<p>Pregnancy risk factors ___ Did mom smoke during pregnancy</p><p>___ Did mom receive regular prenatal care (defined as more than 6 visits)</p><p>___ Did mom wait 18 months between pregnancies </p><p>Sleep environment ___ Contains a crib/bassinet/Pack ‘n Play (should have a firm sleep surface with tight fitting sheet)</p><p>___ Includes a sleep surface free of soft bedding, bumper pads, pillows, blankets and stuffed animals</p><p>___ Smoke-free, including smoking outside </p><p>___ Infant is placed on the back to sleep, for every sleep</p><p>___ Utilizes a fan in the sleep environment, but not blowing directly at infant</p><p>Protective factors ___ Infant is breastfed</p><p>___ Infant is sleeping in the same room as caregiver(s)</p><p>___ Infant is offered a pacifier for sleep</p><p>___ Infant has supervised, awake tummy time</p><p>Children’s Health Alliance of Wisconsin www.chawisconsin.org</p>