SIDS AwarenessTraining

Needs

Provide basic information about

Sudden Infant Death Syndrome (SIDS)

and ways to lower an infant’s risk of dying

during the first year of life.

Needs

Share available resources to support

SIDS families and promote community

based education about SIDS and

risk reduction.

Objectives

• Understand SIDS legislative mandates• Define a SIDS death• Identify four factors in a typical history of a

SIDS baby• List risk factors for SIDS• Explain the relationship between SIDS risk

factors and an actual SIDS death• Outline the tasks of grieving• Identify resources to provide support and aid

to parents

Definition ofSudden Infant Death Syndrome (SIDS)

• The sudden and unexpected death of an apparently healthy infant usually under one year of age which remains unexplained after a:• complete medical history• death scene investigation• postmortem examination

SIDS is a Diagnosis of Exclusion

What We Know

• The cause(s) of SIDS remain unknown

• SIDS cannot be predicted or prevented

• No one is to blame for a SIDS death• Not parents• Not caregivers• Not emergency personnel or other health

care providers

What Happens

• Baby is usually healthy or may have had sniffles or cold

•Baby is put down for nap or night

• Found dead minutes to hours later

• No sign of struggle or distress

SIDS can happen in any family

Facts about SIDS

• The leading cause of death in infants between one month and one year of age in the U.S.

• Happens in about one of every 1000 live births

• Happens most often between two and four months of age

• Happens most often in winter

SIDS is Not Caused by:

• Suffocation

• Vomiting or choking

• Child abuse

• Disease or illness

• Immunizations

Maternal Risk Factors

• Young—less than 19 years of age

• Tobacco use doubles the risk of SIDS

• Substance use is associated with increased risk

• Limited or late prenatal care

• Short intervals between pregnancies

Infant Risk Factors for SIDS

• Male gender

• Infant age

• Low birth weight

• Multiple births

• Premature birth

Babies can die of SIDS without having risk factors

Multifactorial SIDS Theory

Infant’sPhysiologicResponses

Development Environment

SIDS

Infant’s Physiologic Responses

• Oxygen reduced, carbon dioxide increased

• Arousal response deficit

• Subtle brainstem dysfunction

• Slow development

Development—age vulnerability

• 2-4 months—75%

• 4-6 months—15%

• Respiratory system is unstable in all infants

• May take less of an environmental stress to trigger SIDS at this age.

Environmental Factors

• Sleep position• Smoking• Temperature• Bedding• Swaddling• Season• Minor respiratory symptoms• Drug use• Poverty• Limited prenatal care

9 Ways to Reduce the Risk of SIDS1. Always place a baby on his/her Back to Sleep,

even for naps.

2. Never allow smoking around a baby.

3. Place a baby on a firm, flat surface to sleep.

4. Remove all soft things such as loose bedding, pillows, and stuffed toys from the sleep area.

5. Never place a baby on a sofa, waterbed, soft chair, pillowor bean bag.

6. Take special precautions when a baby is in bed with you.

7. Make sure a baby doesn’t get too hot.

8. Keep a baby’s face and head uncovered during sleep.

9. Share this information with everyone who cares for a baby.

When SIDS Happens

• Baby found not breathing

• Call is made to 911

• EMS, fire or police respond

• Decision is made about CPR and transport

• Baby is pronounced dead

• Coroner goes to the death scene, home or hospital

Coroner’s Responsibilities

• Investigate death scene

• Obtain complete medical history

• Have autopsy performed

• Contact county health department

• Notify parents of apparent cause of death

• Inform California SIDS Program

• Sign death certificate

Local Health Department Responsibilities

• Contact family/childcare provider within three working days

• Services to be provided:• Assess family, childcare provider/foster

parent or both • Crisis intervention and counseling • Referral to community services• Follow-up care to assess progress

• Submit report of contact to the California SIDS Program

The Tasks of Grieving

• Accepting the reality of the loss

• Experiencing the pain of grief

• Adjusting to a life without the baby

• Moving on

—Dr. J. W. Worden

When a Baby Dies

It is stressful for everyone:

• Parents

• Family

• Professionals providing care

Resources

Local Health Department

_________________________

Local Bereavement Support Group

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California SIDS Program

800-369-SIDS (7437)

California SIDS Program

This PowerPoint presentation is copyrighted, but may be reproduced without permission. We request that proper credit be given to: California Department of Health Services/

California SIDS Program

Produced by the California SIDS Program under funding by the California Department of Health Services, Maternal, Child and Adolescent Health Branch © 2005

California Sudden Infant Death Syndrome Program800-369-SIDS (7437) • www.californiasids.com