Tag Archive for: health & safety

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Sleep Safety for Babies & Infants (New Guidance)

Sleep Safety for Babies & Infants (New Guidance)

Sadly, SIDS and other sleep-related issues are responsible for nearly 200 infant deaths in the UK & 3,500 every year in the U.S.June 2022 has seen the release of a new set of recommendations that outline ways to reduce the likelihood of sleep-related deaths amongst babies and infants up to the age of 1. This includes, but is not limited to, deaths related to Sudden Infant Death Syndrome (SIDS). Sadly, SIDS and other sleep-related issues are responsible for nearly 200 infant deaths in the UK each year and up to a staggering 3,500 every year in the United States. Perhaps even more surprisingly, that last number has not reduced at all in the last 30 or so years. This new set of recommendations from experts in the U.S. aims to change that and is something that all parents need to take a look at if they have a baby or infant. Let’s take a look at the new guidance …

“…simple is best: babies should always sleep in a crib or bassinet [static cradle], on their back, without soft toys, pillows, blankets or other bedding.”

According to the new 2022 report, parents and carers of babies/infants should follow the following guidelines:

Things to Avoid:

Avoid smoking, drinking alcohol, opioids and the taking of illicit drugs during and after pregnancy.
Avoid allowing infants to sleep on their side and never let them sleep face-down. Some parents may have concerns about their child choking when placed (rightly) on their backs when sleeping, particularly if they suffer from gastroesophageal reflux (GER). However, the latest guidance explains how the child’s anatomy protects against choking and this is best explained in a short video.
Avoid sharing your bed with a baby or infant. Statistically, infants are at significantly greater risk of SIDS or injury in a shared bed. The AAP, authors of the new guidance, even go as far as saying that they do not support the practice under any circumstances.
Co-bedding (bed sharing) by twins, triplets, etc. is not recommended and the new guidance says that any perceived benefit of siblings co-bedding is simply outweighed by the risks.
Avoid the use of crib ‘bumpers’ because infants can roll against these, get into breathing difficulties and even die from lack of oxygen (as has sadly happened).

“Loungers and pillow-like products are not safe for infant sleep, due to the risk of suffocation,” (CPSC)

For exactly the same reason, avoid the use of blankets and any kind of pillow, including those not intended for sleep. Indeed, some ‘Boppy’ pillows and ‘loungers’ have been recalled after being linked to the death of several infants, according to USA Today(∞). The Consumer Product Safety Commission (CPSC) has also issued warnings about Podster, Podster Plush, Bummzie, and Podster Playtime infant loungers.(∞)
In regard to soft bedding, avoid putting weighted blankets, sleepers, swaddles or anything else that’s weighted in or near to a sleeping infant.
Avoid the use of inclined ‘sleepers’ and rockers for sleeping infants — or anything that puts the infant into an inclined or scrunched-up position. An incline may cause the child to roll and then get into breathing difficulties. That could potentially prove fatal due to suffocation. The U.S. Consumer Product Safety Commission (CPSC) and latest guidance advises that you should never allow a baby to sleep on an incline of more than 10 degrees.

“Keep soft objects, such as pillows, pillow-like toys, quilts, comforters, mattress toppers, fur-like materials, and loose bedding, such as blankets and non-fitted sheets, away from the infant’s sleep area to reduce the risk of SIDS, suffocation, entrapment/wedging, and strangulation.”

Also avoid allowing infants to sleep routinely in car seats, strollers, infant carriers or slings and similar and certainly never leave them unattended in them.
The new guidance also states that couches and armchairs are particularly dangerous places for infants to sleep, so should be avoided. Data suggests that the risks to infants are anywhere from 22 to 67 times greater when they’re allowed to play or sleep in such places.
Avoid putting hats on your infant indoors as it could cause overheating. Exceptions, however, include possible use during the first few hours of life (under close supervision) or if deemed necessary by medical professionals, e.g. for new born intensive care.
The new guidance also suggests that parents should not rely on heart rate and pulse oximetry monitors as marketed to consumers. These, they say, may not meet the same standards as their professional, medical counterparts. Moreover, possible complacency stemming from use of such monitors in place of following the other proactive guidelines may ironically — and potentially tragically — turn out to be more detrimental to their infant’s wellbeing.

Things to Do:

Ensure the baby/infant sleeps on a flat, firm, non-inclined surface, lying in the ‘supine’ position (on their backs). Sleeping flat, on their backs allows optimum intake of oxygen and is also the best sleeping position for development of spine and hips. A completely flat surface also makes it less easy for a child to raise/flex their trunk and lift their head, which may otherwise make it easier for them to roll onto their side or back, each of which would represent a higher risk to their wellbeing.
Ensure bedside sleepers, cribs, bassinets (static cribs) and suchlike are suitably sized and adhere to your country’s safety guidelines. They should also have a tightly fitting crib mattress (so the baby cannot get trapped in a gap), covered by a secure, fitted sheet with no other bedding or objects around.
Instead of using quilts, swaddles, sheets or blankets to keep your baby or infant warm when sleeping (such things are potentially dangerous to them), dress them in appropriate clothing layers when sleeping or use ‘wearable blankets’ that fit in place around their bodies — but which, critically, cannot rise over their heads/faces or otherwise entrap or strangle them.
The new guidance also recommends that infants sleep in the same room as parents, on a separate (flat) surface that’s designed for infants, close to their bed. This should be for a minimum of 6 months ideally and evidence suggests that this alone could reduce the risk of SIDS by as much as 50%.
Offering the baby/infant a pacifier encourages the tongue to move to a forward position, which reduces obstruction in breathing. Pacifiers also encourage babies to remain sleeping on their backs. It is indeed a measure that’s associated with reduced instance of SIDS, although the new guidance recommends that pacifiers are not offered until breastfeeding has been “firmly established”.
Where possible, human breast milk is recommended in preference to formula and is indeed associated with lower rates of SIDS. Furthermore, even better protection is achieved when infants are breast fed for a longer term. The new guidance recommends feeding human milk exclusively for the first 6 months when possible.
Other common sense precautions should be made, such as ensuring that there are no other hazards near the sleeping infant, for example, pull cords, window blind cords, electric wires, etc.
Regular ‘tummy time’ is also recommended each day to help babies/infants develop stronger upper bodies and enhance motor skills. These will be useful to the infant if they do manage to turn themselves over or onto their sides etc. Learn more about the benefits of tummy time and how much infants require here.

Tummy Time is just one way to help infants stay stronger and safer, even when it comes to sleep.PLEASE NOTE: we have summarised key points from the new guidance in good faith but advise parents/carers of babies and infants to do their own research. More information and greater detail can be read in the full AAP publication here. If you have any concerns about your child’s sleep, health or wellbeing, please seek the advice of a doctor or health professional. You can also explore the importance of sleep for babies, toddlers and preschoolers in our guide, here.

Looking for the Best Nursery or Pre-school in Streatham, Tooting or Balham?

Little Cedars Nursery and pre-school offers the highest quality childcare. Based in Streatham, it’s also convenient for weekday childcare near Furzedown, Tooting, Balham, Norbury & Colliers Wood.

Little Cedars is a nursery & pre-school offering high quality childcare in Streatham, near Tooting, Tooting Bec, Tooting Common, Tooting Broadway, Furzedown, Balham, Norbury and Colliers Wood.Are you looking for the best childcare nursery or pre-school in Streatham, close to Streatham Hill, Streatham Park, Streatham Common or Furzedown? Little Cedars offers a wonderful childcare service in Streatham and is also conveniently near to Tooting, Tooting Bec, Tooting Broadway, Tooting Common, Balham, Norbury and Colliers Wood. To arrange a tour of the setting, to apply for a nursery place, or simply to ask any questions, please get in touch and we’ll be delighted to help:

Apply for a Place Arrange a Visit or Message Us 020 8677 9675
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Our Anti-COVID Measures as we Re-open the Nursery

Our Anti-COVID Measures as we Re-open the Nursery
On  June 1st, we re-opened Little Cedars Nursery at its Aldrington Road setting in Streatham, London SW16 1TU. Our thanks go to staff at our sister nursery, Beechcroft Nursery, for joining forces with us during the lock-down, to look after children of key workers alongside us. It’s wonderful to be back, though, as we can welcome old faces and new to our Streatham nursery and pre-school.

In view of the Government only recently easing the lock-down restrictions and with coronavirus still potentially at large, we have implemented stringent new health and safety measures at the nursery. These are being implemented to safeguard the health and wellbeing of babies, children, parents and staff.

“Everyone’s health is our topmost priority.”

Health & safety measures to keep you & your child safe from COVID-19

Here, we’ll outline what we are doing to keep you, you child and everyone at the nursery safe and well. These measures go well beyond Government guidelines and may be of comfort to those parents who are, understandably, a little nervous of sending their little ones back to nursery or pre-school so soon after lock-down.

Social distancing & extensive use of outdoor spaces

Moving much of the curriculum to our large outdoor areas will significantly reduce the risks that would otherwise be associated with more confined, indoor spaces. Outside, children are naturally going to have more room to themselves and the air they breathe will be cleaner – and will disperse to the atmosphere naturally. And, of course, we are ensuring everyone maintains good social distancing generally. Outside, we have made sure that there are sufficient covered areas outside to protect children and staff from the weather.

Small ‘bubble’ groups

We are also keeping babies and children within small ‘bubble’ groups. This will ensure that they are mixing with only a tiny number of individuals on a day-to-day basis. This vastly reduces the risks of catching contagions from one another. The bubble groups will be a size of 3, 4 or 6 children, depending upon the age group they fall into.

Limited numbers

Another excellent safeguarding measure is to limit the number of people attending the setting. For this reason, we will not take the nursery to full capacity while coronavirus is still at large. Again, this ensures that children and staff mix with as few people as possible.

Temperature checking

Temperatures of staff and children will be checked from time to time, as appropriate, using zero-contact electronic thermometers. That will allow us to get the earliest indication should someone begin to exhibit symptoms. We would then be able to take appropriate action i.e. to ensure that the symptomatic person isolates themselves at home rather than continuing to attend the nursery.

Track & Trace

In the unlikely event that anyone at the nursery does begin to exhibit possible symptoms of coronavirus, we will follow the Government’s Track & Trace policy. Anyone affected will be asked to take a test. They and their ‘bubble’ group will be required to self-isolate until the potential danger has passed. This will minimise the risk of the virus spreading to others.

New drop-off & collection rules for parents

We are asking parents to stagger their drop-off and collection times so that they encounter the minimum number of other people whilst doing so. Parents will not be granted entry to the nursery at the current time, so they must remain outside. While waiting, they will be required to keep a minimum of 2 metres away from others at all times.

New safety protocols for staff

Along with orchestrating the measures above, nursery staff will also be taking additional steps as part of their day-to-day precautions. These include:

  • Liberal use of antimicrobial wipes for equipment, surfaces, door handles, toys, etc.;
  • A change of clothes when they first arrive at the nursery in the morning, to ensure uniforms are fresh;
  • free of bacteria and viruses;
  • Wearing of face shields and double-gloving when changing nappies;
  • Wearing of top quality, medically approved ‘FPP3’ face masks whenever appropriate.

Special precautions for food and snacks

Our in-house chefs are already taking additional precautions when preparing food for the children. As well as the standard hygiene protocols that one would expect, the new measures include the wearing of masks and face visors when preparing food. This keeps meals and snacks pristine.

These measures put the health and safety of children, parents and staff first. We hope they put your mind at rest if you were at all tentative about your baby or child attending (or re-attending if you’re one of our existing families). Do, of course, get in contact with us if you’d like further reassurance.

Does your baby or child need childcare in the Streatham area?

If your baby or child needs a nursery/preschool place in the Streatham area of south-west London, we would be very happy to discuss this with you. We’d welcome the opportunity of telling you more details about the exceptional childcare services at the nursery, our ethos and all the amazing facilities available. Call 020 8677 9675 or email our manager here. We’ll be delighted to hear from you.

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