How can we reduce the risk of cot death?
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NCT's Big Weekend 2010 How can we reduce the risk of cot death? Presented by Joyce Epstein, Director, FSID
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How can we reduce the risk of cot death?
- 1. How can we reduce the risk of cot death?
- 4. Rate of Sudden Infant Deaths per 1,000 live births:1989-2007 England & Wales, birth to 12 months
- 5. Childhood mortality in 2007 The majority of deaths are in infancy Source: Office of National Statistics. Figures are provisional .
- 6. Incidence of SIDS by age at death
- 7. Rate by age of mother, 2007 (source ONS)
- 15. Back to Sleep and Feet to Foot
- 18. SIDS and bed sharing with non-smokers Mitchell EA et al (1992) J Paediatr Child Health 28 (Suppl 1): S3-S8; RuysJH et al (2007) Acta Paediatr 10:1339-403; Vennemann M et al (2009) Pediatrics 123:1162-70; Tappin D et al (2005) J Pediatr 147 : 32-37; McGarvey C et al (2006) Arch Dis Child 91 : 318-323; Carpenter RG et al (2004) Lancet 363 : 185-191 New Zealand Nether lands Germ’y Scotl’d Ireland Europe Cases 393 138 333 146 276 745 Controls 1,592 1628 998 276 831 2,411 OR 2.4 (sig) 9.1 at 4 weeks (sig) 19.86 <13 weeks (sig) 8.0 <11 weeks (sig) 8.0 <11 weeks (sig) 2.1 at 4 weeks (sig)
- 19. It’s lovely to take your baby to bed for a cuddle or feed, but it’s safest to put her back in the cot before you go to sleep
- 23. Survival analysis of the combined effect of feeding method and bed sharing on SIDS mortality Carpenter R G (2006) Paediatr Child Health 11 (Suppl A) : 24A-28A
- 25. Meta analysis of ‘last sleep’ dummy use and SIDS Hauck FR et al (2005) Do pacifiers reduce the risk of sudden infant death syndrome? A meta-analysis Pediatrics 116 : e716-e723
- 29. Thank you
Notas del editor
- Foundation for the Study of Infant Deaths registered as a national charity in 1971 The aims have remained the same: Funding research Supporting families whose babies have died suddenly and unexpectedly Disseminating information on infant health, baby care and sudden infant deaths to health professionals and the general public Working with professionals to improve investigations when a baby dies Strategy meetings held every two years to discuss the focus of the work
- Discuss ‘unascertained’ when talking about statistics Term cot death first coined in 1954 by Barrett, a pathologist in Cambridge to describe all cases in which a “apparently healthy infant is unexpectedly found dead in its sleeping quarters. This definition is defined by Beckwith in USA 1969
- These are the latest statistics produced by the Office for National Statistics in August 2009. 305 SIDS in 2007 Confirmed Figures to give: 2000 – 374 2001 – 377 2002 - 334 2003 - 361 2004 - 357 The graph show PROVISIONAL figures for 2005 Scotland 1 59% of sudden infant deaths in England and Wales occurred among boys, while boys comprised 51% of all live births (figures refer to period 2000 – 2004) During 2000-2004 89% of all sudden infant deaths in England and Wales occurred among babies aged under six months Since launch of RR campaign in 1991in England and Wales in 1991 the sudden infant death rate has fallen by 75%
- Will measure level of cortisol, a stress hormone, in women and babies at different stages; women suffering depression or interpersonal problems, and control group; part of the study asks women to take their own saliva samples
- Note this is the new version of the old pink leaflet – available from march 2009.
- FSID commissioned a survey in 2002, supported by Grobag, which showed alarming level or parents’ knowledge on protecting their baby from cot death One in three parents did not know the it is best for babies to sleep on their backs Over half the parents did not know that you should tuck bedding in rather than leave it loose 59% knew what ‘feet to foot’ meant Discuss ‘tummy time’ – playing on the tummy and sitting up to watch the world.
- The CESDI study revealed that 25% of infant deaths had occurred whilst bedsharing Surveys between 1996 - 2002 in Wales. Scotland and London showed that the proportion of bedsharing deaths has now doubled to 47%-50% of deaths (Risdon RA . Paediatric and Developmental Pathology, In Press Davies PM . All Wales perinatal survey and confidential enquiry into stillbirths and deaths in infancy 9th annual report, 2002. Always check the current advice
- Some mothers do breast feed exclusively but don’t sleep with the baby in the bed – so it is possible - and they have the lowest risk of all