Home visiting

[Ranger, Cherryll]

Kathy try the JAMA article:
 
The Aberdeen Area Infant Mortality Study, appearing in the

December 4 "Journal of the American Medical Association",

also found that binge drinking (five or more drinks at a

time) during the mother's first trimester of pregnancy made

it eight times more likely that her infant would die of

SIDS. Any maternal alcohol use during the periconceptional

period (three months before pregnancy or during the first

trimester) was associated with a six-fold increased risk of

SIDS. The study also found that infants were more likely to

die of SIDS if they wore two or more layers of clothing

while they slept.

-----Original Message-----
From: Kathy Baldwin [mailto:KBaldwin at uic.edu]
Sent: Wednesday, December 11, 2002 8:27 AM
To: Public Health Nursing Discussion and Information 
Subject: Re: Home visiting


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

 

SCIENCE IN THE NEWS

 

Study Identifies SIDS Risk Factors

 

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.

 

The Aberdeen Area Infant Mortality Study also found that

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.

 

"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.

 

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.

 

"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.

 

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.

 

 

 

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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