What is SIDS?

S DSNETWORK OF KANSAS, INC.

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Sudden Infant Death Syndrome (SIDS) is “the sudden death of an infant under one year of age which remains unexplained after a thorough case investigation, including:

• performance of a complete autopsy,• examination of the death scene, and• review of the clinical history.”

National Institute of Child Health and Human Development, Willinger et al, 1991


2005 March of Dimes Peristats


04/20/23 SIDS Network of Kansas

SIDS Mortality Rateby Race of Mother

1. Native American 145.7

2. African American 113.5

3. White 45.6

4. Hispanic 27.1

5. Asian 18.5

Mathews, Menacker, and MacDorman, 2003 from birth and infant death certificates.


Infants at Highest Risk for SIDS

Babies who sleep on their tummies (5x greater risk)

Babies put on their tummies to sleep who usually sleep on their backs (as much as 18x)

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Infants at HighestRisk for SIDS

Mothers who smoke during pregnancy (3x greater risk)

Babies who breathe secondhand smoke (2.5x greater risk)

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SIDS in Child CareRachel Y. Moon, MD, Children’s National Medical Center, Washington, D.C.

Approximately 20% of SIDS deaths occurred while the infant was in the care of a nonparental caregiver.60% in family child care20% in child care centers

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SIDS in Child Care Rachel Y. Moon, MD, Children’s National Medical Center, Washington, D.C.

Approximately 1/3 of SIDS-related deaths in child care occur in the first week, 1/2 of these on the first day.

Something intrinsic to child care? No

Unaccustomed tummy sleeping? Yes

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•When an infant seems to be healthy, but dies usually while sleeping, for no other reason, it is called Sudden Infant Death Syndrome (SIDS).

•Highest risk is at 2 to 4 months; 91% occur between 1 and 6 months of age.

•SIDS is sometimes called “crib death.”

•No one can predict which infants will die from SIDS.

•There is no known prevention for SIDS.


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Infants who die of SIDS:

•Do Not cry out

•Do Not suffocate or choke

•Do Not suffer


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•Caused by spitting up, choking or smothering

•Caused by child abuse/neglect

•Contagious

•Caused by immunizations

•Caused by external suffocation

•The cause of every unexpected infant death

•Caused by co-sleeping


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Triple Risk SIDS TheoryHannah C. Kinney, Harvard Medical School, Boston


Triple Risk SIDS TheoryHannah C. Kinney, Harvard Medical School, Boston

Infant Physiologic ResponsesArousal response deficitSubtle brainstem dysfunctionSlow development

External Stress Factors•Sleep position•Bedding•Temperature•Season•Swaddling•Smoking•Drug use•Minor respiratory symptoms•Poverty•Limited prenatal care

Development (autonomic nervous system)2-4 months – most unstable4-6 months – decreasing instability

SIDS

Infant PhysiologicResponses

DevelopmentExternal Stress

Factors


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“Healthy term infants should

sleep wholly on their back as

the safest sleep position.”

"Positioning and SIDS: Update,” Pediatrics, Vol. 98, No. 6, December 1996


Revised - 0408


Revised – 12/08


We don’t recommend this…

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How to Create a Safe Sleep Environment

•Place baby on his/her back to sleep at nighttime and naptime

•Place baby on a firm tight-fitting mattress in safety approved crib


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Creating Safe Sleep

If using a blanket, put baby with feet at the foot of the crib. Tuck a thin blanket around the crib mattress, reaching only as far as the baby's chest.


Remove all fluffy andloose bedding from the sleep area

These include: Pillows Quilts Comforters Sheepskins Stuffed toys Other soft products

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Sleeping Safely


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Placed: Placed down on right side


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Found: Prone face/nose down


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Placed: Placed down on right side, head resting on right arm


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Found: Prone, head turned slightly to right


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Placed: down on left side with use of wedge04/20/23


Found: rolled forward & face down 04/20/23


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•Make sure the baby's head remains uncovered during sleep.

•There should one infant per crib.

Safe Sleep

S DSNETWORK OF KANSAS, INC. Safe Sleep

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Consider using a wearable sleeper or

other sleep clothing as an alternative to

blankets.

S DSNETWORK OF KANSAS, INC. Safe Sleep

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•Dress the baby in light sleep clothing

•Keep the room at a temperature that is comfortable for an adult (68º-72º)


Encourage the use of a fan to keep the room well ventilated.

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Encourage Breastfeeding


No smoking around infants

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•Go outside to smoke

•Wear an overcoat

•Removed the overcoat upon return

•Exposure to smoke in a room where babies sleep, is linked to an increased risk of SIDS.


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•Is needed to develop strong muscles

•Is for babies who are awake and being observed

•Offered 2 to 3 times a day and increase the amount as the baby becomes stronger.

What is SIDS?

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