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This Month's Feature Article

safe sleeping

SIDS IS A DEVASTATING REALITY FOR MANY FAMILIES. WITH THE SUCCESS OF THE SIDS AND KIDS SAFE SLEEPING PROGRAM, WE NOW HAVE A MUCH GREATER UNDERSTANDING OF THE RISK FACTORS INVOLVED.

WORDS SALLY ROBERTSON

 

   
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une heralds the time of year red noses and various red-nose-inspired paraphernalia emerge on cars, buildings, parents and children all around Australia. There is a lot of meaning behind the iconic red nose, which has come to symbolise sudden infant death syndrome (SIDS).

SIDS is the most common cause of death in infants from one month to one year of age. This is as concerning as it is problematic, as there is no conclusive explanation as to why a baby dies for no apparent reason, usually when they are asleep. The exact cause remains an enigma. A baby who has died from SIDS is usually discovered after having gone to sleep, and exhibits no signs of having suffered. If the cause of death remains unexplained after an autopsy, an examination of the scene in which the baby was found, and a thorough exploration of the baby’s and its family’s medical history, the baby is then thought to have died from SIDS.

‘Red Nose Day started 18 years ago as a fun, comical way to raise awareness of this serious and tragic issue,’ explains Phil Weir, national Red Nose Day manager. ‘It is very important because the money raised ensures that the SIDS and Kids organisation can continue to assist in researching, educating, providing bereavement services and preventing the unexplained deaths of young children,’ he says. The funds raised from Red Nose Day have had a profound effect on SIDS rates. Since SIDS and Kids began its Safe Sleeping Program in 1990, there has been a drop of 84 percent in SIDS deaths, which has saved an estimated 4,084 babies. In 1989, 513 babies died of SIDS, and by 2003 this number had dropped to 73, making the outlook for SIDS much brighter.

Denise Thomas, National Health Promotions manager from SIDS and Kids, says although this is a great result we still have a long way to go as there are many more deaths, not labelled as SIDS, but with the same risk factors, that can be attributed to unsafe sleeping environments. ‘In a study recently released by the NSW Commission for Children and Young People, there were 186 sudden and unexpected deaths between 2000 and 2002,’ says Thomas. Risk factors were present in 90 percent of these deaths, meaning they could possibly have been avoided if parents had followed the safe-sleeping guidelines.

‘Parents needn’t fear SIDS, they merely need to provide their child with a safe sleeping environment. If all the risk factors are removed it is very unlikely a death will occur,’ she says. Thomas explains it is important for babies to always sleep on their back, never on their tummy or side. The baby’s head must remain uncovered, he should not be exposed to tobacco smoke during pregnancy and/or after birth, and he needs to sleep in a safe environment, which means avoiding soft mattresses, cot bumpers, doonas, pillows, lamb’s wool and soft toys.

There needs to be more available safe-sleeping education for health professionals and childcare workers, according to Thomas, as studies show these groups are not always practising and promoting safe-sleeping recommendations. ‘In the US, up to 20 percent of SIDS deaths occur in childcare settings, which highlights the fact that all people caring for your child should also be aware of these important safe-sleeping guidelines,’ she says. ‘With more government assistance, more health policies, and increased exposure of the safe-sleeping message to parents, more infant lives will be saved.

’One effective way you can help with the prevention of SIDS is by supporting Red Nose Day. Now in its 19th year, the once exclusive red nose has been diversified, with a number of new and interesting products being added to the range. Not only can you buy a red nose for your face, car, truck or business, you can also purchase a superhero bear, lapel pin, pen, an awareness wristband and even a fun bubble clock. All these products are available in large supermarkets, variety stores and childcare centres.

‘We are really looking forward to Red Nose Day this year,’ says Weir. ‘It is one of the most recognised days in Australia, but SIDS resources are constantly in demand and the success of this day is vital for us to maintain our resources. SIDS and Kids has been funding research nationally since 1988, and in this period millions of dollars has been devoted to researching the possible causes of SIDS, unexplained infant death and the methodology of the prevention of SIDS.’

Resources

Further Reading
• SIDS: A Parent’s Guide to Understanding and Preventing Sudden Infant Death Syndrome by William Sears (Little Brown & Company, $19.95).
• Beginning Again: SIDS Families Share Their Hopes, Dreams, Fears, and Joy by Deborah Gemmill (Beachcomber Press, $10.95).

Useful Contacts
• SIDS and Kids Contact 1300 308 307 or www.sidsandkids.org
• Red Nose Day www.rednoseday.com.au
• SIDS hotline Contact 1300 308 307

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