Everyone gets excited when bringing home a new baby. We fix up the nursery and prepare the linen and get all the feeding and changing implements in order in anticipation of our new bundles of joy to join our family. We're concerned about keeping our newborn baby safe so we learn and put into practice the things we learn about preventing sudden infant death syndrome (SIDS). We make sure to place the baby on their back at bedtime as instructed, place the baby at the foot of the bed, and make sure the sheets don't choke or cover up the face. Recent data indicates that this practice is helping tremendously as public awareness takes effect on new parents. A new study however published on bmj.com states that over half of SIDS deaths still occurring, happen when the infant is sharing a bed with a parent, and even more so, if the parent is intoxicated with drugs or alcohol.
Careful review of SIDS cases identified several risk factors including household smoking, but researchers are looking for additional causes as well. Recently, eighty post mortem interviews of the parents and inspections of the home revealed that 54% of the SIDS deaths occurred with the parent was co-sleeping with the infant. That's compared to only 20% of SIDS deaths occurring when parents were not sharing a bed with the baby. One fifth of the deaths occurred when the infant was using a pillow and 25% were swaddled (tightly wrapped in a blanket).
These numbers were consistent in all levels of socioeconomic status and not just limited to the poorer populations and classes of people as previously believed. Of special concern were parents that would fall asleep on the couch with their infants, since a couch could so easily "swallow up" a tiny infant. Current recommendations are for the babies to be put on their backs to sleep, at the foot of their own bed, next to their parents bed.
Sudden infant death syndrome (SIDS) was identified in 1969 and is a recognized category of natural death. It carries no implication of blame for the parents, however the incidence of intoxication of the parents often raises question and initiates blame. SIDS is a preventable tragedy that can be avoided by a little education and practice from the parents and caregivers.
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