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With the first update since 2016, the American Academy of Pediatrics (AAP) Risk of sleep-related infant mortality.. In a new policy statement, according to a recent press release, AAP emphasizes the need for infants to lie on their backs, parents to keep their sleeping environment “naked”, and to avoid bed sharing under all circumstances. doing.
“Baby death is tragic, tragic and often preventable. If we learn something, it’s best to be simple. Your baby will be without plush, pillows, cribs and other bedding. You should always sleep in a crib or basinette, “said Dr. Rachel Moon, lead author, pediatric professor at Virginia University School of Medicine.
The recommendations apply to children up to 1 year old.
Approximately 3,500 babies die each year from sleep-related deaths in the United States, but annual deaths since 2000 after a “significant” reduction in mortality in the 1990s due to national education for babies to lie on their backs. The numbers are similar. The press release said.
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However, although the overall number of deaths has declined, between 2010 and 2013, the rate of sudden and unexpected infant deaths (SUIDs) was more than double in black infants compared to white infants. , American Indian / Alaska Native Infants tripled.
In addition, infants are 67 times more likely to have sleep-related deaths when sleeping with someone on a sofa, soft armchair, or cushion, and are impaired due to fatigue, sedatives, or substance abuse. If you sleep with a person, you are at a 10 times higher risk. Sleeping on the same surface as others when you are less than 4 months old is 5 to 10 times more risky.
“We know that many parents choose to share a bed with their child, for example, to help breastfeed, or because of cultural preferences or beliefs that they are safe,” the statement said. And the technical report that accompanies it. “But there is clear evidence that this significantly increases the risk of baby injury and death, so AAP cannot support bed sharing under any circumstances.”
AAP is a sleeping product that meets the safety standards of the Consumer Product Safety Commission for cribs, bassinets, playpen and bedside sleepers, and recommends that your baby sleep on a flat, firm, non-sloping surface. .. CNN.
“The best way to test if the surface is too soft is to push your hand down and then lift it. If your hand has a dent, it’s too soft,” said a non-profit working on removal. The group’s First Candle says. Of SIDS.
The AAP press release also foretold a safe sleep law for babies banning the sale of unsafe crib bumpers and slanted sleepers by mid-2022.
The policy statement warns parents to avoid items, especially pillow-like toys, mattress toppers, fur-like materials, loose bedding, crib bumpers, etc., as they can choke. Prompted.
“Place your baby on a solid, flat surface. [non-inclined] A sleeping surface covered with sheets without other bedding or soft objects (for example, a crib mattress that fits snugly into a crib that has been approved for safety). Sleeping surfaces with an inclination of more than 10 degrees are not safe for infants to sleep. “
According to AAP’s recommended website healthychildren.org for additional resources on baby sleep safety, crib bumpers aimed at protecting babies from crib slats have been used by more than 100 babies in the last 30 years. Is related to the death of.
The Pediatric Association recommended that parents should sleep in the same room as their baby for at least the first 6 months, but not in the same bed.
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The use of pacifiers is also associated with reducing sleep-related mortality, but advises “supervised, awakened tummy time” for infant development and behind the head for sleep position, condition. Or prevent the development of flat spots on the sides, according to the statement, known as plagiocephaly.
“Parents are advised to keep their baby in their tummy time while awake and to monitor it for a short period of time immediately after discharge. By 7 weeks of age, it will gradually increase to a total of at least 15-30 minutes daily. “The release states.
Also, if the baby shows signs of reaching a rolling milestone (often 3-4 months old), the swaddled baby may roll into the prone position and choke. The statement advises not to suffocate.
Breastfeeding states that “at least two months of partial breastfeeding has been shown to significantly reduce the risk of sleep-related mortality,” he said. Reduce.
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“Parents may think the baby is awake too much in the middle of the night and may be afraid that something is wrong,” Dr. Moon said.
“But babies naturally wake up often in the middle of the night, which can naturally be frustrating for parents who are exhausted and losing their sleep, but babies every 2-3 hours. This is normal and healthy, as you need to wake up and eat. And should be expected. When parents have questions about their baby’s sleep, they always seek guidance from their pediatrician. Should be. ”