, stroke, lung cancer, chronic lung disease, and other smoke-related diseases.
  • You will be more likely to live to know your grandchildren.
  • You will have more energy and breathe more easily.
  • Your clothes, hair, and home will smell better.
  • Your food will taste better.
  • You will have more money that you can spend on other things.
  • You will feel good about what you have done for yourself and your baby.

So make a plan to quit today. Need help? Check out these resources:

Have questions? Text or email us at AskUs@marchofdimes.org.

Safe sleep: room share, don’t bed share

Friday, October 28th, 2016

cropped sleeping babyIn an update to their safe sleep guidelines, the American Academy of Pediatrics (AAP) says that infants should sleep in the same room, but not the same bed, as their parents ideally for the first year of life, but for at least the first 6 months. Evidence suggests that sleeping in the parents’ room but on a separate sleep surface decreases the risk of sudden infant death syndrome (SIDS) by as much as 50%. In addition, this sleeping arrangement is most likely to prevent suffocation, strangulation, and entrapment that may occur when the infant is sleeping in the adult bed. The AAP’s safe sleep recommendations include:

Back to sleep for every sleep. Your baby should be put on his back every time, by every caregiver until he is 1 year old. Side sleeping is not safe and is not advised. Premature babies should be placed on their backs to sleep as soon as possible. The AAP states, “Preterm infants are at increased risk of SIDS, and the association between prone [stomach] sleep position and SIDS among low birth weight and preterm infants is equal to, or perhaps even stronger than, the association among those born at term.”

Use a firm sleep surface, such as a crib mattress covered with a tightly fitted sheet. Use only the mattress made for your baby’s crib. The mattress should fit snugly in the crib so there are no spaces between the mattress and the crib frame. The mattress shape should stay firm even when covered with a tightly fitted sheet or mattress cover. Don’t let your baby sleep in his carrier, sling, car seat or stroller. Babies who sleep in these items can suffocate. If your baby falls asleep in one of them, take her out and put her in her crib as soon as you can.

Babies should sleep in the parents’ room but on a separate sleep-surface. Parents should not bed-share. Bed-sharing is the most common cause of death in babies younger than 3 months old. Keep your baby’s crib close to your bed so your baby is nearby during the night. Share your bedroom with your baby but not your bed.

Breastfeeding is recommended. Breastfeeding is associated with a reduced risk of SIDS.

Keep soft objects and loose bedding away from the sleep area. Crib bumpers, pillows, blankets, and toys in the crib put your baby in danger of getting trapped, strangled or of suffocating.

Offer your baby a pacifier at nap time and bedtime. It is not clear why, but studies show that pacifiers protect your baby from SIDS. This is true even if the pacifier falls out of the baby’s mouth. However, don’t hang the pacifier around your baby’s neck or attach the pacifier to your baby’s clothing or a stuffed animal.

Avoid smoke exposure, alcohol, and illicit drugs during pregnancy and after birth. Babies who are around secondhand smoke are more likely than babies who aren’t to die of SIDS. And there is an increased risk of SIDS with maternal use of alcohol or illicit drugs.

Avoid overheating and head coverings. It is difficult to provide specific room temperature guidelines but in general, dress your baby appropriately for the environment. A blanket sleeper can keep your baby warm without covering his head or face.

Avoid the use of sleep positioners, wedges, or other devices that claim to reduce the risk of SIDS. Don’t use home cardiorespiratory monitors as a way to reduce the risk of SIDS. These monitors track a baby’s heart rate and breathing. Some babies need this kind of monitor because of medical problems, but this is rare. There’s no evidence that the monitors help reduce the risk of SIDS in healthy babies.

Give your baby supervised tummy-time while he is awake. Babies need to develop their neck, shoulder and arm muscles and tummy time helps. You can find some tummy time activities here.

It is important that all people who will care for your baby know these guidelines and follow them to keep your baby safe while he sleeps.

Have questions? Text or email us at AskUs@marchofdimes.org.

What all caregivers need to know about safe sleep for babies

Friday, September 9th, 2016

Sleep is important for your baby’s health. It is also important to make sure that your baby’s sleeping environment is safe. Safe sleep can help protect your baby from sudden infant death syndrome (SIDS) and other dangers.

While you may know about how to create a safe sleep environment, other people caring for your baby may not. Grandparents, babysitters, and anyone else who may take care of your baby should be made aware of the importance of safe sleep.

Here is a short video that reviews the basics of safe sleep for caregivers, courtesy of the NIH’s Safe to Sleep® campaign:

Have questions? Email us at AskUs@marchofdimes.org.

Reduce the risk of SIDS in your baby

Monday, October 5th, 2015

back to sleepEach year 3500 infants die suddenly and unexpectedly in the U.S. These deaths are called sudden unexplained infant deaths (SUID). Most of them happen while the infant is sleeping in an unsafe environment.

SUIDs are reported as one of three types of infant deaths:

  • Sudden infant death syndrome (SIDS)
    SIDS is the sudden death of an infant less than one year of age that cannot be explained. It can happen without warning to a baby who seems healthy. One reason a baby is more likely to die of SIDS is if he is  born prematurely (before 37 weeks of pregnancy) or with low birthweight (less than 5 pounds, 8 ounces).
  • Unknown cause
    This is the death of an infant less than one year of age that cannot be explained because an investigation was not conducted. Therefore, cause of death could not be determined.
  • Accidental suffocation and strangulation in bed
    Suffocation can occur if an infant is put to sleep on soft bedding or a pillow. It can also happen when a person rolls on top of an infant or when he becomes wedged between two objects such as a mattress and the bed frame. Strangulation can happen when an infant’s head and neck become caught between two objects such as crib railings.

What can you do?

October is Sudden Infant Death Syndrome Awareness Month. It is important to understand your baby’s individual risk factors, and learn safe sleep strategies including:

  • ALWAYS, put your baby to sleep on her back, in a crib without bumpers, blankets, stuffed toys or loose bedding.
  • Do not smoke. Babies of parents who smoke are more likely to die of SIDS than other babies.
  • Give your baby a pacifier for naps and at bedtime.
  • There are many myths about SIDS – learn the facts.
  • Place your baby in her own bassinet or crib to sleep near your bed, but do not share the same bed. 

The good news is that SUIDs has significantly declined – from 130.3 deaths per 100,000 in 1990 to 39.7 deaths per 100,000 in 2013 – as a result of safe sleep messaging. See the American Academy of Pediatrics’ safe sleep recommendations and the National Institute of Child Health and Human Development’s Safe to Sleep campaign.

Have questions? Text or email us at Askus@marchofdimes.org.

Avoid a tragedy – learn safe sleep strategies

Wednesday, March 25th, 2015

cropped sleeping babyEvery so often, we hear a tragic story from a new parent. Last week, a three week old baby died of SIDS (sudden infant death syndrome). This post is in memory of that baby, and our hearts go out to the family.

It is important for parents and caregivers to know safe sleep strategies. Please help us get the word out: ALWAYS, put your baby to sleep on her back, in a crib without bumpers, blankets, stuffed toys or loose bedding.

Back to Sleep and Tummy to Play is an easy way to remember that all healthy babies should be put to sleep on their backs every time until their first birthday. Do not put your baby to sleep on her side, either. Most babies will roll over both ways by the end of the 7th month, but always start them out going to sleep on their backs. You can give your baby tummy time to help strengthen her back muscles when she is awake and you are watching her.

About 3,500 infants (less than one year of age) die suddenly and unexpectedly each year in the United States, according to the CDC. SIDS is the leading cause of death in babies between 1 month and 1 year old. Most SIDS cases happen in babies between 2 and 4 months old. We don’t know what causes SIDS, but certain things can put babies at higher risk:

  • Bed sharing – do not sleep in the same bed as your baby. Sleeping in the same room is suggested, just not the same bed. Bed sharing is the biggest risk factor for SIDS in babies under 4 months of age.
  • Sofa or couch sleeping – do not let your baby sleep on the couch or soft surfaces, including pillows. Nearly 13 percent of infant sleeping deaths are sofa-related.
  • Wearing too many clothes or sleeping in a room that is too hot.
  • Sleeping on her tummy or side.

Read more about safe sleep, mom and baby care and other tips for reducing the risk of SIDS.

If you have questions about putting your baby to sleep, send them to AskUs@marchofdimes.org or ask your baby’s health care provider.

If you or someone you know has lost a baby due to SIDS or an unknown reason, the Pregnancy and Newborn Health Education Center offers bereavement packets to families. Just email us with your mailing address and we will send one to you.

See other topics in the series on Delays and Disabilities- How to get help for your child, here.

 

Updated Sept. 2015

Safe sleep for babies

Friday, October 24th, 2014

cropped sleeping babySafe sleep can help protect babies from sudden infant death syndrome (SIDS) and other sleep-related dangers, like suffocation (not being able to breathe). Newborns sleep about 16 hours a day, so it’s important to make sure that where and how they sleep are safe.

Here are some things you can do to help keep your baby safe when she sleeps:

Where to put your baby to sleep
• Put your baby to sleep on her back on a flat, firm surface—a crib is best. Use only the mattress made for your baby’s crib. The mattress should fit snugly in the crib so there are no spaces between the mattress and the crib frame.
• Keep crib bumpers, loose bedding, toys and other soft objects out of your baby’s crib. They put babies in danger of getting trapped, strangled or suffocating. This is important even as your baby gets older. A study recently published in Pediatrics showed that “rolling to prone [stomach], with objects in the sleep area, is the predominant risk factor for older infants.”
• Share your bedroom with your baby but not your bed. Co-sleeping means that babies and parents sleep together in the same bed. The American Academy of Pediatrics (AAP) says that babies should not co-sleep with their parents and studies have shown that bed-sharing is the biggest risk factor for SIDS in children under four months. Instead, put your baby to bed in her own crib and keep it close to your bed during the night. This will allow you keep an eye on your baby and to breastfeed her easily.
• Don’t put your baby to sleep on a waterbed, sofa, soft mattress or other soft surface. “Of nearly 8,000 infant sleeping deaths in the United States, researchers found that about 12 percent were sofa-related. And nearly three-quarters of those infants were newborns.”

How to put your baby to sleep
• Put your baby to sleep on her back every time, until she’s 1 year old. It’s not safe for babies to sleep on their side or tummy. Most babies will roll over both ways by the end of the 7th month; but start them out on their backs.
• Dress your baby in light sleep clothes. Keep the room at a temperature that’s comfortable for you. If your baby is sweating or her chest feels hot, she may be overheated.
• Give your baby a pacifier for naps and at bedtime. Pacifiers may help protect against SIDS. Don’t hang the pacifier around your baby’s neck or attach the pacifier to your baby’s clothing or a stuffed animal.
• Don’t use products, such as special mattresses or wedges, that claim to reduce the risk of SIDS. There is no evidence that they do.

Mom and baby care
• Feed your baby only breast milk for at least 6 months. Continue breastfeeding your baby until at least her first birthday.
• Don’t smoke and don’t let anyone smoke in your home or around your baby.
• Take your baby to all her well baby visits and make sure she gets her vaccinations on time.
• Give your baby tummy time every day. Tummy time helps your baby develop her neck, shoulder and arm muscles.

Have questions? Email us at AskUs@marchofdimes.org.

Breastfeeding myths debunked – part 2

Monday, June 23rd, 2014

mom breastfeeding1. Your baby needs water too.

False: Supplementing with water is not recommended for babies. Breast milk or formula contains all the water a baby needs and will keep your baby hydrated even in hot, dry climates.

2. You don’t produce enough milk.

Often False: The amount of milk you produce depends on a number of factors, including how often you feed and how your baby sucks at the breast. You can check if your baby is getting enough to eat by the amount of wet or soiled diapers in a day. The American Academy of Pediatrics tells moms to “expect 3-5 urines and 3-4 stools per day by 3-5 days of age; 4-6 urines and 3-6 stools per 5-7 days of age.” Your baby’s health care provider will check if your baby is gaining weight at his well-baby visits.

3. Breastfeeding is easy

False: Breastfeeding can be very challenging. Many moms face sore, cracked and bleeding nipples. It can hurt when you try to feed your baby. It’s important that when you start to feel pain or discomfort you seek help from a lactation counselor or support group. Many times the soreness can be relieved if the latch or position is changed. Some moms are able to breastfeed right away and others experience discomfort for months. Breastfeeding is learning a new skill; it takes lots of practice, time and patience.

4. Breastfeeding reduces the risk of SIDS

True: Breastfeeding can reduce the risks associated with sudden infant death syndrome (SIDS). Feed your baby only breast milk for at least 6 months. Continue breastfeeding your baby until at least her first birthday. The American Academy of Pediatrics (AAP) says “Breastfeed as much and as long as you can. Studies show that breastfeeding your baby can help reduce the risk of SIDS.”

5. My baby should always breastfeed from both breasts

Not always true: Babies, especially newborns may have periods of preferring only one breast. Your baby may cry, become fussy or refuse to feed on one breast. If your baby is getting enough milk and you are not having any other trouble, it is fine for your baby to feed from only one breast. If you are having problems with your milk supply, or experience engorgement or pain, there are tips to get your baby back on both breasts.  For example try starting your baby on the preferred breast, and then slide him over to other side without changing the position of his body. To learn more, ask a lactation specialist.

Did you have an assumption about breastfeeding that was false? Or did someone give you advice that helped? We’d love to hear from you.

Check out the first 5 breastfeeding myths from last week.