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In its first update since 2016, the American Academy of Pediatrics (AAP) outlined recommendations to reduce Sleep-related infant death risk, According to a recent press release, in the new policy statement, the AAP is emphasizing the need for babies to sleep on their backs, keeping the sleep environment “bare” for parents and sharing the bed under no circumstances. To avoid doing.
“The death of a baby is tragic, heartbreaking, and often preventable. If we’ve learned anything, it’s for the best: Always put babies in cribs or bassinets, on their backs, without soft toys, pillows. , blankets or other bedding,” said lead author Dr. Rachel Moon, professor of pediatrics at the University of Virginia School of Medicine.
The recommendations apply to children up to one year old.
About 3,500 infants die from sleep-related deaths each year in the United States, but the annual number of deaths since 2000 was “substantial in deaths” due to the national education for infants to sleep on their backs in the 1990s. “Has remained the same after the reduction. stated in the press release.
But even though the overall number of deaths is small, the rate of sudden unexpected infant death (SUID) more than doubled among black infants and tripled among American Indian/Alaska Native infants in 2010 to 2013 compared to white infants.
apart from this, Babies have 67 times higher risk 10 times higher risk of sleep-related death, fatigue, sedation, or substance abuse while sleeping with someone on a couch, soft chair or cushion, and 5-10 times higher risk when sleeping with someone . Same surface with anyone else under four months old.
“We know that many parents choose to share a bed with a child, for example, perhaps to help with breastfeeding or because of cultural preference or belief that it is safe,” said Dr. Rebecca Carlin, co-author he said. statement and accompanying technical report. “The evidence is clear that this significantly increases the risk of injury or death to the child, and for this reason the AAP cannot under any circumstances endorse bed-sharing.”
The AAP recommends babies sleep on a surface that is flat, firm, and not inclined with a sleep product that meets the Consumer Product Safety Commission’s safety standards for crib, bassinet, play yard, and bedside sleepers. become effective this week. CNN.
According to First Candle, a non-profit organization committed to eradication, “A great way to test if a surface is too soft is to press your hand down and then lift it up. If your hand leaves an indentation, So it’s very soft.” of SIDS.
The AAP’s press release also heralded the passage of the Safe Sleep for Babies Act, which bans the sale of unsafe crib bumpers and inclined sleepers until mid-2022.
The policy statement reminded parents to avoid objects — especially soft objects, such as toys such as pillows, mattress toppers, materials such as fur, loose bedding or crib bumpers, as they are likely to suffocate.
“Place babies on a firm, flat, [non-inclined] The sleeping surface (for example, a crib mattress that fits tightly into a safety-approved crib) is covered with another bedding or a fitted sheet with soft objects. Have sleeping surfaces with an inclination of more than 10 degrees unsafe for baby’s sleep“The policy statement said.
Crib bumpers, which are cradle slats to cushion the baby, have been linked to more than 100 infant deaths in the past 30 years, according to Healthy Kids, a website recommended by the AAP for additional resources on sleep safety for babies. .
The Pediatric Association recommends that parents sleep in the same room with their infants, but not in the same bed as theirs, for at least the first six months.
Release noted that the use of pacifiers is also associated with reduced sleep-related deaths, but “supervised, awake tummy time” is recommended for the infant’s development and the back of their head or back due to their sleeping position. To prevent a flat spot on the edge from developing, a condition is known as positional plagiocephaly, according to the statement.
,Parents are encouraged Supervised to keep the infant in tummy time while awake and for a short period starting soon after hospital discharge, which increases to at least 15 to 30 minutes overall by 7 weeks of age ,” the release said.
And when an infant shows signs of attempting to reach the rolling milestone, which often occurs at three to four months of age, the statement advises against swaddling because the swaddled infant may roll over in a prone position and suffocate. can choke.
Breastfeeding reduces the risk of sleep-related infant death, with the statement, “At least 2 months of partial human weaning has been demonstrated to significantly reduce the risk of sleep-related deaths.”
“Parents may think their baby is waking up too much at night and fear that something is wrong,” Dr. Moon said.
“But babies by their very nature tend to wake up frequently at night. Although this can be quite frustrating for parents who are tired and losing their sleep, babies have to wake up to feed Every 2-3 hours, so this is normal and healthy, and to be expected. When parents have questions about their infant’s sleep, they should always seek guidance from their pediatrician.”