0978 PREVENTION OF SUDDEN UNEXPECTED INFANT DEATH (SUID) DURING SLEEP AT NURSERY SCHOOLS

Abstract

Sudden Unexpected Infant Death (SUID) is reported to occur in about one of every 6000–7000 live births in Japan. SUID occurs mainly during sleep in infancy and prevention of SUID at this age group is very important not only at home but also at nursery school. The aim of the study was to identify activities currently conducted at each nursery schools to prevent SIDS during the nap, and also the sleeping environment at nursery schools. A questionnaire asking about the activities related to SUID prevention and the sleeping environment was distributed to all the nursery schools in Ehime Prefecture, Japan. One hundred and eighty eight responses were included in the analysis. Percentage of activities currently conducted at each nursery school and sleep environment during the nap were analyzed. Percentage of activities including health checkup in the morning, monitoring by the childminder during the nap time, asking about the health condition of baby from the parents, taking care of baby sleeping position, measurement of body temperature, checking vital signs of sleeping baby, stimulate the baby while taking a nap, monitoring of sleeping baby with video recording, and putting a sensor on baby taking nap were conducted in 95.2%, 94.1%, 93.2%, 92.0%, 87.3%, 45.5%, 10.1%, 1.6% and 0.5% of nursery schools respectively. Sleep environment during nap time was controlled for temperature, light exposure and humidity in more than 80% of the nursery schools. Monitoring of the health condition of the baby and close watch on baby including the body position while napping was made in more than 80% of nursery schools to prevent SUID during nap. Sleep environment was sufficiently controlled in most nursery school.