Sids Prevention Guidelines
October 19, 2011 by staff
Sids Prevention Guidelines, Breastfeeding and immunization protects babies against cot death syndrome infant (SIDS), but no pads, according to updated guidelines from the American Academy of Pediatrics.
The recommendations – last revised in 2005 – beyond the small island states and focus on providing a safe sleeping environment for babies to reduce the risk of all sleep-related deaths, such as choking.
Sleeping position supine, first recommended by the AAP in 1992, remains the cornerstone of prevention of SIDS, with a firm sleep surface, and not sharing the bed.
“Overall, we are making good progress in the understanding of SIDS and the importance of environment in preventing infant deaths from suffocation,” said Rachel Moon, MD, who chaired the drafting committee guidelines at a conference Press AAP. “However, we still see evidence of unsafe sleeping practices, and we hope to deal with these new guidelines.”
The recommendation against the home guards is part of care in providing safe environments for children to sleep. Moon and co-authors said there is no evidence to support the view that the foot pads reduce the risk of SIDS.
The AAP also recommends avoiding commercial devices supposed to prevent SIDS, because “there is no evidence that these devices reduce the risk of sudden death or asphyxia, or that they are safe.”
The guidelines and related technical report published in the November issue of Pediatrics.
From AAP launched its “Back to Sleep” campaign in 1992, SIDS deaths have decreased by 50%. However, 4,600 unexpected sudden infant death (SUID) is still produced each year, half of which are ultimately classified as SIDS.
A study presented at the AAP meeting showed that half of SIDS deaths involved children placed in nonsupine sleeping positions, and 71% of the deaths involved unsafe sleeping surfaces. In more than half of deaths related to unsafe sleeping areas, a cradle (recommended by the AAP) was available at home, but not used or used for other purposes.
A recommendation breastfeeding is based on several studies showing a lower rate of sudden death among breastfed infants. The AAP encourages exclusive breastfeeding or feeding expressed breast milk.
Similarly, recent studies have provided evidence that the vaccine protects against SIDS. The AAP previously joined the CDC concluded that “there is no evidence that a causal relationship between vaccines and SIDS.”
In addition to its traditional support to the supine position for sleep and firm sleep surface, the AAP recommends:
Shared room with a child – but not share the bed
Cribs kept free of soft objects and loose bedding
Offer a pacifier at nap time and
No use of cardiorespiratory monitors the house
The expansion of the national SIDS campaign to include a focus on safe sleeping environment
Awake supervised “tummy time” for children to facilitate the development
The guidelines also provide recommendations for pregnant women, regular prenatal care, not smoking and avoid alcohol and drugs cause. The warning against snuff, alcohol and drugs are transferred after birth.
The AAP guidelines urge support for the campaign for sleeping SIDS / safe environment for health professionals, media support campaign messages and announcements, and continued research to learn more about the causes, risk factors and pathophysiology of SIDS and other sleep-related deaths in babies.
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