1. www.NCHealthyStart.org Infant Safe Sleep Resources North Carolina Carolinas Medical Center Charlotte, NC September 5, 2007 Christine O’Meara, MA, MPH

2. 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

3. 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)

4. 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?  YES9.9%  NO90.1% 2005 PRAMS Survey

5. 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:  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.

6. Health Effects of Secondhand Smoke Secondhand smoke exposure causes disease and premature death in children and adults who do not smoke. There is no risk-free level of exposure. Children exposed to secondhand smoke are at increased risk for: 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.

7. 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

8. Extreme make-over Counseling through the lifespan Addresses secondhand smoke Nicotine as an addictive drug Pharmacotherapy Collaborative effort New resources Counseling From the Heart: Helping Women Eliminate Tobacco Use and Exposure

9. Resources - NC 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 judy.ruffin@ncmail.net NC DPH/ Women’s Health Branch

10. 1-800-784-8669 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

11. 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 http://www.ncpreventionpartners.org 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 http://www.ncpreventionpartners.org

12. 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 www.ncpreventionpartners.org/index.html?page=ncpSearch.html Resources - NC

13. 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

14. 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.orgwww.NCHealthyStart.org 919-828-1819 Resources - NC

15. TTY: 1-800-976-1922 for hearing impaired 8:00 am - 5:00 pm; Monday-Friday Toll-free English/Spanish Information and referral about: 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 Resources - NC

16. Web-based Resources Pregnancy and Smoking http://www.ahrq.gov/clinic/tobacco/ 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.pdfhttp://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/