Transcript 2007 Baby Love Conference - North Carolina Healthy Start

Infant Safe Sleep Resources
North Carolina
Carolinas Medical Center
Charlotte, NC
September 5, 2007
Christine O’Meara, MA, MPH
www.NCHealthyStart.org
Objectives
• Putting infant sleep safety into perspective
 ITS-SIDS
 HOPES
 Infant Safe Sleep NC Campaign
• Identify key infant safe sleep resourcesand
how to access them
 NC
 Nationally
Smoking Among NC Women
• The percentage of women who reported smoking during
pregnancy has declined.
• During 1988-1991, approximately one in five births in
North Carolina (21%) involved a mother who had
smoked during pregnancy, compared with 12.9% during
2001-2005.
• 14.8% of women smoked during the last three months of
pregnancy. 16.2% smoked 1+ pack daily. (PRAMS 2004)
Secondhand Smoke Exposure
2005 PRAMS Survey
• How many cigarette smokers, not including yourself, lived in
your home during your most recent pregnancy?
No Smokers 73.5%
1 Smoker
18.4%
2+ Smokers
8.2%
• Is your new baby ever in the same room with someone who
is smoking?
YES
9.9%
NO
90.1%
2005 PRAMS Survey
Health Effects of Cigarettes
• Smoking harms nearly every organ of the body; causing
many diseases and reducing the health of smokers in
general.
• Cigarette smoking has many adverse reproductive and
early childhood effects, including:
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increased risk for infertility
preterm delivery
stillbirth
low birth weight
Sudden Infant Death Syndrome (SIDS)
• Research indicates evidence of negative effects of
nicotine on fetal brain and nervous system development.
Health Effects of
Secondhand Smoke
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Secondhand smoke exposure causes disease and premature
death in children and adults who do not smoke.
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There is no risk-free level of exposure.
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Children exposed to secondhand smoke are at increased risk
for:
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Sudden Infant Death Syndrome (SIDS)
acute respiratory infections
ear problems
more severe asthma
Smoking by parents causes respiratory symptoms and slows
lung growth in their children.
What New Mothers Say:
“I would have appreciated more help to stop
smoking during my pregnancy. I don’t think
doctors emphasize that enough.”
“I think doctors should advise patients to quit
more aggressively.”
- Personal Comments from the NC Prams Survey, No. 153, May 2007
Counseling From the Heart:
Helping Women Eliminate Tobacco Use and Exposure
• Extreme make-over
• Counseling through
the lifespan
• Addresses
secondhand smoke
• Nicotine as an
addictive drug
• Pharmacotherapy
• Collaborative effort
• New resources
Resources - NC
NC DPH/ Women’s Health Branch
A Guide For Counseling
Women Who Smoke
Helping Women Eliminate Tobacco
Use and Exposure
Counseling From the Heart
video
For information contact the NC Division of
Public Health Women’s Health Branch
at 919-707-5700 or contact
[email protected]
Resources - NC
1-800-784-8669
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Toll-free North Carolina Tobacco Use Quit Line
8:00 am - midnight; 7 days a week
English, Spanish and other languages
Coaches can call back upon request
For youth and adults
TTY: 1-877-777-6534 for hearing impaired
• http://www.quitlinenc.com/
NOTE:
FAX referral for patient wanting to attempt to quit in 30 days
Resources - NC
NC Prevention Partners
88 Vilcom Circle
Suite 110
Chapel Hill, NC 27514
Local Phone: 919.969.7022
Toll Free Phone: 888.919.NCPP (6277)
Fax: 919.960.0592
http://www.ncpreventionpartners.org
Resources - NC
N.C. Good Health Directory
Comprehensive, web-based referral directory
of N.C. health-related resources to assist
individuals to be physically active, eat healthy
and quit all tobacco use.
 Healthcare providers
 Programs
 Hospitals and clinics
 www.ncpreventionpartners.org/index.html?page=ncpSearch.html
Resources - NC
Healthy Hospital Initiative
• on-line resource
• NC Prevention Partners program
• comprehensive resources for hospitals
going tobacco-free
• updated listing of tobacco-free hospitals
 86 tobacco-free hospitals
 14 scheduled for change Fall 2007 & Spring
2008
• www.healthyhospital.org
Resources - NC
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English/Spanish educational materials
Order free materials in bulk
Order by Mail, FAX or on-line
Hours: 8:00 am - 5:00 pm; Monday-Friday
Web information and print materials about:
• Women’s Health
• Health before, during and after pregnancy
• Substance use or smoking in pregnancy
• Infant health and safety
www.NCHealthyStart.org
919-828-1819
Resources - NC
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TTY: 1-800-976-1922 for hearing impaired
8:00 am - 5:00 pm; Monday-Friday
Toll-free English/Spanish
Information and referral about:
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Health before pregnancy
Family planning
Pregnancy and prenatal care
Substance use or smoking in pregnancy
Breastfeeding, nutrition and WIC
Infant, child and teen health
Children’s health insurance
Web-based Resources
Pregnancy and Smoking
• http://www.ahrq.gov/clinic/tobacco/
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http://www.cancer.gov/cancertopics/factsheet/Tobacco
http://www.childtrendsdatabank.org/drugs.cfm
http://www.cdc.gov/nccdphp/drh/mh2_smoking.htm
http://www.cdc.gov/nccdphp/publications/factsheets/Preventio
n/pdf/smoking.pdf
• http://www.cdc.gov/tobacco/data_statistics/sgr/sgr_2006/#full
• http://www.lungusa.org/site/pp.asp?c=dvLUK9O0E&b=22938
• http://www.surgeongeneral.gov/library/secondhandsmoke/