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Updates on how to prevent infant sleeping deaths at the American Academy of Pediatrics

Of Savannah, Ga.; (WSAV) – Every year in the United States, 3400 babies die from sleep-related infant deaths, including Sudden Infant Death Syndrome (SIDS), and accidental choking and strangulation in bed.

In 2020, the state of Georgia is ranked 15th by the Centers for Disease Control, with a 6.1 infant mortality rate per 1,000 live births. To reduce infant sleep deaths, the American Academy of Pediatrics (AAP) updated its Safe Infant Sleep Sleep recommendations with the last recommendation in 2016.

“We have made great strides in learning how to keep babies safe during sleep, but there is still much work to be done,” said Rachel Y. Moon, MD, FAAP, lead author of a statement and technical report compiled by the AAP Task Force. Sudden Infant Death Syndrome and the AAP Committee on Fetal and Newborns.

To ensure that infants have a safe sleeping environment, AAP recommends that parents should sleep in the same room but not in the same bed as the infant, preferably for at least the first six months.

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According to the National Library of Medicine, bed sharing can cause a child to accidentally suffocate or push the infant to a dangerous location between the bed and the frame or wall.

For each sleep, the AAP suggests that infants should lie on their backs on a firm sloping sleep surface with no soft bed.

The Academy states that this type of sleep does not increase the risk of choking and aspiration in infants, even in those with gastroesophageal reflux.

“Mothers and caregivers care that the infant suffocates or suffocates. Parents often misinterpret coughing or mouth shutting, which is a testament to the common protective gag reflex for shortness of breath or aspiration. Multiple studies in different countries have not shown increased incidence of aspiration after switching to supine sleeping, ”the AAP said.

AAP side sleeping is not safe and advisable because it increases the risk of re-breathing outdated gases, resulting in arduous breathing and low oxygen levels in the blood. It increases the risk of overdose, especially at 2 to 3 months of age, alters the autonomic control of the infant’s cardiovascular system and increases the risk of sudden infant death syndrome (SIDS).

Infant sleeping surfaces must comply with Consumer Product Safety Commission rules of June 2021, and any infant sleep product must meet existing federal safety standards for cribs, bassinets, playrooms and bedside sleepers. Parents should not use sleep products that are not specifically marketed for sleep.

Most chairs, car seats, strollers, swings, baby carriers and baby slippers are not recommended for daily sleep in a hospital or home, especially for infants under 4 months of age.

It is better to wear an infant with layers of clothing than blankets and other blankets to keep the infant warm while reducing the likelihood of a head covering or getting caught due to the use of a blanket. However, care must be taken to choose the appropriately sized sleeping apparel and avoid overheating. Wearable wrappers can also be used. Nursing and hospital staff should devise a safe sleep system for new parents after childbirth.

As for swaddling, the AAP says there is no evidence to recommend swaddling as a strategy to reduce the risk of SIDS. However, babies should be on their backs when swaddled and it should not be too tight. Weighing thighs, weighted clothing or weighing objects on or near a baby is not safe and not recommended. When an infant exhibits signs of tumbling (which usually occurs in 3 to 4 months but may occur earlier), swaddling is no longer advisable because the swaddled infant is at increased risk of suffocation if it falls into the affected position.

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AAP recommends giving palliatives during sleep and sleep to reduce the risk of SIDS. Multiple case-control studies and 2 meta-analyzesReported the protective effect of palliative care on the occurrence of SIDS, reducing the risk of SIDS from 50% to 90%.

The academy says that the mechanism of clear protective effect is still unclear, but maintains airway patency during sleep and premature infants’ favorable modification of autonomic control during sleep.The proposal has been filed.

A sedative may be given when the infant is placed for a nap or a night’s sleep. There is no need to add it again after the baby is asleep. Infants who refuse sedation should not be forced to take it. In such cases, the parent may try to give palliative care again when the infant is a little older.

The American Academy of Pediatric Dentistry’s Policy Statement on Oral Practice states that non-nutritive sucking behaviors such as fingers or palliatives are considered common in infants and young children, and in general, sucking practice is unlikely in children as young as 3 years old. To cause any chronic problems. They suggest that sedative use should be discouraged after 4 years.

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