CE Credit

Infant Safe Sleep

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Welcome to the training on Infant Safe Sleep provided by the Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS).

Credit hours: 1.50 CE

Goal

The goal of this module is to equip Texas Health Steps providers and others to recognize risk factors for sleep-related infant death, promote protective factors, and collaborate with parents and caregivers to support safe-sleep practices.

Target Audience

Texas Health Steps providers and other interested health-care professionals.

Specific Learning Objectives

After completing the activities of this module, you will be able to:

  1. Detect risk factors for sleep-related infant death and promote protective factors to help prevent it.
  2. Formulate and deliver clear and consistent messages about safe-sleep practices and collaborate with parents and caregivers to support such practices.

 

NOTE ON TERMINOLOGY: "SUPINE" AND "PRONE"

The medical literature about infant safe sleep often refers to the supine and prone sleeping positions. The American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC) use such terminology, as do some other public health advocacy entities. This module also uses supine and prone when referring to the sleep positioning policy and clinical guidance from such organizations.

However, the terms supine and prone can be confusing to new parents and tired caregivers, so it is best to avoid using those words when guiding families about the safest sleeping position for their infant. Say “on the back” instead of supine and “on the tummy” instead of prone.

Remember to keep it simple by saying a baby should always sleep on its back and never on its side, stomach or tummy.

Please note this module expires on 10/3/2022.

This module was released on 10/3/2019.

Accreditation Statement

Disclosures

Browser Requirements

American Academy of Pediatrics (AAP) Policy Statement: SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleep Environment
Presents the AAP’s most current guidelines for providing a safe sleep environment for infants with the goal of reducing the risk of all sleep-related infant deaths. 

AAP Technical Report: SIDS and Other Sleep-Related Infant Deaths: Evidence Base for 2016 Updated Recommendations for a Safe Infant Sleeping Environment   
Provides evidence and rationale behind the AAP’s updated recommendations for a safe infant sleep environment.

AAP's Healthy Children Website
A parent-oriented website that offers parents comprehensive information on safe sleep, addressing common parent concerns such as infant comfort, and videos and short articles about putting baby to bed safely.

Information for Parents of Newborn Children Pamphlet
A resource pamphlet from the Texas Department of State Health Services available in English and Spanish that contains the required information that health-care professionals must provide to pregnant women and to parents at delivery. It includes information about SIDS and current recommendations for infant sleeping conditions.

National Institute for Children's Health Quality's Video: How Safe Sleep Savvy Are You?
A video quiz that engages caregivers in conversations about safe sleep recommendations.

Questions and Answers for Health Care Providers: Sudden Infant Death Syndrome (SIDS) and Other Sleep-Related Causes of Infant Death
This booklet for health care providers answers common questions about SIDS and other sleep-related causes of infant death.

Safe Sleep for Babies: A Community Training 
A training manual from the Texas Department of State Health Services designed to be used by service providers of all types for talking with parents, grandparents and caregivers about the best practices for safe infant sleep.

Texas Health Steps Anticipatory Guidance-A Guide for Providers
Age-appropriate anticipatory guidance topics from the Texas Department of State Health Services. For children birth through 20 years of age. Mirrors anticipatory guidance topics included on the Texas Health Steps Child Health Record Forms.

Breastfeeding Resources:

AAP’s Policy Statement: Breastfeeding and the Use of Human Milk
Reaffirms the AAP’s recommendation for mothers to breastfeed exclusively for 6 months and advocates for facilitating breastfeeding practices in hospitals, the workplace, and communities.

Breastmilk Counts Website
Developed by the Texas Department of State Health Services to help families get off to a successful start with breastfeeding.

Ten Steps to Successful Breastfeeding
World Health Organization and UNICEF created the Ten Steps to Successful Breastfeeding to motivate all facilities providing maternity and newborn services to support breastfeeding. 

Texas Ten Step Program
The Department of State Health Services (DSHS) in collaboration with the Texas Hospital Association developed the Texas Ten Step Program as a method to improve maternity care practices in birthing facilities.

Culturally Effective Health Care

Healthy Native Babies Project Workbook Packet.
This packet from U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Child Health and Human Development includes the Healthy Native Babies Project Workbook, Healthy Actions for Native Babies Handout, Toolkit disk, and Toolkit User Guide, describes ways to reduce the risk for SIDS among American Indian/Alaska Native babies.

Think Cultural Health website
Think Cultural Health offers many resources, including free, accredited online continuing education programs such as A Physician’s Practical Guide to Culturally Competent Care.

National Initiatives for Infant Safe Sleep:

Association of SIDS and Infant Mortality Programs (ASIP)
Formed with support from the Maternal and Child Health Bureau, ASIP  risk reduction or bereavement support for families that have experienced an infant death.

Collaborative Improvement & Innovation Network to Reduce Infant Mortality (IM CoIIN)
A collaboration of public and private agencies, professionals and communities to reduce infant mortality.

First Candle
First Candle’s mission is to reduce the rates of SIDS and SUIDs by educating caregivers and families and supporting research.

The National Action Partnership to Promote Safe Sleep Improvement and Innovation Network (NAPPSS-IIN)
A coalition of more than 70 organizations committed to supporting infant safe sleep and breastfeeding.

Safe to Sleep Public Educational Campaign 
Includes strategies for reducing the risk for SIDS and describes actions that parents and caregivers can take to reduce the risk for other sleep-related causes of infant death, such as suffocation. 

Swaddling Resources for Parents and Caregivers:

The Benefits of Swaddling Your Baby Video
Information for new parents about how and when to correctly swaddle a baby.

How to Swaddle a Baby Video 
A comprehensive online video that demonstrates correct swaddling techniques. 

Swaddling: Is It Safe?
Information about swaddling from AAP’s healthychildren.org website.

Safe sleep resources for child-care providers:

AAP's Child Care Provider’s Guide to Safe Sleep
A fact sheet for child care providers that explains the AAP’s recommendations for creating a safe sleep environment. 

Texas A&M Agrilife Extension’s Safe Sleep: Reducing the Risk of Sleep-Related Infant Death in Child Care
A free two-hour online training for child-care providers.

Additional Safe sleep resources to share with families:

Baby Safety 101! Video 
A video about Safe Sleep for Babies developed for families and caregivers by the organization First Candle.

CDC's Sudden Unexpected Infant Death and Sudden Infant Death Syndrome: Parents and Caregivers Web Page
The CDC’s summary of infant safe sleep recommendations for parents and caregivers.

Infant Sleep Position and SIDS: Questions and Answers for Health Care Providers
A booklet from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) designed for health-care providers to share with parents and caregivers.

Information for Parents of Newborns
Available for download in English or Spanish, page 16 of this pamphlet covers strategies to calm a baby.

Myths and Facts about SIDS and Safe Infant Sleep Web Page
A Safe to Sleep campaign web page with commonly misunderstood facts about SIDS and infant safe sleep.

A Parent’s Guide to Raising Healthy, Happy Children
This guide provides information relating to the development, health, and safety of a child from birth to five, including strategies for calming a crying baby. 

A Parents' Guide to Safe Sleep—Helping you to reduce the risk of SIDS 
A 2-page fact sheet safe sleep fact sheet for parents summarizing the AAP’s recommendations for infant safe sleep.

The Period of PURPLE Crying 
The PURPLE program is designed to help parents of new babies understand the developmental period of infants ages 2 weeks to 3-4 months. It provides education on the normal crying curve, soothing techniques, and the dangers of shaking a baby.

Room to Breathe Website
A safe sleep campaign from the Texas Department of Family and Protective Services available in English and Spanish. The Room to Breathe website provides safe sleep videos for parents and caregivers.

Safe Sleep for Babies Fact Sheet
A fact sheet has been developed in collaboration with the Texas Department of State Health Services and the Texas Department of Family and Protective Services, to increase awareness and educate caregivers on Safe Sleep.

Safe Sleep Checklist 
A printable checklist from the Texas Department of State Health Services designed to help parents assess their baby’s sleep environment for safety.

Safe Sleep and Your Baby: How Parents Can Reduce the Risk of SIDS and Suffocation

Safe Sleep for Your Baby is a general outreach brochure available for order from the NICHD. This brochure has also been adapted for African American, American Indian/Alaskan Native, and Spanish-speaking audiences and is available for download as a pdf. 

Safe Sleep for Your Baby Video
An online video available in English and Spanish provided by the NICHD. 

Safe Sleep for Your Grandbaby: Reduce the Risk of SIDS and Other Sleep-Related Causes of Infant Death
This booklet explains the latest safe sleep recommendations to grandparents and other trusted caregivers so they can help reduce the risk of Sudden Infant Death Syndrome (SIDS) and other sleep-related causes of infant death, such as accidental suffocation. Available for order in English and Spanish.

Someday Starts Now Website
The website features tools for providers in the healthcare and community settings, Life Planning and Birth Planning Tools, videos on the importance of breastfeeding, partner involvement, and preconception health as well as information for men and women of childbearing age for before, during and between pregnancies.

Sweet Dreams: The ABC’s of Safe Sleep Web Page 
A Texas Department of Family and Protective Services “Help for Parents. Hope for Kids.” web page that provides quick tips on safe sleep for parents and caregivers.

What does a safe sleep environment look like? Reduce the Risk of SIDS and Other Sleep-Related Causes of Infant Death

This single-page handout shows a safe sleep environment for infants and explains ways parents and caregivers can reduce the risks of SIDS and other sleep-related causes of infant death. Available for order in packets of 25.

Helpful Resources

Cribs for Kids
Provides portable cribs and education to families who provide free cribs for families who are unable to purchase a safe crib. Search for a local partner by clicking the website’s “Partners” button.

Safe Sleep Toolkit

Materials created by Prevent Child Injury to spread messages on infant safe sleep.

Sleep Safety and Suffocation Prevention Tips

Printable safe sleep fact sheet from Safe Kids Worldwide.

The medical definitions provided in this module were adapted or obtained from the American Academy of Pediatrics and KidsHealth from Nemours.