Showing posts with label sudden infant death syndrome. Show all posts
Showing posts with label sudden infant death syndrome. Show all posts

Thursday, September 11, 2008

Finally, a cause for SIDS

If you are a parent you surely remember those nights where you laid in bed looking at your newborn just to make sure he/she was still breathing. We hear a lot about babies dying in those first few months from Sudden Infant Death Syndrome or SIDS. It's a scary thought because most of the time doctors don't know why it happened. This new research could hold some clues, but it doesn't tell us what we can do to prevent it besides put the baby to sleep on his back and don't smoke.

From ABC:

Could a common bacterial infection be the cause of some unexplained sudden infant deaths? New research from Australia finds that perhaps 1 in 10 cases of SIDS - otherwise known as "crib death" - is actually due to harmful bacteria in the baby's system.

Around 2,500 infants in the U.S. die without warning each year and their deaths remain largely unexplained - classified as sudden infant death syndrome, or SIDS. Doctors in Australia compared autopsy results from babies who died of SIDS and those who died of other causes. Not surprisingly, they discovered that many infants who died of infection had evidence of bacteria in their systems - but they also found that 1 in 10 SIDS babies tested positive for bacteria.

Researchers theorize that infants may be particularly vulnerable to bacterial infection between 8 and 10 weeks -- a peak risk period for SIDS -- because of their immature immune systems. Experts say widespread antibiotic treatment for babies is not the answer - More research is needed to find the best way to prevent these infections.

Parents should focus on proven ways to reduce SIDS - always put babies to sleep on their backs, in a crib with no loose pillows or blankets, and keep the home smoke free.

Do any of you remember checking on your baby constantly to make sure your little one was still breathing?

-NewsAnchorMom Jen

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Sunday, March 2, 2008

Where is the safest place for a baby to sleep?

Does cosleeping have benefits? Definitely. It is a good idea? The American Academy of Pediatrics says no. After several comments last week from parents who support cosleeping, I thought it would be a good idea to find out why cosleeping is not recommended. Is it based on good research?

Dr. John Kattwinkel from the AAP SIDS Task Force said,"There certainly is a contingent that feels that bedsharing can be done safely, but the AAP SIDS Task Force that I chair felt that there was insufficient evidence of that to endorse it."

Here's why:

Bed sharing between an infant and adult(s) is a highly controversial topic. Although electrophysiologic and behavioral studies offer a strong case for its effect in facilitating breastfeeding and the enhancement of maternal-infant bonding,epidemiologic studies of bed sharing have shown that it can be hazardous under certain conditions.

Several case series of accidental suffocation or death from undetermined cause suggest that bed sharing is hazardous. Some of these studies have found the correlation between death and bedsharing to reach statistical significance only among mothers who smoked. However, the European Concerted Action on SIDS study, which was a large multisite study, found that bed sharing with mothers who did not smoke was a significant risk factor among infants up to 8 weeks of age.

Similarly, a more recent study conducted in Scotland found that the risk of bed sharing was greatest for infants younger than 11 weeks, and this association remained among infants with nonsmoking mothers. The risk of SIDS seems to be particularly high when there are multiple bed sharers and also may be increased when the bed sharer has consumed alcohol or is overtired.

There is growing evidence that room sharing (infant sleeping in the parent’s room) without bed sharing is associated with a re-duced risk of SIDS. Data from the European Concerted Action on SIDS study led to the recommendation by its authors that the most protective sleep setting for an infant is in a crib in the parents’room. On the basis of their study results, investigators in Scotland endorsed the United Kingdom Department of Health’s advice that the safest place for an infant to sleep is in a crib in the parents’ room for the first 6 months of life.

Jen: Attachment Parenting International says there is no good research that shows cosleeping is dangerous. It says the research that had been done on this topic was done by the companies who make cribs. Do you know if there is any truth to this and can you respond?

Dr. Kattwinkel: "The studies cited in our report were done by very reputable epidemiologists that as far as I know were not supported by manufacturers. Certainly no one on our task force receives any such support.

Jen: Some moms believe cosleeping deaths occur when parents are drunk or on drugs. One mom said, "Very often when a co-sleeping death happens, it is related to drugs, alcohol, or obesity. But those things rarely make the news stories - either because of a fear of making the parents feel guilty or because it wouldn't make for the same kind of headline."Can you please respond.

Dr. Kattwinkel:"It is true that all of the factors you mention increase the risk of SIDS and of bed-sharing significantly. However, controlling for these variables in several of the studies still show the adjusted risk to be increased. The most controversial variable is smoking, where a few found that removal of smoking eliminated the risk of bedsharing, but several others did not, particularly during the first 6 weeks after birth."

Jen: Can you respond to this statement from a local mom, "Some studies have shown the risk of SIDS greatly decreases when babies sleep next to their mothers - not only are mothers more in tune and likely to notice breathing disruptions in their baby, but babies' little bodies tend to mimic the breathing pattern of their mother next to them."

Dr. Kattwinkel: "The physiological observations cited by this mother are correct and the investigator has SPECULATED that this may protect from SIDS. However, he has published or presented no evidence that it actually does so."

Jen: Another comment from a local mom, "I still struggle to understand why co-sleeping is considered dangerous when about 50 babies a year die in bed with their parents, but cribs are considered safe and 3,000 babies die in cribs alone every year. "

Dr. Kattwinkel: "The numbers quoted by this mother are not quite correct, or the facts are unknown. However, it is essential to define the denominator. The same argument can be made about sleep position. 997 of each 1000 babies who sleep on their stomachs will NOT die of SIDS. However, when you consider the number of births in the U.S., prevention of those 2-to-3/1000 deaths by babies sleeping on their backs has resulted in over 15,000 fewer deaths since introduction of the "Back to Sleep" recommendation."

-NewsAnchorMom Jen


Wednesday, February 27, 2008

Back to Sleep Campaign

I am mentioning a sad story today in hopes of helping other parents. A 7 week old baby in Pekin, Illinois died this week and the coroner attributes the death to the baby being placed on his stomach to sleep. This is so sad. I know my oldest son loved to sleep on his stomach when he was first born, but I only let him do so if I was lying down and he was on my stomach. The coroner ruled the baby's death accidental.

The Back to Sleep campaign started 13 years ago and according to the AAP, the rate of Sudden Infant Death Syndrome has dropped by 50%. The SIDS Network describes The syndrome as a the sudden death of an infant which remains unexplained after all known and possible causes have been carefully ruled out through autopsy, death scene investigation, and review of the medical history. We don't know whether the baby mentioned above died from SIDS, but this is a good reason for all of us to brush up on the facts.

According to the American Academy of Pediatrics:


  • About one in five sudden infant death syndrome(SIDS) deaths occur while an infant is in the care of someone other than a parent. Many of these deaths occur when babies who are used to sleeping on their backs at home are then put to sleep on their tummies by another caregiver.

  • Babies who are used to sleeping on their backs and are put to sleep on their tummies are 6-9 times more likely to die from SIDS.

  • Side sleeping is not as safe as back sleeping and is not advised.

  • SIDS is most common among infants that are 2-4 months old

  • SIDS is more common in male babies

  • SIDS is more common during the winter months

  • The leading cause of death for infants between
    1 month and 12 months of age is SIDS

The AAP recommends putting a child on his/her back to sleep until age one. I know my baby started rolling over on his stomach when he was about 5 months old. My pediatrician said that is okay if they do it on their own, but make sure there are no blankets, animals or other things that could suffocate the child.

The Central Illinois area had several babies die a few years ago in a short period of time after parents put the baby to sleep in their bed and the baby suffocated. This is certainly a scary situation.


Kids Health. org looks at whether Cosleeping is Safe?

Despite the possible pros like being close to your baby and making breastfeeding easier, the U.S. Consumer Product Safety Commission (CPSC) warns parents not to place their infants to sleep in adult beds, stating that the practice puts babies at risk of suffocation and strangulation. And the American Academy of Pediatrics (AAP) is in agreement with the CPSC.

We used the pack n' play with a bassinet feature. I put it right next to the bed. I picked up and fed him in bed, then put him back in the pack n' play to sleep.

What did you do with your kids? I know things have changed a lot since I was a baby.

-NewsAnchorMom Jen

 
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