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Important Information about Infant Sleep

Sudden unexpected infant death (SUID) is a term used to describe the sudden and unexpected death of an infant less than 1 year of age in which the cause was not obvious before investigation. Sudden unexpected infant death includes Sudden Infant Death Syndrome (SIDS), accidental suffocation in a sleeping environment and other deaths from unknown causes. One-half of all SUID cases are Sudden Infant Death Syndrome. Sudden Infant Death Syndrome (SIDS) is defined as the sudden death of an infant less than 1 year of age that cannot be explained after a thorough investigation is conducted, including a complete autopsy, examination of the death scene, and review of the clinical history.

Sudden Infant Death is NOT:

• The same as suffocation and is not caused by suffocation
• Caused by vaccines, immunizations, or shots
• Contagious
• The result of abuse or neglect
• 由婴儿床引起的
• 由呕吐或窒息引起的
• 完全可以预防，但有些方法可以降低风险

Startling Statistics about SIDS

SIDS is the leading cause of death among infants 1 month to 12 months old and is the third-leading cause overall of infant mortality in the United States.

大约有一个在五分之一的人死亡中发生，而婴儿被父母以外的人照顾。当习惯在家里的背部睡觉的婴儿被睡觉时，许多死亡都会被另一个护理人员睡在他们的肚子上。据美国小儿科学院称，习惯于睡在他们的背部并放置在肚子上的睡眠睡眠的婴儿是死于SID的18倍。

According to the National Resource Center for Health and Safety in Child Care and Early Education, a majority of SIDS-related deaths at child care facilities occur within the first day or week that an infant starts attending a child care program.

Because the causes of SIDS are unknown, safe sleep practices should be used to reduce the risk of SIDS in every infant under the age of 1 year.

Sleep for Toddlers and Preschoolers

Sleep is an important part of a healthy childhood. Naps give children time to rejuvenate, and they let active bodies rest. Young brains and muscles also do serious work during sleep. Without naps, children may become overtired. Children who are overtired often upset easily and may even have a harder time falling asleep at night (for more information, seehttp://kidshealth.org/parent/growth/sleep/naps.html).

We often think of infants when we think of safe sleep practices. Although toddlers and preschoolers are not at risk for sudden infant death syndrome, rest time is not without risk. It is still your responsibility to keep all children safe during this important time.

发展阶段和睡眠

随着儿童通过学龄前从婴儿临时进入学龄前，他们通常需要较少和更少的睡眠。万博体育全站app虽然年轻婴儿常常睡了很多次，但老年婴儿和年轻的小孩经常有一天早上和一个下午的午睡。通常，学龄前儿童（3至万博体育全站app5岁）受益于一个下午的午睡。这个午睡通常持续一个小时，但每个孩子的睡眠需求都不同。白天儿童需求的睡眠量也与孩子在晚上获得的睡眠量有关。一天每晚睡十到十二个小时的孩子可能会在白天不到一小时。在夜间睡不少睡觉的孩子可能需要在白天更长的午睡。有些孩子在忍住期间没有睡觉，但他们仍然受益于一个安静的休息时期。这就是为什么与父母或监护人讨论儿童睡眠日常和模式很重要;家庭时间表可能会影响您在护理中最适合每个孩子的睡眠模式。

See

婴儿和幼儿

教育是促进护理做法的关键，以确保婴儿福祉。美国儿科学院（AAP）提供安全的睡眠政策指导和实践。

AAP's policy guidelines say:

• Healthy babies should always sleep on their backs. A physician’s note should be required for non-back sleepers.
• Cribs must be in compliance with 2014 Consumer Public Safety Commission and ASTM International requirements.
• Use a firm mattress covered by a tight-fighting sheet designed for a safety-approved crib.
• Keep cribs free of blankets, pillows, stuffed toys, soft objects, loose bedding and bumper pads. Nothing else should be in the crib except for the baby.
• Bibs, necklaces, and garments with ties or hoods should be removed.
• 轻轻地睡觉睡觉。将室温设置在舒适的宽披孔的成人的范围内。

Mixed-Age Settings

Creating a Restful Environment for Sleep

有很多你可以做什么来促进和平的再保险st time. First, each child age 5 and under who attends your program for a full day should have a cot or mat for rest time. Children should not sleep directly on the floor. Think carefully about cot arrangement as well. If children are too close together, they may distract each other and they may spread illnesses. According to the National Association for the Education of Young Children, children’s faces should be at least 3 feet apart or separated by a solid barrier, such as a shelf unit. This distance can be accomplished by staggering the direction in which children lie: head-to-toe and toe-to-head. Playing soothing music can help children fall asleep. Your interactions can also help soothe children to sleep. Patting children on the back, quietly reading a story, or comforting an upset child can create a peaceful environment for sleep.

Safe Sleep Routines

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When children are sleeping, providers should be able to hear them. Providers should also do visual checks on infants under 8 months of age every 15 minutes (monitors are not permitted as a substitute for a visual check). Family child care providers’ own children may not sleep in their own beds (during nap) unless the bed is adjacent to or located in the child care area. Further, children under 3 years of age must be in sight and sound supervision at all times.

For Infants:

Infants should be placed on their backs to sleep. If infants roll over onto their stomachs on their own, adults do not need to reposition them onto their backs.

应立即将到达汽车安全座椅内的设施的婴儿，并将其放在安全的睡眠环境中。

Infants should not nap or sleep in a car seat, bean-bag chair, bouncy seat, infant seat, swing, jumping chair, playpen or play yard, high chair, chair, futon, or any other type of furniture or equipment that is not a safety-approved crib. If an infant is asleep in one of these, the infant should be immediately removed and be placed on their back in a safety-approved crib.

Infants should not be swaddled according to the National Health and Safety Performance Standards, 4^thEdition, Standard 3.1.2.4, which states “In child care settings, swaddling is not necessary or recommended, but rather one piece sleepers should be used.”

Balance Back Sleeping by Offering Tummy Time

As a result of being placed on their backs to sleep, infants may develop flattening of the skull. To minimize this, it is recommended that infants have supervised tummy time. Tummy time also encourages motor development, especially the upper-body muscles. During tummy time, it’s important to never leave infants unattended.

Promoting Safe Sleep with Infants

Parents, family members, teachers, and all adults who care for an infant for one nap or many should follow safe sleep practices every nap time and every sleep time. Sleeping-related preferences may be sensitive to a family’s culture or personal preferences and beliefs. Handle discussions sensitively. Provide families with A Parent’s Guide to Good Sleep (see the Explore section).

为了最能确保婴儿和幼儿的安全睡眠，您应该遵守以下准则：

• Ensur your program has a safe sleep policy and you have shared it with families.
• 将婴儿放在背上每次睡觉。
• Provide firm, safety-approved crib mattresses.
• Keep soft objects and materials (toys, stuffed animals, quilts, blankets, comforters, sheepskins, and pillows) out of cribs or near sleep areas.
• Use sleep clothing (sleepers) or follow safe blanket procedures.
• Provide daily supervised tummy time while babies are awake.
• Teach all my backup providers and substitutes about safe sleep practices.
• Keep infants’ sleep areas free from hazards such as dangling cords, electric wires and window covering cords because they present a strangulation risk.
• If you see an unsafe sleep practice, take corrective action immediately.
• Remove bibs, pacifier clips, or any clothing with hoods or cords before laying an infant down.
• Put infants to sleep in safe places, never in bouncy seats, play gyms, or swings.

For Toddlers, Preschoolers and Older Children

If all children are resting quietly, you can take care of daily tasks like lesson planning, working on portfolios, washing toys, or reading relevant educational materials. Remember though, your first job is to keep children safe. These activities during rest time must not distract from your primary job of child supervision.

It is important to remember that each child is unique. If you know there is a child in your program with special mobility or health needs, more direct adult supervision may be necessary to help keep the child safe.

You should also make sure that children remove any dress-up or clothing items that might strangle them during sleep, such as necklaces or sweatshirts with drawstring hoodies.

Remember, as discussed in Lesson Two, if you are providing overnight or extended care, children are permitted to sleep in other rooms, but most of these safe sleep practices should still be followed. Providers should sleep on the same floor as the children for which they are caring and no children should sleep in the basement.

What about Children Who Don’t Nap?

By the age of 5, many children no longer need a daily nap. There are several things you can do to accommodate these children:

• Encourage a brief quiet time. Provide cots or mats and a collection of books or quiet toys for the children to play with for a brief period.
• Provide quiet play in a different location, perhaps in the same room away from nappers, or in an adjacent room, preferably one to which you have some visual access. In family child care, children over age 3 may be out of the provider’s line of sight for short periods of time, as long as the provider is close and listens carefully to assure safety (NAFCC, 2013). This may be something to consider for non-nappers, early risers, or school-age children.