Just got this e-mail from Lou Boyes, IBCLC.  She is the WIC breastfeeding 
coordinator for Palm Beach County:

Thought you all would like to see what the final decision was on"Safe Infant 
Sleeping" with the Palm Beach County, FL Health Department Child Fatality 
Review and Prevention Project.  It was originally recommended that no parent 
should ever sleep with their infant.  As a result of the work team reviewing  
information that I shared with them: 
*   Culture and Infant Sleep, Study Module #560-02 from LLLI which includes 
Dr. McKenna's studies; 
*   the AAP's Policy on Breastfeeding; and 
*   the LLLI media release on Co-Sleeping 
they developed a comprehensive flyer which will be distributed throughout
the county.  There is media coverage planned also.  

    This is a wonderful effort that had a very positive outcome due to a 
dedicated work team that read the facts and kept an open mind.  The PBC 
Medical Examiner had just had his first child and his wife was 
breastfeeding!!  He certainly had a vested interest in reading all the 
material.  Hope the rest of the counties and states put forth such a 
dedicated effort.

 v CO-SLEEPING:
Ø If parents are smokers or have ingested alcohol or drugs, they should not 
sleep with their babies.  These drugs include some prescription and 
over-the-counter medicines (such as allergy, sleep or cold medicine) that may 
make the person fall into a deep sleep and/or make it difficult for the 
person to wake up.
Ø If an infant sleeps in an adult bed:
§ The mattress should be tight fitting to the headboard of the bed.
§ There should not be any loose pillows or soft blankets near the baby's face 
or under the baby.
§ There should not be any space between the bed and the adjoining wall where 
the baby could roll and become trapped.
§ The baby should not be placed on his or her stomach.
§ Be very careful that an adult or child sleeping in the bed with the baby 
does not roll over onto the baby or cover the baby with a body part that 
could smother the baby.  

Margie Forrest, RN, BSN, IBCLC
The Lactation Corner at Palms West Hospital
Loxahatchee, FL

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