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Recommendation | Level of Evidence |
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1.0 Assessment |
1.1 At every encounter, assess pregnant women, parents, and other caregivers for factors associated with a higher risk of unexpected death or injury in infants while sleeping. |
III |
| 1.2 At every encounter, assess infants for factors associated with a higher risk for unexpected death while sleeping. | III | |
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1.3 At every encounter, assess sleep position and the sleeping environment for factors associated with a higher risk for unexpected death in infants. |
III | |
| 2.0 Planning |
2.1 Collaborate with parent/caregiver, family, significant others and the inter-professional team to develop a mutually agreed upon plan to promote safe sleep in all environments. |
IV |
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3.0 Implementation |
3.1 Model safe sleep practices by placing infants on their back (supine position) for every sleep, unless medically contraindicated. |
III |
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3.2 Educate parents/caregivers about safe sleep environments. |
III | |
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3.3 Encourage parents/caregivers to place infants to sleep on a firm mattress and in an age appropriate crib, cradle or bassinet that meets current Canadian safety regulations. |
IV | |
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3.4 Educate parents/caregivers about the benefits of sharing the same room with their infants for at least the first six months of life. |
III | |
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3.5 Educate parents/caregivers about the risks of sharing a sleep surface with their infant. |
III | |
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3.6 Support parents/caregivers in making an informed decision regarding pacifier use. |
IV | |
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3.7 Provide health education about the risk of smoking during pregnancy and SIDS. |
III | |
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3.8 Provide smoking cessation counseling before, during, and after pregnancy to women, family members and other caregivers identified as tobacco users. |
III | |
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3.9 Encourage women, family members and other caregivers to promote a smoke-free environment during and after pregnancy. |
III | |
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3.10 Provide health education about the risks associated with SIDS and alcohol and substance use and their potential effect during pregnancy and while caring for an infant. |
III | |
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3.11 Provide health education before, during, and after pregnancy to promote breastfeeding as a protective factor against SIDS. |
III | |
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3.12 Provide health education before, during, and after pregnancy about routine immunization of infants as a protective factor against SIDS. |
III | |
| 4.0 Evaluation |
4.1 Evaluate parents’/caregivers’ knowledge and implementation of safe sleep practices for infants. |
IV |