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SIDS

Education about Sudden Infant Death Syndrome
by

Elsa Estrada

on 30 April 2014

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Transcript of SIDS

HISTORY & LITERATURE
1291 Germany
1600's,1700's (accepted practice)
Punishment by Church (water and bread)
1800's Higher on Saturday's nights
1900's Improvement Conditions

Rusell-Jones, 1985
"The sudden death of an infant or young child unexpected by history, and in which thorough post mortem examination fails to demonstrate an adequate cause of death."
J. Bruce Beckwith MD 1969
IS:
Leading cause of death 1-12 mo old (+2000 e/year) in US
Third leading cause of infant mortality in US
One of the top five causes of death in CA
Responsible for nearly 200 babies' deaths each year in CA
A cause of sudden death that can happen to any family
A recognized medical disorder
Sudden and silent
More likely to occur in male infants
A death often associated with sleep and no signs of suffering or crying out
An infant death that leaves unanswered questions
CDC (2011)
CA SIDS Program (2011)
IS NOT:
A new disease
Caused by the DPT vaccine or other immunizations
Caused by vomiting and choking or by minor illnesses such as colds or infection
Suffocation
Caused by cribs
Contagious or hereditary
Child abuse or neglect
The cause of every unexpected infant death
Preventable, but we can reduce the risk of SIDS
CA SIDS Program, 2011
The sudden death of an
infant less than 1 year of age that cannot be explained after a thorough investigation is conducted, including a complete autopsy, examination of the death scene, and review of the clinical history.
Beckwith et al, 2004

Vulnerable Infant
Gender
Control of inflammatory response
Control of brainstem function
Control of cardiac function
Others
AARP Technical Report, 2012

Why?
Maternal smoking
Inadequate prenatal care
Inadequate prenatal education
Alcohol and other drugs
Births less than 1 year apart
Overweight infant
Overweight mother
Teen pregnancy
Maternal Anemia
Outside Stressors
Low birth weight
Exposure to tobacco
Prone sleep position
No Breastfeeding
Excess bedding, clothing
Co-sleeping
Prematurity
Probable anemia AARP, 2012
Etiology
#1
Back to sleep for every sleep
until 1 year of life
Colson, 2009
Old beliefs
Grandparents
Child Care Centers
20 times more risk
if unaccustomed
prone sleeping
Michell, 1999
Moon, 2000
#2
Use a firm sleep surface
#3
Room sharing or Cosleeping
instead of bed sharing
reduces 50% SIDS risk
#4
Keep soft objects and loose
bedding out of the crib
#5
Pregnant women should receive
regular prenatal care
#6
Avoid smoke exposure
during pregnancy and
after birth.
#7
Avoid alcohol and drugs
during pregnancy
Davidson, 1990
Lyason, 2002
#8
Breastfeeding is
recommended
Venemann,2009
Hauck, 2011
#9
Offer a pacifier
at bedtime and
naptime
Hauk, 2003
#10
Avoid overheating
Fleming, 2000
#11
Infants should be immunized
#12
Avoid Commercial
devices
#13
Do not use cardio-
respiratory devices
#14
Supervised
Tummy Time
Hutchison, 2004
#15
Endorse and teach
Recommendations
to reduce SIDS risk
Stastny, 2004
#16
Media
#17
Pediatricians, Family
Physicians and other
Primary Care Providers
Eron et al, 2009
An old disease............
Or is a consequence of modern life?
Syndrome vs Disease
Biological Cause
Defined symptoms
Changes in the body
Not known
Myriad of symptoms
Not always
"During the night this woman's son
died because she lay on him."
1 Kings 3:19
1000 BC
Egyptian women
Punishment
1963,
First Conference
SIDS in Seattle, Wa.
Marie Valdes-DaPena MD
Critical Developmental Period = 0 - 12 mo
Full transcript