For Parents Worried About Sudden Unexpected Infant Death, the New Tech is Cardboard Box
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Maisha Watson is currently living in a motel outside Atlantic City, N.J., with her infant son, Solomon Murphy. With no room for a crib, Solomon sleeps in the baby box.","publishDate":1497630055,"status":"inherit","parent":411017,"modified":1498053772,"caption":"New Jersey has been distributing baby boxes — cardboard containers that double as cribs or bassinets — to new parents since January. Maisha Watson is currently living in a motel outside Atlantic City, N.J., with her infant son, Solomon Murphy. With no room for a crib, Solomon sleeps in the baby box.","credit":"Rebecca Davis/NPR","description":"New Jersey has been distributing baby boxes — cardboard containers that double as cribs or bassinets — to new parents since January. Maisha Watson is currently living in a motel outside Atlantic City, N.J., with her infant son, Solomon Murphy. 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cardboard box, Miss Marcia told her. But it's also a safe place for a baby to sleep: It comes with a firm mattress and a snug sheet, in line with \u003ca href=\"https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/american-academy-of-pediatrics-announces-new-safe-sleep-recommendations-to-protect-against-sids.aspx\">American Academy of Pediatrics recommendations\u003c/a> meant to protect against sleep-related deaths, including sudden infant death syndrome, or SIDS.\u003c/p>\n\u003cp>Watson learned more, and now the mother of 1-month-old Solomon is a big fan. Solomon has slept in a baby box ever since he came home from the hospital.\u003c/p>\n\u003cp>That's because he's living with his mom and dad in a cramped motel room outside Atlantic City, N.J. Watson has lived here for about a year, after a bad car accident made it hard for her to work and stay in school.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>There's no space for a crib or a bassinet. And Watson knows it's dangerous for a baby to sleep on a bed.\u003c/p>\n\u003cp>The box they're using is one of roughly 20,000 that New Jersey has given away since January as part of the first program to provide a box to every newborn in the state. Since then, Ohio, Alabama and Texas have started similar programs, with more on the way.\u003c/p>\n\u003cp>The idea is borrowed from Finland, where for decades, in exchange for a prenatal checkup, the government has given expectant mothers a \u003ca href=\"http://www.kela.fi/web/en/maternitypackage\">maternity package that includes a box that doubles as a crib\u003c/a>. With the new state-sponsored programs in the U.S., anyone who watches a series of online videos focused mainly on safe sleep — and then passes a short quiz — can get a box.\u003c/p>\n\u003cp>Supporters say the free, cheerfully decorated box is just a cool hook, and that the heart of the program is to teach all parents about simple, proven ways to help keep their babies safe while sleeping. Moms like Watson are already finding the boxes useful.\u003c/p>\n\u003cp>But skeptics say there haven't been enough studies or enough testing done on the boxes to prove whether they're safe or effective at preventing infant deaths.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.aap.org/en-us/about-the-aap/Committees-Councils-Sections/Child-Death-Review/Pages/Safe-Sleep.aspx\">American Academy of Pediatrics notes\u003c/a>: \"Currently, there is insufficient data on the role cardboard boxes play in reducing infant mortality.\"\u003c/p>\n\u003cp>Moreover, there are unanswered questions about the boxes' safety, says Dr. Thomas Heygi, medical director of the \u003ca href=\"http://www.rwjms.rutgers.edu/sids/\">SIDS Center of New Jersey\u003c/a>.\u003c/p>\n\u003cp>For instance, he says, will bacterial growth increase if the cardboard gets wet? Or are there glues or emissions that could cause dermatitis or that babies could inhale?\u003c/p>\n\u003cp>Hegyi says enthusiasm for the boxes has outpaced the science. And that worries him, because there are many things that sounded like a good idea for newborns but ended up being dangerous, he says, citing \u003ca href=\"http://www.npr.org/sections/health-shots/2015/11/25/457285189/to-reduce-infant-deaths-doctors-call-for-a-ban-of-crib-bumpers\">crib bumpers as one example\u003c/a>.\u003c/p>\n\u003cp>\"We're very concerned as pediatricians in adopting interventions for babies without thoroughly testing them, because historically we've been burned,\" he says.\u003c/p>\n\u003cp>There is work underway to address safety and testing concerns. A task group of the independent standards organization ASTM International is looking at expanding the standards for bassinets to cover baby boxes.\u003c/p>\n\u003cp>The current ASTM bassinet standard already addresses issues such as sharp edges, small parts, finger entrapment and mattress suffocation hazards. The task group, which next meets later this month, is considering the development of requirements for additional hazards associated with baby boxes. In addition to the questions raised by Hegyi, the task group is considering issues such as the boxes' stability, handle strength and product integrity, among others.\u003c/p>\n\u003cp>But it will likely take at least a year before they're finalized and formally adopted.\u003c/p>\n\u003cp>In the meantime, the California-based Baby Box Company, which produces the boxes and videos used in the program, says it has tested the boxes against relevant bassinet standards and has posted \u003ca href=\"https://www.dropbox.com/sh/yzksxb53j4cdqoi/AABfbt0Vc-LXlJl96bsle3l9a?dl=0\">documentation of its voluntary safety testing\u003c/a> on its website.\u003c/p>\n\u003cp>Dr. Kathie McCans is chair of the New Jersey Child Fatality and Near Fatality Review Board, which is using a $40,000 federal grant to partner with the Baby Box Company for the state program.\u003c/p>\n\u003cp>McCans agrees that standards, regulations and more testing are needed. But she says the benefits of the baby box program's educational component outweigh potential risks.\u003c/p>\n\u003cp>\"How many babies should die while we wait for the Consumer Product Safety Commission to do testing?\" she says. \"The reality is, babies have died in bassinets, babies have died in cribs.\"\u003c/p>\n\u003cp>Proponents point to the long track record of Finland, which started distributing baby boxes in 1938, at a time when \u003ca href=\"http://www.stat.fi/til/ksyyt/2010/ksyyt_2010_2011-12-16_kat_007_en.html\">nearly one out of every 10 children\u003c/a> in the country died before age 1.\u003c/p>\n\u003cp>Finland now has one of the world's lowest infant mortality rates, but many say that's a result of improved medical care and social safety nets, not use of baby boxes. In fact, \u003ca href=\"https://www.nytimes.com/2017/05/24/well/family/put-your-baby-in-a-box-experts-advise-caution.html\">a recent survey\u003c/a> found that the majority of Finnish parents these days don't use the box as a crib.\u003c/p>\n\u003cp>But the Finnish government notes clearly that \u003ca href=\"http://www.kela.fi/web/en/maternity-package-2017/-/blogs/box-can-be-used-as-a-crib-\">the box can be used that way\u003c/a> — and was used that way more frequently in the past, when Finland was a less wealthy country.\u003c/p>\n\u003cp>Ultimately, McCans and other supporters say you can take or leave the baby box — just be sure to take the knowledge.\u003c/p>\n\u003cp>\"My hope is that we will not have people making the errors of putting a baby in a sleep surface that has blankets and pillows and crib bumpers, that everyone will know that every baby needs to be put to sleep on their back each and every time,\" she says.\u003c/p>\n\u003cp>In New Jersey, most sudden unexpected infant deaths are related to sleep — a baby sharing a bed with an adult, or being suffocated by a blanket.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Parents can do a lot to reduce the risk of SIDS, McCans says, and the goal is to spread that message — using a cute, free baby box as the incentive.\u003c/p>\n\u003chr>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=As+Popularity+Of+Baby+Boxes+Grows%2C+Skeptics+Say+More+Testing+Is+Needed&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"New mom Maisha Watson uses one of the 20,000 cardboard boxes given out so far in New Jersey. She's glad to have a safe spot for her son to sleep. But some question the boxes' safety and effectiveness.","status":"publish","parent":0,"modified":1498054020,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1061},"headData":{"title":"Baby Box Skeptics Say More Testing Needed | KQED","description":"New mom Maisha Watson uses one of the 20,000 cardboard boxes given out so far in New Jersey. She's glad to have a safe spot for her son to sleep. But some question the boxes' safety and effectiveness.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Baby Box Skeptics Say More Testing Needed","datePublished":"2017-06-21T14:04:20.000Z","dateModified":"2017-06-21T14:07:00.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"411017 https://ww2.kqed.org/futureofyou/?p=411017","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/06/21/baby-box-skeptics-say-more-testing-needed/","disqusTitle":"Baby Box Skeptics Say More Testing Needed","source":"KQED Future of You","nprByline":"Maureen Pao\u003cbr />NPR Shots","nprImageAgency":"Rebecca Davis/NPR","nprStoryId":"532132906","nprApiLink":"http://api.npr.org/query?id=532132906&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2017/06/12/532132906/as-popularity-of-baby-boxes-grows-skeptics-say-more-testing-is-needed?ft=nprml&f=532132906","nprRetrievedStory":"1","nprPubDate":"Mon, 12 Jun 2017 08:35:00 -0400","nprStoryDate":"Mon, 12 Jun 2017 04:41:00 -0400","nprLastModifiedDate":"Mon, 12 Jun 2017 05:38:12 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/06/20170612_me_as_popularity_of_baby_boxes_grows_skeptics_say_more_testing_is_needed.mp3?orgId=1&topicId=1066&d=288&p=3&story=532132906&t=progseg&e=532556633&seg=2&ft=nprml&f=532132906","nprAudioM3u":"http://api.npr.org/m3u/1532557171-6297c9.m3u?orgId=1&topicId=1066&d=288&p=3&story=532132906&t=progseg&e=532556633&seg=2&ft=nprml&f=532132906","path":"/futureofyou/411017/baby-box-skeptics-say-more-testing-needed","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/06/20170612_me_as_popularity_of_baby_boxes_grows_skeptics_say_more_testing_is_needed.mp3?orgId=1&topicId=1066&d=288&p=3&story=532132906&t=progseg&e=532556633&seg=2&ft=nprml&f=532132906","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Maisha Watson heard about baby boxes, her first reaction was: \"Why would I want to put my baby in a box?\"\u003c/p>\n\u003cp>She was talking with Marcia Virgil — \"Miss Marcia\" to her clients — a family support worker with the \u003ca href=\"http://www.snjpc.org/\">Southern New Jersey Perinatal Cooperative\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We're very concerned as pediatricians in adopting interventions for babies without thoroughly testing them, because historically we've been burned.'\u003c/aside>\n\u003cp>True, it's a cardboard box, Miss Marcia told her. But it's also a safe place for a baby to sleep: It comes with a firm mattress and a snug sheet, in line with \u003ca href=\"https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/american-academy-of-pediatrics-announces-new-safe-sleep-recommendations-to-protect-against-sids.aspx\">American Academy of Pediatrics recommendations\u003c/a> meant to protect against sleep-related deaths, including sudden infant death syndrome, or SIDS.\u003c/p>\n\u003cp>Watson learned more, and now the mother of 1-month-old Solomon is a big fan. Solomon has slept in a baby box ever since he came home from the hospital.\u003c/p>\n\u003cp>That's because he's living with his mom and dad in a cramped motel room outside Atlantic City, N.J. Watson has lived here for about a year, after a bad car accident made it hard for her to work and stay in school.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There's no space for a crib or a bassinet. And Watson knows it's dangerous for a baby to sleep on a bed.\u003c/p>\n\u003cp>The box they're using is one of roughly 20,000 that New Jersey has given away since January as part of the first program to provide a box to every newborn in the state. Since then, Ohio, Alabama and Texas have started similar programs, with more on the way.\u003c/p>\n\u003cp>The idea is borrowed from Finland, where for decades, in exchange for a prenatal checkup, the government has given expectant mothers a \u003ca href=\"http://www.kela.fi/web/en/maternitypackage\">maternity package that includes a box that doubles as a crib\u003c/a>. With the new state-sponsored programs in the U.S., anyone who watches a series of online videos focused mainly on safe sleep — and then passes a short quiz — can get a box.\u003c/p>\n\u003cp>Supporters say the free, cheerfully decorated box is just a cool hook, and that the heart of the program is to teach all parents about simple, proven ways to help keep their babies safe while sleeping. Moms like Watson are already finding the boxes useful.\u003c/p>\n\u003cp>But skeptics say there haven't been enough studies or enough testing done on the boxes to prove whether they're safe or effective at preventing infant deaths.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.aap.org/en-us/about-the-aap/Committees-Councils-Sections/Child-Death-Review/Pages/Safe-Sleep.aspx\">American Academy of Pediatrics notes\u003c/a>: \"Currently, there is insufficient data on the role cardboard boxes play in reducing infant mortality.\"\u003c/p>\n\u003cp>Moreover, there are unanswered questions about the boxes' safety, says Dr. Thomas Heygi, medical director of the \u003ca href=\"http://www.rwjms.rutgers.edu/sids/\">SIDS Center of New Jersey\u003c/a>.\u003c/p>\n\u003cp>For instance, he says, will bacterial growth increase if the cardboard gets wet? Or are there glues or emissions that could cause dermatitis or that babies could inhale?\u003c/p>\n\u003cp>Hegyi says enthusiasm for the boxes has outpaced the science. And that worries him, because there are many things that sounded like a good idea for newborns but ended up being dangerous, he says, citing \u003ca href=\"http://www.npr.org/sections/health-shots/2015/11/25/457285189/to-reduce-infant-deaths-doctors-call-for-a-ban-of-crib-bumpers\">crib bumpers as one example\u003c/a>.\u003c/p>\n\u003cp>\"We're very concerned as pediatricians in adopting interventions for babies without thoroughly testing them, because historically we've been burned,\" he says.\u003c/p>\n\u003cp>There is work underway to address safety and testing concerns. A task group of the independent standards organization ASTM International is looking at expanding the standards for bassinets to cover baby boxes.\u003c/p>\n\u003cp>The current ASTM bassinet standard already addresses issues such as sharp edges, small parts, finger entrapment and mattress suffocation hazards. The task group, which next meets later this month, is considering the development of requirements for additional hazards associated with baby boxes. In addition to the questions raised by Hegyi, the task group is considering issues such as the boxes' stability, handle strength and product integrity, among others.\u003c/p>\n\u003cp>But it will likely take at least a year before they're finalized and formally adopted.\u003c/p>\n\u003cp>In the meantime, the California-based Baby Box Company, which produces the boxes and videos used in the program, says it has tested the boxes against relevant bassinet standards and has posted \u003ca href=\"https://www.dropbox.com/sh/yzksxb53j4cdqoi/AABfbt0Vc-LXlJl96bsle3l9a?dl=0\">documentation of its voluntary safety testing\u003c/a> on its website.\u003c/p>\n\u003cp>Dr. Kathie McCans is chair of the New Jersey Child Fatality and Near Fatality Review Board, which is using a $40,000 federal grant to partner with the Baby Box Company for the state program.\u003c/p>\n\u003cp>McCans agrees that standards, regulations and more testing are needed. But she says the benefits of the baby box program's educational component outweigh potential risks.\u003c/p>\n\u003cp>\"How many babies should die while we wait for the Consumer Product Safety Commission to do testing?\" she says. \"The reality is, babies have died in bassinets, babies have died in cribs.\"\u003c/p>\n\u003cp>Proponents point to the long track record of Finland, which started distributing baby boxes in 1938, at a time when \u003ca href=\"http://www.stat.fi/til/ksyyt/2010/ksyyt_2010_2011-12-16_kat_007_en.html\">nearly one out of every 10 children\u003c/a> in the country died before age 1.\u003c/p>\n\u003cp>Finland now has one of the world's lowest infant mortality rates, but many say that's a result of improved medical care and social safety nets, not use of baby boxes. In fact, \u003ca href=\"https://www.nytimes.com/2017/05/24/well/family/put-your-baby-in-a-box-experts-advise-caution.html\">a recent survey\u003c/a> found that the majority of Finnish parents these days don't use the box as a crib.\u003c/p>\n\u003cp>But the Finnish government notes clearly that \u003ca href=\"http://www.kela.fi/web/en/maternity-package-2017/-/blogs/box-can-be-used-as-a-crib-\">the box can be used that way\u003c/a> — and was used that way more frequently in the past, when Finland was a less wealthy country.\u003c/p>\n\u003cp>Ultimately, McCans and other supporters say you can take or leave the baby box — just be sure to take the knowledge.\u003c/p>\n\u003cp>\"My hope is that we will not have people making the errors of putting a baby in a sleep surface that has blankets and pillows and crib bumpers, that everyone will know that every baby needs to be put to sleep on their back each and every time,\" she says.\u003c/p>\n\u003cp>In New Jersey, most sudden unexpected infant deaths are related to sleep — a baby sharing a bed with an adult, or being suffocated by a blanket.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Parents can do a lot to reduce the risk of SIDS, McCans says, and the goal is to spread that message — using a cute, free baby box as the incentive.\u003c/p>\n\u003chr>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=As+Popularity+Of+Baby+Boxes+Grows%2C+Skeptics+Say+More+Testing+Is+Needed&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/411017/baby-box-skeptics-say-more-testing-needed","authors":["byline_futureofyou_411017"],"categories":["futureofyou_1062","futureofyou_1","futureofyou_73"],"tags":["futureofyou_1215","futureofyou_1217"],"featImg":"futureofyou_411019","label":"source_futureofyou_411017"},"futureofyou_354513":{"type":"posts","id":"futureofyou_354513","meta":{"index":"posts_1591205157","site":"futureofyou","id":"354513","score":null,"sort":[1490030185000]},"guestAuthors":[],"slug":"for-parents-worried-about-sudden-unexpected-infant-death-the-new-tech-is-cardboard-box","title":"For Parents Worried About Sudden Unexpected Infant Death, the New Tech is Cardboard Box","publishDate":1490030185,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Cardboard boxes certainly aren't new technology. But when they're linked to a practice that started in Finland decades ago to help babies sleep safely, they're taking on a new purpose as so-called baby boxes make their way to the U.S.\u003c/p>\n\u003cp>Parents are beginning to take baby boxes home from hospitals along with their newborns. A Los Angeles-based company has partnered with health officials to give the boxes away for free and an online initiative offers advice aimed at reducing sudden unexpected infant deaths. New Jersey and Ohio were the first to participate statewide in the program.\u003c/p>\n\u003cp>\"To new moms: (SUID) was one of my biggest fears and then it happened,\" said 35-year-old Chauntia Williams, of Maple Heights, Ohio.\u003c/p>\n\u003cp>Williams is an advocate for safe sleeping and the boxes after she unexpectedly lost her 33-day-old daughter Aaliyah nine years ago. Williams said her daughter went to sleep in a crib with cushiony bumpers, stuffed animals and an added blanket beneath the fitted sheet and never woke up. She said the coroner determined the bedding caused the death.\u003c/p>\n\u003cp>She now uses a box with her son, Bryce, though he's getting a little too big for it. Her message to new parents: Educate yourselves on safe sleep habits.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Open your mouth and say I'm concerned about this so you can get the assistance,\" Williams said.\u003c/p>\n\u003cp>Sudden unexpected infant death is a broad category that includes sudden infant death syndrome and accidental suffocation and strangulation that could come from overcrowded bassinets or cribs. The boxes aren't the only option for safe sleeping, of course, but health officials say they're a useful part of a broader safe-sleep education program.\u003c/p>\n\u003cp>Ohio on Wednesday joined New Jersey in offering the cardboard boxes, which double as bassinets, for free. Each box comes filled with a mattress, fitted sheet, onesie and diapers.\u003c/p>\n\u003cp>The Baby Box Co. is also handing out the boxes in Minneapolis, Phoenix and San Francisco, with the goal of expanding to all 50 states. The for-profit company also operates in Canada, Ireland and the United Kingdom. Baby Box University, Baby Box Co.'s educational platform, maintains a website that coordinates the educational component of the program.\u003c/p>\n\u003cp>The idea for baby boxes started in Finland in the 1930s, and is tied to a sharp drop in sudden infant deaths, according to Dr. Kathryn McCans, a pediatrician who chairs New Jersey's Child Fatality and Near Fatality Review Board. The boxes provide a clutter-free sleep space that has been shown to reduce accidental and unexpected deaths, she said.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention says the U.S. rate of sudden unexpected infant deaths has been declining since the 1990s when public health officials began recommending parents put infants to sleep on their backs. About 3,700 sudden unexpected infant deaths were reported in the country in 2015.\u003c/p>\n\u003cp>The boxes are a new idea for many Americans.\u003c/p>\n\u003cp>\"The thought of putting the baby in a box, I was like 'wow that's weird,'\" said Dolores Peterson, of Camden, New Jersey, who became a first-time mom recently and was among the first to bring home a box.\u003c/p>\n\u003cp>Peterson's daughter, Ariabella, just turned 3 months old. She said the program was eye-opening for how much information she learned about how to prevent sudden unexpected infant death.\u003c/p>\n\u003cp>McCans says the complimentary items like diapers and onesies are nice, but the more important objective behind the boxes is bringing down infant deaths and grounding parents on safe sleep practices: Place babies on their backs to sleep; Don't use bumpers in cribs; Keep stuffed animals and blankets out of infants' sleep spaces; Avoid sleeping in the same bed as infants.\u003c/p>\n\u003cp>\"No one brings their baby into bed with them because they want their baby to die,\" she said. \"They do it because they want to be nurturing and they are, but it's not safe.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To get the boxes, prospective moms can register through babyboxuniversity.com, watch a handful of videos on sleep safety and pass a quiz. Parents can then take their digital or printed-out certificates to a participating hospital for their boxes. The boxes can also be sent in the mail, if a nearby hospital is not designated as a distribution center.\u003c/p>\n\n","blocks":[],"excerpt":"Parents are beginning to take baby boxes home from hospitals for their newborns to sleep in. The idea started in Finland in the 1930s and has been tied to a drop in sudden infant deaths.","status":"publish","parent":0,"modified":1490030185,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":726},"headData":{"title":"For Parents Worried About Sudden Unexpected Infant Death, the New Tech is Cardboard Box | KQED","description":"Parents are beginning to take baby boxes home from hospitals for their newborns to sleep in. The idea started in Finland in the 1930s and has been tied to a drop in sudden infant deaths.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"For Parents Worried About Sudden Unexpected Infant Death, the New Tech is Cardboard Box","datePublished":"2017-03-20T17:16:25.000Z","dateModified":"2017-03-20T17:16:25.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"354513 https://ww2.kqed.org/futureofyou/?p=354513","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/03/20/for-parents-worried-about-sudden-unexpected-infant-death-the-new-tech-is-cardboard-box/","disqusTitle":"For Parents Worried About Sudden Unexpected Infant Death, the New Tech is Cardboard Box","nprByline":"Michael Catalini\u003cbr />Associated Press","path":"/futureofyou/354513/for-parents-worried-about-sudden-unexpected-infant-death-the-new-tech-is-cardboard-box","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Cardboard boxes certainly aren't new technology. But when they're linked to a practice that started in Finland decades ago to help babies sleep safely, they're taking on a new purpose as so-called baby boxes make their way to the U.S.\u003c/p>\n\u003cp>Parents are beginning to take baby boxes home from hospitals along with their newborns. A Los Angeles-based company has partnered with health officials to give the boxes away for free and an online initiative offers advice aimed at reducing sudden unexpected infant deaths. New Jersey and Ohio were the first to participate statewide in the program.\u003c/p>\n\u003cp>\"To new moms: (SUID) was one of my biggest fears and then it happened,\" said 35-year-old Chauntia Williams, of Maple Heights, Ohio.\u003c/p>\n\u003cp>Williams is an advocate for safe sleeping and the boxes after she unexpectedly lost her 33-day-old daughter Aaliyah nine years ago. Williams said her daughter went to sleep in a crib with cushiony bumpers, stuffed animals and an added blanket beneath the fitted sheet and never woke up. She said the coroner determined the bedding caused the death.\u003c/p>\n\u003cp>She now uses a box with her son, Bryce, though he's getting a little too big for it. Her message to new parents: Educate yourselves on safe sleep habits.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Open your mouth and say I'm concerned about this so you can get the assistance,\" Williams said.\u003c/p>\n\u003cp>Sudden unexpected infant death is a broad category that includes sudden infant death syndrome and accidental suffocation and strangulation that could come from overcrowded bassinets or cribs. The boxes aren't the only option for safe sleeping, of course, but health officials say they're a useful part of a broader safe-sleep education program.\u003c/p>\n\u003cp>Ohio on Wednesday joined New Jersey in offering the cardboard boxes, which double as bassinets, for free. Each box comes filled with a mattress, fitted sheet, onesie and diapers.\u003c/p>\n\u003cp>The Baby Box Co. is also handing out the boxes in Minneapolis, Phoenix and San Francisco, with the goal of expanding to all 50 states. The for-profit company also operates in Canada, Ireland and the United Kingdom. Baby Box University, Baby Box Co.'s educational platform, maintains a website that coordinates the educational component of the program.\u003c/p>\n\u003cp>The idea for baby boxes started in Finland in the 1930s, and is tied to a sharp drop in sudden infant deaths, according to Dr. Kathryn McCans, a pediatrician who chairs New Jersey's Child Fatality and Near Fatality Review Board. The boxes provide a clutter-free sleep space that has been shown to reduce accidental and unexpected deaths, she said.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention says the U.S. rate of sudden unexpected infant deaths has been declining since the 1990s when public health officials began recommending parents put infants to sleep on their backs. About 3,700 sudden unexpected infant deaths were reported in the country in 2015.\u003c/p>\n\u003cp>The boxes are a new idea for many Americans.\u003c/p>\n\u003cp>\"The thought of putting the baby in a box, I was like 'wow that's weird,'\" said Dolores Peterson, of Camden, New Jersey, who became a first-time mom recently and was among the first to bring home a box.\u003c/p>\n\u003cp>Peterson's daughter, Ariabella, just turned 3 months old. She said the program was eye-opening for how much information she learned about how to prevent sudden unexpected infant death.\u003c/p>\n\u003cp>McCans says the complimentary items like diapers and onesies are nice, but the more important objective behind the boxes is bringing down infant deaths and grounding parents on safe sleep practices: Place babies on their backs to sleep; Don't use bumpers in cribs; Keep stuffed animals and blankets out of infants' sleep spaces; Avoid sleeping in the same bed as infants.\u003c/p>\n\u003cp>\"No one brings their baby into bed with them because they want their baby to die,\" she said. \"They do it because they want to be nurturing and they are, but it's not safe.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To get the boxes, prospective moms can register through babyboxuniversity.com, watch a handful of videos on sleep safety and pass a quiz. Parents can then take their digital or printed-out certificates to a participating hospital for their boxes. The boxes can also be sent in the mail, if a nearby hospital is not designated as a distribution center.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/354513/for-parents-worried-about-sudden-unexpected-infant-death-the-new-tech-is-cardboard-box","authors":["byline_futureofyou_354513"],"categories":["futureofyou_1"],"tags":["futureofyou_1215","futureofyou_1216","futureofyou_1217","futureofyou_1218"],"featImg":"futureofyou_357615","label":"futureofyou"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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