Sudden unexplained infant death in 20 regions in Europe: case control study

Carpenter, R. G.; Irgens, LM; Blair, Peter S; England, P.; Fleming, Peter; Huber, J.; Jorch, Gerhard; Schreuder, Patricia

doi:10.1016/s0140-6736(03)15323-8

Cited by 407 publications

(381 citation statements)

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“…The side sleeping position was used for almost 15% of the infants below three months of age despite the fact that the side position is unstable 15 and therefore involves a higher risk of SIDS than sleeping supine 16. The prevalence of side sleeping increased with age, and by six months it was 27.3%.…”

Section: Discussionmentioning

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: Discussionmentioning

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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“…Despite the fact that bedsharing between an infant and adult facilitates breastfeeding and enhances parent-infant interactions,(6, 7) this sleeping arrangement has been identified in epidemiologic studies as being hazardous in certain situations, particularly when one or both parents are smokers,(8-12) on excessively soft surfaces, such as waterbeds, sofas, and armchairs, (9,10,(13)(14)(15) or when the infant is less than 2-3 months of age. (9,12,(14)(15)(16)(17) In addition, there is an increased risk for sudden unexpected infant death when there are multiple bedsharers(13) and when bedsharing occurs for the entire night. (9, 11) The risk for infant death may also be increased when the bedsharer has consumed alcohol or is overtired.…”

mentioning

confidence: 99%

“…Multiple studies have demonstrated that bedsharing is particularly hazardous if one or both parents smoke. (10,12,16,17) A potential limitation of this study is that data collection occurred in only four cities, although demographic data indicate that infant mortality rates in Dallas, New Haven, Atlanta and Savannah of 6.3, 5.5, 7.1 and 11.0 * deaths per 1,000 live births, respectively, * Infant mortality data available at the public health district level only for Atlanta and Savannah. In conclusion, bedsharing in a low-income population is associated with African-American race and having a teenage mother.…”

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confidence: 99%

“…(9,11) The risk for infant death may also be increased when the bedsharer has consumed alcohol or is overtired. (11,16) While it may not be bedsharing itself but the accompanying conditions that are hazardous, bedsharing may increase the risk in certain circumstances for overheating, (18) rebreathing, (19) and exposure to tobacco smoke, (20)all of which are known risk factors for SIDS. Currently, approximately half of all sudden and unexpected infant deaths in the US occur when the infant is sharing a sleep surface with someone else.…”

mentioning

confidence: 99%

“…(21)(22)(23)(24) There is growing evidence that roomsharing without bedsharing is associated with a reduced risk of SIDS. (9,15,16) Several countries, including the US, currently recommend that infants sleep in a crib or bassinet next to the parents' bed. The AAP recommends a separate but proximate sleep environment (i.e., the infant should be in a crib/bassinet in the parent's room), or roomsharing without bedsharing, to reduce the risk of SIDS.…”

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confidence: 99%

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Infant Sleep Location: Associated Maternal and Infant Characteristics with Sudden Infant Death Syndrome Prevention Recommendations

Colson

Corwin

et al. 2008

The Journal of Pediatrics

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Objective-To identify factors associated with infant sleep location.Methods-Demographic information and infant care practices were assessed for 708 mothers of infants ages 0 to 8 months at Women, Infants and Children centers (WIC). Generalized linear latent mixed models were constructed for the outcome, sleeping arrangement last night (bedsharing with infants vs. roomsharing without bedsharing, and versus sleeping in separate rooms).Results-Two-thirds of the mothers were black. 48.6% roomshared without bedsharing; 32.5% bedshared; and 18.9% slept in separate rooms. Compared with infants who slept in separate rooms, infants who roomshared without bedsharing were more likely to be Hispanic (OR 2.58,) and younger (3.66 and 1.74 times more likely for infants 0-1 month and 2-3 months old respectively as compared with older infants). Compared with infants who bedshared, those that roomshared without bedsharing were more likely to be 0-1 month old (1.57, 1.05-2.35), and less likely to be black (0.43, 0.26-0.70) or have a teenage mother (0.37, 0.23-0.58).Conclusions-Approximately one-third of mothers and infants bedshare despite increased risk of sudden infant death syndrome (SIDS). The factors associated with bedsharing are also associated with SIDS likely rendering infants with these characteristics at high risk for SIDS. Keywords infants; SIDS; bed sharingThe incidence of SIDS in the US has declined 50% since 1992, when the American Academy of Pediatrics (AAP) first recommended that infants be placed in a nonprone position for sleep.(1) Despite the tremendous success of the subsequent Back to Sleep campaign, the initial decline in SIDS rates has leveled off in the last 5 years. Washington, DC 20010, Tel: 202-476-3931, Fax: 202-476-3386, lfu@cnmc As the rate of prone positioning has declined, other previously unrecognized risk factors for sudden unexplained infant death have emerged in recent epidemiologic studies. Despite the fact that bedsharing between an infant and adult facilitates breastfeeding and enhances parent-infant interactions,(6, 7) this sleeping arrangement has been identified in epidemiologic studies as being hazardous in certain situations, particularly when one or both parents are smokers,(8-12) on excessively soft surfaces, such as waterbeds, sofas, and armchairs, (9,10,(13)(14)(15) or when the infant is less than 2-3 months of age. (9,12,(14)(15)(16)(17) In addition, there is an increased risk for sudden unexpected infant death when there are multiple bedsharers(13) and when bedsharing occurs for the entire night.(9, 11) The risk for infant death may also be increased when the bedsharer has consumed alcohol or is overtired. Because of this increased emphasis on the importance of the infant's sleep location, it is necessary to understand factors associated with bedsharing, roomsharing without bedsharing, and solitary sleeping (i.e., infant sleeps in a separate room from parents). The primary aim of this study was to determine the maternal and infant characteristics associated with each of ...

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