Monthly Archives: October 2019

Safe Infant Sleep Advise; is it Effective?

Best Crib Mattress for safe sleep

Safe Infant Sleep Advise is a common topic all pediatricians have with new parents.  But is  safe infant sleep advise from physicians effective?  According to a daily briefing email blast sent to pediatricians on October 21, 2019, “Parents are more likely to follow safe infant sleep practices when” physicians “tell them clearly what to do and what to avoid, to minimize the chances of babies getting injured or dying during the night,”  Part of these findings regarding safe infant sleep advise from physicians is based on research conducted by Reuters  after examining “survey responses from more than 34,000 mothers.”  This figure accounts for around 10-30% of parents.”

An ABC News (10/21) website reports investigators “found that not all moms were following the AAP’s (American Academy of Pediatrics) four specific safe infant sleep practices: Placing infants to sleep on their back, room-sharing without bed-sharing, avoiding any soft objects or bedding and using firm sleep surfaces such as a crib, bassinet or pack-and-play.” After evaluating “data from a voluntary nationwide survey of postpartum women,” investigators “found 78% of mothers reported following safe infant sleep advise, most often using back sleep position, 57% always or often shared room without bed-sharing, 42% usually avoided soft bedding or objects and only 31% always or often used separate approved sleep surfaces.” The findings were published online in Pediatrics.

In a 10/21/19 article published in AAP News, many parents were not following safe infant sleep advise.  Infants were not being put to sleep in safe conditions, according to a new study.

Sudden Unexpected Infant Death (SUID) accounts for about 3,500 infant deaths each year in the U.S. during sleep.  Some of these deaths are considered to be unpreventable, but a large majority are believed to be attributed to unsafe sleep practices.  Information obtained from an October 2019, commentary published in The Journal (The official Journal of the American Academy of Pediatrics), accidental suffocation and strangulation in bed, are the third leading cause of infant mortality in the United States.

According to the article, “Researchers from several federal health agencies assessed data from the 2016 Pregnancy Risk Assessment Monitoring System (PRAM) spanning 29 states to see how many parents were following safe sleep advice. They reported their findings in Prevalence and Factors Associated with Safe Infant Sleep Practices, (Hirai AH, et al. Pediatrics. Oct. 21, 2019, https://doi.org/10.1542/peds.2019-1286).

78% slept on their back,

57% shared a room without bed-sharing,

42% avoided soft bedding and

32% used a separate, approved sleep surface.”

According to the 10/21/19 article published in AAP News, “Hirai et al3  recently added questions to the Centers for Disease Control PRAMS to examine differences in sleep position, items in the sleep environment, bed-sharing, and room-sharing. Forty-seven states currently partner with the Centers for Disease Control and Prevention to administer the PRAMS survey to a randomly selected subpopulation of women in their state who have recently delivered. PRAMS previously only included questions on the infant’s sleep position. States began to include questions about bed-sharing and items in the sleep environment in 2009. In 2016, those questions, along with additional survey items about room-sharing and safe sleep advice and anticipatory guidance from health care providers, were included for all participating states. These additions allow the authors to more comprehensively examine the sleep environment of a representative population of infants from a majority of states”.

The authors also found that many mothers reported that they never received the full range of safe sleep guidance from their health care provider.  These parents were determined to be less likely to follow safe sleep advise.

The study also found that parents normally listen to their health care providers’ safe sleep advise for their infant, However, the results of the study shows that these parents were only 10% to 30% more likely to follow safe sleep guidelines.

Best Baby Gifts to Add to a Baby Registry

Safest Crib Mattress

Here are the best baby gifts to add to a baby registry.  These are great baby gifts you will be glad you received.

As a first time mom, I was a bit overwhelmed with adding what I thought was the best baby gifts to my registry. There was so much to choose from and I was not really sure what exactly I needed versus wanted. There is a difference.

Now that my son is almost four, I have a best baby gifts, go-to list that I recommend moms add to their registry – One of these is the best baby gift ever – the gift of safe and healthy sleep.

#1 SafeSleep Crib Mattress

The most important baby gear decision you will make is what type of crib mattress you will buy.  I actually forgot to add a baby mattress to my registry and my husband ran to the store last minute and grabbed one.

When we discovered that our son was a tummy sleeper we got nervous about him sleeping face down so we found the SafeSleep Breathe-Through crib mattress and it is hands down the safest and most comfortable baby crib mattress.  It has become my number one best baby gift to date!

SafeSleep-Breathe-Through-Crib-Mattress-with-Air-Flow-Images

Here’s how it works:

The SafeSleep Breathe-Through Crib Mattress’s open-air design with side openings and air permeable surface (no sheet required!) creates passive airflow that sustains an oxygen-rich environment for your baby. So even if your baby rolls over and is face down all night long, he or she can breathe normally right through the air mattress. Otherwise, a regular fiber-fill mattress can trap carbon dioxide which is believed to be the biggest risk factor to many infant sleep related deaths.  Every baby should be sleeping on this mattress. This is the safest crib mattress for babies, and best baby gift you can add to your registry!

#2 Woombie Swaddle

Our number two best baby gift to add to your registry was invented by a nurse and mom of five.  The Woombie swaddle was a lifesaver for us. Our son wore his Woombie even in the hospital after he was born. He kept wiggling out of the hospital blanket swaddle so we put him in his Woombie and he was calm and content. It is super easy to use – we tried swaddling with the blanket but couldn’t get it right like the nurses could. At 2 AM, after having a baby you don’t want to be up trying to learn how to swaddle correctly. Do yourself a favor and add the Woombie to your best baby gifts list.

My favorite Woombie swaddles are the Woombie Air which is a ventilated design so excess heat can escape. Regulating baby’s body temperature is very important as overheating is a risk factor of SIDS.

Best Baby Gifts Woombie Swaddle

Another favorite is the new Grow with Me swaddle – buying swaddles as baby grows gets expensive but this swaddle grows with your baby from birth to 18 months! Simply genius. Add  two or three to your best baby gifts list in case one gets soiled and needs washing. You don’t want to be caught at night without a spare Woombie on hand.

Safe Sleep Woombie Grow with me swaddle

#3 Marpac Dome Classic Sound Machine

Our next best baby gifts choice is the Marpac Dome Classic Sound machine.  Sound Machines help babies sleep better – our son is three and still uses one. I love the classic Marpac sound machine since it is easy to use and has lots of soothing sound choices.

Some tips: 

Don’t place the sound machine too close to baby. Put across the room on medium sound.

Only use white noise that is constant. Rain, ocean waves and other sounds that have different pitches can stimulate baby instead of help them sleep.
Safe for Sleep Dohm Noise Machine for baby sleep

#4 Bamboo Wash Cloths and Hooded Bath Towel

Our fourth best baby gifts idea is the Babmboo wash cloth and hooded towel set.  These organic cloths and towels are a must for  your baby’s delicate skin.

My son had dry skin patches on both arms and legs.  When he was a toddler, he had a red patch of eczema on one side of his face.  Using the Bamboo products helped reduce irritation.

Here’s how I healed his eczema naturally:

Changed bath wash. We now use The Honest Company Shampoo + Body Wash. It’s eco and doesn’t have any irritating ingredients.  It’s also a great best baby gifts idea.

We changed his washcloths and towels to Juddlies hooded bamboo bath towel for babies and toddlers with matching bamboo washcloths for kids. Bamboo is amazing!  It’s a great best baby gifts idea for all new moms.

We use this amazing eco healing stick for kids from Perfectly Posh – it’s all natural and we put it on my son’s face daily and the eczema patch never comes back.

Best Baby Gifts to add to your registry bamboo

 

#5 Buncha Farmers Eco Stain Remover Stick

Doesn’t seem like a typical baby shower gift, BUT it will be one of mom’s favorite best baby gifts.  This stain remover is all natural and works like MAGIC. One morning on Easter my baby had a diaper blow out – and let’s just say it was not chocolate all over his white onesie. 

Within minutes I had the onesie completely white and clean using this stain remover stick.  I love this best baby gifts choice!

Babies are messy whether it be spit up, pureed food, or diaper blow outs; Buncha Farmers will help get those tough stains out so your baby’s clothes are not ruined and you don’t have to use toxic stain removers with chemicals.
It even removes berry and red wine stains!
Best Baby Gifts to add to registry bunch of farmers stain stick
It not only makes the list of best baby gifts, it also makes the perfect stocking stuffer!

Safe Infant Sleep Checklist

Safest baby crib mattress

Download our Safe Infant Sleep Checklist.  Make sure anyone who cares for your infant is aware of safe Infant sleep practices.

  • Keep all loose items including blankets, pillow, and sheets out of the crib – no wedges should be used.
  • Use a firm crib mattress – preferably one that meets International firmness standards.
  • Place your baby to sleep alone, on their back, in a crib on an air permeable/breathe-through crib mattress should they roll over unattended.
  • Give your infant a pacifier for sleeping.
  • Avoid overheating your baby – air permeable/breathe-through crib mattresses are preferred.
  • Breastfeed your baby.
  • Don’t smoke or expose your infant to second-hand smoke.
  • Don’t use illicit drugs or drink alcohol while pregnant or while caring for an infant.
  • Avoid devices that claim they prevent SIDS.
  • Immunize your baby following the AAP’s recommended schedule.
  • Provide tummy time for your infant.  Breathe-through crib mattresses provide a safe option for tummy time.

The Safe Sleep Infant Checklist is recommendations based on scientific studies to help keep your sleeping infant safe. 

What most parents (and even medical professionals) don’t realize is that CARBON DIOXIDE REBREATHING is something researchers believe contributes heavily to sudden infant death.

What is “carbon dioxide rebreathing”?

Rebreathing is when a baby breathes in his or her own exhaled air — particularly if the infant is sleeping on a soft mattress or with bedding, stuffed toys, or a pillow near the face. As the baby rebreathes exhaled air, the oxygen level in the body drops and the level of carbon dioxide rises.” (source: https://kidshealth.org/en/parents/sids.html)

They rebreathe air if anything is close to or blocking their airway.  Even if on their tummy and their hand or arm is up around their face, their good airflow can be blocked on fiber filled surfaces.

The Safe Sleep Infant Checklist is based on way s to keep your baby out of harms way or rebreathing.

 

Crib Mattresses and SIDS

Crib Mattress that Prevents SIDS

 

Crib Mattresses and SIDS; cases continue to be reported of infants placed supine (on back) and found prone (on tummy) on firm crib mattresses with evidence of suffocation/positional asphyxiation (rebreathing) and others becoming entangled and suffocating in sheets. 

 Crib Mattresses and SIDS – The Science

“The first few times babies who usually sleep on their backs or sides shift to the prone (lying face down) position, they have a 19-fold increased risk of sudden death,” says senior author Bradley T. Thach, M.D., a Washington University pediatrician at St. Louis Children’s Hospital. “We wondered if these babies, finding themselves face down, fail to turn their heads to breathe easier. If so, is that because their reflexes haven’t developed far enough or because they just don’t wake up?” The findings also indicate that good head-lifting ability while lying prone may not be sufficient to protect a baby from SIDS. “Many parents think that if a baby can lift its head, he or she is okay to sleep prone, but that is a false assurance,” Thach says (Paluszynska 2004) 

Crib Mattress and SIDS – The Prone Position

Research on infants who are novice at prone sleep has demonstrated they are less likely to respond effectively to CO2 accumulation making them especially vulnerable (Paluszynska 2004). Researchers out of New Zealand have shown that over one quarter of the infants who died of SIDS in the prone position in their study were last placed non-prone (on their back). These researchers suggested that an infant’s competence in escaping from potentially lethal situations during prone sleep may be impaired by inexperience in prone sleeping (Thatch1999). Their findings were later supported by Dr. Moon and colleagues in their review of infant sleep related deaths in child care settings (Moon 2000). Unfortunately this infant inexperience in prone sleep is now a common unintended consequence of the successful back to sleep campaign.

Babies who never sleep on their stomachs don’t learn behaviors that may lessen their risk of SIDS, researchers at Washington University School of Medicine in St. Louis have found. Even so, the researchers caution that infants should always be placed on their backs to sleep. 

Crib Mattresses and SiDS – The Introduction of Air Permeable/Breathable Crib Mattresses

Air permeable/breathe-through crib mattresses are the best defense for a baby that rolls in the middle of the night and ends up sleeping face down. This is the most successful approach to preventing the tragedies we see relating to crib mattresses and SIDS.  A breathe-through crib mattress is designed to prevent the  accidental suffocation/positional asphyxiation (rebreathing) when baby rolls in the middle of the night. 

Crib Mattresses and SIDS – Published Relevant Scientific Case Controlled Studies Supporting the Recommended Use of Air Permeable Crib Mattresses:

Dr. James Kemp and colleagues were some of the first to study the potential for various sleep surfaces to prevent infant rebreathing. They found that the firm crib mattress and four of the five surfaces designed to prevent rebreathing consistently allowed lethal rebreathing of CO2. Only one product—an air permeable crib mattress—was able to maintain CO2 levels below this threshold. The authors go on to say that “even firm crib mattresses could pose a rebreathing threat when vulnerable infants sleep prone.”

Crib Mattress and SIDS – The Novice Tummy Sleeper

Studies show that unaccustomed prone sleepers, including infants who are placed supine and roll prone have an increased risk of SIDS (O’Hoir 1998 and Mitchell EA 1999). These studies and others have shown that nearly half of SIDS victims unaccustomed to prone sleep, were discovered in the face-straight-down position. Many of these infants were found on a firm crib mattress. Dr. Kemp’s data supports that if vulnerable infants were placed on an air permeable surface, they would experience less risk of rebreathing should they inadvertently roll prone.

Crib Mattress and SIDS – Breathe-Through Crib Mattress Testing

In 2011, Dr Ephraim Bar-Yishay and colleagues provided the second study on CO2 accumulation and rebreathing on six infant sleep surfaces—an air permeable crib mattress, two conventional firm crib mattresses and three mattresses with an additional layer or topper designed to improve air flow (Bar-Yishay 2011). The breathe-through crib mattress had a significantly faster rate of CO2 elimination and only the air permeable mattress was able to prevent CO2 accumulation with maximal CO2 levels significantly lower than that of the other mattresses. They concluded that the breathe-through crib mattress exhibited significantly better aeration properties compared to the other five mattresses including the firm mattresses with tight sheet. 

A representative of SafeSleep®, a U.S. manufacturer of a breathe-through crib mattress, contacted the CPSC for recommendations on an accredited independent lab to conduct similar tests on aeration properties on their product. Intertek was recommended because they use a similar mechanical model and methods as designed by Dr. Kemp. The lab compared CO2 elimination on four different surfaces—our air permeable crib mattress, a firm mattress with tight fitting sheet, sheepskin, and a bean bag chair. The latter two are known high risk hazards for rebreathing (Kemp 1991, Kemp 1993) and have been implicated in a significant number of SIDS fatalities. Just as in the studies by Kemp and Bar-Yishay, showed significantly less CO2 retention than the firm crib mattress and the high hazard comparators. Intertek concluded that the the breathe-through crib mattress represents a significantly lower risk hazard for rebreathing than the firm crib mattress. Intertek also compared the air permeability of the breathe-through crib mattress to a firm crib mattress using the ASTM-D737-04 standard test method of air permeability of textiles. Based on the test data, the air permeable crib mattress has an air permeability rate over 330 times greater than the firm crib mattress with tight sheet.

These two well-designed, well-conducted case controlled studies along with the independent CPSC testing lab results strongly support a recommendation for the use of air permeable/breathe-through crib mattresses.

Crib Mattress and SIDS – CO2 Retention and Risk of Rebreathing

The studies outlined above clearly demonstrated that the risk of rebreathing of exhaled air (CO2) is lowest on air permeable surfaces (Kemp 2000, Bar-Yishay 2011). And data from Intertek, a CPSC accredited and recommended lab, shows significantly low risk hazard of rebreathing of an air permeable mattress (lower than the firm mattress with tight fitting sheet). These data demonstrate that the breathe-through crib mattress has significantly lower CO2 retention. All three reports use similar test methods and have similar results.

Crib Mattress and SIDS – Direct Prevention of SIDS and CO2 Hypothesis by AAP

While the studies do not demonstrate a direct prevention of SIDS or suffocation, they rely on the hypothesis of rebreathing of CO2 as a potential contributor for these unexpected infant deaths. A basic pathophysiological principle is the hypothesis that rebreathing C02 is associated with ALTE/SIDS/asphyxia. Indeed no studies have substantiated this hypothesis; however, this is the same hypothesis used by the AAP Task Force to support the majority of their recommendations including the following with quotes taken from the AAP Task Force report (AAP 2011):

1. Supine sleep position: “The prone or side sleep position can increase the risk of rebreathing expired gases, resulting in hypercapnia and hypoxia.”
2. Room-Sharing Without Bed-Sharing Is Recommended: “Bed-sharing might increase the risk of overheating, rebreathing or airway obstruction, head covering, and exposure to tobacco smoke, which are all risk factors for SIDS.” 
3. It Is Prudent to Provide Separate Sleep Areas and Avoid Cobedding for Twins and Higher-Order Multiples in the Hospital and at Home: “Furthermore, there is increased potential for overheating and rebreathing while cobedding, and size discordance might increase the risk of accidental suffocation.”
4. Pillows, Quilts, Comforters, Sheepskins, and Other Soft Surfaces Are Hazardous When Placed Under the Infant or Loose in the Sleep Environment: “However, such soft bedding can increase the potential of suffocation and rebreathing.”
5. Avoid Overheating and Head Covering in Infants: “It is not known whether the risk associated with head covering is attributable to overheating, hypoxia, or rebreathing.”

Crib Mattress and SIDS – AAP Recommends Air Permeable Sides in Bassinets and Play Yards

Further, the Task Force recommends air permeable sides when bassinets are used. This recommendation is based on a retrospective review and analysis of infant deaths occurring in bassinets between June 1990 and November 2004 that were reported to the CPSC (Pike/Moon 2008). The authors identified at least six infants who were found with their “face wedged against the side of the bassinet.” While there is no mention of any bassinets having air permeable sides in the study, the study authors (including R Moon who is on the AAP Task Force) recommends “a bassinet with vertical sides of air-permeable material, such as mesh, may be preferable to one with air-impermeable sides.” The Task Force makes the recommendation for air permeable sides based on infants with face wedged against side of sleep environment. Logic would dictate that air permeable/breathe-through crib mattresses as being preferable to air impermeable mattresses to address infants face-straight-down on firm crib mattresses.

Crib Mattress and SIDS – Suffocation/Entanglement in Bedding and Crib Sheets

The AAP Task Force concurs with the CPSC that all loose bedding should be removed from the infant’s sleep environment. The CPSC and the AAP issued an alert in 2001 warning parents and pediatricians of the “hidden hazard in babies’ cribs” of loose sheets based on death reports of infants who suffocated or strangled when they became entangled in their crib sheet. Two of the deaths involved fitted sheets (CPSC 2001). The CPSC now requires that all crib sheets carry a warning that the sheet should not be used if it doesn’t fit properly. CPSC pushed the sheet-making industry to improve the fit of crib sheets on mattresses. However deaths from sheet entanglement remain a risk for infants. In the CDC’s multistate SUID Case Registry, the mechanism most frequently reported for possible and explained suffocation deaths was soft bedding which the registry defines as soft or loose bedding (Shapiro-Mendoza 2014). The loose bedding is not further defined but could be a blanket or fitted sheet that became loose. 

Crib mattress manufacturers are not sheet manufacturers. The CPSC defines the industry requirements for mattress size based on ASTM standards. Their length and width requirements are consistent but their requirement for height is “less than six inches” making mattress sizes inconsistent. Because there are no crib sheets made for a given mattress, the crib sheet remains a hazard. The design of the air permeable crib mattress eliminates this risk because no sheet or other bedding is used.

The same data used by the AAP Task Force in its recommendation against the use of soft or loose bedding, also supports a recommendation against the use of a crib mattress sheet when possible.

Crib Mattress and SIDS – Role of Bacteria in Crib Mattresses

A recent review article attempts to establish bacterial infection as having a major role in the pathophysiology of SIDS (Goldwater 2013). The authors debunk the respiratory physiology model both as being unproven and inconsistent with the most plausible physiological events that take place during a SIDS death.

A recent study showed SIDS victims, especially those found prone, are more often colonized with Staphylococcus aureus than living control subjects (Highet 2014). Studies have demonstrated colonization of traditional fiber-filled crib mattresses with Staph aureus (Jenkins 2007) suggesting a source for acquiring these bacteria. While no studies are available measuring colonization of air permeable crib mattresses, the surface is designed to be removed and laundered. The U.S. made model recommends regular cleaning of the surface in a conventional washer and dryer.

Based on the bacterial infection hypothesis, it stands to reason that breathe-through crib mattresses that allow for regular washing of infant sleeping surfaces and removal of fiber-fill from the mattress reducing exposure to these pathogens should be recommended.

Crib Mattress and SIDS – Summary

In summary, scientific data supports the recommendation for use of air permeable/breathe-through crib mattresses to reduce the risk of unexpected suffocation/entanglement and other hazards that may be associated with SIDS/SUID.

Learn more: safesleeptech.com 
#SIDS #safesleep 

Refrences:

Paluszynska DA, Harris KA, Thach BT. Influence of sleep position experience on ability of prone sleeping infants to escape from asphyxiating microenvironments by changing head position. Pediatrics, Dec. 1, 2004.

Mitchell EA, Thach B, Thompson J, Williams S. Changing infants’ sleep position increases risk of sudden infant death syndrome. Arch Pediatr Adolesc Med. 1999

Rachel Y. Moon, Kantilal M. Patel and Sarah J. McDermott Shaefer. Sudden Infant Death Syndrome in Child Care Settings. Pediatrics 2000

Patrick L. Carolan, MD; William B. Wheeler, MD; James D. Ross, RRT, RCP; and James S. Kemp, MD, (2000), Potential to Prevent Carbon Dioxide Rebreathing of Commercial Products Marketed to Reduce Sudden Infant Death Syndrome Risk, Pediatrics, 105:4 774-779

Bar-Yishay, E., Gaides, M., Goren, A. and Szeinberg, A. (2011), Aeration properties of a new sleeping surface for infants. Pediatr. Pulmonol., 46: 193–198. doi: 10.1002/ppul.21351

L’Hoir MP, Engelberts AC, van Well GTJ, et al. Risk and preventive factors for cot death in the Netherlands, a low-incidence country. Eur J Pediatr. 1998;157(8):681– 688

Edwin A. Mitchell, BSc, MBBS, DCh, FRACP, FRCPCH, DSc; Bradley T. Thach, MD; John M. D. Thompson, PhD; Sheila Williams, BSc; for the New Zealand Cot Death Study, Changing Infants’ Sleep Position Increases Risk of Sudden Infant Death Syndrome. Arch Pediatr Adolesc Med. 1999;153:1136-1141

Kemp JS, Thach BT. Sudden death in infants sleeping on polystyrene-filled cushions. N Engl J Med. 1991 Jun 27;324(26):1858–1864

Kemp JS, Thach BT. A sleep position–dependent mechanism for infant death on sheepskins. AJDC. 1993;147:642-646

American Academy of Pediatrics Task Force on Infant Positioning and SIDS. SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment, Pediatrics; originally published online October 17, 2011; TASK FORCE ON SUDDEN INFANT DEATH SYNDROME DOI: 10.1542/peds.2011-2284

Jodi Pike, MD and Rachel Y. Moon, MD, Bassinet Use and Sudden Unexpected Death in Infancy, J Pediatr. Oct 2008; 153(4): 509-512

US Consumer Product Safety Commission. CPSC Alerts Caregivers to Hidden Hazard in Babies’ Cribs, Washington, DC: US Consumer Product Safety Commission; MAY 18, 2001; Release Number: 01156

Carrie K. Shapiro-Mendoza, PhD, MPHa, Lena Camperlengo, DrPHa, Rebecca Ludvigsen, MPHb, Carri Cottengim, MAc, Robert N. Anderson, PhDd, Thomas Andrew, MDe, Theresa Covington, MPHf, Fern R. Hauck, MD, MSg, James Kemp, MDh, and Marian MacDorman, PhDd. Classification System for the Sudden Unexpected Infant Death Case Registry and its Application. J Pediatr. Jun 2014; DOI: 10.1542/peds.2014-0180

Paul N. Goldwater1,2 and Karl A. Bettelheim. SIDS Risk Factors: Time for New Interpretations. The Role of Bacteria. Pediatrics Research International Journal. Aug 2013; Vol. 2013, Article ID 867520; DOI: 10.5171/2013.867520

Amanda R. Highet, Anne M. Berry, Karl A. Bettelheim, Paul N. Goldwater. Gut microbiome in sudden infant death syndrome (SIDS) differs from that in healthy comparison babies and offers an explanation for the risk factor of prone position. International Journal of Medical Microbiology. Jul 2014; Volume 304, Issues 5–6, July 2014, Pages 735–741; DOI: 10.1016/j.ijmm.2014.05.007

Jenkins R.O, Sherburn R.E. Used cot mattresses as potential reservoirs of bacterial infection: nutrient availability within polyurethane foam. J Appl Microbiol. Nov 2007; Epub 2007

Infants with Eczema & Sleeping

Safest Baby Crib Mattress

It can often be difficult for infants with Eczema to get to sleep and remain sleeping for extended periods of time. 

What is Eczema?

Eczema, also known as atopic eczema or atopic dermatitis, is an inherited condition that usually results in dry, itchy, red patches on the skin. The body parts most affected by eczema are hands, feet, elbows, face, and the back of the knees. 

Symptoms of Eczema?

Eczema is a common condition among babies.  Infants with Eczema often have  painful and itchy flare-ups which can have adverse effects on their sleep. If your baby has not been diagnosed with eczema, then consult your dermatologist or pediatrician to find out if your infant has Eczema.

What Triggers Flare Ups?

If you baby has been diagnosed with eczema, here are some helpful tips  on how to prevent flare ups and help your baby sleep better.  an Infant’s Eczema flare ups are usually triggered by certain foods or environmental elements.  Often these triggers can be identified with a little bit of trial and error.  When you Infant’s  eczema flares up, the skin most commonly becomes inflamed and red.  These flare ups are most often immediate after your baby consumes certain foods or when he/she comes in contact with a certain exterior or interior element.  Many Infant Eczema flare-ups are caused by chemicals that are not suitable for your baby’s sensitive skin.

An infant’s Eczema is very distressing to them.  It is very difficult for older babies with Eczema to avoid scratching. Scratching eczema affected skin can lead to abraded skin which can cause infection.  Infant’s with Eczema are often very uncomfortable during flareups, and most often results in interrupted sleep if not treated.

Tips for Better Sleep During Your Infant’s Eczema Flare Ups

Here are some simple steps you can take to sooth your baby’s Eczema for a calm relaxing sleep:

Give your baby a bath before going to bed.

This helps to soothe your Infant’s eczema and hydrate the dry itchy skin. Bathing will also help to get rid of the bacteria and germs which cause itching and rashes. But, be sure to avoid hot water. A hot water bath makes your Infant’s eczema worse as heat triggers flare ups.  It will make the skin dry, causing more itching.  

Try using a calming mixture of lukewarm water and Aveeno Baby Soothing Bath Treatment

Aveeno Baby Soothing Bath Treatment consists of ultra finely milled natural colloidal oatmeal and moisturizers to relieve dry, itchy and irritated skin. It is also hypoallergenic.  When dispersed in water, the  powder forms a milky bath that soothes and cleanses.  Avoid harsh soaps that are drying to the skin.  You may also want to use a gentle moisturizer, free of dyes and perfumes, on your baby’s skin after their bath.

Add a humidifier in your baby’s room to keep the air hydrated.  

The hydrated skin will not only assist with keeping baby’s skin moist, it will also help eliminate itching and redness.

Us a SafeSleep Breathe-Through Crib Mattress. 

Using a SafeSleep Breathe-Through Crib Mattress will help keep your baby’s core body temperature stable so they don’t sweat.  Sweating can actually have adverse effects with Eczema causing more irritation and soreness.  It is important to keep your baby’s skin dry.  A Breathe-Through Crib Mattress eliminates the build up of moisture on the surface unlike crib mattresses with cores and fillers. Fiberfill or vinyl covers cause baby to artificially overheat and sweat.  Sweating will exasperate your baby’s eczema. An air permeable crib mattress with constant air flow helps promote good sleep even during Eczema flare ups.  

Be sure to keep pets at bay. 

Do not allow pets or animals near your baby as this will worsen the condition. During flare ups, keep your baby’s room door shut to prevent pets from entering your baby’s sleep space. More >

Eczema in infants usually starts at around 6 months. 

Watch for signs.  There is a good possibility your baby’s eczema is triggered by certain foods.  Take note if they have a skin irritation after eating and avoid their consumption of suspect foods.  

The best thing about eczema is that the babies will normally outgrow it when are 4-5. More >

For more information on the SafeSleep Breathe-Through Crib Mattress, click here.