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

摘要: Abstract Objective: To investigate the role of sleeping arrangements as risk factors for sudden infant death syndrome after a national reduction campaign. Design: Two year population based case-control study. Parental interviews were conducted each who died and four controls matched age date interview. Setting: Three regions in England with total 17 million people. Subjects: 195 babies 780 controls. Results: Prone side positions both carried increased risks compared supine when adjusted maternal age, parity, gestation, birth weight, exposure to smoke, other relevant environment (multivariate odds ratio = 9.00 (95% confidence interval 2.84 28.47) 1.84 (1.02 3.31), respectively). The higher incidence rather than prone led attributable (side 18.4%, 14.2%). More infants found bed covers over their heads (21.58; 6.21 74.99). use dummy had an apparent protective effect (0.38; 0.21 0.70). Bed sharing whole night was significant factor whose mothers smoked (9.25; 2.31 34.02). No breast feeding could be identified on multivariate analysis. Conclusions: This study confirms importance certain identifies others—for example, head, position—which may amenable change by educating informing parents health care professionals. Key messages large is first campaign reduce or position; loose bedding (particularly duvets), which can slip baby9s head; smoke reduced placing baby feet at foot cot (“feet foot”); ensuring that securely tucked in; avoiding duvets