Risk and preventive factors for cot death in The Netherlands, a low-incidence country

L’Hoir, M.P.; Engelberts, A.C.; Well, G. T. J. van; McClelland, Shearwood; Westers, Paul; Dandachli, T.H.; Mellenbergh, Gideon J.; Wolters, W. H. G.; Huber, J.

doi:10.1007/s004310050911

Cited by 114 publications

(80 citation statements)

References 21 publications

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“…45 Loose bedding, particularly when the infants' heads become covered, has been associated with SIDS, even in supine sleeping infants. 12,16,17,20 Infant sleep clothing may be an appropriate alternative to blankets.…”

Section: Discussionmentioning

confidence: 99%

“…Soft bedding increases the potential of rebreathing, [1][2][3][4][5][6] a pathway through which SIDS may occur. 7 Pillows, quilts, comforters, and other soft objects are hazardous when placed under the infant [8][9][10][11][12][13][14][15] or loose in the infant's sleep area, 10,12,[15][16][17][18][19][20] increasing SIDS risk up to 5-fold, 13,15 and up to 21-fold when the infant is placed prone. 15 However, use of soft bedding and surfaces is common.…”

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confidence: 99%

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Decisions of Black Parents About Infant Bedding and Sleep Surfaces: A Qualitative Study

et al. 2011

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OBJECTIVE: The goal of this qualitative study was to examine factors influencing decisions by black parents regarding use of soft bedding and sleep surfaces for their infants. METHODS: We conducted focus groups and individual interviews with black mothers of lower and higher socioeconomic status (SES). Mothers were asked about many infant care practices, including sleep surface and bedding. RESULTS: Eighty-three mothers were interviewed, 73 (47 lower and 26 higher SES) in focus groups and 10 (7 lower and 3 higher SES) in individual interviews. The primary reason for using soft surfaces was infant comfort. Parents perceived that infants were uncomfortable if the surface was not soft. Many parents also interpreted “firm sleep surface” to mean taut; they were comfortable with and believed that they were following recommendations for a firm sleep surface when they placed pillows/blankets on the mattress as long as a sheet was pulled tautly over the pillows/blankets. The primary reasons for using soft bedding (including bumper pads) were comfort, safety, and aesthetics. In addition to using bedding to soften sleep surfaces, bedding was used to prevent infant rollover and falls, particularly for infants sleeping on a bed or sofa. Some parents used soft bedding to create an attractive space for the infant. CONCLUSIONS: Many black parents believe that soft bedding will keep their infant safe and comfortable. There is much misunderstanding about the meaning of a “firm” sleep surface. Additional educational messages apparently are needed to change parental perceptions and practices.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Decisions of Black Parents About Infant Bedding and Sleep Surfaces: A Qualitative Study

et al. 2011

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“…E pidemiologic studies identifying risk factors and public health campaigns to reduce these risks have been followed by large reductions in the rates of sudden infant death syndrome (SIDS) in many countries. [1][2][3][4][5][6][7][8][9][10] In Reduce the Risk public health campaigns, priority has been given to risk factors that may be causally related to SIDS. 11,12 In addition, priority has been given to risk factors that are readily correctable and at the same time acceptable to care providers and parents.…”

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confidence: 99%

“…Rather, we describe the frequency with which well-established risk factors are evident from the death-scene investigation. 4,10,18,20,21 This study has focused on 4 sleep practices as risk factors: position when found, 22 presence of bedding or other materials covering the infant's face or head, 18,20 sharing a sleep surface with others, [23][24][25][26][27][28][29] and the use of sleep surfaces other than those recommended for infants. 14,15,17 In addition to the strong consensus regarding their effect on risk, we have focused on these 4 sleep practices because the death-scene data provided detailed information about them, and because these risk factors might be eliminated through information campaigns.…”

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confidence: 99%

Unsafe Sleep Practices and an Analysis of Bedsharing Among Infants Dying Suddenly and Unexpectedly: Results of a Four-Year, Population-Based, Death-Scene Investigation Study of Sudden Infant Death Syndrome and Related Deaths

et al. 2000

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ABSTRACT. Background. Prone sleep and unsafe sleep surfaces increase the risk of sudden infant death. Recent epidemiologic studies also suggest that when an infant's head or face is covered by bedding, or when a sleep surface is shared with others, the risk of dying increases. The inference of a causal role for these risk factors is supported by physiologic studies and by the consistent finding that fewer infants die when risk factors are reduced. The prevalence of most of these risk factors in infant deaths in the United States is uncertain.Objective. To describe the prevalence of several important risk factors related to sleep practices among a defined population of infants dying suddenly and unexpectedly.Methods. In this population-based study, we retrospectively reviewed death-scene information and medical examiners' investigations of deaths in the city of St Louis and St Louis County between January 1, 1994 and December 31, 1997. Because of the potential for diagnostic overlap, all deaths involving infants <2 years old with the diagnoses of sudden infant death syndrome (SIDS), accidental suffocation, or cause undetermined were included.Results. The deaths of 119 infants were studied. Their mean age was 109.3 days (range: 6 -350). The diagnoses were SIDS in 88 deaths, accidental suffocation in 16, and undetermined in 15. Infants were found prone in 61.1% of cases and were found on a sleep surface not designed for infants in 75.9%. The head or face was covered by bedding in 29.4%. A shared sleep surface was the site of death in 47.1%. Only 8.4% of deaths involved infants found nonprone and alone, with head and face uncovered.Conclusions. Using detailed death-scene descriptions, we found that similar unsafe sleeping practices occurred in the large majority of cases diagnosed as SIDS, accidental suffocation, and cause undetermined. Considering these diagnoses together may be useful in public health campaigns during a time when there may be diagnostic overlap. Regardless of the diagnosis, recommendations that infants sleep supine on firm sleep surfaces that lessen the risk of entrapment or head covering have the potential to save many lives. Campaigns are needed to heighten awareness of these messages and of the risks of dangerous bedsharing. Pediatrics 2000; 106(3). URL: http://www.pediatrics.org/cgi/content/full/ 106/3/e41; sudden infant death syndrome, sleep, child, consumer product safety, suffocation.ABBREVIATIONS. SIDS, sudden infant death syndrome; ME, medical examiner. E pidemiologic studies identifying risk factors and public health campaigns to reduce these risks have been followed by large reductions in the rates of sudden infant death syndrome (SIDS) in many countries. [1][2][3][4][5][6][7][8][9][10] In Reduce the Risk public health campaigns, priority has been given to risk factors that may be causally related to SIDS. 11,12 In addition, priority has been given to risk factors that are readily correctable and at the same time acceptable to care providers and parents.Many studies, including several r...

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“…We examined 17 observational studies (Table 1) and found that breastfeeding was reported to have provided a protective effect on SIDS in ten studies 6, 7, 8, 9, 10, 11, 12, 13, 14, 15. No protective effects were found in the other seven 4, 16, 17, 18, 19, 20, 21.…”

Section: Resultsmentioning

confidence: 99%

Breastfeeding and dummy use have a protective effect on sudden infant death syndrome

et al. 2015

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We conducted a literature review on the effect of breastfeeding and dummy (pacifier) use on sudden infant death syndrome (SIDS). From 4343 abstracts, we identified 35 relevant studies on breastfeeding and SIDS, 27 on dummy use and SIDS and 59 on dummy use versus breastfeeding.ConclusionWe found ample evidence that both breastfeeding and dummy use reduce the risk of SIDS. There has been a general reluctance to endorse dummy use in case it has a detrimental effect of breastfeeding. However, recent evidence suggests that dummy use might not be as harmful to breastfeeding as previously believed.

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Risk and preventive factors for cot death in The Netherlands, a low-incidence country

Cited by 114 publications

References 21 publications

Decisions of Black Parents About Infant Bedding and Sleep Surfaces: A Qualitative Study

Decisions of Black Parents About Infant Bedding and Sleep Surfaces: A Qualitative Study

Unsafe Sleep Practices and an Analysis of Bedsharing Among Infants Dying Suddenly and Unexpectedly: Results of a Four-Year, Population-Based, Death-Scene Investigation Study of Sudden Infant Death Syndrome and Related Deaths

Breastfeeding and dummy use have a protective effect on sudden infant death syndrome

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