Thursday, 10 May 2018

Sudden Deaths in Infants are not reduced by Safe- Sleep Recommendations

Sudden Unexpected Infant Death is the sudden, unexpected death of an apparently healthy, full term infant under 1 year of age which is not immediately apparent and encompasses a range of situations, including Sudden Infant Death Syndrome (SIDS) which refers to the unexplained death during sleep, of a healthy baby less than a year old.

Several recommended practices designed to promote breastfeeding may inadvertently contribute to SUPC risks. The practice of skin-to-skin care, in which an infant is placed in a prone position on the mother's chest has been noted in other reports to have a strong association with SUPC. If the mother is also exhausted or sedated, she may even fall asleep with the infant on her chest resulting in co-bedding, an established risk factor for SIDS.

Another recommendation that may have unintended consequences is avoiding the use of pacifiers, which some breastfeeding advocates suggest eliminating and the AAP suggests should not be used until breastfeeding is well established. Pacifier use is strongly associated with a reduced risk of SIDS. Since breastfeeding is also associated with a reduced risk of SIDS, it is recommended that safe-sleep education be integrated with lactation advice.
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