National SUDI prevention programme – needs assessment and care planning guide(external link) Ministry of Health, NZ, 2019
This guide offers conversations, questions, advice and care options before, during and after birth. It has been framed around PEPE – the top 4 ways of preventing SUDI.
- Place baby in his or her own baby bed in the same room as their parent or caregiver.
- Eliminate smoking in pregnancy and protect baby with a smoke-free whānau (family), whare (home), and waka (car).
- Position baby flat on their back to sleep, face clear of bedding.
- Encourage and support exclusive breastfeeding and gentle handling of baby.
The PEPE framework provides consistency in national messaging and a context for delivering best practice. However, health professionals also need to consider a combination of other factors that can contribute to SUDI at the same time.
Of particular concern are premature birth, a baby that is small for gestational age, multiple birth, age of baby (peak incidence occurs at one to two months of age), previous experience of SUDI, gender (more likely in boys), postnatal depression, age of mother, no antenatal education and late engagement with a midwife.
When using this guide, it is important to use appropriate conversation skills that are mana enhancing and non-judgemental as well as establishing a good rapport with māmā (mother) and families and whānau. Likewise, health professionals must take into account the strengths, wishes, beliefs, practices and needs of families and whānau.
See also: National SUDI prevention programme national – safe sleep device quality specification guidelines(external link) Ministry of Health, NZ, 2019