SIDS Sudden infant death syndrome. DEFINITION The sudden death of an infant younger than one year of...
-
Upload
silvester-garrett -
Category
Documents
-
view
212 -
download
0
Transcript of SIDS Sudden infant death syndrome. DEFINITION The sudden death of an infant younger than one year of...
SIDSSudden infant death syndrome
DEFINITION
• The sudden death of an infant younger than one year of age
• Remains unexplained after a thorough case investigation, including:– performance of a complete autopsy– examination of the death scene– review of the clinical history
PATHOGENESIS
• Underlying vulnerability (eg, genetic pattern, brainstem abnormality)
• A trigger event (eg, airflow obstruction, maternal smoking or infection)
• At a vulnerable developmental stage of the central nervous or immune system
Maternal risk factors
• Young maternal age• Maternal smoking during pregnancy, drug
abuse, alcohol use• Late or no prenatal care• Pregnancy complications -placenta previa,
abruptio placenta, premature rupture of membranes, and elevated maternal alpha-fetoprotein
Infant and environmental risk factors
• Preterm birth and/or low birth weight• Prone sleeping position• Sleeping on a soft surface and/or with bedding
accessories such as loose blankets and pillows• Bed-sharing (eg, sleeping in parents’ bed)• Overheating• Sibling of SIDS victim
נוספות הערות
• A history of apnea, apparent life-threatening event (ALTE), or other abnormalities in breathing patterns are not clinically useful predictors of SIDS risk
• Car seats• Sleep positioners• Swaddling • Pacifier use• Breastfeeding