May 25, 2017 03:25 PM
Freaking Out Over Babies in Boxes
Rachel Rabin Peachman gives me the reason for my weekly eye roll directed towards the New York Times. Finland gives new mothers a box loaded with baby supplies. The box can double as an infant bed. It's been a successful program in Finland, so American hospitals are following their lead.
American "safety" experts are freaking out, because these are unregulated boxes. And, by the mighty power of the precautionary principle, anything unregulated must be treated as a danger to society.
But the rapid pace at which the box programs have been adopted by states and hospitals worries some experts, who say the boxes have not yet been proven to be a safe infant sleep environment or an effective tool in reducing infant mortality.
“I’ve been very surprised at how much enthusiasm there’s been for this and how people are just jumping on this bandwagon,” said Dr. Rachel Moon, chairwoman of the American Academy of Pediatrics’ task force on Sudden Infant Death Syndrome. “They’re just assuming that since it worked in Finland that it’s going to be fine.”
Well, yes. That seems a reasonable thing to assume. Hence the reason why I'm rolling my eyes at Dr. Moon. She appears be a professional worrier, which does nothing to change my general opinion that the American Academy of Pediatrics is primarily run by professional worriers.
The CPSC joins her in stressing out about these boxes.
Ms. Buerkle said there are a number of unknowns about the boxes. “What is the box made of? How durable is it? If you use it through three different children does it deteriorate?” she said. “But those are things they’ll determine in the standards committee.”
But Dr. Moon said safety standards need to be decided by unbiased experts, not the companies that make a product. She said she has many unanswered questions about the boxes herself, including: What are the age and weight limits for baby boxes made in the United States? Is it safe to pick up the box with the baby in it? What is the airflow quality inside the box? Is it safe to place the box with baby inside on the floor or on another surface?
Good grief, people. It's a box for newborn infants. I think it's very nature indicates that it's a disposable start, not a full bed. She appears to worry that there will be a rash of parents trying to stuff their children in boxes, carry the boxes around the house, and then mail them to their grandparents.
Meanwhile, Temple University has been busy using these new box programs to do some research.
On Monday, Temple University released data showing that box programs may influence the sleep practices of new parents. When new mothers in the Temple program received a baby box and face-to-face sleep education from a nurse before leaving the hospital, their reported rate of bed-sharing with their infant within the first eight days of life was 25 percent lower than the reported bed-sharing rate of mothers given nursing instructions and no baby box. Bed-sharing is a risk factor for suffocation and other sleep-related deaths. The A.A.P. recommends that infants sleep alone, on their backs, without any loose, soft bedding.
Dr. Megan Heere, medical director of the Well Baby Nursery at Temple University Hospital and lead author of the study, said she was optimistic about the baby boxes and their potential role in promoting safe sleep. “At this point we have no reason to believe they’re dangerous,” Dr. Heere said. “We’re of the thought process that it can only help.”
I'm with Dr. Heere. Let's try acting as though parents had a modicum of common sense. Parents who already have a good bed or bassinet for their infant won't use the box as a bed. For the parents who don't have those things, the box may very well be better than whatever they'd been planning to use. Let's not freak out until we've first seen whether or not there's a reason to freak out.
(Oh, and why am I rolling my eyes at the New York Times? Because of their typically breathless coverage and the fact that they chose to lead the article with the fact that the boxes are, gasp!, unregulated. As though that were the primary thing that mattered.)