Bed Sharing and the Risk of Sudden Infant Death Syndrome: Can We Resolve the Debate?

Vennemann, Mechtild; Hense, Hans Werner; Bajanowski, Thomas; Blair, Peter S; Complojer, Christina; Moon, Rachel Y.; Kiechl‐Kohlendorfer, Ursula

doi:10.1016/j.jpeds.2011.06.052

Cited by 156 publications

(128 citation statements)

References 34 publications

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“…23,27 Lo que adiciona factores de riesgo son las prácticas de sueño inseguro: exceso de abrigo, 36 dormir en posición boca abajo o de costado, 37 presencia de almohadas, almohadones, acolchados, mantas, colchón blando, 38,39 dejar al niño en una cama sin supervisión de adultos, 40,41 alimentarlo solo con fórmula, 42 usar nidos de contención 43 o el huevito para el auto en la cama de los padres. 44 Es contundente la evidencia científica q u e m u e s t r a q u e e l c o l e c h o a u m e n t a significativamente el riesgo de MSL en aquellos casos en que los padres fuman o la madre fumó durante el embarazo, 45,46 ingieren alcohol, drogas psicoactivas recreativas o sedantes, 23,27 en especial si el niño es prematuro o sufrió una restricción del crecimiento intrauterino. 47 Sin embargo, hay otros niños que pueden ser vulnerables -por alteraciones genéticas en los neurotransmisores-, a los que no podemos identificar en la actualidad.…”

Section: Conceptos Generalesunclassified

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Colecho en el hogar, lactancia materna y muerte súbita del lactante. Recomendaciones para los profesionales de la salud. Texto completo

2017

Arch Argent Pediat

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RESUMENEl Grupo de Trabajo en Muerte Súbita e Inesperada del Lactante, junto con la Subcomisión de Lactancia Materna de la Sociedad Argentina de Pediatría, elaboraron nuevas recomendaciones sobre la práctica del colecho, en la cual el niño duerme en la misma superficie junto a su madre, situación que es motivo de controversia. El colecho favorece la lactancia materna, que, a su vez, es protectora de la muerte súbita del lactante. Un pequeño grupo de niños presenta mayor riesgo de muerte súbita del lactante y accidentes fatales durante el colecho en ciertas circunstancias, que incluyen dormir en un sillón o sofá, padres fumadores, ingesta de sedantes, drogas y/o consumo de alcohol, niños prematuros y/o de bajo peso. El colecho en niños alimentados con leche humana, sin los factores de riesgo mencionados y con padres responsables de implementar un ambiente de sueño seguro, no aumenta el riesgo de muerte súbita del lactante. Esta guía no recomienda taxativamente la prohibición del colecho. Instruye a los profesionales de la salud a propalar a las familias un mensaje balanceado que incluya tanto los riesgos como los beneficios del colecho, lo que les permite a los padres una decisión informada al respecto. El documento señala que la cohabitación sin colecho es el lugar más seguro para los bebés al momento de dormir. Palabras clave: muerte súbita del lactante, lactancia materna, colecho, cohabitación.

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Section: Conceptos Generalesunclassified

“…1,45,57,62 • C u a n d o l a m a d r e f u m ó d u r a n t e e l embarazo. 1,45,46,57 • Cuando el niño/a es prematuro o presentó restricción del crecimiento intrauterino.…”

Section: Recomendación Sobre Colecho En El Hogarunclassified

Colecho en el hogar, lactancia materna y muerte súbita del lactante. Recomendaciones para los profesionales de la salud. Texto completo

2017

Arch Argent Pediat

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“…27,28 In Argentina, the Argentine Society of Pediatrics' recommendations from 2000 29 were not conclusive on this matter, but the 2015 considerations on safe sleep suggested that, based on available evidence, health team members should unanimously recommend bedroom sharing with no co-sleeping for the safe sleep of infants and preterm babies. 5 Although both populations share similar characteristics (Figure 2), which allows outcomes to be compared, our study may be biased because it is an open-label educational strategy, and for this reason it may be very difficult to blind outcome assessment.…”

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confidence: 99%

Impact of an educational intervention to improve adherence to the recommendations on safe infant sleep

et al. 2016

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Introduction. In developed countries, public campaigns promoting recommendations on safe infant sleep increased adherence to the supine sleeping position to more than 70% and, at the same time, reduced the incidence of sudden infant death syndrome by 53%. Objective. To determine the impact, at 60 days of life, of an educational intervention conducted in maternity centers aimed at improving adherence to the recommendations on safe infant sleep. Population, material and methods. Intervention study with historical control conducted between February 1 st and September 30 th of 2014 at the Maternity Center of Hospital Meisner and Hospital Universitario Austral. The intervention was called "crib card" and consisted in training health care team members and providing families with information on safe infant sleep by means of lessons, written material and using stickers on cribs. Results. Five hundred and fifty newborn infants were included. After the intervention, a 35% increase in the supine sleeping position (p < 0.0001) was observed; exclusive breastfeeding increased by 11% (p= 0.01); and co-sleeping decreased from 31% to 18% (p< 0.0005). No differences were observed in relation to bedroom sharing, living with tobacco users, or pacifier use at 60 days of life. Conclusions. The educational intervention was useful to improve adherence to the recommendations on safe sleep at 60 days of life: using the supine position and breastfeeding improved, and the rate of co-sleeping decreased. No changes were observed in the number of household members who smoke, bedroom sharing, and pacifier use.

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“…[5][6][7] The risk of SIDS and other sleep-related infant deaths can be affected by an infant's sleep environment. Soft bedding, 8 sleeping somewhere other than in a crib (eg, on a sofa), 9 surface sharing (when an infant is sleeping on the same surface as another person), 10 and bumper pads 11 contribute to an unsafe sleep environment. In 2011, the American Academy of Pediatrics released expanded recommendations for a safe sleep environment to reduce the risk of all sleep-related infant deaths.…”

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confidence: 99%

Sofas and Infant Mortality

2014

PEDIATRICS

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WHAT'S KNOWN ON THIS SUBJECT: Sleeping on a sofa increases the risk of sudden and unexpected infant death.WHAT THIS STUDY ADDS: Infant deaths on sofas are associated with nonsupine placement, being found in side position, surface sharing, changing sleep location, and experiencing prenatal tobacco exposure. These results may help explain why sofa sleeping is hazardous for infants. abstract OBJECTIVE: Sleeping on sofas increases the risk of sudden infant death syndrome and other sleep-related deaths. We sought to describe factors associated with infant deaths on sofas. METHODS:We analyzed data for infant deaths on sofas from 24 states in 2004 to 2012 in the National Center for the Review and Prevention of Child Deaths Case Reporting System database. Demographic and environmental data for deaths on sofas were compared with data for sleep-related infant deaths in other locations, using bivariate and multivariable, multinomial logistic regression analyses. RESULTS:A total of 1024 deaths on sofas made up 12.9% of sleeprelated infant deaths. They were more likely than deaths in other locations to be classified as accidental suffocation or strangulation (adjusted odds ratio [aOR] 1.9; 95% confidence interval [CI], 1.6-2.3) or ill-defined cause of death (aOR 1.2; 95% CI, 1.0-1.5). Infants who died on sofas were less likely to be Hispanic (aOR 0.7; 95% CI, 0.6-0.9) compared with non-Hispanic white infants or to have objects in the environment (aOR 0.6; 95% CI, 0.5-0.7) and more likely to be sharing the surface with another person (aOR 2.4; 95% CI, 1.9-3.0), to be found on the side (aOR 1.9; 95% CI, 1.4-2.4), to be found in a new sleep location (aOR 6.5; 95% CI, 5.2-8.2), and to have had prenatal smoke exposure (aOR 1.4; 95% CI, 1.2-1.6). Data on recent parental alcohol and drug consumption were not available. CONCLUSIONS:The sofa is an extremely hazardous sleep surface for infants. Deaths on sofas are associated with surface sharing, being found on the side, changing sleep location, and experiencing prenatal tobacco exposure, which are all risk factors for sudden infant death syndrome and sleep-related deaths.

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Bed Sharing and the Risk of Sudden Infant Death Syndrome: Can We Resolve the Debate?

Cited by 156 publications

References 34 publications

Colecho en el hogar, lactancia materna y muerte súbita del lactante. Recomendaciones para los profesionales de la salud. Texto completo

Colecho en el hogar, lactancia materna y muerte súbita del lactante. Recomendaciones para los profesionales de la salud. Texto completo

Impact of an educational intervention to improve adherence to the recommendations on safe infant sleep

Sofas and Infant Mortality

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