scholarly journals Risk and protective factors for sudden infant death syndrome

2020 ◽  
Vol 73 (2) ◽  
Author(s):  
Aghata Marina de Faria Oliveira ◽  
Paula Rosenberg de Andrade ◽  
Eliana Moreira Pinheiro ◽  
Ariane Ferreira Machado Avelar ◽  
Priscila Costa ◽  
...  

ABSTRACT Objectives: To verify the occurrence of the risk and protective factors for sudden infant death syndrome during nursing consultation. Methods: Retrospective cohort study conducted based on medical records from a primary care unit in the municipality of São Paulo. The sample consisted of 63 infants assisted from January to December 2016. Results: The average age of infants was 3.2 months. The main risk factors identified were the presence of soft objects in the crib (93.6%) and bed sharing (58.7%). Predominant protective factors were breastfeeding (95.2%) followed by updated immunization (90.5%). Conclusions: Risk and protective factors for sudden infant death syndrome were identified in the study sample, indicating the importance of addressing the issue with families of children under 1 year of age to prevent the occurrence of such events.

PEDIATRICS ◽  
2003 ◽  
Vol 111 (Supplement_1) ◽  
pp. 1207-1214 ◽  
Author(s):  
Fern R. Hauck ◽  
Stanislaw M. Herman ◽  
Mark Donovan ◽  
Solomon Iyasu ◽  
Cathryn Merrick Moore ◽  
...  

Objective. To examine risk factors for sudden infant death syndrome (SIDS) with the goal of reducing SIDS mortality among blacks, which continues to affect this group at twice the rate of whites. Methods. We analyzed data from a population-based case-control study of 260 SIDS deaths that occurred in Chicago between 1993 and 1996 and an equal number of matched living controls to determine the association between SIDS and factors in the sleep environment and other variables related to infant care. Results. The racial/ethnic composition of the study groups was 75.0% black; 13.1% Hispanic white; and 11.9% non-Hispanic white. Several factors related to the sleep environment during last sleep were associated with higher risk of SIDS: placement in the prone position (unadjusted odds ratio [OR]: 2.4; 95% confidence interval [CI]: 1.7–3.4), soft surface (OR: 5.1; 95% CI: 3.1–8.3), pillow use (OR: 2.5; 95% CI: 1.5–4.2), face and/or head covered with bedding (OR: 2.5; 95% CI: 1.3–4.6), bed sharing overall (OR: 2.7; 95% CI: 1.8–4.2), bed sharing with parent(s) alone (OR: 1.9; 95% CI: 1.2–3.1), and bed sharing in other combinations (OR: 5.4; 95% CI: 2.8–10.2). Pacifier use was associated with decreased risk (unadjusted OR: 0.3; 95% CI: 0.2–0.5), as was breastfeeding either ever (OR: 0.2; 95% CI: 0.1–0.3) or currently (OR: 0.2; 95% CI: 0.1–0.4). In a multivariate model, several factors remained significant: prone sleep position, soft surface, pillow use, bed sharing other than with parent(s) alone, and not using a pacifier. Conclusions. To lower further the SIDS rate among black and other racial/ethnic groups, prone sleeping, the use of soft bedding and pillows, and some types of bed sharing should be reduced.


2015 ◽  
Vol 104 (8) ◽  
pp. 777-783 ◽  
Author(s):  
Per Möllborg ◽  
Göran Wennergren ◽  
Petra Almqvist ◽  
Bernt Alm

2021 ◽  
Vol 225 (05) ◽  
pp. 385-385
Author(s):  
Dominique Singer

Liebe Leserinnen und Leserdas „Bed-sharing“, mitunter auch als „Co-sleeping“ bezeichnet, also der gemeinsame Schlaf von Mutter/Vater und Kind (<1 Jahr) im gleichen Bett, gilt – unter anderem wegen der drohenden Behinderung der freien Atmung – als Risikofaktor für den plötzlichen Säuglingstod, sodass in vielen Empfehlungen zum „sicheren Babyschlaf“ mehr oder weniger pauschal davon abgeraten wird. Dies steht in gewissem Kontrast zu der Tatsache, dass das Bed-sharing weltweit enorm verbreitet ist, und lässt vielleicht auch andere Faktoren, wie die Rolle des kindlichen Alters oder die Auswirkungen auf die mütterliche Stillbereitschaft, zu sehr außer Acht. In einer interessanten Übersichtsarbeit im „Fokus Hebammenwissenschaft“ dieser Zeitschrift werden daher die Empfehlungen zur Prophylaxe des Sudden Infant Death Syndrome (SIDS) in Europäischen Ländern mit besonders niedriger (Griechenland, Italien, Niederlande) und besonders hoher SIDS-Inzidenz (UK, Österreich, Frankreich) analysiert und der aktuellen Evidenzlage gegenübergestellt. Es zeigt sich, dass, was empfohlen bzw. nicht empfohlen wird, nicht immer der wissenschaftlichen Evidenz entspricht, und dass ein sorgfältigerer Abgleich, so zumindest die Folgerung der Autorinnen, auch differenziertere Empfehlungen gerade zum Thema Bed-sharing erlauben würde.


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