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Sudden Infant Death Syndrome (SIDS) risk reduction and infant sleep location - moving the discussion forward.

Helen L. Ball, +1 more
- 01 Feb 2013 - 
- Vol. 79, pp 84-91
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TLDR
It is argued that bed-sharing is not a modifiable infant-care practice that can be influenced by risk-education and simple recommendations and proposed that differentiation between infant- care practices, parental behaviors, and cultural beliefs would assist in the development of risk-reduction interventions.
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This article is published in Social Science & Medicine.The article was published on 2013-02-01 and is currently open access. It has received 87 citations till now. The article focuses on the topics: Sudden infant death syndrome & Infant Care.

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Citations
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Journal ArticleDOI

Bed-sharing in the absence of hazardous circumstances: is there a risk of sudden infant death syndrome? An analysis from two case-control studies conducted in the UK.

TL;DR: Sofa-sharing is not a safe alternative to bed-sharing and bed- sharing should be avoided if parents consume alcohol, smoke or take drugs or if the infant is pre-term, according to a public health strategy that underlines specific hazardous co-sleeping environments parents should avoid.
Journal ArticleDOI

Parent-child bed-sharing: The good, the bad, and the burden of evidence.

TL;DR: It is urged for multiple subfields - anthropology, psychology/psychiatry, and pediatrics - to come together with the aim of understanding infant sleep and how nightly proximity to the parents influences children's social, emotional, and physical development.
Journal ArticleDOI

Reasons for Mother–Infant Bed-Sharing: A Systematic Narrative Synthesis of the Literature and Implications for Future Research

TL;DR: Future research should examine parents’ decision-making process on infant sleep location, including how they weigh personal reasons and sources of advice, and public health interventions should incorporate the particular reasons of the population they are targeting.
Journal ArticleDOI

Infant Safe Sleep Interventions, 1990–2015: A Review

TL;DR: A systematic review of the international research literature to synthesize research on interventions to reduce the risk of sleep-related deaths and their effectiveness in changing infant sleep practices found some degree of success in changing some of the targeted behaviors.
Journal ArticleDOI

Nighttime parenting strategies and sleep-related risks to infants.

TL;DR: It is hypothesized that mothers assess potential costs and benefits within margins of risk which are not acknowledged by risk-reduction campaigns and Exploring why mothers might choose to manage sleep and nighttime parenting in ways that appear to increase potential risks to infants may help illuminate how risks occur for individual infants.
References
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Journal ArticleDOI

The contribution of low birth weight to infant mortality and childhood morbidity.

TL;DR: Continuation of the current decline in neonatal mortality and reduction of the mortality differentials between high- and low-risk groups require the identification and more effective implementation of strategies for the prevention of low-weight births.
Journal ArticleDOI

Defining the sudden infant death syndrome (SIDS): deliberations of an expert panel convened by the National Institute of Child Health and Human Development.

TL;DR: In this article, the authors define the Sudden Infant Death Syndrome (SIDS) and define the definition of SIDS as defined by an Expert Panel Convened by the National Institute of Child Health and Human Development.
Journal ArticleDOI

The changing concept of sudden infant death syndrome: Diagnostic coding shifts, controversies regarding the sleeping environment, and new variables to consider in reducing risk

TL;DR: Since the AAP published its last statement on SIDS in 2000, several issues have become relevant, including the significant risk of side sleeping position; the AAP no longer recognizes side sleeping as a reasonable alternative to fully supine sleeping.
Journal ArticleDOI

Sudden infant death syndrome

TL;DR: Reducing exposure to modifiable risk factors has helped to lower the incidence of SIDS, and an expanding number of genetic risk factors are substantiated, as well as maternal and antenatal risk factors such as smoking during pregnancy.
Journal ArticleDOI

Environment of infants during sleep and risk of the sudden infant death syndrome: results of 1993-5 case-control study for confidential inquiry into stillbirths and deaths in infancy. Confidential Enquiry into Stillbirths and Deaths Regional Coordinators and Researchers

TL;DR: This study confirms the importance of certain risk factors for the sudden infant death syndrome and identifies others—for example, covers over the head, side sleeping position—which may be amenable to change by educating and informing parents and health care professionals.
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Frequently Asked Questions (11)
Q1. What are the contributions in this paper?

Publisher 's copyright statement: NOTICE: this is the author 's version of a work that was accepted for publication in Social science medicine. Changes may have been made to this work since it was submitted for publication. 

The authors propose that differentiation between infant-care practices, parental behaviors, and cultural beliefs would assist in the development of risk-reduction interventions. 

The authors would also add that a consequence of reducing health inequalities within wealthy nations is that cultural behaviors associated with poverty become less important, and are subsequently more amenable to change. 

Blanketrecommendations also have unanticipated consequences such as reduced breastfeeding, or adoption of more risky behaviors such as sleep-sharing on sofas. 

The Consumer Product Safety Commission (Drago and Dannenberg 1999; Nakamura et al. 1999) and the American Academy of Pediatrics (2005) have both advised against infants bed-sharing. 

Initial efforts to understand which infants were at greatest risk of SIDS focused upon socio-economic and intrinsic infant variables; SIDS was prevalent in circumstances of deprivation (Mitchell et al. 2000), amongst low birth-weight, and premature infants (McCormick 1985). 

Early bed-sharing was associated with greater maternal education and fewer indicators of deprivation; late bed-sharing was associated with less maternal education and higher deprivation. 

In the US, African American, Alaskan Native, and Native American communities are disproportionately affected by SIDS (NICHD 2001), and recently a higher incidence of SIDS in child-care settings has been identified (Moon, et al. 2008). 

The authors specifically examined bed and sofa-sharing in these two groups: Pakistani infants were significantly more likely to ever and regularly bed-share, ever breastfeed, and breastfeed for over 8 weeks, but less likely to ever sofa-share than White British infants. 

In both groups breastfeeding dyads were more likely to bed-share, particularly White British mothers who breastfed for eight or more weeks (Ball et al. 2012). 

McKenna’s work generated tremendous popular and clinical interest, prompting epidemiologists to more closely examine infant sleep location in SIDS case-control studies.