Infant injuries from child restraint safety seat misuse at British Columbia Children’s Hospital

Desapriya, Ediriweera B. R.; Joshi, Pamela; Subzwari, Sayed; Nolan, Mhairi

doi:10.1111/j.1442-200x.2008.02635.x

Cited by 14 publications

(5 citation statements)

References 21 publications

(35 reference statements)

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“…[128][129][130][131][132] In addition, there is increasing concern about injuries from falls resulting from car seats being placed on elevated surfaces. [133][134][135][136][137] An analysis of CPSC data revealed 15 suffocation deaths between 1990 and 1997 resulting from car seats overturning after being placed on a bed, mattress, or couch. 136 The CPSC also warns about the suffocation hazard to infants, particularly those who are younger than 4 months, who are carried in infant sling carriers.…”

Section: Car Seats and Other Sitting Devices Are Not Recommended For mentioning

confidence: 99%

SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment

Moon¹

2011

Pediatrics

218

115

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Despite a major decrease in the incidence of sudden infant death syndrome (SIDS) since the American Academy of Pediatrics (AAP) released its recommendation in 1992 that infants be placed for sleep in a nonprone position, this decline has plateaued in recent years. Concurrently, other causes of sudden unexpected infant death occurring during sleep (sleep-related deaths), including suffocation, asphyxia, and entrapment, and ill-defined or unspecified causes of death have increased in incidence, particularly since the AAP published its last statement on SIDS in 2005. It has become increasingly important to address these other causes of sleep-related infant death. Many of the modifiable and nonmodifiable risk factors for SIDS and suffocation are strikingly similar. The AAP, therefore, is expanding its recommendations from being only SIDS-focused to focusing on a safe sleep environment that can reduce the risk of all sleep-related infant deaths including SIDS. The recommendations described in this report include supine positioning, use of a firm sleep surface, breastfeeding, room-sharing without bed-sharing, routine immunization, consideration of a pacifier, and avoidance of soft bedding, overheating, and exposure to tobacco smoke, alcohol, and illicit drugs. The rationale for these recommendations is discussed in detail in this technical report. The recommendations are published in the accompanying “Policy Statement—Sudden Infant Death Syndrome and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment,” which is included in this issue (www.pediatrics.org/cgi/doi/10.1542/peds.2011-2220).

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Section: Car Seats and Other Sitting Devices Are Not Recommended For mentioning

confidence: 99%

SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment

Moon¹

2011

Pediatrics

218

115

View full text Add to dashboard Cite

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“…Car safety seats and similar products are not stable on a crib mattress or other elevated surfaces. [25][26][27][28][29] 3. Room-sharing without bedsharing is recommendedThere is evidence that this arrangement decreases the risk of SIDS by as much as 50%.…”

Section: Introductionmentioning

confidence: 99%

SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment

Moon¹

2011

Pediatrics

543

113

View full text Add to dashboard Cite

Despite a major decrease in the incidence of sudden infant death syndrome (SIDS) since the American Academy of Pediatrics (AAP) released its recommendation in 1992 that infants be placed for sleep in a nonprone position, this decline has plateaued in recent years. Concurrently, other causes of sudden unexpected infant death that occur during sleep (sleep-related deaths), including suffocation, asphyxia, and entrapment, and ill-defined or unspecified causes of death have increased in incidence, particularly since the AAP published its last statement on SIDS in 2005. It has become increasingly important to address these other causes of sleep-related infant death. Many of the modifiable and nonmodifiable risk factors for SIDS and suffocation are strikingly similar. The AAP, therefore, is expanding its recommendations from focusing only on SIDS to focusing on a safe sleep environment that can reduce the risk of all sleep-related infant deaths, including SIDS. The recommendations described in this policy statement include supine positioning, use of a firm sleep surface, breastfeeding, room-sharing without bed-sharing, routine immunizations, consideration of using a pacifier, and avoidance of soft bedding, overheating, and exposure to tobacco smoke, alcohol, and illicit drugs. The rationale for these recommendations is discussed in detail in the accompanying “Technical Report—SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment,” which is included in this issue of Pediatrics (www.pediatrics.org/cgi/content/full/128/5/e1341).

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“…In many cases, parents rely on health professionals for up-to-date accurate information on child health, health promotion and child safety. Research demonstrates that one-on-one education is effective in preventing injuries (19). In our opinion, one-on-one child safety educational programmes should start immediately after birth, with the in-hospital medical team identifying parents who need individual guidance and different methods of information delivery.…”

Section: Discussionmentioning

confidence: 95%

“…Research demonstrates that one-on-one education is effective in preventing injuries (19). Desapriya et al (19) demonstrated the importance of injury-prevention education during routine health maintenance visits to primary care physicians. The educational content provided to parents should include CSS use and other important topics on child safety, such as CSS quality standards and CSS safety outside the car (20).…”

Section: Discussionmentioning

confidence: 99%

“…The educational content provided to parents should include CSS use and other important topics on child safety, such as CSS quality standards and CSS safety outside the car (20). Desapriya et al (19) demonstrated the importance of injury-prevention education during routine health maintenance visits to primary care physicians. Postnatal healthcare visits represent time points at which educational material and knowledge regarding CSS safety could be reinforced.…”

Section: Discussionmentioning

confidence: 99%

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Using a safe taxi service to transport newborn babies home from hospital

2013

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Infant injuries from child restraint safety seat misuse at British Columbia Children’s Hospital

Abstract: Injury prevention efforts should be focused on reducing CRS outside the motor vehicle setting and preventing placement of the CRS at an elevated surface. Educating caregivers on the dangers of falls resulting from CRS misuse in a variety of care settings is also recommended.

Cited by 14 publications

References 21 publications

SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment

SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment

SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment

Using a safe taxi service to transport newborn babies home from hospital

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