Paeds Cases · preventive-and-community-paediatrics
Safe sleep counselling — communication OSCE
OSCE on non-judgemental safe-sleep history, hazard counselling and teach-back.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
4-week-old infant; parents use pillows in the cot and sometimes bed-share after night feeds.
Objectives
- Elicit actual (not ideal) sleep practices without shame. [1]
- Correct soft bedding and hazardous shared-sleep plans. [1] [12]
- Teach core safe-sleep rules with teach-back. [1] [2]
- Safety-net for sofa sleep and future rolling/swaddle transition. [10] [11]
References5ShowHide
- [1]Moon RY Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment Pediatrics, 2022.PMID 35726558
- [2]Moon RY Evidence Base for 2022 Updated Recommendations for a Safe Infant Sleeping Environment to Reduce the Risk of Sleep-Related Infant Deaths Pediatrics, 2022.PMID 35921639
- [10]Blair PS Hazardous cosleeping environments and risk factors amenable to change: case-control study of SIDS in south west England BMJ (Clinical research ed.), 2009.PMID 19826174
- [11]Pease AS Swaddling and the Risk of Sudden Infant Death Syndrome: A Meta-analysis Pediatrics, 2016.PMID 27244847
- [12]Shapiro-Mendoza CK Trends in infant bedding use: National Infant Sleep Position study, 1993-2010 Pediatrics, 2015.PMID 25452654