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[Kathy Baldwin]

Kathy,

Where can I get a copy of the report?  Is it on-line?  I went to web-site
listed at bottom & no report of Indian study.  Would like to add to a syllabus
ASP if I can find study.  Thanx.At 10:00 AM 12/10/2002 -0500, you wrote: 


>

> FYI

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>  

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> SCIENCE IN THE NEWS

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>  

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> Study Identifies SIDS Risk Factors

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>  

>

> A recent Department of Health and Human Services-funded study of Northern

> Plains Indians found that infants were less likely to die of Sudden Infant

> Death Syndrome (SIDS) if their mothers received visits from public health

> nurses before and after giving birth.

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>  

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> The Aberdeen Area Infant Mortality Study also found that

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> binge drinking during the mother's first trimester of pregnancy made it eight

> times more likely that her infant would die of SIDS. Also, any alcohol use

> during the the first three months before pregnancy was associated with a

> six-fold increased risk of SIDS. In addition, the study found that infants

> were more likely to die of SIDS if they wore two or more layers of clothing

> while they slept.

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>  

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> "This study has identified important risk and protective factors for SIDS

> among this group of American Indians," said Solomon Iyasu, an epidemiologist

> with the reproductive health program at the Centers for Disease Control and

> Prevention (CDC), and lead author of the study. "Strengthening public health

> nurse visiting programs and programs to reduce alcohol consumption among

> women of childbearing age could potentially reduce the high rate of SIDS."

>

>  

>

> Infants in homes where a public health nurse had visited before or after

> birth were 80 percent less likely to die from SIDS than babies in homes that

> never had such visits, but the study's authors were unable to draw a

> conclusion about what aspects of the nurse's visit helped. The Indian Health

> Service currently recommends that public health nurses make one prenatal home

> visit and visits at one and six weeks postpartum.

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>  

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> Wearing two or more layers of clothing (not including a diaper) increased a

> baby's risk for SIDS more than six-fold, the researchers found. This is

> consistent with other studies showing that excess thermal insulation for a

> specific room temperature was associated with increased SIDS risk.

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>  

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> "Parents should dress their babies lightly for sleep and maintain a

> comfortable room temperature. Overdressing them can result in potentially

> dangerous overheating," said Leslie Randall, a CDC epidemiologist.

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>  

>

> The rate of SIDS among American Indians is the highest of any population

> group and was slightly more than double that of whites in 1999 - 1.5 SIDS

> deaths per 1,000 live births compared with 0.7 per 1,000. The rate of SIDS in

> the Aberdeen Area of the Indian Health Service, which serves reservations in

> North and South Dakota, Nebraska and Iowa, is the highest of all of the 12

> Indian Health Service regions. During 1996 to1998, the rate of SIDS was 3.5

> deaths for every 1,000 live births. In addition, the HHS-supported Back to

> Sleep Campaign recommends that all infants be placed on their backs for sleep

> to reduce the risk of SIDS. Visit

> <<http://www.nichd.nih.gov/sids/>http://www.nichd.nih.gov/sids/> for more

> information.

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>  

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>  

>

> Kathleen Kilbane RN-C, MS, FNP

>

> Nurse Consultant 

>

> Health Resources and Services Administration

>

> 233 N. Michigan Ave. Suite 200

>

> Chicago, Illinois 60601

>

> PH-312-886-1632

>

> FAX-312-353-1212

>

> E-mail-kkilbane at hrsa.gov

>

>  




Kathleen A. Baldwin, PhD, RN
University of Illinois at Chicago, Peoria Regional Site
One Illini Drive
Box 1649
Peoria, IL  61656-1649
309-671-8467 
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