Parents and caregivers have traditionally relied on cribs, playpens and bassinets to protect children while they sleep. The massive crib recalls followed by the announcement in December 2010 by the United States Consumer Product Safety Commission (CPSC) to ban drop-side cribs have caused many families to question the safety of these products. A new study conducted by researchers at the Center for Injury Research and Policy of The Research Institute at Nationwide Children's Hospital examined injuries associated with cribs, playpens and bassinets among children younger than 2 years of age from 1990 through 2008. During the 19-year study period, an average of 9,500 injuries and more than 100 deaths related to these products were seen in U.S. emergency departments each year.
According to the study, being released online February 21 and appearing in the March 2011 print issue of Pediatrics, the majority of the injuries involved cribs (83 percent) and the most common injury diagnosis was soft-tissue injury (34 percent), followed by concussion or head injury (21 percent). The head or neck was the most frequently injured body region (40 percent), followed by the face (28 percent). Two-thirds of the injuries were the result of a fall, and the percentage of injuries attributed to falls increased with age.
“Despite the attention given to crib safety over the past two decades, the number of injuries and deaths associated with these products remains unacceptably high,” said Gary Smith, MD, senior author of the study and director of the Center for Injury Research and Policy. “Unlike other child products that require adult supervision for their safe use, cribs, playpens and bassinets must be held to a higher standard because we expect parents to leave their child unattended in them and walk away with peace of mind.”
“Educating caregivers about the proper use and potential dangers of these products is an important part of making cribs safer for children, but education alone is not enough,” said Dr. Smith, also a Professor of Pediatrics at The Ohio State University College of Medicine. “Innovations in product design and manufacture can provide automatic protection that does not rely on actions of caregivers to keep children safe.”
In recent years, organizations such as the CPSC and the American Academy of Pediatrics have amplified their efforts to increase crib safety. The CPSC has issued recalls of more than 11 million cribs and has prohibited the manufacture, sale or lease of drop-side cribs starting in June 2011. Continued strengthening and enforcement of crib safety standards will protect more young children from harm.
Despite the potential risks, cribs are still considered to be the safest location where parents can place infants to sleep. There are several steps parents and caregivers should take when selecting a crib for their child:
Pay close attention to the crib you select.
When putting your child in a crib to sleep, consider the following:
Monitor your child's developmental milestones and make changes to the crib as needed.
If using a bassinet or playpen, make sure they have a sturdy, wide base and that your child meets all height and weight limits.
This is the first nationally representative study to examine injuries to young children associated with cribs, playpens and bassinets that were treated in United States emergency departments. Data for this study were collected from the National Electronic Injury Surveillance System, which is operated by the CPSC.
The Center for Injury Research and Policy (CIRP) of The Research Institute at NationwideChildren’s Hospital works globally to reduce injury-related pediatric death and disabilities. With innovative research as its core, CIRP works to continually improve the scientific understanding of the epidemiology, biomechanics, prevention, acute treatment and rehabilitation of injuries. CIRP serves as a pioneer by translating cutting edge injury research into education, policy and advances in clinical care. For related injury prevention materials or to learn more about CIRP visit http://www.injurycenter.org. While visiting our website, sign up for the RSS feed in the What’s New section of our media center to receive e-mail updates of our latest news.