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Aug 07, 2006

SIDS - Sudden Infant Death Syndrome

by SirGan

SteadyHealth.com - Health Topics Forum Index -> Articles archive

 
Sudden Infant Death Syndrome (SIDS) is a specific condition which is characterized by the sudden death of an infant which remains unexplained after all known and possible causes have been carefully ruled out. These other possible causes are investigated through:
  • Autopsy
  • death scene investigation
  • review of the medical history
The fact is also that most SIDS deaths are associated with sleep, and infants who die of SIDS show no signs of suffering. Researches showed that most deaths due to SIDS occur between 2 and 4 months of age, and incidence increases during cold weather. There is a common belief that marital breakup always follows the death of a baby, but this hasn’t been supported by experience or research. Like any sudden death, a SIDS death leaves a family with a sense of shock and loss and an urgent need to understand what happened. Some of the usual emotions felt by parents include guilt, anger, fear, blame and despair.

Incidence of the condition

Although not too many people consider this disorder to be something serious- SIDS is responsible for more deaths than any other cause in childhood for babies one month to one year of age. Some researches show that about 150,000 victims in the United States in this generation alone - 7,000 babies each year are taken away by this syndrome.
This literally means -nearly one baby every hour of every day. Big problem is that no one can predict where it will strike because - it strikes families of all races, ethnic and socioeconomic origins without warning. In fact, most SIDS victims appear healthy prior to death. Another little known fact is that more children die of SIDS in one year than those who die of cancer, heart disease, pneumonia, child abuse, AIDS, cystic fibrosis and muscular dystrophy combined during their first 14 years. Experts are saying that African-American infants are twice as likely and Native American infants are about three times more likely to die of SIDS than Caucasian infants. When we talk about sex of babies- the fact is that more boys than girls fall victim to SIDS.
 

SIDS Deaths by Race and Hispanic Origin of Mother, 2002

Number

Rate*

All races

2,295

57.1

White

1,269

55.2

African American

642

110.9

American Indian

52

123.3

Asian/Pacific Islander

51

24.3

Hispanic

260

29.7

 
 
Other potential risk factors include: smoking, drinking, or drug use during pregnancy; poor prenatal care; prematurity or low birth-weight; mothers younger than 20; smoke exposure following birth; overheating from excessive sleepwear and bedding; stomach sleeping and many others…
Maternal risk factors include:
  • age less than 20 at first pregnancy
  • a short interval between pregnancies
  • smoking during and after pregnancy
  • placental abnormalities
  • anemia
  • alcohol and substance abuse
  • history of sexually transmitted disease

Risk factors

Risk factors for SIDS

 

Prenatal risks

 

  • inadequate prenatal care

  • inadequate prenatal nutrition

  • tobacco smoking

  • use of heroin

  • teenage pregnancy

  • less than a one year interval between subsequent births

Post-natal risks

 

  • low birth weight

  • exposure to tobacco smoke

  • laying an infant to sleep on his or her stomach 

  • failure to breastfeed

  • excess clothing and overheating

  • excess bedding, soft sleep surface and stuffed animals

  • gender 

  • age (incidence rises from zero at birth, is highest between 2-4 months and goes towards zero at one year)

Possible causes of SIDS

Unfortunately- the exact cause of SIDS is still unknown! There is mounting evidence that suggests some SIDS babies are born with brain abnormalities that make them vulnerable to sudden death during infancy. Studies of SIDS victims reveal that many SIDS infants have abnormalities in one brain structure called the Arcuate Nucleus. It is the portion of the brain that is involved in control of breathing and waking during sleep. Supposedly- these abnormalities may stem from prenatal exposure to a toxic substance, or lack of a vital compound in the prenatal environment, such as sufficient oxygen.
Genetics also plays a large role. SIDS is more common in boys than in girls, and it is more common in some population groups. Affected infants may have been born with immature brainstems, making it difficult for them to wake up when they are in trouble.
Other possible causes:
  • stress in a normal baby, caused by infection or other factors;
  • a birth defect
  • failure to develop
  • a critical period when all babies are especially vulnerable

What is so special about stomach sleeping?

Experts are saying that among many risk factors - stomach sleeping is probably the most important. Numerous studies have found a higher incidence of SIDS among babies placed on their stomachs to sleep than among those sleeping on their backs or sides. Some experts are saying that stomach sleeping puts pressure on a child's jaw, therefore narrowing the airway and hampering breathing. Nothing of this has been scientifically proven yet! One another group of experts are saying differently! They claim that stomach sleeping can increase an infant's risk of re-inhaling his or her own exhaled air, particularly if the infant is sleeping on a soft mattress or with bedding, stuffed toys, or a pillow near the face. Logically, when baby breathes exhaled air, the oxygen level in the body drops and carbon dioxide accumulates.  

Is this condition contagious?

It is important to remember that SIDS is not believed to be contagious! But several experts are discussing a lot about the now-accepted idea that ulcers could be the cause. These ulcers were often caused by infections with the bacteria called Helicobacter pylori. One study suggests that infection with this same bacterium may also be responsible for many cases of sudden infant death syndrome. Not only that- some researches have found this bacterium in 88 percent of examined children who had died from SIDS.  

Differential diagnosis of SIDS

Mostly because of the lack of facts, people are speculating a lot about this condition. Not so rare, they confuse it with some other condition that strikes little babies. Many old wives tales, superstitions, and just plain stupidity abound about SIDS. From chiropractors claiming stress on the atlas while passing the birth canal to stories about suffocation from the ammonia in urine, SIDS has suffered from the ignorant. Because the causes for SIDS are unknown, parents will often come up with their own explanations for the tragedy and blame themselves. That’s why, it is important to know that SIDS isn't:
  • Apnea (breathing stops)

There is no doubt- many people have been diagnosed with sleep apnea and apnea has killed infants. In order to detect and diagnose a baby with this condition, an apnea monitor can bi installed when a SIDS victim stops breathing but one thing should be remembered- a SIDS victim is already dead when that happens. For many years these apnea monitors has been installed mainly for a placebo effect on the parents.
  • Predictable

There are no signs that could tell a doctor or parent that SIDS will occur!
  • Infant botulism

Infant botulism and SIDS have a similar age of death demographics but the botulism is easily found in an autopsy.
  • Caused by immunizations

Most children get their immunizations at about four months which coincides with the average age.
 But children without immunizations also die of SIDS. That’s why- this couldn’t be considered as the possible cause!
  • Caused by poor or bad parents

SIDS happens to parents of all economic, social, educational, and racial groups.  
  • Caused by Colds

Many infants get their first runny nose around four months. A SIDS victim can die WITH a cold but not FROM a cold.
  • Caused by fire retardants in mattresses
  • Caused by suffocation
  • Caused by vomiting or choking
  • Contagious
  • Hereditary
  • The result of neglected illness, accidents, or abuse

Prevention of SIDS

Currently there is no known way to prevent SIDS, but there are things that parents and caregivers can do to reduce the risk of a SIDS death:
  • Always place your baby on back to sleep because the back sleep position is the safest, and every sleep time counts.
  • Place your baby on a firm sleep surface, such as on a safety-approved crib mattress, covered by a fitted sheet
  • If you use a blanket, place the baby with feet at the end of the crib. The blanket should reach no higher than the baby's chest
  • Do not allow smoking around your baby
  • Keep your baby's sleep area close to, but separate from, where you and others sleep
  • Think about using a clean, dry pacifier when placing the infant down to sleep, but don't force the baby to take it.  
  • Do not let your baby overheat during sleep. Child should be dressed in light sleep clothing, and the room should have a temperature that is comfortable for an adult.
  • Avoid products that claim to reduce the risk of SIDS because most have not been tested for effectiveness or safety.
  • Reduce the chance that flat spots will develop on your baby's head
  • Make sure your baby’s head remains uncovered during sleep because babies are at an increased risk for SIDS if their head becomes covered during sleep. 
  • Do not share a sleep surface with your baby
  • Good prenatal care, including proper nutrition, abstinence from alcohol, drugs, and smoking, and frequent medical checkups might help prevent a baby from developing any abnormality  
  • Breastfeeding has been shown to be good for babies by building their immunity against illness and infections
  • Put your baby to sleep with a pacifier during the first year of life. If your baby rejects the pacifier, don't force it
 
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    Article sources
    • www.wikipedia.com
    • www.sids-network.org
    • www.faqs.org