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Moon, R.Y., Biliter, W.M., & Croskell, S.E. (2001). Examination of state regulations regarding infants and sleep in licensed child care centers and family child care settings. Pediatrics, 107(5), 1029+.
Safety regarding sleep position for infants under six months of age, crib safety, bedding safety, and smoking in child care centers and family child care settings were explored.
The Study
- Studies have shown that the incidence of Sudden Infant Death Syndrome (SIDS) can be reduced by placing infants on their backs for sleeping, using safe cribs, avoiding soft bedding, and eliminating infants’ exposure to second-hand smoke.
- This study examined individual state child care regulations to determine if information on safe sleep environments was accessible to care providers.
The Methods
- The authors examined regulations in all 50 states and the District of Columbia.
The Findings
- Forty states had no regulations regarding sleep position or supervision of sleeping infants for child care centers. Forty-two states had no similar regulations for family child care providers.
- Ten states offered no specific regulations on crib safety.
- A few states made specific references to banning soft bedding for infants.
- Most states set strict limits on when and where caregivers can smoke in both centers and family care settings but rarely ban it altogether.
- The authors concluded that not enough states require sleep safety regulations.
R2P Evaluation
This study highlighted a gap in communication between state licensing and research on the prevention of SIDS.
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