Combined Effects of Sleeping Position and Prenatal Risk Factors in Sudden Infant Death Syndrome: The Nordic Epidemiological SIDS Study

Øyen, Nina; Markestad, Trond; Skaerven, R.; Irgens, Lorentz M.; Helweg‐Larsen, Karin; Alm, Bernt; Norvenius, G; Wennergren, Göran

doi:10.1542/peds.100.4.613

Cited by 238 publications

(175 citation statements)

References 37 publications

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“…As the current study was not designed as a case–control study, we were unable to measure the effects of risk factors. These were estimated by using by the odds ratios found in the Nordic SIDS study in 1991–1995 11, 12 (Table S2). Due to the fact that the calculation of the confidence interval was based on approximate figures, we restricted the upper limit to 100%.…”

Section: Methodsmentioning

confidence: 99%

Area‐based study shows most parents follow advice to reduce risk of sudden infant death syndrome

et al. 2017

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AimGuidance on reducing the risk of sudden infant death syndrome (SIDS) was successfully introduced to a number of countries in the early 1990s. The most important recommendations were supine sleeping for infants and non‐smoking for mothers. This 2012–2014 study examined adherence to the national Swedish SIDS advice.MethodsWe asked 1000 parents with infants registered at child healthcare centres in western Sweden to complete a questionnaire on infant care from birth to 12 months of age.ResultsWe analysed 710 responses and found that, in the first three months, 1.3% of the infants were placed in the prone sleeping position and 14.3% were placed on their side. By three to five months, this had risen to 5.6% and 23.6%. In the first three months, 83.1% were breastfed, 84.1% used a pacifier and 44.2% shared their parents' bed, while 5.8% slept in another room. Bed sharing was more likely if infants were breastfed and less likely if they used pacifiers. During pregnancy, 2.8% of the mothers smoked and the mothers who had smoked during pregnancy were less likely to bed share.ConclusionOverall adherence to the SIDS advice was good, but both prone and side sleeping practices should be targeted.

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Section: Methodsmentioning

confidence: 99%

Area‐based study shows most parents follow advice to reduce risk of sudden infant death syndrome

et al. 2017

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“…Os estudos com monitoramento por pHmetria esofágica de 24 horas têm demonstrado que o decúbito prono está relacionado com os menores índices de episódios de RGE 3 . Por outro lado, estudos populacionais demonstraram elevada associação entre essa posição e a síndrome da morte súbita, sendo sua ocorrência reduzida com a adoção do decúbito supino 12,13 .…”

Section: Medidas Geraisunclassified

Treatment of gastroesophageal reflux disease

Guimarães¹,

Marguet²,

Camargos³

2006

J Pediatr (Rio J)

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Objective: To review the literature on the treatment of gastroesophageal reflux disease (GERD) with emphasis on pharmacological aspects. To identify particularities of pharmacological treatment of esophageal and extraesophageal manifestations of the disease.Sources: Electronic search of the PubMed/MEDLINE and Cochrane Collaboration databases. Controlled and randomized studies published since 2000 and reviews representing consensus positions and directives published within the last 10 years were identified. Summary of the findings:The drugs currently available for the treatment of GERD do not act in the primary mechanism of the disease, i.e., transitory relaxation of the lower esophageal sphincter. Pharmacological treatment of GERD with symptoms or with esophageal injury is based on the suppression of acid secretion, particularly with proton pump inhibitors. When the hyperreactivity of the lower airways coexists with esophageal GERD symptoms, suppression of acid secretions should be of benefit in managing the respiratory disease in the presence of a causal relationship; however, this is not usual. When esophageal symptoms are not present, esophageal 24-hour pH study should be carried out prior to starting pharmacological treatment for GERD. Improvement of respiratory symptoms may be delayed with relation to esophageal symptoms. It is common for GERD to recur and pharmacological treatment should be repeated or continued indefinitely, depending on clinical presentation of the disease. Conclusions:The strategies that have been proposed for the pharmacological treatment of GERD in children are primarily based on studies of case series or on studies with adults. There have been very few controlled and randomized studies in children. Undertaking a greater number of these studies might reinforce existing aspects or establish new aspects of management.J Pediatr (Rio J). 2006;82(5 Suppl):S133-45: Gastroesophageal reflux, child, drug therapy, esophagitis, respiratory tract diseases, asthma. ResumoObjetivo: Rever a literatura sobre tratamento da doença do refluxo gastroesofágico (DRGE) com ênfase nos aspectos farmacológi-cos. Identificar particularidades do tratamento farmacológico nas manifestações esofágicas e extra-esofágicas da doença.Fontes de dados: Busca eletrônica na base de dados PubMed/ MEDLINE e Cochrane Collaboration. Procurou-se identificar estudos controlados e randomizados publicados a partir de 2000, bem como revisões que representassem consensos e diretrizes publicados nos últimos 10 anos.Síntese dos dados: Nenhuma das drogas atualmente usadas no tratamento da DRGE altera comprovadamente o mecanismo principal da doença, ou seja, os relaxamentos transitórios do esfíncter esofágico inferior. O tratamento farmacológico da DRGE com sintomas ou com lesões esofágicas é baseado na inibição da secreção ácida, em particular pelos inibidores da bomba de prótons (IBP). Nas situações em que a hiper-reatividade das vias aéreas inferiores coexiste com sintomas esofágicos da DRGE, a inibição da secreção ácida deve...

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“…[9][10][11][12][13][14] At the IWK Health Centre, infants with special medical or developmental needs who require prone lying position for sleep are currently monitored by pulse oximetry in accordance with the Infant Positioning Policy. 20 The purpose of this paper was to determine if there is any evidence in the literature demonstrating that pulse oximetry monitoring of otherwise healthy infants who require prone sleep position reduces mortality from SIDS.…”

Section: Discussionmentioning

confidence: 99%

“…8 There is an abundance of evidence suggesting that sleep in the prone as opposed to the supine position is one of the major exogenous stressors associated with SIDS. [9][10][11][12][13][14] Since 1992 the American Academy of Pediatrics (AAP) has recommended that infants be placed in the supine position for sleep in order to reduce the risk of SIDS, 2 and implementation of the 'Back to Sleep' program has reduced the incidence of SIDS deaths by over 50% worldwide. 15 In 1992 the rate of SIDS was 1.2/1,000 live births and only 13% of infants slept on their backs, whereas in 2006 the rate of SIDS dropped to 0.55/1,000 live births and more than 75% of infants slept supine.…”

mentioning

confidence: 99%

Pulse Oximetry Monitoring of Infants Who Require Prone Position For Sleep – Is There Evidence That This Practice Reduces SIDS?

Alcolado

Hughes

2013

DMJ

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Combined Effects of Sleeping Position and Prenatal Risk Factors in Sudden Infant Death Syndrome: The Nordic Epidemiological SIDS Study

Cited by 238 publications

References 37 publications

Area‐based study shows most parents follow advice to reduce risk of sudden infant death syndrome

Area‐based study shows most parents follow advice to reduce risk of sudden infant death syndrome

Treatment of gastroesophageal reflux disease

Pulse Oximetry Monitoring of Infants Who Require Prone Position For Sleep – Is There Evidence That This Practice Reduces SIDS?

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