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The recent fall in postperinatal mortality in New Zealand and the Safe Sleep programme
Author(s) -
Mitchell Edwin A.,
Cowan Stephanie,
TipeneLeach David
Publication year - 2016
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.13494
Subject(s) - medicine , accidental , sleep (system call) , infant mortality , environmental health , occupational safety and health , pediatrics , gerontology , demography , population , physics , pathology , sociology , computer science , acoustics , operating system
Aim Postneonatal mortality rates changed very little from 2000 until recently. There has been a decrease in mortality in New Zealand from 2009 to 2015. This study describes an infant Safe Sleep programme and postulates it is the cause for the recent decrease in deaths. Methods The Safe Sleep programme involved as follows: a focus on preventing accidental suffocation, a ‘blitz’ approach to SUDI education, the targeted provision of portable infant Safe Sleep devices ( ISSD ) and the development of Safe Sleep policy across all district health boards ( DHB s). Results Participation in the education ‘blitz’ by health professionals exceeded one in 23 live births, distribution of Safe Sleep leaflets exceeded two for every live birth, and over 16 500 ISSD s have been distributed to vulnerable infants. Postperinatal mortality fell 29% from 2009 to 2015 (2.8 to 2.0/1000 live births). The fall has been greatest for Māori and in regions with the most intensive programmes. Conclusion The recent fall in postperinatal mortality has not happened by chance. It is likely that the components of end‐stage prevention strategy, a focus on preventing accidental suffocation, the education ‘blitz’, the targeted supply of ISSD s and strengthened health policy, have all contributed to varying degrees.