Sudden Infant Death Syndrome (SIDS)
Between June 2010 and May 2011, the Broward Sheriff's Office Homicide Unit investigated 3 cases of Sudden Infant Death Syndrome (SIDS). The definition of 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.
The American SIDS Institute (www.SIDS.org) recommends the following steps be taken by parents to reduce the risk of SIDS.
- Place infants to sleep on their backs, even though they may sleep more soundly on their stomachs. Infants who sleep on their stomachs and sides have a much higher rate of SIDS than infants who sleep on their backs.
- Place infants to sleep in a baby bed with a firm mattress. There should be nothing in the bed but the baby - no covers, no pillows, no bumper pads, no positioning devices and no toys. Soft mattresses and heavy covering are associated with the risk for SIDS.
- Keep your baby's crib in the parents' room until the infant is at least 6 months of age. Studies clearly show that infants are safest when their beds are close to their mothers.
- Do not place your baby to sleep in an adult bed. Typical adult beds are not safe for babies. Do not fall asleep with your baby on a couch or in a chair.
- Do not over-clothe the infant while she sleeps. Just use enough clothes to keep the baby warm without having to use cover. Keep the room at a temperature that is comfortable for you. Overheating an infant may increase the risk for SIDS.
- Avoid exposing the infant to tobacco smoke. Don't have your infant in the same house or car with someone who is smoking. The greater the exposure to tobacco smoke, the greater the risk of SIDS.
- Breast-feed babies whenever possible. Breast milk decreases the occurrence of respiratory and gastrointestinal infections. Studies show that breast-fed babies have a lower SIDS rate than formula-fed babies do.
- Avoid exposing the infant to people with respiratory infections. Avoid crowds. Carefully clean anything that comes in contact with the baby. Have people wash their hands before holding or playing with your baby. SIDS often occurs in association with relatively minor respiratory (mild cold) and gastrointestinal infections (vomiting and diarrhea).
- Offer your baby a pacifier. Some studies have shown a lower rate of SIDS among babies who use pacifiers.
- If your baby has periods of not breathing, going limp or turning blue, tell your pediatrician at once.
- If your baby stops breathing or gags excessively after spitting up, discuss this with your pediatrician immediately.
- Thoroughly discuss each of the above points with all caregivers. If you take your baby to daycare or leave him with a sitter, provide a copy of this list to them. Make sure they follow all recommendations.
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