19-year study finds thousands of babies are injured or killed by their beds annually
February 19, 2011When the United States Consumer
Product Safety Commission (CPSC) announced a ban drop-side
cribs in December 2010, after millions of these products had been recalled,
many parents and caregivers of small children began to question the
safety of cribs, playpens and bassinets.
A new study conducted by researchers at the Center for Injury
Research and Policy of The Research Institute at Nationwide
Children's Hospital examined injuries associated with cribs,
playpens and bassinets among children younger than two years of age
from 1990 through 2008.
What the found might upset even the most experienced
parents.
During the 19-year study period, an average of 9,500 injuries
and more than 100 deaths related to these products were seen in
U.S. emergency departments each year.
According to the study, the majority of injuries – 83 percent
-- involved cribs. The most common injury diagnosis was soft-tissue
injury (34 percent), followed by concussion or head injury (21
percent).
The head or neck was the most frequently injured body region (40
percent), followed by the face (28 percent).
Two-thirds of the injuries were the result of a fall, and the
percentage of injuries attributed to falls increased with age.
“Despite the attention given to crib safety over the past
two decades, the number of injuries and deaths associated with
these products remains unacceptably high,” said Dr. Gary
Smith, MD, senior author of the study and director of the Center
for Injury Research and Policy.
Smith, also a Professor of Pediatrics at The
Ohio State University College of Medicine, said cribs, playpens
and bassinets must be held to a higher standard than most baby
products, which require parental supervision to maintain safety,
because parents are expected to leave their child unattended in
them and walk away with peace of mind.
“Educating caregivers about the proper use and potential
dangers of these products is an important part of making cribs
safer for children, but education alone is not enough,” said
Smith. “Innovations in product design and manufacture can
provide automatic protection that does not rely on actions of
caregivers to keep children safe.”
In recent years, organizations such as the CPSC and the American
Academy of Pediatrics have amplified their efforts to increase crib
safety.
11 million recalls
The CPSC has issued recalls of more than 11 million cribs and
has prohibited the manufacture, sale or lease of drop-side cribs
starting in June 2011.
Continued strengthening and enforcement of crib safety standards
will protect more young children from harm.
Despite the potential risks, cribs are still considered to be
the safest location where parents can place infants to sleep. There
are several steps parents and caregivers should take when selecting
a crib for their child:
Pay close attention to the crib you select.
- Select a crib that meets all current safety standards, does not
have a drop side and is not old, broken or modified.
- Avoid cribs with cutouts or decorative corner posts or knobs
that stick up more than 1/16th of an inch
- Measure the slats to make sure they are not more than 2 and 3/8
inches apart
- Visit Recalls.gov to make sure the crib has not been
recalled
- Make sure the mattress fits tightly into the crib. If you can
fit more than two fingers between the mattress and the crib, you
need a bigger mattress
- Frequently examine the crib to make sure it is in good repair
and that there are no loose parts
- Carefully read and follow all assembly instructions
When putting your child in a crib to sleep, consider the
following:
- Always place your baby on his or her back to sleep
- Remember that a bare crib is best. Do not add pillows,
blankets, sleep positioners, stuffed animals or bumpers to the
crib
- Crib tents and mesh canopies are not safe to use over cribs.
Children can become trapped or strangle in them if they try to get
out
- Avoid placing the crib near a window to prevent falls and
possible strangulation from cords from window blinds or shades
Monitor your child's developmental milestones and make
changes to the crib as needed.
- Once your child can push up on his hands and knees or is 5
months old (whichever occurs first), remove all mobiles and hanging
toys
- When your child can pull herself up or stand, adjust the
mattress to the lowest position. Having the crib sides at least 26
inches above the mattress can help prevent falls
- Check the manufacturer's instructions to know when your child
will outgrow the crib. This generally occurs when your child
reaches 35 inches in height
If using a bassinet or playpen, make sure they have a
sturdy, wide base and that your child meets all height and weight
limits.
Smith’s study will be released online on February 21 will
appear in the March 2011 print issue of Pediatrics.