Duration of Breastfeeding and Risk of SIDS: An Individual Participant Data Meta-analysis

Thompson, John M. D.; Tanabe, Kawai O.; Moon, Rachel Y.; Mitchell, Edwin A.; McGarvey, Cliona; Tappin, David; Blair, Peter S; Hauck, Fern R.

doi:10.1542/peds.2017-1324

Cited by 132 publications

(74 citation statements)

References 23 publications

(16 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Current AAP guidelines unilaterally oppose bedsharing because of an association with SIDS . However, given that 1) breastfeeding is protective against SIDS; 2) bedsharing is consistently associated with longer durations of breastfeeding, in our data and others; and 3) many US women are bedsharing despite pediatrician advice not to, it seems that perhaps the time has come to revise this stance. Instead, honest, nonjudgmental, shared decision‐making conversations are necessary.…”

Section: Resultssupporting

confidence: 47%

Women Who Bedshare More Frequently at 14 Weeks Postpartum Subsequently Report Longer Durations of Breastfeeding

Bovbjerg¹,

Hill²,

Uphoff³

et al. 2018

J Midwife Womens Health

View full text Add to dashboard Cite

show abstract

Section: Resultssupporting

confidence: 47%

Women Who Bedshare More Frequently at 14 Weeks Postpartum Subsequently Report Longer Durations of Breastfeeding

Bovbjerg¹,

Hill²,

Uphoff³

et al. 2018

J Midwife Womens Health

View full text Add to dashboard Cite

show abstract

“…A recent meta‐analysis of individual data from eight case–control studies with a total of 2267 SIDS cases and 6837 control infants, showed that breastfeeding ≥2 months was protective. With greater protection seen with increased duration (2–4 months: aOR = 0.60, 95% CI = 0.44–0.82; 4–6 months: aOR = 0.40, 95% CI = 0.26–0.63; and >6 months: aOR = 0.36, 95% CI = 0.22–0.61) …”

Section: Evidence For Safe Sleeping Recommendationsmentioning

confidence: 99%

Sudden infant death syndrome: current perspectives

Horne

2019

Internal Medicine Journal

View full text Add to dashboard Cite

Despite significant reductions in incidence since the introduction of safe infant sleeping recommendations, sudden infant death syndrome is still the major cause of neonatal death in western countries. In the United States, over 2500 infants die suddenly and unexpectedly each year with nearly 100 deaths annually in Australia. Health professionals play a critical role in advising parents how to sleep their infants safely to minimise the risk of sudden infant death syndrome and sleeping accidents. Infants should be placed supine to sleep in a cot with a firm well‐fitting mattress in the parental bedroom with no soft or loose bedding which could obstruct the airway. Exposure to smoking both before and after birth should be minimised. Breastfeeding should be encouraged, as should immunisation. Dummies can be recommended after breastfeeding has been established. This review outlines the evidence behind these recommendations.

show abstract

“…Formula feeding is associated with an increased risk of SIDS (Vennemann et al, ), likely due to decreased maternal and infant arousals with decreased synchronization of mother–infant sleep (Mosko, Richard, & McKenna, ). Breastfeeding beyond 2 months is associated with a lower risk of SIDS in a dose‐dependent fashion (Thompson et al, ). Videographic data show bedsharing positions in formula feeding dyads which are more likely to be hazardous (Ball, ), although other data show no increased risk of death from bedsharing and formula feeding if no other risks are present (Blair et al, ).…”

Section: Introductionmentioning

confidence: 99%

Sudden infant death and social justice: A syndemics approach

Bartick

Tomori

2018

Maternal & Child Nutrition

View full text Add to dashboard Cite

Sudden unexpected infant death (SUID) and sudden infant death syndrome (SIDS) prevention has focused on modifying individual behavioural risk factors, especially bedsharing. Yet these deaths are most common among poor and marginalized people in wealthy countries, including U.S. Blacks, American Indians/Alaskan Natives, New Zealand Māori, Australian Aborigines, indigenous Canadians, and low-income British people. The United States now has the world's highest prevalence of SUID/SIDS, where even Whites' SIDS prevalence now approaches that of the Māori. Using public databases and the literature, we examine SUID/SIDS prevalence and the following risk factors in selected world populations: maternal smoking, preterm birth, alcohol use, poor prenatal care, sleep position, bedsharing, and formula feeding. Our findings suggest that risk factors cluster in high-prevalence populations, many are linked to poverty and discrimination and have independent effects on perinatal outcomes. Moreover, populations with the world's lowest rates of SUID/SIDS have low-income inequality or high relative wealth, yet have high to moderate rates of bedsharing. Employing syndemics theory, we suggest that disproportionately high prevalence of SUID/SIDS is primarily the result of socially driven, co-occurring epidemics that may act synergistically to amplify risk. SUID must be examined through the lens of structural inequity and the legacy of historical trauma. Emphasis on bedsharing may divert attention from risk reduction from structural interventions, breastfeeding, prenatal care, and tobacco cessation. Medical organizations play an important role in advocating for policies that address the root causes of infant mortality via poverty and discrimination interventions, tobacco control, and culturally appropriate support to families.

show abstract

Duration of Breastfeeding and Risk of SIDS: An Individual Participant Data Meta-analysis

Abstract: Breastfeeding duration of at least 2 months was associated with half the risk of SIDS. Breastfeeding does not need to be exclusive to confer this protection.

Cited by 132 publications

References 23 publications

Women Who Bedshare More Frequently at 14 Weeks Postpartum Subsequently Report Longer Durations of Breastfeeding

Women Who Bedshare More Frequently at 14 Weeks Postpartum Subsequently Report Longer Durations of Breastfeeding

Sudden infant death syndrome: current perspectives

Sudden infant death and social justice: A syndemics approach

Contact Info

Product

Resources

About