From mosgerby at sidsprojectimpact.com Wed Feb 1 12:50:46 2012 From: mosgerby at sidsprojectimpact.com (Mark Osgerby) Date: Wed, 1 Feb 2012 12:50:46 -0500 Subject: [SUID-IM-Listserv] National Health and Safety Performance Standards Message-ID: Is anyone aware of states that are using the National Health and Safety Performance Standards: Guidelines for Early Care and Education Programs to guide state policy and regulations in licensed childcare - family or center based? Kathleen Fernbach Director, Minnesota Sudden Infant Death Center Children's Hospitals and Clinics of Minnesota 2525 Chicago Ave. So. Minneapolis, MN 55404 Phone: 612-813-6285 Fax: 612-813-7344 www.childrensmn.org/sidcenter Confidentiality Statement: This email/fax, including attachments, may include confidential and/or proprietary information and may be used only by the person or entity to which it is addressed. If the reader of this email/fax is not the intended recipient or his or her agent, the reader is hereby notified that any dissemination, distribution or copying of this email/fax is prohibited. If you have received this email/fax in error, please notify the sender by replying to this message and deleting this email or destroying this facsimile immediately. -------------- next part -------------- An HTML attachment was scrubbed... URL: -------------- next part -------------- An embedded and charset-unspecified text was scrubbed... Name: Kathleen Fernbach.vcf URL: From Sdemont at crisisnursery.org Wed Feb 1 00:06:45 2012 From: Sdemont at crisisnursery.org (Steve Demont) Date: Tue, 31 Jan 2012 23:06:45 -0600 Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack In-Reply-To: <11394F6CF01A2F4D8A0672204604BC7005C48E792F@EXCHVS7A.mx.state.mo.us> References: <11394F6CF01A2F4D8A0672204604BC7005C48E792F@EXCHVS7A.mx.state.mo.us> Message-ID: <301110E786678E4A8A282571B33981E8426955AF42@SBSSERVER.crisisnursery.local> We find them to be an indispensable product at our children's shelter. The swaddling portion does not go over the child's face as it might with other products because there are two hip straps that hold them down. The product uses Velcro to keep the swaddling portion in place that does wear out over washings, however, but we find it to be relatively durable. We use the product only during sleep and take the infants out when they wake. We advise staff to only dress the child in one additional layer to avoid overheating. Halo donates a portion of their profits to First Candle. The product, incidentally, was created by parents who lost a baby to SIDS. I believe her name was Hallie, and thus Halo. From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address (Karen.Schenk at health.mo.gov) or by calling (573-751-6429). Thank you! Scanned by AppRiver spam and virus protection -------------- next part -------------- An HTML attachment was scrubbed... URL: From Leanne.Courtney at co.travis.tx.us Wed Feb 1 09:44:50 2012 From: Leanne.Courtney at co.travis.tx.us (Leanne Courtney) Date: Wed, 1 Feb 2012 14:44:50 +0000 Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack In-Reply-To: <11394F6CF01A2F4D8A0672204604BC7005C48E792F@EXCHVS7A.mx.state.mo.us> References: <11394F6CF01A2F4D8A0672204604BC7005C48E792F@EXCHVS7A.mx.state.mo.us> Message-ID: <103531452A319C4C9AF1461438EF177E2271F1@MEGATRON.travis.local> Unfortunately, our office had a case where the baby was swaddled too tightly and could not breathe. This was reported through MECAP and is being investigated. You bring up other really good points too about overheating and the potential for covering the baby's face. Leanne Courtney, RN, MFS, F-ABMDI Forensic Nurse Senior Investigatior Travis County Office of the Medical Examiner 1213 Sabine St. Austin TX 78701 512-854-4425 leanne.courtney at co.travis.tx.us http://www.co.travis.tx.us/medical_examiner/safeliving From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address (Karen.Schenk at health.mo.gov) or by calling (573-751-6429). Thank you! -------------- next part -------------- An HTML attachment was scrubbed... URL: From nancy at sidsillinois.org Thu Feb 2 20:12:54 2012 From: nancy at sidsillinois.org (Nancy Maruyama) Date: Thu, 2 Feb 2012 19:12:54 -0600 Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack In-Reply-To: <82D2189417E0E7408FD4E8437AF8ADF9053423B4BF@SRVUNG014.springfieldmo.gov> References: <11394F6CF01A2F4D8A0672204604BC7005C48E792F@EXCHVS7A.mx.state.mo.us> <82D2189417E0E7408FD4E8437AF8ADF9053423B4BF@SRVUNG014.springfieldmo.gov> Message-ID: <021401cce210$f6540f80$e2fc2e80$@org> For the reasons that have been cited, I prefer the non-swaddler sleepsacks and that is what we recommend at SIDS of IL, Inc. My fear was also that the parents would swaddle tightly and leave the baby like that for a long time. Just my $0.2. Nan Nancy Maruyama, RN Executive Director, Education and Community Outreach SIDS of Illinois, Inc 6010 State Route 53 Suite A Lisle, IL 60532 630-541-3901 office 630-541-8246 fax www.sidsillinois.org From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Blevins, Cheryl Sent: Tuesday, January 31, 2012 4:09 PM To: 'Project Impact Listserv' Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack The pictures on the Target website for Halo sleep sacks are most certainly concerning and misleading. From a developmental perspective, tight swaddling with the arms in extension (as pictured) is non-productive, and definitely appears uncomfortable (looks like an old restraint to me). When I looked at the photos on the Halo website, under the hospital tab, it shows a preemie supine in a swaddle sack, but the swaddle is looser and the baby can get his arms up and his hands to mouth (a self-comforting behavior we try to facilitate in NICU). I believe Halo designed the swaddle to prevent the possibility it could get up around the baby's face; the Velcro on the back is nearly industrial strength and difficult to separate with two adult hands! This type of swaddling can be beneficial in the NICU environment when we need to facilitate flexion and hands to mouth positioning in a baby who has spent significant time on the ventilator. I am not certain healthy, term babies need this type of swaddling and I share your concern that parents looking at the Target photos could believe tight swaddling is the recommendation. I suggest parents comfort the baby by holding close and put the baby to bed when baby is drowsy, so baby can fall asleep in his bed. Cheryl Blevins, RNC, CLC, CEIM Community Health Nurse Springfield Greene County Health Department 417-864-1496 From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address (Karen.Schenk at health.mo.gov) or by calling (573-751-6429). Thank you! -------------- next part -------------- An HTML attachment was scrubbed... URL: From mosgerby at sidsprojectimpact.com Tue Feb 7 10:10:19 2012 From: mosgerby at sidsprojectimpact.com (Mark Osgerby) Date: Tue, 7 Feb 2012 10:10:19 -0500 Subject: [SUID-IM-Listserv] FW: Alaska Position Statement on Infant Safe Sleep Message-ID: On behalf of Deborah Robinson: The Alaska State Department of Health and Social Services and Division of Public Health have recently issued an Infant Safe Sleep Position Statement. They appear to contradict statements make earlier regarding the circumstances of death and how infants are dying. The Department clearly recommends that infants should room share, and not bed share, in accordance with the AAP's recommendations. According to the office of the state medical examiner, the vast majority of infant deaths in Alaska are associated with bed-sharing, but, like elsewhere, the significance of this is complicated by other known associations. All infant deaths are investigated by law enforcement or directly by the ME, with particular attention to the sleep environment and with doll re-enactments. Likewise, complete autopsies including x-rays and toxicology are performed. Alaska adheres to national standards for investigation, autopsy and certification. Deborah A Robinson Infant Death Investigation Specialist Child Death Review Seattle, WA www.suidi.org (425) 343-3701 cell Description: cid:PSXGGDWYRBBY.IMAGE.png *CONFIDENTIALITY NOTICE* This e-mail communication, including any attachments, is solely for the use of the designated recipient (s) named above and may contain confidential and privileged information. If you are not the intended recipient (or authorized for the recipient), you are hereby notified that any review, discloser, dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies, whether in electronic or hard copy format, of this communication and any attachments. From mosgerby at sidsprojectimpact.com Tue Feb 7 10:08:40 2012 From: mosgerby at sidsprojectimpact.com (Mark Osgerby) Date: Tue, 7 Feb 2012 10:08:40 -0500 Subject: [SUID-IM-Listserv] News from CPSC - Two Recalls Message-ID: 1. Weeplay Kids Recalls Infant Bodysuits Due to Choking Hazard http://www.cpsc.gov/cpscpub/prerel/prhtml12/12103.html 2. Bumbleride Recalls Indie & Indie Twin Strollers Due to Fall Hazard http://www.cpsc.gov/cpscpub/prerel/prhtml12/12104.html ******************************************************************* 1. FOR IMMEDIATE RELEASE February 3, 2012 Release #12-103 Firm's Recall Hotline: (888) 226-2200 CPSC Recall Hotline: (800) 638-2772 CPSC Media Contact: (301) 504-7908 Weeplay Kids Recalls Infant Bodysuits Due to Choking Hazard WASHINGTON, D.C. - The U.S. Consumer Product Safety Commission, in cooperation with the firm named below, today announced a voluntary recall of the following consumer product. Consumers should stop using recalled products immediately unless otherwise instructed. It is illegal to resell or attempt to resell a recalled consumer product. Name of Product: Carter's Watch the Wear Bodysuits and Sleep 'n Play Garments Units: About 128,000 Importer/Manufacturer: Weeplay Kids LLC, of New York, N.Y. Hazard: The snaps can detach from the fabric of the garment, posing a choking hazard to infants and young children. Incidents/Injuries: The firm has received approximately 30 reports of snaps detaching from the garments. No injuries have been reported. Description: This recall involves H.W. Carter & Sons/Carter's Watch the Wear bodysuits and sleep 'n play one-piece garments. "Carter's Watch the Wear" is printed on the front of the package and on the inside neckline. The garments are pastel blue, pink and yellow, and packaged as solids, stripes and patterns. They are sold in packages of two, three or five. The style numbers are located on the rear of the packaging, with the following style numbers affected: Watch the Wear Bodysuit N8963LB N8963LG N8963LN N8964B1 N8964B2 N8964G1 N8964G2 N8964LB N8964LG N8964LN N8964N1 N8991LW Watch the Wear Sleep 'n Play N8965LB N8965LG N8965LN Sold by: Big Lots, Century 21, Conway, Cookies, Cost Mart, DD's Discount, Edison Childrenswear, Gabriel Bros., Kiddy Time, Kids Place, Kidstown, National Stores, Pamida Stores, Real Value, Regine's, R.H. Reny, Ross, Shoppers World, Valley Wholesale, Variety Wholesalers and Youngland stores nationwide. Recalled garments sold from November 2010 through August 2011 for about $4 to $9. Manufactured in: Bangladesh Remedy: Consumers should immediately discontinue use of garments and contact Weeplay to receive free replacement garments. Consumer Contact: For additional information, consumers should contact Weeplay toll-free at (888) 226-2200 between 9 a.m. and 5 p.m. ET Monday through Friday or by e-mail at info at weeplaykids.com To see this recall on CPSC's web site, including pictures of the recalled products, please go to: http://www.cpsc.gov/cpscpub/prerel/prhtml12/12103.html ******************************************************************* 2. NEWS from CPSC and HC U.S. Consumer Product Safety Commission www.cpsc.gov Health Canada www.hc-sc.gc.ca FOR IMMEDIATE RELEASE February 3, 2012 Release #12-104 Firm's Recall Hotline: (800) 530-3930 CPSC Recall Hotline: (800) 638-2772 CPSC Media Contact: (301) 504-7908 HC Media Contact: (613) 957-2983 Bumbleride Recalls Indie & Indie Twin Strollers Due to Fall Hazard WASHINGTON, D.C. - The U.S. Consumer Product Safety Commission and Health Canada, in cooperation with the firm named below, today announced a voluntary recall of the following consumer product. Consumers should stop using recalled products immediately unless otherwise instructed. It is illegal to resell or attempt to resell a recalled consumer product. Name of Product: Bumbleride Indie & Indie Twin Strollers Units: About 28,000 (an additional 2,700 were sold in Canada) Importer: Bumbleride Inc., of San Diego, Calif. Hazard: The front wheel can break at the axle hub, causing the stroller to tip and posing a fall hazard. Incidents/Injuries: There have been 36 incidents of the front wheel cracking, including two reports of the stroller tipping over resulting in minor injuries. Description: The recalled Bumbleride Indie strollers are model numbers I-107, I-110 and I-205 with a DOM (Date of Manufacture) from January 2009 through August 2011 sold in multiple colors. The DOM (Date of Manufacture) can be found on a white rectangular sticker affixed to the side of the seat frame. The recalled Bumbleride Indie Twin strollers are model numbers IT-108, IT-111, and IT-305 with a DOM (Date of Manufacture) from January 2009 through August 2011 sold in multiple colors. The DOM (Date of Manufacture) can be found on a white rectangular sticker affixed to the underside of the handle. Sold at: Buy Buy Baby and other baby product stores nationwide, online at Bumbleride.com, and other online retailers between January 2009 and January 2012 for between $500 and $700. Manufactured in: Taiwan Remedy: Consumers should immediately stop using the recalled strollers and contact Bumbleride to receive a free front wheel retrofit kit. Consumer Contact: For additional information, visit the firm's website at www.support.bumbleride.com or contact Bumbleride at support at bumbleride.com or at (800) 530-3930 between 8 a.m. and 4 p.m. PT Monday through Friday. Note: Health Canada's press release is available at http://cpsr-rspc.hc-sc.gc.ca/PR-RP/recall-retrait-eng.jsp?re_id=1520 Consumer Alert: To avoid the risk of strangulation to children, owners of Indie models (I-110, I-205) and Indie Twin models (IT-111, IT-305) with an adjustable bumper bar should never set the bar in the intermediate (car seat) position when a child is seated in the stroller. For more information, visit http://www.bumbleride.com/updates/?p=2175 or call (800) 530-3930. To see this recall on CPSC's web site, including pictures of the recalled products, please go to: http://www.cpsc.gov/cpscpub/prerel/prhtml12/12104.html ******************************************************** Visit our blog, OnSafety at www.cpsc.gov/onsafety See our videos on YouTube at http://www.youtube.com/uscpsc Follow us on Twitter at http://twitter.com/OnSafety See our photos on Flickr at http://www.flickr.com/photos/uscpsc The U.S. Consumer Product Safety Commission is charged with protecting the public from unreasonable risks of injury or death from thousands of types of consumer products under the agency's jurisdiction. The CPSC is committed to protecting consumers and families from products that pose a fire, electrical, chemical, or mechanical hazard or can injure children. The CPSC's work to ensure the safety of consumer products - such as toys, cribs, power tools, cigarette lighters, and household chemicals - contributed significantly to the 30 percent decline in the rate of deaths and injuries associated with consumer products over the past 30 years. To report a dangerous product or a product-related injury, visit www.saferproducts.gov, or contact CPSC's Hotline at info at cpsc.gov, (800) 638-2772 or CPSC's teletypewriter at (800) 638-8270. To join a CPSC e-mail subscription list, please go to https://www.cpsc.gov/cpsclist.aspx. Consumers can obtain recall and general safety information by logging on to CPSC's Web site at www.cpsc.gov. From artiss at mail.nih.gov Thu Feb 2 16:27:18 2012 From: artiss at mail.nih.gov (Artis, Shavon (NIH/NICHD) [E]) Date: Thu, 2 Feb 2012 16:27:18 -0500 Subject: [SUID-IM-Listserv] Seeking Participants for Telephone Group Discussion on Safe Sleep In-Reply-To: <39F902B64F9CAB4C8E414942A8612647269DC6E1CC@NIHMLBX12.nih.gov> References: <39F902B64F9CAB4C8E414942A8612647269DC6E1CC@NIHMLBX12.nih.gov> Message-ID: <39F902B64F9CAB4C8E414942A8612647269DC6E26E@NIHMLBX12.nih.gov> Thank you, to everyone who has expressed interest in the upcoming telephone group discussions for the Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD), part of the National Institutes of Health (NIH). A large number of people have responded that they are willing to participate. So, at this time, we are closing our request for participants. For those of you who contacted us, we are reviewing all of the emails and will select a specific number of participants to participate. We will be in touch in the next week with everyone who expressed interest. Also, for those who asked why we were only looking for people in the East and West Coast regions, we have already conducted formative research across the country, but would like to get more representation from states in these regions to supplement our initial research. Thank you, for your continued support. Shavon Artis, MPH Back to Sleep Campaign Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) From: Artis, Shavon (NIH/NICHD) [E] Sent: Thursday, January 26, 2012 5:29 PM To: 'listserv at SUID-IM-ProjectIMPACT.org' Subject: [SUID-IM-Listserv] Seeking Participants for Telephone Group Discussion on Safe Sleep Dear Colleagues: The Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD), part of the National Institutes of Health (NIH), is looking to conduct telephone focus groups with medical doctors (pediatricians, neonatologists, family physicians, general practitioners) and maternal and child health professionals (researchers, nurses, government workers and other SUID/infant mortality stakeholders). NICHD is looking to speak with professionals specifically from the East and West Coast regions. Participants will discuss infant safe sleep recommendations and share useful and feasible ways to promote them and integrate them into a national public health campaign. Participants will take part in a 60-minute telephone group discussion the week of March 6th, 2012. If you are interested, please email erobinson at iqsolutions.com with your name, your title and organization, and the state you work in. Those selected to participate will be sent further information and receive a monetary incentive. Also, if you know of someone who might be interested in participating, we welcome you to forward this message. Please call 240-221-4213 or email sallen at iqsolutions.com if there are any questions. Thank you in advance, Shavon Artis, MPH Back to Sleep Campaign Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) -------------- next part -------------- An HTML attachment was scrubbed... URL: From Bill.Schmid at haloinnovations.com Thu Feb 2 13:53:12 2012 From: Bill.Schmid at haloinnovations.com (Bill Schmid) Date: Thu, 2 Feb 2012 12:53:12 -0600 Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack Message-ID: <3917452369A61A41B71819F83442E140E0EBE8@HALO-SBS.halo.domain> As one of the developers of the HALO Swaddle and founder of Halo Innovations, I feel compelled to respond to the question raised regarding our Swaddle. I'm familiar with the swaddling "debate", recognize the pros and cons, and understand the reasons why individuals feel as they do. Done safely (supine and with appropriate fabrics) and securely (to avoid a loose blanket) our swaddle has helped millions of exhausted parents successfully get their babies to sleep on their backs. The HALO Swaddle was developed to make swaddling easier and safer. It has been vetted by numerous organizations including First Candle, the Canadian Foundation for the Study of Infant Deaths, SIDS & KIDS, Home Safety Council, and newborn nurseries and NICU's across North America. It has been shown to allow an infant to be wrapped securely, but less tightly, than conventional swaddling and is the only swaddle endorsed by the International Hip Dysplasia Institute for its ability to accommodate hip flexion and abduction. It is used in over 800 birth centers and NICU's and shown to allow term and preemie infants to successfully thermoregulate on their own. Tog values for even the warmest fabrics are less than 3 and as low as 1.5. As with any garment or swaddling technique, parents need to use common sense and watch for obvious signs of overheating and adjust clothing layers as needed. Our website and packaging depict pictures of swaddle use in a variety of configurations, arms-in, arms-out, hands-up and hands-down. Nurses and parents use it in all of these ways, as they see fit. It is the only swaddle that allows for easier transitioning out of swaddling by extending one arm out at a time. Lastly, Steve is correct. Our SleepSack wearable blanket was developed after the loss of my daughter Haley. She would be 21 in a few weeks and alive if we knew then what we know now. HALO's mission ever since has been to do whatever we possibly can thru education, support of research and product development to prevent other families from having to deal with the tragedy of SUID as we did. Respectfully, Bill Schmid William R. Schmid Halo Innovations, Inc. Main: 952-259-1500 Direct: 952-259-1521 www.halosleep.com www.facebook.com/HaloSleepSack From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Steve Demont Sent: Tuesday, January 31, 2012 11:07 PM To: Project Impact Listserv Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack We find them to be an indispensable product at our children's shelter. The swaddling portion does not go over the child's face as it might with other products because there are two hip straps that hold them down. The product uses Velcro to keep the swaddling portion in place that does wear out over washings, however, but we find it to be relatively durable. We use the product only during sleep and take the infants out when they wake. We advise staff to only dress the child in one additional layer to avoid overheating. Halo donates a portion of their profits to First Candle. The product, incidentally, was created by parents who lost a baby to SIDS. I believe her name was Hallie, and thus Halo. From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address (Karen.Schenk at health.mo.gov) or by calling (573-751-6429). Thank you! Scanned by AppRiver spam and virus protection -------------- next part -------------- An HTML attachment was scrubbed... URL: From carriejones at charter.net Mon Feb 6 11:42:11 2012 From: carriejones at charter.net (carriejones at charter.net) Date: Mon, 6 Feb 2012 11:42:11 -0500 (EST) Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack Message-ID: <3ac4f777.26036d.135538b4726.Webtop.46@charter.net> I am wondering how many cases there are with infants dying in the Halo sleep sack. I could not find any stats and I am sure that this is due to the relative "new" nature of the product. My concern is that 3 area hospitals that I know give these to parents of newborns after birth. I was considering recommending this in the hospital that I work at and wanted to do some research on the subject before providing such a recommendation. Any knowledge out there about a place to find additional information? Carrie Jones RN, BSN Community Health Center of Branch County Coldwater MI 49036 517-278-2283 carriejones at charter.net On Wed, Feb 1, 2012 at 9:44 AM, Leanne Courtney wrote: Unfortunately, our office had a case where the baby was swaddled too tightly and could not breathe. This was reported through MECAP and is being investigated. You bring up other really good points too about overheating and the potential for covering the baby?s face. Leanne Courtney, RN, MFS, F-ABMDI Forensic Nurse Senior Investigatior Travis County Office of the Medical Examiner 1213 Sabine St. Austin TX 78701 512-854-4425 leanne.courtney at co.travis.tx.us http://www.co.travis.tx.us/medical_examiner/safeliving From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address ( Karen.Schenk at health.mo.gov ) or by calling (573-751-6429). Thank you! ------------------------------ _______________________________________________ Listserv mailing list Listserv at suid-im-projectimpact.org ? http://suid-im-projectimpact.org/mailman/listinfo/listserv_suid-im-projectimpact.org ? -------------- next part -------------- An HTML attachment was scrubbed... URL: From deborah.robinson at suidi.org Tue Feb 7 10:55:41 2012 From: deborah.robinson at suidi.org (Deborah Robinson) Date: Tue, 7 Feb 2012 07:55:41 -0800 Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack In-Reply-To: <3ac4f777.26036d.135538b4726.Webtop.46@charter.net> References: <3ac4f777.26036d.135538b4726.Webtop.46@charter.net> Message-ID: <000601cce5b0$f1c499a0$d54dcce0$@suidi.org> The data you are seeking regarding sleep sacks would be collected at the time of death and listed on the SUIDI form by the investigating agency and would probably be collected data with your local child death review teams. I have not seen a death in a sleep sack regardless of its brand, but I would suspect antidotal that if a parent is using a sleep sack, they are also practicing safe infant sleep in other areas as well. I believe the halo sleep sacks only have swaddler panels for one size, small and are not intended for infants who are beginning to wiggle. I purchased the sleep sack with swaddlers for all 3 of my newborn grandkids but believe to swaddle or not to swaddle is the question and not necessarily what product someone chooses to use. The delivery hospital with our twin newborn infants gave Halo sleep sacks to every newborn delivered which I though was ingenious as they also modeled their use in the hospital Respectfully Deborah Deborah A Robinson Infant Death Investigation Specialist Child Death Review Seattle, WA www.suidi.org (425) 343-3701 cell Description: cid:PSXGGDWYRBBY.IMAGE.png *CONFIDENTIALITY NOTICE* This e-mail communication, including any attachments, is solely for the use of the designated recipient (s) named above and may contain confidential and privileged information. If you are not the intended recipient (or authorized for the recipient), you are hereby notified that any review, discloser, dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies, whether in electronic or hard copy format, of this communication and any attachments. From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of carriejones at charter.net Sent: Monday, February 06, 2012 8:42 AM To: Project Impact Listserv Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack I am wondering how many cases there are with infants dying in the Halo sleep sack. I could not find any stats and I am sure that this is due to the relative "new" nature of the product. My concern is that 3 area hospitals that I know give these to parents of newborns after birth. I was considering recommending this in the hospital that I work at and wanted to do some research on the subject before providing such a recommendation. Any knowledge out there about a place to find additional information? Carrie Jones RN, BSN Community Health Center of Branch County Coldwater MI 49036 517-278-2283 carriejones at charter.net On Wed, Feb 1, 2012 at 9:44 AM, Leanne Courtney wrote: Unfortunately, our office had a case where the baby was swaddled too tightly and could not breathe. This was reported through MECAP and is being investigated. You bring up other really good points too about overheating and the potential for covering the baby?s face. Leanne Courtney, RN, MFS, F-ABMDI Forensic Nurse Senior Investigatior Travis County Office of the Medical Examiner 1213 Sabine St. Austin TX 78701 512-854-4425 leanne.courtney at co.travis.tx.us http://www.co.travis.tx.us/medical_examiner/safeliving From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address ( Karen.Schenk at health.mo.gov ) or by calling (573-751-6429). Thank you! ------------------------------ _______________________________________________ Listserv mailing list Listserv at suid-im-projectimpact.org http://suid-im-projectimpact.org/mailman/listinfo/listserv_suid-im-projectimpact.org -------------- next part -------------- An HTML attachment was scrubbed... URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: image001.png Type: image/png Size: 19265 bytes Desc: not available URL: From JRainey at cribsforkids.org Mon Feb 6 13:11:22 2012 From: JRainey at cribsforkids.org (Judy Rainey) Date: Mon, 6 Feb 2012 18:11:22 +0000 Subject: [SUID-IM-Listserv] CAUSE Facebook page and Registration information Message-ID: <2C3C8F24D2C1704C917906BCFD102E3A0F3834BA@SIDS-DATA.Sids.local> Dear colleagues, The Coalition Against Unsafe Sleep Environments (CAUSE) has a Facebook page (http://www.facebook.com/#!/CAUSE.CoalitionAgainstUnsafeSleepEnvironments) where information and articles about infant safe sleep are posted almost daily. The most recent posts include a link to a video on the dangers of co-sleeping [bedsharing]; a fact sheet on why bumper pads are considered dangerous and unnecessary; an article about a family who is suing Dr. Sears because their infant suffocated in a sling he designed; a link to the CPSC's "On Safety" page about the dangers of infants sleeping in swings; Florida legislation that is updating statues to reference "sudden unexpected infant death" instead of "Sudden Infant Death Syndrome"; and articles that highlight what is being done around the country to battle the epidemic of infants dying while sleeping in unsafe sleep environments. If you are on Facebook, please "friend" the CAUSE page to receive alerts to information posted there. You do not need to be a member of CAUSE to receive this information, but if you would like to learn more about CAUSE and add your voice to this important coalition, please click here: http://cribsforkids.org/cause-%e2%80%94-coalition-against-unsafe-sleep-environments/ Regards, Judy Rainey Judy Kimmitt Rainey Director of National and Legislative Affairs Cribs for Kids/ Washington, DC, Office 1115 Massachusetts Avenue, N.W. Washington, DC 20005 (202) 494-3359 Email: JRainey at cribsforkids.org Website: www.cribsforkids.org From mary at capitalareahealthystart.org Tue Feb 7 15:41:15 2012 From: mary at capitalareahealthystart.org (Mary) Date: Tue, 7 Feb 2012 15:41:15 -0500 Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack In-Reply-To: <021401cce210$f6540f80$e2fc2e80$@org> References: <11394F6CF01A2F4D8A0672204604BC7005C48E792F@EXCHVS7A.mx.state.mo.us> <82D2189417E0E7408FD4E8437AF8ADF9053423B4BF@SRVUNG014.springfieldmo.gov> <021401cce210$f6540f80$e2fc2e80$@org> Message-ID: <007a01cce5d8$d63fe4f0$82bfaed0$@org> Here in the Florida Panhandle, we had a death involving swaddling. The baby was old enough to move around & turn over, but was tightly swaddled. The baby apparently had some difficulty & cried a bit but the cry was interpreted as part of the baby "settling down" & fussing. I think that what is done in the hospital may not be appropriate for home. And that the age of the baby makes a difference - a baby old enough to move around & roll easily should have the freedom to do that. This baby wasn't in a sack & I'm not familiar with Halo Sleep Swaddle Sacks. However, items are developed to "solve" a problem & then later we find out that they too cause problems. Possibly a baby could get overheated in a swaddling sack. We teach parents to follow the AAP guidelines. Mary From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Nancy Maruyamahey Sent: Thursday, February 02, 2012 8:13 PM To: 'Project Impact Listserv' Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack For the reasons that have been cited, I prefer the non-swaddler sleepsacks and that is what we recommend at SIDS of IL, Inc. My fear was also that the parents would swaddle tightly and leave the baby like that for a long time. Just my $0.2. Nan Nancy Maruyama, RN Executive Director, Education and Community Outreach SIDS of Illinois, Inc 6010 State Route 53 Suite A Lisle, IL 60532 630-541-3901 office 630-541-8246 fax www.sidsillinois.org From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Blevins, Cheryl Sent: Tuesday, January 31, 2012 4:09 PM To: 'Project Impact Listserv' Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack The pictures on the Target website for Halo sleep sacks are most certainly concerning and misleading. From a developmental perspective, tight swaddling with the arms in extension (as pictured) is non-productive, and definitely appears uncomfortable (looks like an old restraint to me). When I looked at the photos on the Halo website, under the hospital tab, it shows a preemie supine in a swaddle sack, but the swaddle is looser and the baby can get his arms up and his hands to mouth (a self-comforting behavior we try to facilitate in NICU). I believe Halo designed the swaddle to prevent the possibility it could get up around the baby's face; the Velcro on the back is nearly industrial strength and difficult to separate with two adult hands! This type of swaddling can be beneficial in the NICU environment when we need to facilitate flexion and hands to mouth positioning in a baby who has spent significant time on the ventilator. I am not certain healthy, term babies need this type of swaddling and I share your concern that parents looking at the Target photos could believe tight swaddling is the recommendation. I suggest parents comfort the baby by holding close and put the baby to bed when baby is drowsy, so baby can fall asleep in his bed. Cheryl Blevins, RNC, CLC, CEIM Community Health Nurse Springfield Greene County Health Department 417-864-1496 From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address (Karen.Schenk at health.mo.gov) or by calling (573-751-6429). Thank you! -------------- next part -------------- An HTML attachment was scrubbed... URL: From Sdemont at crisisnursery.org Wed Feb 8 02:21:51 2012 From: Sdemont at crisisnursery.org (Steve Demont) Date: Wed, 8 Feb 2012 01:21:51 -0600 Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack In-Reply-To: <3917452369A61A41B71819F83442E140E0EBE8@HALO-SBS.halo.domain> References: <3917452369A61A41B71819F83442E140E0EBE8@HALO-SBS.halo.domain> Message-ID: <301110E786678E4A8A282571B33981E84270484AFD@SBSSERVER.crisisnursery.local> I am not familiar with the term "Tog value". Could you please comment on what Tog value is, what a safe Tog value range would be and what the Tog value is for your cotton model vs. your fleece model. Thanks. From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Bill Schmid Sent: Thursday, February 02, 2012 12:53 PM To: Project Impact Listserv Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack As one of the developers of the HALO Swaddle and founder of Halo Innovations, I feel compelled to respond to the question raised regarding our Swaddle. I'm familiar with the swaddling "debate", recognize the pros and cons, and understand the reasons why individuals feel as they do. Done safely (supine and with appropriate fabrics) and securely (to avoid a loose blanket) our swaddle has helped millions of exhausted parents successfully get their babies to sleep on their backs. The HALO Swaddle was developed to make swaddling easier and safer. It has been vetted by numerous organizations including First Candle, the Canadian Foundation for the Study of Infant Deaths, SIDS & KIDS, Home Safety Council, and newborn nurseries and NICU's across North America. It has been shown to allow an infant to be wrapped securely, but less tightly, than conventional swaddling and is the only swaddle endorsed by the International Hip Dysplasia Institute for its ability to accommodate hip flexion and abduction. It is used in over 800 birth centers and NICU's and shown to allow term and preemie infants to successfully thermoregulate on their own. Tog values for even the warmest fabrics are less than 3 and as low as 1.5. As with any garment or swaddling technique, parents need to use common sense and watch for obvious signs of overheating and adjust clothing layers as needed. Our website and packaging depict pictures of swaddle use in a variety of configurations, arms-in, arms-out, hands-up and hands-down. Nurses and parents use it in all of these ways, as they see fit. It is the only swaddle that allows for easier transitioning out of swaddling by extending one arm out at a time. Lastly, Steve is correct. Our SleepSack wearable blanket was developed after the loss of my daughter Haley. She would be 21 in a few weeks and alive if we knew then what we know now. HALO's mission ever since has been to do whatever we possibly can thru education, support of research and product development to prevent other families from having to deal with the tragedy of SUID as we did. Respectfully, Bill Schmid William R. Schmid Halo Innovations, Inc. Main: 952-259-1500 Direct: 952-259-1521 www.halosleep.com www.facebook.com/HaloSleepSack From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Steve Demont Sent: Tuesday, January 31, 2012 11:07 PM To: Project Impact Listserv Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack We find them to be an indispensable product at our children's shelter. The swaddling portion does not go over the child's face as it might with other products because there are two hip straps that hold them down. The product uses Velcro to keep the swaddling portion in place that does wear out over washings, however, but we find it to be relatively durable. We use the product only during sleep and take the infants out when they wake. We advise staff to only dress the child in one additional layer to avoid overheating. Halo donates a portion of their profits to First Candle. The product, incidentally, was created by parents who lost a baby to SIDS. I believe her name was Hallie, and thus Halo. From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address (Karen.Schenk at health.mo.gov) or by calling (573-751-6429). Thank you! Scanned by AppRiver spam and virus protection Scanned by AppRiver spam and virus protection -------------- next part -------------- An HTML attachment was scrubbed... URL: From jmckenn1 at nd.edu Thu Feb 2 14:49:48 2012 From: jmckenn1 at nd.edu (Jim McKenna) Date: Thu, 2 Feb 2012 14:49:48 -0500 Subject: [SUID-IM-Listserv] Caring for your baby at night leaflet, endorsed by Foundation For The Study of Infant Death (Great Britain) and UNICEF In-Reply-To: <1403F703384870478E2D14E17C00473003277748@GCHD-Exchange.gchd.net> References: <2C3C8F24D2C1704C917906BCFD102E3A0F37FE06@SIDS-DATA.Sids.local><2C3C8F24D2C1704C917906BCFD102E3A0F37FE17@SIDS-DATA.Sids.local><11394F6CF01A2F4D8A0672204604BC70052793ADD7@EXCHVS7A.mx.state.mo.us> <38CB0471281C6C4EB6F3A7F885868EA96014AE56@e7mbx24.idir.bcgov> <1403F703384870478E2D14E17C00473003277748@GCHD-Exchange.gchd.net> Message-ID: Thought you would like to see a recently produced UNICEF leaflet that is inclusive and non-threatening and appropriate to the science just endorsed by FSID. Dr Pete Blair played a major role in its production and it addresses the concerns of a very diverse set of constituencies both professional and lay. Just for the record, I did not play a role in its production. One attachment is the actual leaflet and the other is the health professionals guide, which has more discussion and references. This is what many of us think constitutes a fair and reasonable approach to promoting safe infant sleep that discusses and includes bedsharing. Bedsharing is not recommended but it is included. Best to all, jmckenna On Jan 31, 2012, at 8:02 AM, Franks, Marcia wrote: > I couldn?t agree more with these comments as well as those from Dr. > Kemp. In good conscience I cannot recommend any type of bedsharing > to a parent or caregiver knowing there is significant risk to > infants. In Genesee County, Michigan, we have seen the same > scenarios again and again: babies put to sleep (prone or supine) in > bed with their parent(s) or with multiple other family members. > Frequently they say they thought it was the ?safest place for my > baby.? Unfortunately, the conflicting messages do create a lot of > confusion out there? > > From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org > ] On Behalf Of Ramanzin, Tansey L SG:EX > Sent: Wednesday, January 25, 2012 3:01 PM > To: 'Project Impact Listserv' > Subject: Re: [SUID-IM-Listserv] Excellent article by Jim Kemp > > In the Child Death Review Unit of BC (Canada) we have smaller > numbers of deaths than some other jurisdictions, but those we see > are similar in circumstance to almost everyone who posts, except > Alaska. There appears to be a widely divergent reality between your > experience and ours. While sudden infant death is overrepresented > among some groups in BC (the poor, Aboriginal peoples), we also see > well educated, non-smoking, professional parents experience sudden > infant death. It is a universal tragedy. > > CDRU looks at multiple bedsharing factors including smoking and > impaired bedsharers, types and combinations of bedsharing partners, > infant sleep position and bedsharing, proactive vs reactive > bedsharing, bedsharing with mothers who are/are not breastfeeding, > bedsharing on various surfaces, and bedsharing with younger infants > (under 4 months). Sudden infant deaths get scene investigation and > complex autopsies. Most infants are found in sleep circumstances > that confer risk from these and other factors. We also examine > socioeconomic determinants such as family exposure to social > services, prenatal care and poverty, and attempt to examine family > structure and maternal education, though less successfully and > robustly on the latter. > > We completed a 5 yr retrospective in December 2009 which identified > key findings, including non-supine sleep, maternal smoking, poverty > and sleep surfaces not designed for infant safety. Specifically > among bedsharing deaths, we saw risk and mitigating factors: 22 of > 51 bedsharing infants were with a sober non-smoker bedsharer; 24 > bedsharers were proactive bedsharers, who regularly and > philosophically planned to bedshare from birth; at least 20 of the > bedsharing infants were not placed supine. Babies were placed > between parents, between mom and the wall, or mom and the edge of > the bed... In short, there was no generalized, typical picture, but > there was lots of risk. > > We make recommendations to address broad, upstream factors such as > housing, poverty, home visiting and support for parents > (particularly targeted to marginalized or overrepresented > population), but we also recommend population health approaches to > safe sleep: Alone on your back in a crib proximal to your parents. > > Respectfully, Tansey Ramanzin > > Tansey Ramanzin > Medical Reviewer and Coroner | Child Death Review Unit | BC Coroners > Service > > Ministry of Public Safety and Solicitor General > Office of the Chief Coroner | Metrotower II > 800-4720 Kingsway, Burnaby BC, V5H-4N2 > Direct : 604-660-2627 > Mobile: 604-312-4638 > Fax: 604-660-7766 > > > > > > From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org > ] On Behalf Of Brad Gessner > Sent: Tuesday, January 24, 2012 9:58 AM > To: Project Impact Listserv > Subject: Re: [SUID-IM-Listserv] Excellent article by Jim Kemp > > Dear all, > > To respond to Dr. Kemp. The data support that bed-sharing on a > normal adult mattress by a non-drug using parent (that is, no > cigarettes, no alcohol, and no other sleep-altering drugs) is safe. > I am sure I sound like a broken record, but we have not seen any > deaths to infants in this category in Alaska going back to 1992 and > the literature for studies that control for both cigarette and > alcohol use (scant though it is) supports this conclusion. > > I will mention again a couple of additional points. In Alaska, > infants born to educated mothers that did not use prenatal tobacco/ > alcohol and that have a father involved have a postneonatal > mortality rate on par with Japan/Sweden (the lowest in the world). > Those born to mothers with <12 years education who used prenatal > tobacco/alcohol and who do not have a father involved have a > postneonatal mortality rate on par with Ivory Coast, approximately > 20-fold higher. > > There are two points from this. First, bed-sharing is not the > appropriate target. It is education, lowering drug use, and plenty > of support for mothers. Second, there is no interventional study > data demonstrating that if you take high risk infants from the > parents bed and place them in the crib, the postneonatal mortality > rate will decrease. While it may, I can think of equally coherent > arguments for why such an action would increase mortality (for > example, by increasing the risk of child abuse). > > Thanks. > > Brad Gessner, MD > Alaska > > On Tue, Jan 24, 2012 at 4:57 AM, Schenk, Karen > wrote: > I do not want any breastfeeding mother to believe because she is bed- > sharing to breastfeed her infant will not die. We have cases in > Missouri where a breastfeeding mother fell asleep while > breastfeeding and suffocated the infant with her breast or rolled > over on the infant. So we need to make that clear if we are > providing them with all the information. > > Karen Schenk, RN. BS > Public Health Consultant Nurse > Missouri Department of Health and Senior Services > 930 Wildwood, P.O. Box 570 > Jefferson City, MO 65102-0570 > Phone: 573-751-6429 > Fax: 573-751-6185 > > Please note my email address has changed. > The new address is Karen.Schenk at health.mo.gov > > This electronic communication is from the Missouri Department of > Health and Senior Services and is confidential, privileged and > intended only for the use of the recipient named above. If you are > not the intended recipient of the employee or agent responsible for > delivering this information to the intended recipient, unauthorized > disclosure, copying, distribution or use of the contents of this > transmission is strictly prohibited. If you have received this > message in error, please notify the sender immediately at the > following email address (Karen.Schenk at health.mo.gov) or by calling > (573-751-6429). Thank you! > > -----Original Message----- > From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org > ] On Behalf Of Jim McKenna > Sent: Friday, January 20, 2012 5:34 PM > To: Project Impact Listserv > Subject: Re: [SUID-IM-Listserv] Excellent article by Jim Kemp > > There are influential and important SIDS researchers i.e. Blair, > Fleming, Ball, Baddock, Lahr, Kloneff-Cohen, Gessner, Young ) and > scientists from many diverse fields, and more importantly, parents, > who increasingly agree quite strongly with the sentiment expressed > by Margaret Hebson...i.e. "It is necessary to respect those parents > who make responsible choices that include breastfeeding and/or bed > sharing safely", even though the safety of bedsharing may for some > never be shown to be adequate, or proven to their satisfaction. But > refusing to consider the legitimate biological reasons and > motivations as to why bedsharing is ubiquitous even in light of at > least six years now of uncompromising warnings against it ought to > say something about the fact that babies are designed to sleep in > contact with their mothers while mothers are designed to respond in > kind to their babies (and their own) needs by sleeping next to > them, and often on the same surface. A recent systematic survey in > Los Angeles reveals that at least 70% of parents in LA County have > there babies in bed with them. > If these statements are true than a reasonable inference is to > assume that since bedsharing will not likely to be culturally > nullified it cannot hurt to make sure mothers know how to minimize > risks and maximize benefits should they find themselves bedsharing. > At least two studies found that 80 percent of bedsharing mothers > NEVER intended to bedshare. > > It has always been the case, and it remains so, that good people and > good scientists can and do differ over important, complex, mutli- > facetted issues that matter, and in this case, many of us differ as > to what the 'solution (s)' might be to the bedsharing phenomenon. > But one thing might be true: there seems to be no perfect solution > nor any one "simple, singular message" such as "never do it" that > will work because if there were we would not find ourselves in this > on-going constant state of upheaval. As the great American writer > H.L.Mencken once said, which might apply here: " To every complex > problem there is one, simple, wrong solution". > > Dr. Kemp has every right to believe as he does, and to use the frame > of perspective he brings, including his own and others research and > worldview, based on his experiences and knowledge, to apply it all > to this complex, tragic challenge of preventing "preventable" infant > deaths. But so do others. Part of the issue is deciding how infant > deaths are best prevented and here is where we disagree, specifically. > For example, I am just as interested in and have equal respect for > those, like myself, whose parental and professional motivations for > solving this problem are no less serious, or sincere than are Dr. > Kemp's, and, yet, different experiences, scientific research, > knowledge and world view lead to a different interpretation and > public health approach. > > At some point in the future I believe there WILL be an integration > and meshing of these positions. It's just a matter of time. But for > the sake of the babies (and families) I think 'the sooner the > better' is a phrase that just seems right. > > Respectfully submitted, > > James McKenna, Ph.D > > On Jan 19, 2012, at 2:46 PM, Hebson, Margaret wrote: > > > Hello: bed sharing has historically been a standard and safe > > practice in many cultures, typically associated with breastfeeding. > > What makes bed sharing unsafe is using it as a sleep practice under > > specific circumstances that do not include breastfeeding, but do > > include, for example: multiple, or sibling sleepers, soft surfaces, > > the parental use of drugs and/or alcohol. It is necessary to > respect > > those parents who make responsible choices that include > > breastfeeding and/or bed sharing safely. Margaret Hebson > > > > > > -----Original Message----- > > From: listserv-bounces at suid-im-projectimpact.org on behalf of Judy > > Rainey > > Sent: Thu 1/19/2012 10:23 AM > > To: listserv at suid-im-projectimpact.org > > Subject: [SUID-IM-Listserv] Excellent article by Jim Kemp > > > > Dear colleagues, > > > > > > > > This article was published today in the St. Louis Post Dispatch: > > > > > > > > http://www.stltoday.com/lifestyles/health-med-fit/fitness/sharing-a-be > > d-with-baby-can-lead-to-infant-deaths/article_0a919ef7- > f641-5371-9398- > > 335adf4dc6a5.html#ixzz1jtBD2l00 > > > > > > > > I particularily liked these quotes from Dr. Kemp: > > > > > > > > "Bed sharing, in particular, is a peculiar public health issue. It's > > been allowed to have a life that the data say it shouldn't. The > > American Academy of Pediatrics officially discourages the > practice, as > > do 99 percent of my colleagues who study sudden infant death. > > Times have changed in the last 20 years. I slept with my sons on the > > couch more than two decades ago. I now know that increases the risk > > for sudden death by 50 times...I understand the desire to be close > to > > your children. In fact, I encourage it. But no one has devised a way > > to sleep on the same bed with your baby in a safe way. With all the > > data I've reviewed in the last two decades, if I had it to do > over, I > > wouldn't have slept with my infant sons. And I will guarantee you > that > > if those seven sets of parents who lost their babies in these last > two > > months had it to do over again, they would have made different > choices > > as well." > > > > > > Judy Kimmitt Rainey > > Director of National and Legislative Affairs Cribs for Kids/ > > Washington, DC, Office > > 1115 Massachusetts Avenue, N.W. > > Washington, DC 20005 > > (202) 494-3359 > > JRainey at cribsforkids.org > > > > www.cribsforkids.org > > > > > > > _______________________________________________ > Listserv mailing list > Listserv at suid-im-projectimpact.org > http://suid-im-projectimpact.org/mailman/listinfo/listserv_suid-im-projectimpact.org > > _______________________________________________ > Listserv mailing list > Listserv at suid-im-projectimpact.org > http://suid-im-projectimpact.org/mailman/listinfo/listserv_suid-im-projectimpact.org > > -------------- next part -------------- An HTML attachment was scrubbed... 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URL: From Bill.Schmid at haloinnovations.com Thu Feb 9 10:36:38 2012 From: Bill.Schmid at haloinnovations.com (Bill Schmid) Date: Thu, 9 Feb 2012 09:36:38 -0600 Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack In-Reply-To: <007a01cce5d8$d63fe4f0$82bfaed0$@org> References: <11394F6CF01A2F4D8A0672204604BC7005C48E792F@EXCHVS7A.mx.state.mo.us> <82D2189417E0E7408FD4E8437AF8ADF9053423B4BF@SRVUNG014.springfieldmo.gov><021401cce210$f6540f80$e2fc2e80$@org> <007a01cce5d8$d63fe4f0$82bfaed0$@org> Message-ID: <3917452369A61A41B71819F83442E140E53366@HALO-SBS.halo.domain> It should be noted that it is unlikely any infant garment or blanket has undergone more testing or scrutiny than the HALO SleepSack. In addition to vetting from the organizations and hospitals I referenced in my previous post, HALO SleepSacks and Swaddles have been studied for suffocation hazard, swaddle "tightness" or pressure, TOG values, and the complete set of CPSIA "new" test requirements (well before they were mandatory.) These tests and reports are available for review at: https://www.halosleep.com/products/product_certification/ If there are any additional tests anyone feels should be done, please let me know and we will do our best to implement them. Nothing is foolproof, of course, and parents need to make reasonable decisions based on as much good information as they can get, but it is our aim to remain at the forefront of providing the safest possible solutions for infant use. Respectfully, Bill Schmid From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Mary Sent: Tuesday, February 07, 2012 2:41 PM To: 'Project Impact Listserv' Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack Here in the Florida Panhandle, we had a death involving swaddling. The baby was old enough to move around & turn over, but was tightly swaddled. The baby apparently had some difficulty & cried a bit but the cry was interpreted as part of the baby "settling down" & fussing. I think that what is done in the hospital may not be appropriate for home. And that the age of the baby makes a difference - a baby old enough to move around & roll easily should have the freedom to do that. This baby wasn't in a sack & I'm not familiar with Halo Sleep Swaddle Sacks. However, items are developed to "solve" a problem & then later we find out that they too cause problems. Possibly a baby could get overheated in a swaddling sack. We teach parents to follow the AAP guidelines. Mary From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Nancy Maruyamahey Sent: Thursday, February 02, 2012 8:13 PM To: 'Project Impact Listserv' Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack For the reasons that have been cited, I prefer the non-swaddler sleepsacks and that is what we recommend at SIDS of IL, Inc. My fear was also that the parents would swaddle tightly and leave the baby like that for a long time. Just my $0.2. Nan Nancy Maruyama, RN Executive Director, Education and Community Outreach SIDS of Illinois, Inc 6010 State Route 53 Suite A Lisle, IL 60532 630-541-3901 office 630-541-8246 fax www.sidsillinois.org From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Blevins, Cheryl Sent: Tuesday, January 31, 2012 4:09 PM To: 'Project Impact Listserv' Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack The pictures on the Target website for Halo sleep sacks are most certainly concerning and misleading. From a developmental perspective, tight swaddling with the arms in extension (as pictured) is non-productive, and definitely appears uncomfortable (looks like an old restraint to me). When I looked at the photos on the Halo website, under the hospital tab, it shows a preemie supine in a swaddle sack, but the swaddle is looser and the baby can get his arms up and his hands to mouth (a self-comforting behavior we try to facilitate in NICU). I believe Halo designed the swaddle to prevent the possibility it could get up around the baby's face; the Velcro on the back is nearly industrial strength and difficult to separate with two adult hands! This type of swaddling can be beneficial in the NICU environment when we need to facilitate flexion and hands to mouth positioning in a baby who has spent significant time on the ventilator. I am not certain healthy, term babies need this type of swaddling and I share your concern that parents looking at the Target photos could believe tight swaddling is the recommendation. I suggest parents comfort the baby by holding close and put the baby to bed when baby is drowsy, so baby can fall asleep in his bed. Cheryl Blevins, RNC, CLC, CEIM Community Health Nurse Springfield Greene County Health Department 417-864-1496 From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address (Karen.Schenk at health.mo.gov) or by calling (573-751-6429). Thank you! -------------- next part -------------- An HTML attachment was scrubbed... URL: From bradfordgessner at gmail.com Tue Feb 7 17:29:35 2012 From: bradfordgessner at gmail.com (Brad Gessner) Date: Tue, 7 Feb 2012 13:29:35 -0900 Subject: [SUID-IM-Listserv] FW: Alaska Position Statement on Infant Safe Sleep In-Reply-To: References: Message-ID: Dear all, In response to the statement below. Yes, the Alaska DHSS has now sided with the AAP to issue a recommendation against bed sharing, although the policy statement does include recommendations on how to more safely bed share. This recommendation goes against the science that has been developed over the previous 20 years of surveillance for infant mortality in Alaska (and comes from the same administration that requires all scientific output be reviewed for "political and policy appropriateness"). During an earlier administration, the Alaska Division of Public Health supported a policy of bed-sharing under specific circumstances, a position also supported by the Alaska Chapter of the AAP (this was published in a letter to the editor in Pediatrics). But I suggest that the readers of this listserv examine the data rather than look at non-scientifically based policy statements, regardless of their source. After all, the question isn't what is being done, but what should be done. With respect to the below, the statement attributed to the State Medical Examiner's office is incorrect in several respects. First, we are not talking about all infant deaths, most of which result from preterm birth and congenital anomalies, but rather the smaller percentage of out-of-hospital unexplained asphyxial deaths, usually in the post-neonatal period. Second, the latest comprehensive report from Alaska shows that of 291 SIDS or asphyxia deaths that occurred during sleep during 1992-2004, 246 had bed-sharing information available and approximately half (51%) occurred during sleep (published in Public Health Reports), hardly the vast majority. This is even a smaller percentage than the total proportion of women that co-sleep at least some of the time (78%). Lastly while the ideal is to investigate comprehensively the death scene for all infant deaths, this was not achieved in many and maybe most cases over the past 20 years (NB that this situation did not arise from lack of interest but rather staff and education limitations). Likewise autopsies in the past have been incomplete, particularly with reference to CDC recommendations for ruling out SIDS; I am encouraged by my experience that the current SME takes the issue of infant deaths seriously and has worked to correct these past problems. I will again make a plea that arguments against bed-sharing be supported by actual published data that the scientific community can examine. Personally, I am agnostic about bed-sharing. If the overall health of infants can be improved by recommending room sharing without bed sharing, I will heartily agree. I just haven't seen the data to support this, and have seen a fair amount that contradicts it. Sincerely, Brad Gessner, MD On Tue, Feb 7, 2012 at 6:10 AM, Mark Osgerby wrote: > On behalf of Deborah Robinson: > > > The Alaska State Department of Health and Social Services and Division > of Public Health have recently issued an Infant Safe Sleep Position > Statement. They appear to contradict statements make earlier regarding > the circumstances of death and how infants are dying. The Department > clearly recommends that infants should room share, and not bed share, in > accordance with the AAP's recommendations. According to the office of > the state medical examiner, the vast majority of infant deaths in Alaska > are associated with bed-sharing, but, like elsewhere, the significance > of this is complicated by other known associations. All infant deaths > are investigated by law enforcement or directly by the ME, with > particular attention to the sleep environment and with doll > re-enactments. Likewise, complete autopsies including x-rays and > toxicology are performed. Alaska adheres to national standards for > investigation, autopsy and certification. > > > > Deborah A Robinson > > Infant Death Investigation Specialist > > Child Death Review > > Seattle, WA > > www.suidi.org > > (425) 343-3701 cell > > Description: cid:PSXGGDWYRBBY.IMAGE.png > > *CONFIDENTIALITY NOTICE* > > This e-mail communication, including any attachments, is solely for the > use of the designated recipient (s) named above and may contain > confidential and privileged information. If you are not the intended > recipient (or authorized for the recipient), you are hereby notified > that any review, discloser, dissemination, distribution, or copying of > this communication is strictly prohibited. > > If you have received this communication in error, please contact the > sender by reply e-mail and destroy all copies, whether in electronic or > hard copy format, of this communication and any attachments. > > > > > > > _______________________________________________ > Listserv mailing list > Listserv at suid-im-projectimpact.org > > http://suid-im-projectimpact.org/mailman/listinfo/listserv_suid-im-projectimpact.org > -------------- next part -------------- An HTML attachment was scrubbed... URL: From Connie.Kerrigan at parkview.com Tue Feb 7 23:55:40 2012 From: Connie.Kerrigan at parkview.com (Connie Kerrigan) Date: Tue, 7 Feb 2012 23:55:40 -0500 Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack In-Reply-To: <000601cce5b0$f1c499a0$d54dcce0$@suidi.org> Message-ID: <8F9823BDB2BC7D47899F152C969BB7781AF233C4EB@MBX1.parkview.com> Hello, We have been using sleep sacks in our Health System for the past three years with tremendous success. Modeling safe sleep is as important as talking about safe sleep to the parents. Research confirms parents are more likely to believe the education if it has been modeled. We have been extremely happy with the sleep sacks and find our parents like them as well. My role with our system is one of outreach and education. Through my work, I am a member of our Child Fatality Review team. In over 4 years of reviewing the deaths of children in our area, I have yet to review a death of an infant who was alone in their crib, on their back and blanket free! We are hopeful that through our modeling of behavior in the hospital, the gift of a sleep sack, along with education that we are reaching parents and care givers with our messaging. We are also very fortunate to have a robust safe sleep education program. Through this program in just two years we have distributed over 1400 portable "pack and play" type cribs to families who lack a safe place for their baby to sleep . Parents attend a 90 minute class where they learn about safe sleep and practice putting together and taking down their new "crib". Of particular importance is that we started our crib program along with the utilization of sleep sacks in all of our nurseries as a direct result of the trends we were seeing in our investigations. This program was a result and a cry for action after we lost an average of fourteen infants a year, two consecutive years from unsafe sleep. In 2011 we were very fortunate to see that number to decline to three. Although, I can't prove causation I can certainly attest to correlation! To a day when we no longer have to review the deaths of this infants. Regards, Connie Kerrigan RN, BSN Parkview Health Manager of Community Nursing and Women's Services From: Deborah Robinson [mailto:deborah.robinson at suidi.org] Sent: Tuesday, February 07, 2012 10:55 AM To: 'Project Impact Listserv' Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack The data you are seeking regarding sleep sacks would be collected at the time of death and listed on the SUIDI form by the investigating agency and would probably be collected data with your local child death review teams. I have not seen a death in a sleep sack regardless of its brand, but I would suspect antidotal that if a parent is using a sleep sack, they are also practicing safe infant sleep in other areas as well. I believe the halo sleep sacks only have swaddler panels for one size, small and are not intended for infants who are beginning to wiggle. I purchased the sleep sack with swaddlers for all 3 of my newborn grandkids but believe to swaddle or not to swaddle is the question and not necessarily what product someone chooses to use. The delivery hospital with our twin newborn infants gave Halo sleep sacks to every newborn delivered which I though was ingenious as they also modeled their use in the hospital Respectfully Deborah Deborah A Robinson Infant Death Investigation Specialist Child Death Review Seattle, WA www.suidi.org (425) 343-3701 cell [cid:image001.png at 01CCE56D.E31BFD00] *CONFIDENTIALITY NOTICE* This e-mail communication, including any attachments, is solely for the use of the designated recipient (s) named above and may contain confidential and privileged information. If you are not the intended recipient (or authorized for the recipient), you are hereby notified that any review, discloser, dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies, whether in electronic or hard copy format, of this communication and any attachments. From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of carriejones at charter.net Sent: Monday, February 06, 2012 8:42 AM To: Project Impact Listserv Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack I am wondering how many cases there are with infants dying in the Halo sleep sack. I could not find any stats and I am sure that this is due to the relative "new" nature of the product. My concern is that 3 area hospitals that I know give these to parents of newborns after birth. I was considering recommending this in the hospital that I work at and wanted to do some research on the subject before providing such a recommendation. Any knowledge out there about a place to find additional information? Carrie Jones RN, BSN Community Health Center of Branch County Coldwater MI 49036 517-278-2283 carriejones at charter.net On Wed, Feb 1, 2012 at 9:44 AM, Leanne Courtney wrote: Unfortunately, our office had a case where the baby was swaddled too tightly and could not breathe. This was reported through MECAP and is being investigated. You bring up other really good points too about overheating and the potential for covering the baby?s face. Leanne Courtney, RN, MFS, F-ABMDI Forensic Nurse Senior Investigatior Travis County Office of the Medical Examiner 1213 Sabine St. Austin TX 78701 512-854-4425 leanne.courtney at co.travis.tx.us http://www.co.travis.tx.us/medical_examiner/safeliving From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address ( Karen.Schenk at health.mo.gov) or by calling (573-751-6429). Thank you! ------------------------------ _______________________________________________ Listserv mailing list Listserv at suid-im-projectimpact.org http://suid-im-projectimpact.org/mailman/listinfo/listserv_suid-im-projectimpact.org -------------- next part -------------- An HTML attachment was scrubbed... URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: image001.png Type: image/png Size: 19265 bytes Desc: image001.png URL: From carriejones at charter.net Thu Feb 9 05:01:43 2012 From: carriejones at charter.net (carriejones at charter.net) Date: Thu, 9 Feb 2012 05:01:43 -0500 (EST) Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack Message-ID: SO glad to be in this conversation, as with conversation learning takes place. As a nurse on an OB unit, I think it needs to be emphasized that not all parents receiving a Halo sleep swaddle may be educated properly before leaving the place they give birth. The transitioning out of the swaddle sac is more what I am concerned about. I am wondering if Halo has a video about transitioning out of the sleep sac, perhaps a "how to" video that could be used in hospitals or at WIC clinics, etc. I personally, as a nurse, feel responsible for providing the information my patients need to safely use a product I am handing them. Perhaps Halo could provide a video for the providers to educate them on educating parents on the Halo swaddle sack? Or maybe you already do? Also the swaddle sacs that I have seen do not have velcro and a nursing student of mine was saying that they used to have velcro to hold the flaps down? I was wondering about the design changes over time as well, just for educational purposes as I have no idea about fabrics.design, etc. This subject hits home for me as I too lost a daughter, Kyra Lin, in 2003. She was 5 days short of 3 months old and healthy. She died alone in her crib...after she rolled over on her own...onto a blanket she was laying on. This is why I feel so passionate about being SURE about what I am handing to parents...I do not want them to suffer the same pain that my husband and I have. Carrie Jones RN, BSN Community Health Center of Branch County Coldwater, MI 49036 On Thu, Feb 2, 2012 at 1:53 PM, Bill Schmid wrote: As one of the developers of the HALO Swaddle and founder of Halo Innovations, I feel compelled to respond to the question raised regarding our Swaddle. I?m familiar with the swaddling ?debate?, recognize the pros and cons, and understand the reasons why individuals feel as they do. Done safely (supine and with appropriate fabrics) and securely (to avoid a loose blanket) our swaddle has helped millions of exhausted parents successfully get their babies to sleep on their backs. The HALO Swaddle was developed to make swaddling easier and safer. It has been vetted by numerous organizations including First Candle, the Canadian Foundation for the Study of Infant Deaths, SIDS & KIDS, Home Safety Council, and newborn nurseries and NICU?s across North America. It has been shown to allow an infant to be wrapped securely, but less tightly, than conventional swaddling and is the only swaddle endorsed by the International Hip Dysplasia Institute for its ability to accommodate hip flexion and abduction. It is used in over 800 birth centers and NICU?s and shown to allow term and preemie infants to successfully thermoregulate on their own. Tog values for even the warmest fabrics are less than 3 and as low as 1.5. As with any garment or swaddling technique, parents need to use common sense and watch for obvious signs of overheating and adjust clothing layers as needed. Our website and packaging depict pictures of swaddle use in a variety of configurations, arms-in, arms-out, hands-up and hands-down. Nurses and parents use it in all of these ways, as they see fit. It is the only swaddle that allows for easier transitioning out of swaddling by extending one arm out at a time. Lastly, Steve is correct. Our SleepSack wearable blanket was developed after the loss of my daughter Haley. She would be 21 in a few weeks and alive if we knew then what we know now. HALO?s mission ever since has been to do whatever we possibly can thru education, support of research and product development to prevent other families from having to deal with the tragedy of SUID as we did. Respectfully, Bill Schmid William R. Schmid Halo Innovations, Inc. Main: 952-259-1500 Direct: 952-259-1521 www.halosleep.com www.facebook.com/HaloSleepSack From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Steve Demont Sent: Tuesday, January 31, 2012 11:07 PM To: Project Impact Listserv Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack We find them to be an indispensable product at our children?s shelter. The swaddling portion does not go over the child?s face as it might with other products because there are two hip straps that hold them down. The product uses Velcro to keep the swaddling portion in place that does wear out over washings, however, but we find it to be relatively durable. We use the product only during sleep and take the infants out when they wake. We advise staff to only dress the child in one additional layer to avoid overheating. Halo donates a portion of their profits to First Candle. The product, incidentally, was created by parents who lost a baby to SIDS. I believe her name was Hallie , and thus Halo . From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address ( Karen.Schenk at health.mo.gov ) or by calling (573-751-6429). Thank you! Scanned by AppRiver spam and virus protection ------------------------------ _______________________________________________ Listserv mailing list Listserv at suid-im-projectimpact.org ? http://suid-im-projectimpact.org/mailman/listinfo/listserv_suid-im-projectimpact.org ? -------------- next part -------------- An HTML attachment was scrubbed... URL: From nancy at sidsillinois.org Thu Feb 9 16:15:10 2012 From: nancy at sidsillinois.org (Nancy Maruyama) Date: Thu, 9 Feb 2012 15:15:10 -0600 Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack In-Reply-To: <3917452369A61A41B71819F83442E140E53366@HALO-SBS.halo.domain> References: <11394F6CF01A2F4D8A0672204604BC7005C48E792F@EXCHVS7A.mx.state.mo.us> <82D2189417E0E7408FD4E8437AF8ADF9053423B4BF@SRVUNG014.springfieldmo.gov><021401cce210$f6540f80$e2fc2e80$@org> <007a01cce5d8$d63fe4f0$82bfaed0$@org> <3917452369A61A41B71819F83442E140E53366@HALO-SBS.halo.domain> Message-ID: <01a901cce76f$e94326a0$bbc973e0$@org> To my knowledge, all the hospitals in IL who are using the swaddlers, esp. in the NICU, love them! However, even when they are told not to, I've had parents swaddling (without the Halo Swaddler), at 5,6,7 etc months! They say the "baby sleeps better"! Hard for me to believe that a baby that old would be able to tolerate a swaddle, unless they were special needs. The information Halo has provided us in IL regarding hip dysplasia has also been useful and we have had many discussions about it with the hospital nurses. We haven't had any problem with babies overheating in the sleepsacks either when they are used properly as intended. When I do my outreach with families who use the sleepsack, I stress the issue of overheating and not overdressing the baby. We are getting more and more successful with the "blanket free" sleeping by use of the Halo Sleepsack. Nancy Maruyama, RN Executive Director, Education and Community Outreach SIDS of Illinois, Inc 6010 State Route 53 Suite A Lisle, IL 60532 630-541-3901 office 630-541-8246 fax www.sidsillinois.org From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Bill Schmid Sent: Thursday, February 09, 2012 9:37 AM To: Project Impact Listserv Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack It should be noted that it is unlikely any infant garment or blanket has undergone more testing or scrutiny than the HALO SleepSack. In addition to vetting from the organizations and hospitals I referenced in my previous post, HALO SleepSacks and Swaddles have been studied for suffocation hazard, swaddle "tightness" or pressure, TOG values, and the complete set of CPSIA "new" test requirements (well before they were mandatory.) These tests and reports are available for review at: https://www.halosleep.com/products/product_certification/ If there are any additional tests anyone feels should be done, please let me know and we will do our best to implement them. Nothing is foolproof, of course, and parents need to make reasonable decisions based on as much good information as they can get, but it is our aim to remain at the forefront of providing the safest possible solutions for infant use. Respectfully, Bill Schmid From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Mary Sent: Tuesday, February 07, 2012 2:41 PM To: 'Project Impact Listserv' Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack Here in the Florida Panhandle, we had a death involving swaddling. The baby was old enough to move around & turn over, but was tightly swaddled. The baby apparently had some difficulty & cried a bit but the cry was interpreted as part of the baby "settling down" & fussing. I think that what is done in the hospital may not be appropriate for home. And that the age of the baby makes a difference - a baby old enough to move around & roll easily should have the freedom to do that. This baby wasn't in a sack & I'm not familiar with Halo Sleep Swaddle Sacks. However, items are developed to "solve" a problem & then later we find out that they too cause problems. Possibly a baby could get overheated in a swaddling sack. We teach parents to follow the AAP guidelines. Mary From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Nancy Maruyamahey Sent: Thursday, February 02, 2012 8:13 PM To: 'Project Impact Listserv' Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack For the reasons that have been cited, I prefer the non-swaddler sleepsacks and that is what we recommend at SIDS of IL, Inc. My fear was also that the parents would swaddle tightly and leave the baby like that for a long time. Just my $0.2. Nan Nancy Maruyama, RN Executive Director, Education and Community Outreach SIDS of Illinois, Inc 6010 State Route 53 Suite A Lisle, IL 60532 630-541-3901 office 630-541-8246 fax www.sidsillinois.org From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Blevins, Cheryl Sent: Tuesday, January 31, 2012 4:09 PM To: 'Project Impact Listserv' Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack The pictures on the Target website for Halo sleep sacks are most certainly concerning and misleading. From a developmental perspective, tight swaddling with the arms in extension (as pictured) is non-productive, and definitely appears uncomfortable (looks like an old restraint to me). When I looked at the photos on the Halo website, under the hospital tab, it shows a preemie supine in a swaddle sack, but the swaddle is looser and the baby can get his arms up and his hands to mouth (a self-comforting behavior we try to facilitate in NICU). I believe Halo designed the swaddle to prevent the possibility it could get up around the baby's face; the Velcro on the back is nearly industrial strength and difficult to separate with two adult hands! This type of swaddling can be beneficial in the NICU environment when we need to facilitate flexion and hands to mouth positioning in a baby who has spent significant time on the ventilator. I am not certain healthy, term babies need this type of swaddling and I share your concern that parents looking at the Target photos could believe tight swaddling is the recommendation. I suggest parents comfort the baby by holding close and put the baby to bed when baby is drowsy, so baby can fall asleep in his bed. Cheryl Blevins, RNC, CLC, CEIM Community Health Nurse Springfield Greene County Health Department 417-864-1496 From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address (Karen.Schenk at health.mo.gov) or by calling (573-751-6429). Thank you! -------------- next part -------------- An HTML attachment was scrubbed... URL: From Kemp_J at kids.wustl.edu Mon Feb 13 16:54:37 2012 From: Kemp_J at kids.wustl.edu (Kemp, James) Date: Mon, 13 Feb 2012 21:54:37 +0000 Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack In-Reply-To: <301110E786678E4A8A282571B33981E84270484AFD@SBSSERVER.crisisnursery.local> Message-ID: Tog is a measure of thermal insulation. 1 tog ? from a sheet. 10 togs ? heavy comforter. Tog values over 8 linked to increased risk of dying in studies from 1990's. J Kemp From: Steve Demont > Reply-To: Project Impact Listserv > Date: Wed, 8 Feb 2012 01:21:51 -0600 To: Project Impact Listserv > Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack I am not familiar with the term ?Tog value?. Could you please comment on what Tog value is, what a safe Tog value range would be and what the Tog value is for your cotton model vs. your fleece model. Thanks. From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Bill Schmid Sent: Thursday, February 02, 2012 12:53 PM To: Project Impact Listserv Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack As one of the developers of the HALO Swaddle and founder of Halo Innovations, I feel compelled to respond to the question raised regarding our Swaddle. I?m familiar with the swaddling ?debate?, recognize the pros and cons, and understand the reasons why individuals feel as they do. Done safely (supine and with appropriate fabrics) and securely (to avoid a loose blanket) our swaddle has helped millions of exhausted parents successfully get their babies to sleep on their backs. The HALO Swaddle was developed to make swaddling easier and safer. It has been vetted by numerous organizations including First Candle, the Canadian Foundation for the Study of Infant Deaths, SIDS & KIDS, Home Safety Council, and newborn nurseries and NICU?s across North America. It has been shown to allow an infant to be wrapped securely, but less tightly, than conventional swaddling and is the only swaddle endorsed by the International Hip Dysplasia Institute for its ability to accommodate hip flexion and abduction. It is used in over 800 birth centers and NICU?s and shown to allow term and preemie infants to successfully thermoregulate on their own. Tog values for even the warmest fabrics are less than 3 and as low as 1.5. As with any garment or swaddling technique, parents need to use common sense and watch for obvious signs of overheating and adjust clothing layers as needed. Our website and packaging depict pictures of swaddle use in a variety of configurations, arms-in, arms-out, hands-up and hands-down. Nurses and parents use it in all of these ways, as they see fit. It is the only swaddle that allows for easier transitioning out of swaddling by extending one arm out at a time. Lastly, Steve is correct. Our SleepSack wearable blanket was developed after the loss of my daughter Haley. She would be 21 in a few weeks and alive if we knew then what we know now. HALO?s mission ever since has been to do whatever we possibly can thru education, support of research and product development to prevent other families from having to deal with the tragedy of SUID as we did. Respectfully, Bill Schmid William R. Schmid Halo Innovations, Inc. Main: 952-259-1500 Direct: 952-259-1521 www.halosleep.com www.facebook.com/HaloSleepSack From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Steve Demont Sent: Tuesday, January 31, 2012 11:07 PM To: Project Impact Listserv Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack We find them to be an indispensable product at our children?s shelter. The swaddling portion does not go over the child?s face as it might with other products because there are two hip straps that hold them down. The product uses Velcro to keep the swaddling portion in place that does wear out over washings, however, but we find it to be relatively durable. We use the product only during sleep and take the infants out when they wake. We advise staff to only dress the child in one additional layer to avoid overheating. Halo donates a portion of their profits to First Candle. The product, incidentally, was created by parents who lost a baby to SIDS. I believe her name was Hallie, and thus Halo. From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address (Karen.Schenk at health.mo.gov) or by calling (573-751-6429). Thank you! Scanned by AppRiver spam and virus protection Scanned by AppRiver spam and virus protection _______________________________________________ Listserv mailing list Listserv at suid-im-projectimpact.org http://suid-im-projectimpact.org/mailman/listinfo/listserv_suid-im-projectimpact.org The materials in this email are private and may contain Protected Health Information. If you are not the intended recipient, be advised that any unauthorized use, disclosure, copying, distribution or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this email in error, please immediately notify the sender via telephone or return email. -------------- next part -------------- An HTML attachment was scrubbed... URL: From JRainey at cribsforkids.org Thu Feb 9 16:59:43 2012 From: JRainey at cribsforkids.org (Judy Rainey) Date: Thu, 9 Feb 2012 21:59:43 +0000 Subject: [SUID-IM-Listserv] FW: Alaska Position Statement on Infant Safe Sleep Message-ID: <2C3C8F24D2C1704C917906BCFD102E3A0F384DB7@SIDS-DATA.Sids.local> Dr. Gessner, If you go to this link http://cribsforkids.org/research/ you will see a list of over 25 research studies published since 2000 that show the risks of bedsharing, especially for the very young infant. Two studies of note: --- "Sharing a sleep surface was associated with SIDS .. The association remained if mother did not smoke or the infant was breastfed ? Bedsharing is associated with an increased risk of SIDS for infants <11 weeks of age.? Tappin D, Ecob R, Brooke H. Paediatric Epidemiology and Community Health (PEACH) Unit, Department of Child Health, University of Glasgow, Yorkhill, Scotland, UK Bedsharing, roomsharing, and sudden infant death syndrome in Scotland: a case-control study. J Pediatr. 2005 Jul;147(1):32-7. --- ?For mothers who did not smoke during pregnancy, OR for bed-sharing was very small? and only significant during the first 8 weeks of life.? [One way to phrase this in a one sentence headline is: Co-sleeping with children under 2 months old was a significant risk factor for SIDS.] R G Carpenter, L M Irgens, P S Blair, P D England, P Fleming, J Huber, G Jorch, P Schreuder Sudden unexplained infant death in 20 regions in Europe: case control study. Lancet 2004; 363: 185-91 http://www.thelancet.com Judy Kimmitt Rainey Director of National and Legislative Affairs Cribs for Kids/ Washington, DC, Office 1115 Massachusetts Avenue, N.W. Washington, DC 20005 (202) 494-3359 JRainey at cribsforkids.org www.cribsforkids.org ________________________________________ From: listserv-bounces at suid-im-projectimpact.org [listserv-bounces at suid-im-projectimpact.org] on behalf of Brad Gessner [bradfordgessner at gmail.com] Sent: Tuesday, February 07, 2012 5:29 PM To: Project Impact Listserv Subject: Re: [SUID-IM-Listserv] FW: Alaska Position Statement on Infant Safe Sleep I will again make a plea that arguments against bed-sharing be supported by actual published data that the scientific community can examine. Personally, I am agnostic about bed-sharing. If the overall health of infants can be improved by recommending room sharing without bed sharing, I will heartily agree. I just haven't seen the data to support this, and have seen a fair amount that contradicts it. Sincerely, Brad Gessner, MD From Bill.Schmid at haloinnovations.com Fri Feb 10 08:49:39 2012 From: Bill.Schmid at haloinnovations.com (Bill Schmid) Date: Fri, 10 Feb 2012 07:49:39 -0600 Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack In-Reply-To: References: Message-ID: <3917452369A61A41B71819F83442E140E53540@HALO-SBS.halo.domain> So sorry to hear of your loss, Carrie. One more reason why so many of us are passionate about prevention. We don?t have a video (sounds like an Action Item!), but do offer images of arms-in and arms-out swaddling- https://www.halosleep.com/keep_your_baby_safe/safe_swaddling_made_easy/. We recommend gradual transitioning out of a swaddle by wrapping one arm in and one arm out to begin with?.then, both arms out. Velcro is used to securely hold down the wings on all HALO retail Swaddles. Some hospitals prefer to use a style without Velcro in their nurseries or NICU?s to appease their laundries. To Steve Demont on TOG values?our UK friends could comment with more authority on this subject, but a short discussion on it can be found here- https://www.halosleep.com/products/product_certification/ Briefly, TOG is a measure of thermal resistance (think insulation). It is commonly used outside of the U.S. to rate duvets, sleeping bags and clothing for warmth. Studies have shown that TOG values less than 4.0 correlate to lower SIDS risk. Regards, Bill Schmid From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of carriejones at charter.net Sent: Thursday, February 09, 2012 4:02 AM To: Project Impact Listserv Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack SO glad to be in this conversation, as with conversation learning takes place. As a nurse on an OB unit, I think it needs to be emphasized that not all parents receiving a Halo sleep swaddle may be educated properly before leaving the place they give birth. The transitioning out of the swaddle sac is more what I am concerned about. I am wondering if Halo has a video about transitioning out of the sleep sac, perhaps a "how to" video that could be used in hospitals or at WIC clinics, etc. I personally, as a nurse, feel responsible for providing the information my patients need to safely use a product I am handing them. Perhaps Halo could provide a video for the providers to educate them on educating parents on the Halo swaddle sack? Or maybe you already do? Also the swaddle sacs that I have seen do not have velcro and a nursing student of mine was saying that they used to have velcro to hold the flaps down? I was wondering about the design changes over time as well, just for educational purposes as I have no idea about fabrics.design, etc. This subject hits home for me as I too lost a daughter, Kyra Lin, in 2003. She was 5 days short of 3 months old and healthy. She died alone in her crib...after she rolled over on her own...onto a blanket she was laying on. This is why I feel so passionate about being SURE about what I am handing to parents...I do not want them to suffer the same pain that my husband and I have. Carrie Jones RN, BSN Community Health Center of Branch County Coldwater, MI 49036 On Thu, Feb 2, 2012 at 1:53 PM, Bill Schmid wrote: As one of the developers of the HALO Swaddle and founder of Halo Innovations, I feel compelled to respond to the question raised regarding our Swaddle. I?m familiar with the swaddling ?debate?, recognize the pros and cons, and understand the reasons why individuals feel as they do. Done safely (supine and with appropriate fabrics) and securely (to avoid a loose blanket) our swaddle has helped millions of exhausted parents successfully get their babies to sleep on their backs. The HALO Swaddle was developed to make swaddling easier and safer. It has been vetted by numerous organizations including First Candle, the Canadian Foundation for the Study of Infant Deaths, SIDS & KIDS, Home Safety Council, and newborn nurseries and NICU?s across North America. It has been shown to allow an infant to be wrapped securely, but less tightly, than conventional swaddling and is the only swaddle endorsed by the International Hip Dysplasia Institute for its ability to accommodate hip flexion and abduction. It is used in over 800 birth centers and NICU?s and shown to allow term and preemie infants to successfully thermoregulate on their own. Tog values for even the warmest fabrics are less than 3 and as low as 1.5. As with any garment or swaddling technique, parents need to use common sense and watch for obvious signs of overheating and adjust clothing layers as needed. Our website and packaging depict pictures of swaddle use in a variety of configurations, arms-in, arms-out, hands-up and hands-down. Nurses and parents use it in all of these ways, as they see fit. It is the only swaddle that allows for easier transitioning out of swaddling by extending one arm out at a time. Lastly, Steve is correct. Our SleepSack wearable blanket was developed after the loss of my daughter Haley. She would be 21 in a few weeks and alive if we knew then what we know now. HALO?s mission ever since has been to do whatever we possibly can thru education, support of research and product development to prevent other families from having to deal with the tragedy of SUID as we did. Respectfully, Bill Schmid William R. Schmid Halo Innovations, Inc. Main: 952-259-1500 Direct: 952-259-1521 www.halosleep.com www.facebook.com/HaloSleepSack From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Steve Demont Sent: Tuesday, January 31, 2012 11:07 PM To: Project Impact Listserv Subject: Re: [SUID-IM-Listserv] Halo Sleep swaddle sack We find them to be an indispensable product at our children?s shelter. The swaddling portion does not go over the child?s face as it might with other products because there are two hip straps that hold them down. The product uses Velcro to keep the swaddling portion in place that does wear out over washings, however, but we find it to be relatively durable. We use the product only during sleep and take the infants out when they wake. We advise staff to only dress the child in one additional layer to avoid overheating. Halo donates a portion of their profits to First Candle. The product, incidentally, was created by parents who lost a baby to SIDS. I believe her name was Hallie , and thus Halo . From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Schenk, Karen Sent: Monday, January 30, 2012 8:46 AM To: listserv at suid-im-projectimpact.org Subject: [SUID-IM-Listserv] Halo Sleep swaddle sack What does everyone think about the new Halo Swaddle Sleep Sack? I heard about them last week and went to look at them at Target. Although the package does have a warning about not leaving the swaddling tails loose as they might get tangled around the infant and I am afraid over his face, they do not give any recommendations about how long an infant should be swaddled. These things are like straightjackets in that the infant cannot move his arms. My fear is that parents might leave an infant like this for hours. The infant could also get hot in the sack. Removing it after the infant is soothed seems to defeat the purpose of swaddling. What do you think? Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address ( Karen.Schenk at health.mo.gov ) or by calling (573-751-6429). Thank you! Scanned by AppRiver spam and virus protection ------------------------------ _______________________________________________ Listserv mailing list Listserv at suid-im-projectimpact.org http://suid-im-projectimpact.org/mailman/listinfo/listserv_suid-im-projectimpact.org -------------- next part -------------- An HTML attachment was scrubbed... URL: From Rebecca.Munger at sonoma-county.org Wed Feb 15 17:25:38 2012 From: Rebecca.Munger at sonoma-county.org (Rebecca Munger) Date: Wed, 15 Feb 2012 14:25:38 -0800 Subject: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program Message-ID: <238C31806781F5448E773E5888D268D28177DB@SC-EXCL01.win.root.sonoma.gov> I am looking for guidance to help a perinatal alcohol and other drug day treatment program in our community that provides onsite childcare. The treatment program is very supportive of having infants sleep in portacribs but once the babies are over 15 pounds, it is very difficult for staff to lift them. Several of the providers have complained of back pain so they are now putting older infants (> 5 months) in swings for naps. Staff recognize the importance of modeling safe sleep practices but due to space constraints there is not room for standard cribs. * Does anyone know of an alternate safety-approved crib that would be appropriate for this situation? * Are there any other solutions that you might recommend? Thank you Rebecca Jones Munger, CNM, PHN Maternal Child Adolescent Health Coordinator County of Sonoma - Department of Health Services 625 5th Street, Santa Rosa, CA 95404 desk 707 565-4553 fax 707 565-4550 Rebecca.Munger at sonoma-county.org www.sonoma-county.org/mcah NOTICE OF CONFIDENTIALITY: This e-mail message, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential or exempt from disclosure under applicable laws. If you are not the intended recipient, you are notified that dissemination, distribution, or copying of this communication is strictly prohibited and may be a violation of law. If you have received this communication in error, please notify the sender by reply e-mail and delete all copies of the original message *Please consider the environment before printing this e-mail, or opt to print on both sides of the paper. -------------- next part -------------- An HTML attachment was scrubbed... URL: From JRainey at cribsforkids.org Fri Feb 17 14:03:44 2012 From: JRainey at cribsforkids.org (Judy Rainey) Date: Fri, 17 Feb 2012 19:03:44 +0000 Subject: [SUID-IM-Listserv] Product that claims to reduce the risk of SIDS Message-ID: <2C3C8F24D2C1704C917906BCFD102E3A0F38570C@SIDS-DATA.Sids.local> Dear colleagues: I was alerted to a claim being made by a company that makes a product called "Exmobaby." The claims made on their website are completely misleading, inaccurate, and not medically proven. I sent an email to the FDA to inform them of the claims being made by this product. Below is my email: I believe I sent you an email about this product - Exmobaby - a while ago. At that time I believe it was still being designed, but I just saw this on their website: (http://exmobaby.exmovere.com/about.php ) "Exmobaby parents will be able to see icons representing their baby's heartbeat, emotional state and activity level on their cell phones. This is especially important for first-time mothers re-entering the work force, parents concerned about the vigilance of their babysitter, and childcare centers juggling the needs of multiple children. Exmobaby will also be marketed to parents worried about infant sleep apnea, choking and other dangers that relate to SIDS." First, this product has never been tested to see if it reduces the number of SIDS deaths each year. In fact, the AAP says that NO infant monitor reduces the risk of SIDS. Second, the statement "parents worried about infant sleep apnea, choking, and other dangers that relate to SIDS" is completely misleading. We've tried for two decades to assure parents that placing their infant on her back to sleep does not increase the risk of choking; in fact, it reduces the risk. And SIDS is NOT sleep apnea. The American SIDS Institute for years recommended monitors to reduce SIDS death due to sleep apnea. They didn't. In addition to the claims stated above, the company goes to great lengths to claim that Exmobaby will have a tremendous impact on SIDS death rates around the world: "In particular, Exmobaby products were designed and made with an initial focus on countries with high infant mortality rates and countries launching active campaigns to reduce Sudden Infant Death Syndrome (SIDS), including Germany, Japan, South Korea, the United Kingdom and the United States. Exmobaby clothing and apparel offers a way to improve the rate of reduction in infant deaths due to SIDS and accidents. With the technology and alert capabilities, parents and caregivers can be assured that they will know immediately if baby is in danger. Part of the bio-data gathered by the system includes indicators like heart rate. These bio-indicators are dependent on blood oxygen levels which are directly correlated with the known causes of SIDS worldwide." I'm sure the FDA has no way to prevent this company from making these claims in other countries, but the company needs to take this claim off any website that can be accessed by anyone in the U.S. I would appreciate it if you would pass my concerns along to the appropriate group at the FDA that monitors these types of claims. Thank you in advance for your attention to this matter. Judy Kimmitt Rainey Director of National and Legislative Affairs Cribs for Kids/ Washington, DC, Office 1115 Massachusetts Avenue, N.W. Washington, DC 20005 (202) 494-3359 JRainey at cribsforkids.org www.cribsforkids.org From rbarzel at ncemch.org Thu Feb 23 09:56:13 2012 From: rbarzel at ncemch.org (Ruth Barzel) Date: Thu, 23 Feb 2012 09:56:13 -0500 Subject: [SUID-IM-Listserv] =?windows-1252?q?NSIDRC_Journal_Article_Alert_?= =?windows-1252?q?=96_February_23=2C_2012?= Message-ID: NSIDRC Journal Article Alert ? February 23, 2012 Prepared by the National SUID/SIDS Resource Center at Georgetown University. These articles have been selected from PubMed, a service of the National Library of Medicine that includes over 19 million citations from MEDLINE and other life science journals for biomedical articles back to 1948. PubMed includes links to full text articles and other related resources. To access information available from PubMed about the articles listed in this Journal Alert, cut and paste the article title into the PubMed search box (http://www.ncbi.nlm.nih.gov/sites/entrez), and hit Enter. Availability of full-text journal articles is often limited to subscribers or through inter-library loan. Please see your local library for copies of these articles, or view PubMed's How to Get the Journal Article or Partners in Information Access for the Public Health Workforce's How to Access Journal Articles at http://phpartners.org/howtoaccess.html for more details. Past issues of Resource Center journal alerts are available at http://www.sidscenter.org/JournalAlerts/index.html. More about PubMed at http://www.ncbi.nlm.nih.gov/pubmed/ Copyright and Disclaimers at http://eutils.ncbi.nlm.nih.gov/About/disclaimer.html _____________________________________________________________________________ Sudden Infant Death 1. Respir Physiol Neurobiol. 2012 Jan 15;180(1):25-33. Epub 2011 Oct 14. Expression of brain-derived neurotrophic factor and TrkB receptor in the sudden infant death syndrome brainstem. Tang S, Machaalani R, Waters KA. Source Department of Paediatrics and Child Health, University of Sydney, NSW 2006, Australia; Bosch Institute, The University of Sydney, NSW 2006, Australia. Abstract This study compared the expression of BDNF (proBDNF and rhBDNF forms) and its receptor TrkB, in the medulla of sudden infant death syndrome (SIDS) infants and infants who died from known causes (non-SIDS). This study also evaluated these markers in association with SIDS clinical risk factors including, sleep position, cigarette smoke exposure and gender. Brainstem tissue was immunohistochemically stained and quantitative analyses were made for eight nuclei of the caudal and rostral medulla. Compared to non-SIDS, SIDS infants had lower rhBDNF in the caudal nucleus of the solitary tract and higher TrkB in the caudal dorsal motor nucleus of the vagus. Within the SIDS cohort, prone sleep position was associated with lower rhBDNF in the caudal arcuate nucleus, and cigarette smoke exposure was associated with lower rhBDNF and TrkB in the inferior olivary nucleus. Abnormal expression of BDNF and TrkB suggests that neuroprotective functions of the BDNF/TrkB system may be reduced in respiratory-related nuclei of SIDS infants. Other Infant Death 1. Rev Saude Publica. 2012 Feb;46(1):59-67. Epub 2011 Dec 13. Effect of the Family Health Strategy on surveillance of infant mortality. [Article in English, Portuguese] Santana M, Aquino R, Medina MG. Source Secretaria de Sa?de, Estado da Bahia, Salvador, BA, Brasil. martaslima at globo.com Abstract OBJECTIVE: To evaluate the effect of the Family Health Strategy on infant mortality surveillance. METHODS: An ecologic study was performed with a multiple group design, and the unit of analysis was municipalities in Bahia state (Northeastern Brazil) in 2008. The 3,947 deaths analyzed were obtained from the Mortality Information System, and the minimum acceptable level for death investigation was 25%. Logistic regression models were used for bivariate and multivariate analysis and adjusted for sociodemographic and service organization variables. RESULTS: In 48.9% of the municipalities at least one infant death was investigated, and 35.5% of municipalities achieved the minimum target for investigation. In the bivariate model, the investigation of at least one infant death was statistically associated with more populous municipalities, higher Human Development Indices, existence of Investigation Committee and obstetric beds in the municipality; there were no associations with Family Health Strategy coverage and existence of a designated person in the municipality. In multivariate models, the investigation of at least one infant death was statistically associated with population size (OR = 4.02) and presence of obstetric beds (OR = 2.68). Achieving the minimum target was associated only with the existence of obstetric beds in the municipality (OR = 1.76). CONCLUSIONS: The investigation rate for deaths of children less than one year of age was less than the level agreed upon in Bahia in 2008. There was no association between coverage of the Family Health Strategy and death investigations, which suggests that Infant Mortality Surveillance is at an incipient stage, especially in regards to decentralization to local primary care teams. 2. Forensic Sci Med Pathol. 2012 Jan 14. [Epub ahead of print] Postmortem tandem mass spectrometry profiling for detection of infection in unexpected infant death. Pryce JW, Weber MA, Heales S, Krywawych S, Ashworth MT, Klein NJ, Sebire NJ. Source Departments of Paediatric Pathology, Great Ormond Street Hospital for Children, London, UK, Jeremy.Pryce at gosh.nhs.uk. Abstract Numerous hypotheses have been suggested to explain the cause of sudden unexpected infant death, including infection. As part of the autopsy, routine ancillary investigations are performed, including blood/bile tandem mass spectrometry (TMS) primarily for detection of metabolic disease. The aim of this study was to evaluate and assess TMS derived acylcarnitine profiles to determine whether infectious deaths were associated with characteristic profiles. As part of a retrospective study including >2,500 pediatric autopsies at a single specialist centre over a 14 year period, acylcarnitine profiles were reviewed. Using multiple linear regression, standardised residuals were prepared and findings compared between different cause of death groups, including unexplained, focal infection, microbiological infection and accidental injuries. 415 blood samples from SUDI autopsies were identified. Statistically significant differences in TMS profiles were identified between those dying of infection and the unexplained SUDI group, including changes in free carnitine, short chain acylcarnitines and octanoylcarnitine. Cases with microbiological infection diagnosed only from postmortem cultures did not show any significant difference from the unexplained group. Postmortem TMS profiling identifies SUDI deaths which are associated with histological evidence of infection, and an acylcarnitine profile suggesting perturbation of oxidative metabolism. Such findings raise the possibility that more comprehensive TMS profiling may offer additional diagnostic clues beyond screening for metabolic disorders, and may contribute to determination of mode of death. 3. Pediatrics. 2012 Feb;129(2):e486-93. Epub 2012 Jan 9. The sudden unexpected infant death case registry: a method to improve surveillance. Shapiro-Mendoza CK, Camperlengo LT, Kim SY, Covington T. Source Maternal and Infant Health Branch, Division of Reproductive Health, Centers for Disease Control and Prevention, Mailstop K-23, 4770 Buford Highway, NE, Atlanta, GA 30341-3717. ayn9 at cdc.gov. Abstract This article describes a multistate population-based surveillance system for monitoring sudden unexpected infant deaths (SUIDs) known as the SUID Case Registry pilot program. The pilot program represents collaboration between the Centers for Disease Control and Prevention and the National Center for Child Death Review (NCCDR), which is funded by the Health Resources and Services Administration. The SUID Case Registry builds on existing child death review system activities and protocols. The objectives of the SUID Case Registry are to collect accurate and consistent population-based data about the circumstances and events associated with SUID cases, to improve the completeness and quality of SUID case investigations, and to use a decision-making algorithm with standardized definitions to categorize SUID cases. States who participate in the pilot program commit to review all SUID cases in their state by using their multidisciplinary state and local child death review teams. These teams request and review data from death scene investigators, medical examiners and coroners, law enforcement, social services, pediatric and obstetric providers, and public health per usual, but as part of the pilot program, supplement their SUID case reviews by discussing additional medical, environmental, and behavioral factors, and entering this data using the NCCDR Web-based Case Reporting System. This new surveillance system aims to improve knowledge of factors surrounding SUID events and improve investigation practices. The surveillance system will allow researchers and program planners to create prevention strategies and interventions, ultimately reducing SUIDs and injury-related infant deaths. 4. Auton Neurosci. 2012 Jan 26;166(1-2):29-34. Epub 2011 Oct 6. Neuropathology of the area postrema in sudden intrauterine and infant death syndromes related to tobacco smoke exposure. Lavezzi AM, Mecchia D, Matturri L. Source Lino Rossi Research Center for the Study and Prevention of Unexpected Perinatal Death and SIDS, Department of Surgical, Reconstructive and Diagnostic Sciences, University of Milan, Italy. anna.lavezzi at unimi.it Abstract The area postrema is a densely vascularized small protuberance at the inferoposterior limit of the fourth ventricle, outside of the blood-brain barrier. This structure, besides to induce emetic reflex in the presence of noxious chemical stimulation, has a multifunctional integrative capacity to send major and minor efferents to a variety of brain centers particularly involved in autonomic control of the cardiovascular and respiratory activities. In this study we aimed to focus on the area postrema, which is so far little studied in humans, in a large sample of subjects aged from 25 gestational weeks to 10 postnatal months, who died of unknown (sudden unexplained perinatal and infant deaths) and known causes (controls). Besides we investigated a possible link between alterations of this structure, sudden unexplained fetal and infant deaths and maternal smoking. By the application of morphological and immunohistochemical methods, we observed a significantly high incidence of alterations of the area postrema in fetal and infant victims of sudden death as compared with age-matched controls. These pathological findings, including hypoplasia, lack of vascularization, cystic formations and reactive gliosis, were related to maternal smoking. We hypothesize that components from maternal cigarette smoke, particularly in pregnancy, could affect neurons of the area postrema connected with specific nervous centers involved in the control of vital functions. In conclusion, we suggest that the area postrema should be in depth examined particularly in victims of sudden fetal or infant death with smoker mothers. Miscarriage/Stillbirth/Prenatal Issues 1. Med Gas Res. 2012 Feb 20;2(1):4. [Epub ahead of print] Exploring the potential of low doses carbon monoxide as therapy in pregnancy complications. El-Mousleh T, Casalis PA, Wollenberg I, Zenclussen ML, Volk HD, Langwisch S, Jensen F, Zenclussen AC. Abstract ABSTRACT: Heme Oxygenase-1 (HO-1) has been shown to play a pivotal role in pregnancy outcome and its ablation leads to abnormal placentation, intrauterine fetal growth restriction (IUGR) and subsequent intrauterine fetal death. Carbon monoxide (CO) has been found to mimic the protective effects of HO-1 activity, rescuing HO-1-deficient fetuses. This gasotransmitter arises in biological systems during the oxidative catabolism of heme by HO. Here, we explored the potential of CO in preventing IUGR and established the optimal doses and therapeutic time window in a clinically relevant mouse model. We additionally investigated the pathways activated upon CO application in vivo. We established 50 ppm as the best lowest dose of CO necessary to prevent growth restriction being the optimal time frame during days 3 to 8 of mouse pregnancy. CO lead to higher fetal and placental weights and avoided fetal death without showing any pathologic effects. CO breathing further suppressed inflammatory responses, diminished placenta apoptosis and complement deposition and regulated placental angiogenesis. Our results confirm the protective role of the HO-1/CO axis and point this gas as an emerging therapeutic possibility which is worth to further explore. 2. Hum Reprod. 2012 Feb 16. [Epub ahead of print] Single embryo transfer with comprehensive chromosome screening results in improved ongoing pregnancy rates and decreased miscarriage rates. Forman EJ, Tao X, Ferry KM, Taylor D, Treff NR, Scott RT Jr. Source Reproductive Medicine Associates of New Jersey, Morristown, NJ 07960, USA. Abstract BACKGROUNDSingle embryo transfer (SET) provides the most certain means to reduce the risk of multiple gestation. Regrettably, prospective trials of SET have demonstrated reductions in per-cycle delivery rates. A validated method of comprehensive chromosome screening (CCS) has the potential to optimize SET by transferring only euploid embryos. This retrospective study evaluates the efficacy of SET with CCS in an infertile population.METHODSOverall and age-controlled ongoing pregnancy rates (OPR) were compared between women undergoing SET following CCS (CCS-SET, n= 140) and those undergoing SET without aneuploidy screening (control SET, n= 182). All transfers were at the blastocyst stage, with CCS performed after trophectoderm biopsy of expanded blastocysts and analysis with rapid PCR allowing for fresh transfer.RESULTSIn the CCS-SET and control SET groups, an OPR of 55.0 and 41.8%, respectively, was obtained. The OPR was lower for the control group (P< 0.01) despite a younger age than the CCS group (37.3 ? 3.4 versus 34.2 ? 3.9 years; P< 0.001). Birthweight and gestational age at delivery were equivalent. The proportion of clinical pregnancies resulting in miscarriage was higher in the control group (24.8 versus 10.5%, P< 0.01), with more patients requiring surgical interventions for aneuploid pregnancies. There was one monozygotic twin delivery in the CCS group and none in the control group.CONCLUSIONSCompared with traditional blastocyst SET, SET after trophectoderm biopsy and rapid PCR-based CCS increases OPR and reduces the miscarriage rate. The enhanced selection empowered by CCS with SET may provide a practical way to eliminate multi-zygotic multiple gestation without compromising clinical outcomes per cycle. 3. J Obstet Gynaecol Can. 2012 Feb;34(2):142-53. Combinations of maternal serum markers to predict preeclampsia, small for gestational age, and stillbirth: a systematic review. Hui D, Okun N, Murphy K, Kingdom J, Uleryk E, Shah PS. Source Maternal Fetal Medicine Division, Department of Obstetrics and Gynaecology, Sunnybrook Health Sciences Centre, Toronto ON. Abstract Objective: Abnormal serum screening markers have been associated with adverse pregnancy outcomes. We sought to review the performance of combined abnormal first and/or second trimester maternal serum markers used in prenatal screening for aneuploidy and open neural tube defects for predicting preeclampsia (PET), small for gestational age (SGA), and stillbirth beyond 24 weeks' gestation. Data Sources and Study Selection: Medline, EMBASE, and Cochrane Library databases were searched for studies from 1970 to May 2010 that analyzed predictive abilities of combined serum markers for defined outcomes. Data Extraction and Synthesis: Data were extracted independently by two authors, and 15 studies were included. Eight studies of 115 290 pregnancies, 11 studies of 144 853 pregnancies, and seven studies of 80 274 pregnancies examined PET, SGA, and stillbirth respectively. Because of the heterogeneity of marker combinations and thresholds, outcome definitions, and analytic methods, limited meta-analysis was possible for the outcomes of PET and SGA only. Three relatively homogeneous studies on prediction of PET, and two on prediction of SGA were meta-analyzed. Several single studies demonstrated utility in combining markers to predict adverse outcome; however, this effect was not confirmed after meta-analysis. The most common combination of markers evaluated was alpha fetoprotein and human chorionic gonadotrophin for all outcomes. The highest positive likelihood ratios for predicting PET (5.68; 95% CI 0.73 to 43.97) and SGA (6.18; 95% CI 1.84 to 20.85) were seen with combined alpha fetoprotein and human chorionic gonadotrophin (> 2.5 multiples of the median). Conclusions: Currently, no identifiable combination of serum markers performs well as a screening test for preeclampsia, small for gestational age, and stillbirth beyond 24 weeks. Large cohort studies with standardized screening test parameters and outcomes are needed. 4. Blood Coagul Fibrinolysis. 2012 Feb 8. [Epub ahead of print] Severe pregnancy complications are associated with elevated factor VIII plasma activity. Rimon E, Ascher-Landsberg J, Carmi N, Many A, Deutsch V, Kupferminc MJ. Source aDepartment of Obstetrics and Gynecology bDepartment of Internal Medicine 'B' cDepartment of Hematology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Abstract The objective of this study is to investigate the prevalence of elevated factor VIII activity among women with severe complications of pregnancy. The study group included 49 patients with a previous history of pregnancy complications: severe preeclampsia (n = 9); intrauterine fetal death (IUFD) (n = 9); severe intrauterine fetal growth restriction (IUGR) (n = 12); IUGR and preeclampsia (n = 7); preeclampsia and placental abruption (n = 2); IUFD and IUGR (n = 5); and abruptio placenta (n = 5). The control group included 49 healthy women who had had at least one normal pregnancy. Seventeen women of the study group (34.6%) had elevated factor VIII activity compared to one woman (2.1%) in the control group (P < 0.05). The mean level of factor VIII was 159 ? 52% and 88 ? 17.4% of normal activity (mean ? SD, t-test, P < 0.05). Importantly, 10 women of the study group (20.4%) had only elevated factor VIII activity with no other known thrombophilia compared to one woman (2.1%) in the control group (P < 0.05). Elevated plasma activity of factor VIII might be a risk factor for severe pregnancy complications. 5. Int J Endocrinol. 2012;2012:717185. Epub 2012 Jan 26. Further evidence on the role of thyroid autoimmunity in women with recurrent miscarriage. Lazzarin N, Moretti C, De Felice G, Vaquero E, Manfellotto D. Source Fatebenefratelli Association for Research (AFaR), Ospedale Fatebenefratelli Isola Tiberina, Lungotevere de' Cenci 5, 00186 Rome, Italy. Abstract It has been twenty years since the first paper reporting the association between thyroid antibodies (TAIs) and spontaneous miscarriage was published. Following this observation, several studies have clearly demonstrated an increased prevalence of TAI in patients with recurrent miscarriage (RM). However, the exact mechanism underlying this association remains a matter of debate. The aim of the present study was to evaluate the thyroid function, throughout a specific test, in patient with RM and TAI focusing on the hypothesis that TAI should be an indirect sign of a mild thyroid dysfunction. 46 patients with RM and TAI were included in the study. All patients underwent short TRH stimulation test showing an abnormal response in the vast majority of cases (65%). Normal FT4 and FT3 mean values were found whereas TSH values were in the upper normal range (2.64 ? 1.3 mUI/L). Our data support the hypothesis that in patients with RM the presence of TAI is an indirect sign of a subtle thyroid dysfunction detectable by a specific test. This test give the possibility to identify women with RM in which specific therapeutic approaches could effectively improve the possibility for a successful pregnancy. 6. Ultrasound Obstet Gynecol. 2012 Feb 3. doi: 10.1002/uog.11110. [Epub ahead of print] Prospective risk of late stillbirth in monochorionic twins: a regional cohort study. Dias T, Basky Thilaganathan DP; on behalf of STORK (Southwest Thames Obstetric Research Collaborative). Source Fetal Medicine Unit, St George's University of London, London, United Kingdom. Abstract Background: Monochorionic (MC) pregnancies are routinely delivered electively at various late preterm gestations with the aim of avoiding stillbirth at term. The aim of this study is to evaluate the prospective risk of late stillbirth in a large regional cohort of twin pregnancies of known chorionicity. Methods: A retrospective study of all twin pregnancy births between of known chorionicity between 2000 and 2009 from a large regional cohort consisting of 9 hospitals. Prospective risk was calculated per 1000 ongoing fetuses rather than pregnancies as each twin pregnancy has two gestations at risk of stillbirth. Results: A total of 3005 twin pregnancies delivered after 26 weeks' gestation in the STORK collaborative. The total risk of stillbirth after 26 weeks in MC twins (21.7 per 1000 fetuses) was significantly higher (OR 3.26, 95% CI 2.36 to 4.5) than in DC twins (6.7 per 1000 fetuses). The risk of stillbirth in MC twins did not change significantly between 26+ weeks (1.8 per 1000 fetuses) and 36+ weeks (3.4 per 1000 fetuses, OR 1.85, 95% 0.3-13.2). The equivalent figures for DC twins were 0.6 per 1000 fetuses and 2.1 per 1000 fetuses, respectively (OR 3.4, 95% 0.9-13.2). Conclusion: The risk of stillbirth in MC twins does not appear to increase significantly near term. This observation may be due to a policy of routine surveillance and elective delivery from 36 weeks, the data does support a policy of elective birth before 36 weeks' gestation in MC pregnancies. Copyright ? 2012 ISUOG. Published by John Wiley & Sons, Ltd. 7. Eur J Obstet Gynecol Reprod Biol. 2012 Jan 24. [Epub ahead of print] Positive reproductive family history for spontaneous abortion: predictor for recurrent miscarriage in young couples. Miskovic S, Culic V, Konjevoda P, Pavelic J. Source University Hospital Split, Paediatric Clinic, Spinciceva 1, 21000 Split, Croatia. Abstract OBJECTIVE: The etiology of recurrent spontaneous abortions (RSA) in chromosomally normal parents is still unexplained. It is unclear whether or not some factors, such as spontaneous abortions (SA), which occur among extended family members can create a predisposition to RSA. Therefore, this study comprises two parts: (a) an epidemiological part, to evaluate the relationship between RSA in 567 couples and the frequency of SA among their first (I), second (II) and third (III) generation relatives, and (b) a genetic part, investigating whether parental and fetal chromosomal status may predispose to the occurrence of RSA. STUDY DESIGN: Couples (567) having one or more SA were analyzed in this retrospective case-control study. The family reproductive history data was collected from their medical charts. RESULTS: The total number of SA found in 567 couples was 1174, and the largest number occurred at 8-10 weeks of gestation. The majority of spouses had normal karyotypes (88.5% and 91%). Of the remainder, 65% of females and 76% of males expressed constitutional chromosomal variation, mostly pericentric inversion of chromosome 9. Cytogenetic analysis of aborted material showed some type of change in 40% of cases. The family reproductive history data indicated that SA among the couples' I, II and III generation relatives happened with a frequency two to three times higher than that of the general population (55.5, 47.6 and 32.6% for female relatives, and 45.8, 44.1 and 15.1% for male relatives). CONCLUSION: Positive reproductive family history for SA might be the causal factor for RSA and can also predetermine women that are of greater susceptibility to preterm pregnancy. 8. Aust N Z J Obstet Gynaecol. 2012 Jan 25. doi: 10.1111/j.1479-828X.2011.01406.x. [Epub ahead of print] Antenatal care, identification of suboptimal fetal growth and risk of late stillbirth: Findings from the Auckland Stillbirth Study. Stacey T, Thompson JM, Mitchell EA, Zuccollo JM, Ekeroma AJ, McCowan LM. Source Department of Obstetrics and Gynaecology, University of Auckland, Grafton; Department of Health Sciences, AUT University, Akoranga. Abstract INTRODUCTION: Stillbirth remains an important public health problem in Australia and New Zealand. The role that antenatal care plays in the prevention of stillbirth in high-income countries is unclear. METHODS: Cases were women with a singleton, late stillbirth without congenital abnormality, booked to deliver in the Auckland region and born between July 2006 and June 2009. Two controls with ongoing pregnancies were randomly selected at the same gestation at which the stillbirth occurred. Data were collected through interview-administered questionnaires and from antenatal records. RESULTS: One hundred and fifty five of 215 (72%) cases and 310 of 429 (72%) controls consented to take part in the study. Accessing <50% of recommended antenatal visits was associated with a more than twofold increase in late stillbirth (adjusted odds ratio, aOR, 2.68; 95% CI, 1.04-6.90) compared with accessing the recommended number of visits. Small-for-gestational-age (SGA) babies that had not been identified as SGA prior to birth were significantly more at risk of being stillborn (aOR, 9.46; 95% CI, 1.98-45.13) compared with SGA babies that were identified as such in the antenatal period. No relationship was found between type or model of maternity care provider at booking and late stillbirth risk. DISCUSSION: This study reinforces the importance of regular antenatal care attendance. Identification of SGA may be one way by which antenatal care reduces stillbirth. ? 2012 The Authors Australian and New Zealand Journal of Obstetrics and Gynaecology ? 2012 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists. 9. Obstet Gynecol. 2012 Feb;119(2, Part 1):256-261. Role of Second-Trimester Uterine Artery Doppler in Assessing Stillbirth Risk. Singh T, Leslie K, Bhide A, D?antonio F, Thilaganathan B. Source >From the Fetal Medicine Unit, Academic Department of Obstetrics and Gynecology, St. George's Hospital Medical School, and the Newham University Hospital Trust, London, United Kingdom. Abstract OBJECTIVE: To estimate the association between uterine artery Doppler indices and stillbirth in routinely screened populations. METHODS: Second-trimester uterine artery Doppler indices at 19 to 23 weeks of gestation were obtained from a large cohort of women. Pregnancy losses recorded on a mandatory national register were cross-linked to the Doppler database. Kaplan-Meier curves were constructed for the risk of stillbirth based on the uterine artery Doppler resistance indices. Logistic regression analysis was used to assess the influence of uterine artery Doppler indices and other more conventional risk factors on the likelihood of stillbirth. RESULTS: Data were available from 15,835 women with 144 stillbirths (9.1 stillbirths per 1,000 births). Kaplan-Meier analysis showed that the risk of stillbirth (39.41 per 1000) in women with uterine artery Doppler indices greater than the 90th percentile was sevenfold higher (95% confidence interval 4.81-9.57) than the reference population (5.36 per 1000) with Doppler indices less than or equal to the 90th percentile. The positive predictive and negative predictive values for the 90th percentile uterine artery Doppler cut-off were 0.46% and 95.73%, respectively. The sensitivities of the 90th, 95, and 99th percentile uterine artery Doppler resistance index cut-offs for the sensitivity of stillbirth were 46.2%, 35.4%, and 15.4%, respectively. Conventional risk factors for term stillbirth such as ethnicity, body mass index (BMI), and smoking no longer contributed to stillbirth risk when uterine artery Doppler indices were included in multivariable logistic regression analysis. CONCLUSION: Elevated second-trimester Doppler indices, a proxy for impaired placentation, are more strongly associated with stillbirth than conventional risk factors. Risk factors such as ethnicity, maternal age, BMI, and smoking contribute to risk of term stillbirth through uteroplacental dysfunction. LEVEL OF EVIDENCE: II. 10. Semin Ultrasound CT MR. 2012 Feb;33(1):4-10. Fetal risk in diagnostic radiology. Nguyen CP, Goodman LH. Source Tufts School of Medicine, Baystate Medical Center, Springfield, MA. Abstract It is not uncommon to encounter situations in which radiologic examinations are necessary for accurate diagnosis and effective treatment of an expectant mother. The potential deleterious health consequences to the developing embryo and fetus from in utero irradiation include fetal death, congenital malformations, growth retardation, and carcinogenic and mutagenic effects. The likelihood of each effect is greatly dependent on the radiation dose and the gestational age of the conceptus at the time of exposure. In general, the average fetal doses from diagnostic imaging are <50 mGy (5 rad) and have not been associated with any significant adverse fetal effects. However, each case should be evaluated on an individual basis, and the risks should be explained to the patient before the examination. In addition, every effort should be made to reduce the fetal dose to as low as reasonably achievable. The biological effects of in utero radiation exposure, estimated fetal doses from various radiologic examinations, and general guidelines regarding diagnostic imaging during pregnancy will be discussed in this article. 11. Aust N Z J Obstet Gynaecol. 2012 Feb;52(1):39-43. doi: 10.1111/j.1479-828X.2011.01382.x. Epub 2011 Dec 6. The management of missed miscarriage in an outpatient setting: 800 versus 600 ?g of vaginal misoprostol. Barcel? F, DE Paco C, L?pez-Esp?n JJ, Silva Y, Abad L, Parrilla JJ. Source Department of Obstetrics and Gynecology, Early Pregnancy Unit, University Hospital "Virgen de la Arrixaca", MurciaCentro de Investigaci?n Operativa, "Miguel Hern?ndez" University of Elche, Alicante, Spain. Abstract Background: Many misoprostol regimens have been used to treat early pregnancy loss as an alternative to surgical evacuation, with differing adverse event and success rates. Aims: This study sought to compare the effectiveness and adverse effects of 800 and 600 ?g of misoprostol administered vaginally for the treatment of early pregnancy failure in an outpatient setting. Methods: A retrospective, observational study of 946 women with a missed miscarriage <12 weeks' gestation was performed: 487 women received 800 ?g (group 1) and 459 women received 600 ?g (group 2) of vaginal misoprostol every 24 h for two days. The first follow-up was seven days after treatment. Women were asked about symptoms, and a transvaginal ultrasound was performed. If an incomplete miscarriage or gestational sac was still found, then an additional dose of intravaginal misoprostol was prescribed, and a second follow-up visit was arranged for seven days later. Surgical evacuation was scheduled for women who did not wish to continue medical treatment after the first or second follow-up visit. Results: The total rate of complete miscarriage was 90.6% after 800 ?g and 87.8% after 600 ?g of intravaginal misoprostol. The percentage of women who underwent surgical evacuation after medical treatment was 9.4% for group 1 and 12.2% for group 2. Conclusions: Complete uterine evacuation after a missed miscarriage was effectively induced by both 600 and 800 ?g of misoprostol. The overall success of medical treatment with intravaginal misoprostol demonstrates that the treatment is safe in an outpatient setting. ? 2011 The Authors. ANZJOG ? 2011 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists. 12. Hum Reprod. 2012 Feb;27(2):349-57. Epub 2011 Nov 29. Investigation of systemic inflammatory response in first trimester pregnancy failure. Calleja-Agius J, Jauniaux E, Pizzey AR, Muttukrishna S. Source Academic Department of Obstetrics and Gynaecology, UCL Institute for Women' s Health, University College London, 86-96, Chenies Mews, London WC1E 6HX, UK. jean.calleja-agius at um.edu.mt Abstract BACKGROUND: The contribution of local and systemic inflammation to the pathophysiology of sporadic first trimester miscarriages remains unclear. The objective of this study was to investigate the inflammatory response in the circulation of women presenting with first trimester miscarriage. METHODS: Levels of tumour necrosis factor alpha (TNF?), TNF receptors 1 and 2, interferon gamma (IFN?), interleukin (IL)-6 and IL-10 were assayed using cytometric bead arrays in plasma samples from 29 euploid and 21 aneuploid missed miscarriages, 35 normal pregnant controls and 31 non-pregnant women (NPW). Whole blood flow cytometry was carried out with samples from 17 euploid and 16 aneuploid miscarriages, 18 pregnant controls and 13 NPW. RESULTS: The plasma of women with euploid miscarriage contained significantly higher circulating levels of TNF? (P < 0.005), IFN? (P < 0.005), IL-6 (P < 0.005) and IL-10 (P < 0.01) than that of pregnant controls, irrespective of gestational age. Significantly (P < 0.05) higher TNF-R1 levels at 6-9 weeks, and significantly higher TNF?/IL-6 (P < 0.001) and significantly lower TNF?/IL-10 (P < 0.001) and IFN?/IL-10 (P < 0.001) ratios at 10-14 weeks, were also found in euploid miscarriage cases compared with pregnant controls. TNF?/IL-10 ratio in plasma was significantly (P < 0.05) lower in miscarriages with an abnormal karyotype than those with normal karyotype. Normal pregnant women had a significantly higher plasma level of IFN? (P < 0.01) and IFN?/IL-10 ratio (P < 0.005), a significantly (P < 0.005) lower TNF-R1 level, and a significant (P < 0.05) increase in stimulated TNF? in monocytes, compared with NPW. CONCLUSIONS: Our data confirm that there is an inflammatory reaction in normal pregnancy compared with the non-pregnant state, which may be disrupted during miscarriage. 13. Best Pract Res Clin Obstet Gynaecol. 2012 Feb;26(1):91-102. Epub 2011 Nov 13. Thrombophilia and early pregnancy loss. McNamee K, Dawood F, Farquharson RG. Source Liverpool Women's NHS Foundation Trust, Crown Street, Liverpool, L8 7SS, UK. Abstract Early pregnancy loss is the most common pregnancy complication. About 15% of pregnancies result in pregnancy loss and 1% of women experience recurrent miscarriage (more than three consecutive miscarriages). The influence of thrombophilia in pregnancy is a popular research topic in recurrent miscarriage. Both acquired and inherited thrombophilia are associated with a risk of pregnancy failure. Antiphospholipid syndrome is the only thrombophilia known to have a direct adverse effect on pregnancy. Historically, clinical research studying thrombophilia treatment in recurrent miscarriage has been of limited value owing to small participant numbers, poor study design and heterogeneity. The debate on the efficacy of aspirin and heparin has advanced with recently published randomised-controlled trials. Multi-centre collaboration is required to ascertain the effect of thrombophilia on early pregnancy loss and to establish an evidence-based treatment protocol. 14. Contraception. 2012 Feb;85(2):131-9. Epub 2011 Aug 16. Pregnancy outcomes with an IUD in situ: a systematic review. Brahmi D, Steenland MW, Renner RM, Gaffield ME, Curtis KM. Source Department of Reproductive Health and Research, World Health Organization, CH-1211 Geneva 27, Switzerland. brahmid at who.int Abstract BACKGROUND: While intrauterine devices (IUDs) provide highly effective contraception, pregnancies among IUD users do rarely occur. The objective of this systematic review is to assess the evidence about risks for adverse pregnancy outcomes among women who conceive with an IUD in situ. METHODS: We searched MEDLINE, POPLINE, EMBASE and LILACS databases from inception through April 2011 for peer-reviewed articles containing evidence related to pregnancy outcomes among women who conceived while using copper (Cu) and levonorgestrel-releasing (LNG) IUDs. RESULTS: Nine articles met our inclusion criteria. Women with retained IUDs were at the greatest risk of adverse pregnancy outcomes, including spontaneous abortion, preterm delivery, septic abortion and chorioamnionitis. Cu-IUD removal decreased risks but not to the baseline risk of pregnancies without an IUD. One case series examined the LNG-IUD; when left in situ, 8 in 10 ended in spontaneous abortions. CONCLUSION: Pregnancies complicated by a remaining IUD in situ were at greater risk of adverse pregnancy outcomes. Early IUD removal appeared to improve outcomes but did not entirely eliminate risks. 15. Occup Environ Med. 2012 Feb;69(2):147-9. Epub 2011 Jul 8. Stillbirth and residential proximity to extremely low frequency power transmission lines: a retrospective cohort study. Auger N, Park AL, Yacouba S, Goneau M, Zayed J. Source Institut national de sant? publique du Qu?bec, 190, boulevard Cr?mazie Est, Montr?al, Qu?bec H2P 1E2, Canada. nathalie.auger at inspq.qc.ca Abstract OBJECTIVES: The relationship between electromagnetic field exposure and stillbirth has not been evaluated. We assessed associations between residential proximity to extremely low frequency power transmission lines and stillbirth across gestational age. METHODS: Data included singleton live births (N=514,826) and stillbirths (N=2033) for 1998-2007 in metropolitan areas of Qu?bec, Canada. Using power transmission line maps, the distances between lines and residential six-digit postal codes (<25, 25-49.9, 50-74.9, 75-99.9, ? 100 m) were calculated. Generalised estimating equations were used to compute ORs and 95% CIs for distance and stillbirth, accounting for individual and area characteristics. Early preterm (< 28 weeks), late preterm (28-36 weeks) and term (? 37 weeks) stillbirths were examined relative to fetuses-at-risk. RESULTS: There was no association between distance and preterm stillbirth. The odds of term stillbirth for <25 m were greater compared to ? 100 m (OR 2.25, 95% CI 1.14 to 4.45), but no dose-response pattern was apparent. CONCLUSIONS: A graded dose-response trend between distance to lines and odds of stillbirth was not found, but the likelihood of term stillbirth was elevated for residences within 25 m of power transmission lines. Residential proximity to transmission lines is unlikely to be associated with stillbirth, but more research is needed to rule out a possible link. _____________________________________________________________________________ Prepared by the National SUID/SIDS Resource Center Georgetown University 2115 Wisconsin Avenue, N.W., Suite 601 Washington, DC 20007 (866) 866-7437 toll free (202) 687-7466 local (202) 784-9777 fax info at sidscenter.org http://www.sidscenter.org -------------- next part -------------- An HTML attachment was scrubbed... URL: From Karen.Schenk at health.mo.gov Thu Feb 23 10:56:16 2012 From: Karen.Schenk at health.mo.gov (Schenk, Karen) Date: Thu, 23 Feb 2012 09:56:16 -0600 Subject: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program In-Reply-To: <238C31806781F5448E773E5888D268D28177DB@SC-EXCL01.win.root.sonoma.gov> References: <238C31806781F5448E773E5888D268D28177DB@SC-EXCL01.win.root.sonoma.gov> Message-ID: <11394F6CF01A2F4D8A0672204604BC7005C68A51A8@EXCHVS7A.mx.state.mo.us> There are some approved cribs out there. One is metal and sits much higher off the ground than a port a crib. Make sure what you purchase is manufactured after 6/30/11. Swings are definitely not approved places to sleep Karen Schenk, RN. BS Public Health Consultant Nurse Missouri Department of Health and Senior Services 930 Wildwood, P.O. Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6429 Fax: 573-751-6185 Please note my email address has changed. The new address is Karen.Schenk at health.mo.gov This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient of the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address (Karen.Schenk at health.mo.gov) or by calling (573-751-6429). Thank you! From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Rebecca Munger Sent: Wednesday, February 15, 2012 4:26 PM To: 'Listserv at suid-im-projectimpact.org' Subject: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program I am looking for guidance to help a perinatal alcohol and other drug day treatment program in our community that provides onsite childcare. The treatment program is very supportive of having infants sleep in portacribs but once the babies are over 15 pounds, it is very difficult for staff to lift them. Several of the providers have complained of back pain so they are now putting older infants (> 5 months) in swings for naps. Staff recognize the importance of modeling safe sleep practices but due to space constraints there is not room for standard cribs. * Does anyone know of an alternate safety-approved crib that would be appropriate for this situation? * Are there any other solutions that you might recommend? Thank you Rebecca Jones Munger, CNM, PHN Maternal Child Adolescent Health Coordinator County of Sonoma - Department of Health Services 625 5th Street, Santa Rosa, CA 95404 desk 707 565-4553 fax 707 565-4550 Rebecca.Munger at sonoma-county.org www.sonoma-county.org/mcah NOTICE OF CONFIDENTIALITY: This e-mail message, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential or exempt from disclosure under applicable laws. If you are not the intended recipient, you are notified that dissemination, distribution, or copying of this communication is strictly prohibited and may be a violation of law. If you have received this communication in error, please notify the sender by reply e-mail and delete all copies of the original message *Please consider the environment before printing this e-mail, or opt to print on both sides of the paper. -------------- next part -------------- An HTML attachment was scrubbed... URL: From wzieker at co.jefferson.co.us Thu Feb 23 10:45:22 2012 From: wzieker at co.jefferson.co.us (Wendy Zieker) Date: Thu, 23 Feb 2012 08:45:22 -0700 Subject: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program In-Reply-To: References: Message-ID: Rebecca, If they are a licensed child care program, they would be in violation of the rules and regulations, which dictate space for sleeping and what infants can sleep in, CA has a strong Child Health Program that helps child care providers, http://www.ucsfchildcarehealth.org/ Name Title Phone Email Abbey Alcon Director (415) 476-4695 abbey.alkon at nursing.ucsf.edu Bobbie Rose Child Care Health Consultant (510) 204-0932 brose at ucsfchildcarehealth.org I hope they can help, they may have some ideas, Wendy From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Rebecca Munger Sent: Wednesday, February 15, 2012 3:26 PM To: 'Listserv at suid-im-projectimpact.org' Subject: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program I am looking for guidance to help a perinatal alcohol and other drug day treatment program in our community that provides onsite childcare. The treatment program is very supportive of having infants sleep in portacribs but once the babies are over 15 pounds, it is very difficult for staff to lift them. Several of the providers have complained of back pain so they are now putting older infants (> 5 months) in swings for naps. Staff recognize the importance of modeling safe sleep practices but due to space constraints there is not room for standard cribs. * Does anyone know of an alternate safety-approved crib that would be appropriate for this situation? * Are there any other solutions that you might recommend? Thank you Rebecca Jones Munger, CNM, PHN Maternal Child Adolescent Health Coordinator County of Sonoma - Department of Health Services 625 5th Street, Santa Rosa, CA 95404 desk 707 565-4553 fax 707 565-4550 Rebecca.Munger at sonoma-county.org www.sonoma-county.org/mcah NOTICE OF CONFIDENTIALITY: This e-mail message, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential or exempt from disclosure under applicable laws. If you are not the intended recipient, you are notified that dissemination, distribution, or copying of this communication is strictly prohibited and may be a violation of law. If you have received this communication in error, please notify the sender by reply e-mail and delete all copies of the original message *Please consider the environment before printing this e-mail, or opt to print on both sides of the paper. -------------- next part -------------- An HTML attachment was scrubbed... URL: From BHamilton at hrsa.gov Thu Feb 23 11:19:48 2012 From: BHamilton at hrsa.gov (Hamilton, Barbara (HRSA)) Date: Thu, 23 Feb 2012 11:19:48 -0500 Subject: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program In-Reply-To: <238C31806781F5448E773E5888D268D28177DB@SC-EXCL01.win.root.sonoma.gov> References: <238C31806781F5448E773E5888D268D28177DB@SC-EXCL01.win.root.sonoma.gov> Message-ID: <8A0679CDF5E47D48B6619AAB98FE7D7A104DD6EB2A@NIHMLBX04.nih.gov> Hi Rebecca - Caring for Our Children http://nrckids.org/CFOC3/CFOC3-grayscale.pdf are national voluntary standards for child care programs (both centers and family homes) developed by AAP, APHA and the National Resource Center for Health and Safety in Child Care and Early Education. On the Frequently Asked Questions Section (http://nrckids.org/CFOC3/FAQ2_21_2010.pdf page 5) , they state: "Playpens and play yards, bassinets, etc. are acceptable sleep areas for infants as long as the furniture/equipment meets the ASTM F406-11b Standard Consumer Safety Specification for Non-Full-Size Baby Cribs/ Play Yards and that they meet all of the criteria that would be expected for a crib: * a firm mattress that fits tightly without gaps, * a fitted sheet (that appropriately fits the mattress), * no bedding or blankets, and * the baby is put to sleep supine (on the back). As noted in Standard 5.4.5.2: Cribs (p.253), there are Consumer Safety Specifications for Non-Full-Size Baby Cribs/Play Yards. In this same standard the COMMENTS section states: "If portable cribs and those that are not full-size are substituted for regular full-sized cribs, they must be maintained in the condition that meets the ASTM F406-11b Standard Consumer Safety Specification for Non-Full-Size Baby Cribs/Play Yards. Portable cribs are designed so they may be folded or collapsed, with or without disassembly. Although portable cribs are not designed to withstand the wear and tear of normal full-sized cribs, they may provide more flexibility for programs that vary the number of infants in care from time to time. And I would just add, that if the onsite child care program is subject to state child care licensing regulations, you will want to check their requirements and regulations related to sleep equipment allowed as well. Hope this is helpful, Barb Barbara U. Hamilton, MA Early Care and Education Specialist MCHB, Division of Home Visiting and Early Childhood Systems 5600 Fishers Lane, 10-86 Rockville MD 20857 301-443-8939 bhamilton at hrsa.gov From: Rebecca Munger [mailto:Rebecca.Munger at sonoma-county.org] Sent: Wednesday, February 15, 2012 5:26 PM To: 'Listserv at suid-im-projectimpact.org' Subject: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program I am looking for guidance to help a perinatal alcohol and other drug day treatment program in our community that provides onsite childcare. The treatment program is very supportive of having infants sleep in portacribs but once the babies are over 15 pounds, it is very difficult for staff to lift them. Several of the providers have complained of back pain so they are now putting older infants (> 5 months) in swings for naps. Staff recognize the importance of modeling safe sleep practices but due to space constraints there is not room for standard cribs. * Does anyone know of an alternate safety-approved crib that would be appropriate for this situation? * Are there any other solutions that you might recommend? Thank you Rebecca Jones Munger, CNM, PHN Maternal Child Adolescent Health Coordinator County of Sonoma - Department of Health Services 625 5th Street, Santa Rosa, CA 95404 desk 707 565-4553 fax 707 565-4550 Rebecca.Munger at sonoma-county.org www.sonoma-county.org/mcah NOTICE OF CONFIDENTIALITY: This e-mail message, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential or exempt from disclosure under applicable laws. If you are not the intended recipient, you are notified that dissemination, distribution, or copying of this communication is strictly prohibited and may be a violation of law. If you have received this communication in error, please notify the sender by reply e-mail and delete all copies of the original message *Please consider the environment before printing this e-mail, or opt to print on both sides of the paper. -------------- next part -------------- An HTML attachment was scrubbed... URL: From Tory.Henderson at DOH.WA.GOV Thu Feb 23 11:50:54 2012 From: Tory.Henderson at DOH.WA.GOV (Henderson, Tory (DOH)) Date: Thu, 23 Feb 2012 08:50:54 -0800 Subject: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program In-Reply-To: <238C31806781F5448E773E5888D268D28177DB@SC-EXCL01.win.root.sonoma.gov> References: <238C31806781F5448E773E5888D268D28177DB@SC-EXCL01.win.root.sonoma.gov> Message-ID: <13BA44CF9BB83A4B98C8FA51B740F1F101E6DFB2@dohmxtum32.doh.wa.lcl> I recommend you contact the California Child Care Resource & Referral Network: http://www.rrnetwork.org/ ________________________________________________________________________ ________ Tory Clarke Henderson Child and Family Health Consultant Child Death Review Coordinator Community Based Prevention Section Office of Healthy Communities Division of Prevention and Community Health Washington State Department of Health Location: Point Plaza East - 310 Israel Road SE, Tumwater WA Mailing Address: PO Box 47848, Olympia, WA 98504-7848 Phone (360) 236-3522 Fax (360) 236-3646 TDD 1-800-833-6388 Email: tory.henderson at doh.wa.gov Public Health - Always Working for a Safer and Healthier Washington From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Rebecca Munger Sent: Wednesday, February 15, 2012 2:26 PM To: 'Listserv at suid-im-projectimpact.org' Subject: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program I am looking for guidance to help a perinatal alcohol and other drug day treatment program in our community that provides onsite childcare. The treatment program is very supportive of having infants sleep in portacribs but once the babies are over 15 pounds, it is very difficult for staff to lift them. Several of the providers have complained of back pain so they are now putting older infants (> 5 months) in swings for naps. Staff recognize the importance of modeling safe sleep practices but due to space constraints there is not room for standard cribs. * Does anyone know of an alternate safety-approved crib that would be appropriate for this situation? * Are there any other solutions that you might recommend? Thank you Rebecca Jones Munger, CNM, PHN Maternal Child Adolescent Health Coordinator County of Sonoma - Department of Health Services 625 5th Street, Santa Rosa, CA 95404 desk 707 565-4553 fax 707 565-4550 Rebecca.Munger at sonoma-county.org www.sonoma-county.org/mcah NOTICE OF CONFIDENTIALITY: This e-mail message, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential or exempt from disclosure under applicable laws. If you are not the intended recipient, you are notified that dissemination, distribution, or copying of this communication is strictly prohibited and may be a violation of law. If you have received this communication in error, please notify the sender by reply e-mail and delete all copies of the original message *Please consider the environment before printing this e-mail, or opt to print on both sides of the paper. -------------- next part -------------- An HTML attachment was scrubbed... URL: From opickett at ncemch.org Thu Feb 23 11:36:50 2012 From: opickett at ncemch.org (Olivia Pickett) Date: Thu, 23 Feb 2012 11:36:50 -0500 Subject: [SUID-IM-Listserv] Product that claims to reduce the risk of SIDS In-Reply-To: <2C3C8F24D2C1704C917906BCFD102E3A0F38570C@SIDS-DATA.Sids.local> References: <2C3C8F24D2C1704C917906BCFD102E3A0F38570C@SIDS-DATA.Sids.local> Message-ID: Thanks for alerting us to this product. I looked on their website and also noted they want to charge people $1000 (standard package with one garment) or $2500 (deluxe package with one garment in each size available) to evaluate their equipment. And in addition to helping parents avoid "known causes of SIDS" (which, as we all know, is defined as a sudden death of an infant under 1 year of age that cannot be explained....), the FAQ reveals it will help you be better parents and help your children learn to love the baby. Ah, the free enterprise system. Olivia Pickett, M.A., M.L.S. Director, Maternal and Child Health Library and staff member of the National SUID/SIDS Resource Center Georgetown University opickett at ncemch.org 202-784-9776 On Fri, Feb 17, 2012 at 2:03 PM, Judy Rainey wrote: > Dear colleagues: > > I was alerted to a claim being made by a company that makes a product called "Exmobaby." ?The claims made on their website are completely misleading, inaccurate, and not medically proven. ?I sent an email to the FDA to inform them of the claims being made by this product. ?Below is my email: > > I believe I sent you an email about this product - Exmobaby - a while ago. ?At that time I believe it was still being designed, but I just saw this on their website: ?(http://exmobaby.exmovere.com/about.php ) > > "Exmobaby parents will be able to see icons representing their baby's heartbeat, emotional state and activity level on their cell phones. This is especially important for first-time mothers re-entering the work force, parents concerned about the vigilance of their babysitter, and childcare centers juggling the needs of multiple children. Exmobaby will also be marketed to parents worried about infant sleep apnea, choking and other dangers that relate to SIDS." > > First, this product has never been tested to see if it reduces the number of SIDS deaths each year. ?In fact, the AAP says that NO infant monitor reduces the risk of SIDS. ?Second, the statement "parents worried about infant sleep apnea, choking, and other dangers that relate to SIDS" is completely misleading. ?We've tried for two decades to assure parents that placing their infant on her back to sleep does not increase the risk of choking; in fact, it reduces the risk. ?And SIDS is NOT sleep apnea. ?The American SIDS Institute for years recommended monitors to reduce SIDS death due to sleep apnea. ?They didn't. > > In addition to the claims stated above, the company goes to great lengths to claim that Exmobaby will have a tremendous impact on SIDS death rates around the world: > > "In particular, Exmobaby products were designed and made with an initial focus on countries with high infant mortality rates and countries launching active campaigns to reduce Sudden Infant Death Syndrome (SIDS), including Germany, Japan, South Korea, the United Kingdom and the United States. > > Exmobaby clothing and apparel offers a way to improve the rate of reduction in infant deaths due to SIDS and accidents. With the technology and alert capabilities, parents and caregivers can be assured that they will know immediately if baby is in danger. Part of the bio-data gathered by the system includes indicators like heart rate. These bio-indicators are dependent on blood oxygen levels which are directly correlated with the known causes of SIDS worldwide." > > I'm sure the FDA has no way to prevent this company from making these claims in other countries, but the company needs to take this claim off any website that can be accessed by anyone in the U.S. > > I would appreciate it if you would pass my concerns along to the appropriate group at the FDA that monitors these types of claims. ?Thank you in advance for your attention to this matter. > > > > Judy Kimmitt Rainey > Director of National and Legislative Affairs > Cribs for Kids/ Washington, DC, Office > 1115 Massachusetts Avenue, N.W. > Washington, DC ?20005 > (202) 494-3359 > JRainey at cribsforkids.org > > www.cribsforkids.org > > _______________________________________________ > Listserv mailing list > Listserv at suid-im-projectimpact.org > http://suid-im-projectimpact.org/mailman/listinfo/listserv_suid-im-projectimpact.org From nancy at kidsindanger.org Thu Feb 23 13:07:46 2012 From: nancy at kidsindanger.org (Nancy A. Cowles) Date: Thu, 23 Feb 2012 12:07:46 -0600 Subject: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program In-Reply-To: <238C31806781F5448E773E5888D268D28177DB@SC-EXCL01.win.root.sonoma.gov> References: <238C31806781F5448E773E5888D268D28177DB@SC-EXCL01.win.root.sonoma.gov> Message-ID: <010501ccf256$0d2cf0a0$2786d1e0$@org> Smaller portable cribs take up the same space as a pack-n-play and are higher off the ground for lifting. Community Playthings and Kaplan are two manufacturers who provide those. There aren't other safe sleep options. Swings, car seats, bouncers, etc aren't safe for napping. Nancy A. Cowles Executive Director Kids In Danger 116 W. Illinois, Suite 5E Chicago, IL 60654 www.KidsInDanger.org 312.595-0649 nancy at kidsindanger.org Kids In Danger is a nonprofit organization dedicated to protecting children by improving children's product safety. Learn more at www.KidsInDanger.org . Read what's new at our KID Blog . "Like" us at Facebook.com/kidsindanger and twitter.com/kidsindanger . Raise money for Kids In Danger by searching the Internet or shopping online with GoodSearch - www.goodsearch.com - powered by Yahoo! P please don't print this e-mail unless you really need to From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Rebecca Munger Sent: Wednesday, February 15, 2012 4:26 PM To: 'Listserv at suid-im-projectimpact.org' Subject: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program I am looking for guidance to help a perinatal alcohol and other drug day treatment program in our community that provides onsite childcare. The treatment program is very supportive of having infants sleep in portacribs but once the babies are over 15 pounds, it is very difficult for staff to lift them. Several of the providers have complained of back pain so they are now putting older infants (> 5 months) in swings for naps. Staff recognize the importance of modeling safe sleep practices but due to space constraints there is not room for standard cribs. . Does anyone know of an alternate safety-approved crib that would be appropriate for this situation? . Are there any other solutions that you might recommend? Thank you Rebecca Jones Munger, CNM, PHN Maternal Child Adolescent Health Coordinator County of Sonoma - Department of Health Services 625 5th Street, Santa Rosa, CA 95404 desk 707 565-4553 fax 707 565-4550 Rebecca.Munger at sonoma-county.org www.sonoma-county.org/mcah NOTICE OF CONFIDENTIALITY: This e-mail message, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential or exempt from disclosure under applicable laws. If you are not the intended recipient, you are notified that dissemination, distribution, or copying of this communication is strictly prohibited and may be a violation of law. If you have received this communication in error, please notify the sender by reply e-mail and delete all copies of the original message *Please consider the environment before printing this e-mail, or opt to print on both sides of the paper. -------------- next part -------------- An HTML attachment was scrubbed... URL: From bertnesj at georgetown.edu Fri Feb 24 16:07:48 2012 From: bertnesj at georgetown.edu (Jolene Bertness) Date: Fri, 24 Feb 2012 16:07:48 -0500 Subject: [SUID-IM-Listserv] MCH Alert: Focus on Infant Mortality Message-ID: The February 24, 2012, issue of MCH Alert: Focus on Infant Mortality is now available at http://www.mchlibrary.info/alert/2012/alert022412.html In this issue: February 24, 2012 Multimedia Featured Resource: The National SUID/SIDS Resource Center's website contains archived and resource materials from six quarterly webinars co-sponsored by the Association of SIDS and Infant Mortality Programs (ASIP) and the Association of Maternal and Child Health Programs (AMCHP). The purpose of the webinar series, which is funded by the Maternal and Child Health Bureau, is to strengthen sudden unexpected infant death (SUID), sudden infant death syndrome (SIDS), infant safe sleep, and bereavement services across the United States. The most recent webinar in the series, held on November 9, 2011, focused on the American Academy of Pediatrics' 2011 policy statement and technical report on safe sleep. Other webinar topics include successes and new challenges, new research on the causes of SIDS and SUID, opportunities in health reform to prevent infant death, racial disparities in infant safe sleep practice, and using the Pregnancy Risk Assessment Monitoring System to impact programs and policy. Archives and resources from this webinar and previous webinars in the series are available at http://www.sidscenter.org/podcasts/2010/asip_amchp/index.html ASIP and AMCHP have also produced a related issue brief, Data-Driven Decisions: Using Surveillance Data to Inform Infant Safe Sleep Programs. The brief showcases state-specific examples and use of the Pregnancy Risk Assessment Monitoring System (PRAMS) in informing programmatic change. The brief is available at http://www.asip1.org/Infant%20Safe%20Sleep%20Programs%202-6-12.pdf 1. Resource Focuses on Implementing and Evaluating SUID/SIDS Interventions 2. Brief Explores Trends and Characteristics of U.S. Home Births 3. Study Examines Regional Variation in Late Preterm Births in North Carolina MCH Alert: Focus on Infant Mortality is a free electronic newsletter issued on the last Friday of each month. The newsletter features research findings, policy developments, recently released publications, and new programs and initiatives related to sudden infant death, miscarriage, stillbirth, other infant death, and related topics. MCH Alert: Focus on Infant Mortality is developed by the Maternal and Child Health Library, in collaboration with the National SUID/SIDS Resource Center, at the National Center for Education in Maternal and Child Health at Georgetown University under its cooperative agreements with the Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services. To subscribe to MCH Alert, send an e-mail message to MCHAlert-request at lists.mchgroup.org with SUBSCRIBE in the subject line. You do not need to enter any text in the body of the message. To unsubscribe from MCH Alert, send an e-mail message to MCHAlert-request at lists.mchgroup.org with UNSUBSCRIBE in the subject line. You do not need to enter any text in the body of the message. To receive notice of new issues of MCH Alert, follow the MCH Library on Twitter at http://www.twitter.com/MCH_Library. We welcome your submissions, suggestions, and questions at MCHAlert at ncemch.org. --- Posted by: Jolene M. Bertness, M.Ed. MCH Alert Editor Maternal and Child Health Library National Center for Education in Maternal and Child Health Georgetown University Box 571727 Washington, DC 20057-1272 Voice: (202) 784-9554 Fax: (202) 784-9777 E-mail: bertnesj at georgetown.edu Website: http://www.mchlibrary.info/alert Twitter: http://www.twitter.com/mch_library From nancy at kidsindanger.org Thu Feb 23 15:55:36 2012 From: nancy at kidsindanger.org (Nancy A. Cowles) Date: Thu, 23 Feb 2012 14:55:36 -0600 Subject: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program In-Reply-To: <8A0679CDF5E47D48B6619AAB98FE7D7A104DD6EB2A@NIHMLBX04.nih.gov> References: <238C31806781F5448E773E5888D268D28177DB@SC-EXCL01.win.root.sonoma.gov> <8A0679CDF5E47D48B6619AAB98FE7D7A104DD6EB2A@NIHMLBX04.nih.gov> Message-ID: <022b01ccf26d$802531a0$806f94e0$@org> New national requirements are that all cribs in public accommodations (child care included) meet the NEW standards: 16 CFR 1219 (for full size cribs) or 16 CFR 1210 for non-full size cribs. Child care facilities have until December 28, 2012 to comply. Here's more information from CPSC: http://www.cpsc.gov/cpscpub/pubs/5023.pdf Nancy A. Cowles Executive Director Kids In Danger 116 W. Illinois, Suite 5E Chicago, IL 60654 www.KidsInDanger.org 312.595-0649 nancy at kidsindanger.org Kids In Danger is a nonprofit organization dedicated to protecting children by improving children's product safety. Learn more at www.KidsInDanger.org . Read what's new at our KID Blog . "Like" us at Facebook.com/kidsindanger and twitter.com/kidsindanger . Raise money for Kids In Danger by searching the Internet or shopping online with GoodSearch - www.goodsearch.com - powered by Yahoo! P please don't print this e-mail unless you really need to From: listserv-bounces at suid-im-projectimpact.org [mailto:listserv-bounces at suid-im-projectimpact.org] On Behalf Of Hamilton, Barbara (HRSA) Sent: Thursday, February 23, 2012 10:20 AM To: Project Impact Listserv Cc: Satkowiak, Linda; Cimino Jean Subject: Re: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program Hi Rebecca - Caring for Our Children http://nrckids.org/CFOC3/CFOC3-grayscale.pdf are national voluntary standards for child care programs (both centers and family homes) developed by AAP, APHA and the National Resource Center for Health and Safety in Child Care and Early Education. On the Frequently Asked Questions Section (http://nrckids.org/CFOC3/FAQ2_21_2010.pdf page 5) , they state: "Playpens and play yards, bassinets, etc. are acceptable sleep areas for infants as long as the furniture/equipment meets the ASTM F406-11b Standard Consumer Safety Specification for Non-Full-Size Baby Cribs/ Play Yards and that they meet all of the criteria that would be expected for a crib: . a firm mattress that fits tightly without gaps, . a fitted sheet (that appropriately fits the mattress), . no bedding or blankets, and . the baby is put to sleep supine (on the back). As noted in Standard 5.4.5.2: Cribs (p.253), there are Consumer Safety Specifications for Non-Full-Size Baby Cribs/Play Yards. In this same standard the COMMENTS section states: "If portable cribs and those that are not full-size are substituted for regular full-sized cribs, they must be maintained in the condition that meets the ASTM F406-11b Standard Consumer Safety Specification for Non-Full-Size Baby Cribs/Play Yards. Portable cribs are designed so they may be folded or collapsed, with or without disassembly. Although portable cribs are not designed to withstand the wear and tear of normal full-sized cribs, they may provide more flexibility for programs that vary the number of infants in care from time to time. And I would just add, that if the onsite child care program is subject to state child care licensing regulations, you will want to check their requirements and regulations related to sleep equipment allowed as well. Hope this is helpful, Barb Barbara U. Hamilton, MA Early Care and Education Specialist MCHB, Division of Home Visiting and Early Childhood Systems 5600 Fishers Lane, 10-86 Rockville MD 20857 301-443-8939 bhamilton at hrsa.gov From: Rebecca Munger [mailto:Rebecca.Munger at sonoma-county.org] Sent: Wednesday, February 15, 2012 5:26 PM To: 'Listserv at suid-im-projectimpact.org' Subject: [SUID-IM-Listserv] Recommendations for child care in perinatal alcohol and other drug treatment program I am looking for guidance to help a perinatal alcohol and other drug day treatment program in our community that provides onsite childcare. The treatment program is very supportive of having infants sleep in portacribs but once the babies are over 15 pounds, it is very difficult for staff to lift them. Several of the providers have complained of back pain so they are now putting older infants (> 5 months) in swings for naps. Staff recognize the importance of modeling safe sleep practices but due to space constraints there is not room for standard cribs. . Does anyone know of an alternate safety-approved crib that would be appropriate for this situation? . Are there any other solutions that you might recommend? Thank you Rebecca Jones Munger, CNM, PHN Maternal Child Adolescent Health Coordinator County of Sonoma - Department of Health Services 625 5th Street, Santa Rosa, CA 95404 desk 707 565-4553 fax 707 565-4550 Rebecca.Munger at sonoma-county.org www.sonoma-county.org/mcah NOTICE OF CONFIDENTIALITY: This e-mail message, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential or exempt from disclosure under applicable laws. If you are not the intended recipient, you are notified that dissemination, distribution, or copying of this communication is strictly prohibited and may be a violation of law. If you have received this communication in error, please notify the sender by reply e-mail and delete all copies of the original message *Please consider the environment before printing this e-mail, or opt to print on both sides of the paper. -------------- next part -------------- An HTML attachment was scrubbed... URL: From mosgerby at sidsprojectimpact.com Fri Feb 24 09:46:19 2012 From: mosgerby at sidsprojectimpact.com (Mark Osgerby) Date: Fri, 24 Feb 2012 09:46:19 -0500 Subject: [SUID-IM-Listserv] News from CPSC - Recall Message-ID: FOR IMMEDIATE RELEASE February 23, 2012 Release #12-116 Firm's Recall Hotline: (866) 349-7225 CPSC Recall Hotline: (800) 638-2772 CPSC Media Contact: (301) 504-7908 Kelty Recalls Jogging Strollers Due to Fall and Injury Hazards WASHINGTON, D.C. - The U.S. Consumer Product Safety Commission, in cooperation with the firm named below, today announced a voluntary recall of the following consumer product. Consumers should stop using recalled products immediately unless otherwise instructed. It is illegal to resell or attempt to resell a recalled consumer product. Name of Product: Kelty Single and Double Jogging Strollers Units: About 3,000 Importer: Kelty, of Boulder, Colo., a division of American Recreation Products Hazard: The front wheel can come loose during use and cause the stroller to tip over, posing a fall and injury hazard to children in the stroller and adults pushing the stroller. Incidents/Injuries: There have been three reported incidents with these recalled strollers, including cuts, scrapes and fractured bones to adults, and minor cuts and scrapes to children. Description: This recall involves Kelty Speedster Swivel Deluxe single jogging strollers and Swivel Deuce double jogging strollers. The strollers have an aluminum frame and a cloth seat with a canopy. They were sold in color combinations blue/gray and orange/gray. "Kelty Kids" is embroidered on the front of the stroller in the child's leg area. The following model numbers are included in this recall. The model number and stroller name are printed on a tag inside the stroller's seat area. Kelty Swivel Deluxe (single jogging stroller) Model Numbers: 20090116, 20090116B, 20650411BLU, 20650411CU Kelty Swivel Deuce (double jogging stroller) Model Numbers: 20090216, 20650611 Sold at: Juvenile product stores and sporting goods stores nationwide and by Web retailers, including www.kelty.com, from January 2010 through February 2012 for between $375 and $475. Manufactured in: Philippines Remedy: Consumers should immediately stop using the recalled strollers and contact Kelty to receive free updated assembly and maintenance instructions. Consumer Contact: For additional information, contact Kelty toll-free at (866) 349-7225 between 8 a.m. and 4 p.m. MT, or visit the firm's website at www.kelty.com To see this recall on CPSC's web site, including pictures of the recalled products, please go to: http://www.cpsc.gov/cpscpub/prerel/prhtml12/12116.html ******************************************************** Visit our blog, OnSafety at www.cpsc.gov/onsafety See our videos on YouTube at http://www.youtube.com/uscpsc Follow us on Twitter at http://twitter.com/OnSafety See our photos on Flickr at http://www.flickr.com/photos/uscpsc The U.S. Consumer Product Safety Commission is charged with protecting the public from unreasonable risks of injury or death from thousands of types of consumer products under the agency's jurisdiction. The CPSC is committed to protecting consumers and families from products that pose a fire, electrical, chemical, or mechanical hazard or can injure children. The CPSC's work to ensure the safety of consumer products - such as toys, cribs, power tools, cigarette lighters, and household chemicals - contributed significantly to the 30 percent decline in the rate of deaths and injuries associated with consumer products over the past 30 years. To report a dangerous product or a product-related injury, visit www.saferproducts.gov, or contact CPSC's Hotline at info at cpsc.gov, (800) 638-2772 or CPSC's teletypewriter at (800) 638-8270. To join a CPSC e-mail subscription list, please go to https://www.cpsc.gov/cpsclist.aspx. Consumers can obtain recall and general safety information by logging on to CPSC's Web site at www.cpsc.gov. -----------------------------