![]() ![]() Infants should be immunized in accordance with AAP and CDC recommendations.ĭo not use home cardiorespiratory monitors as a strategy to reduce the risk of SIDS. Pregnant women should seek and obtain regular prenatal care. Keep soft objects and loose bedding away from the infant’s sleep area.Ĭonsider offering a pacifier at naptime and bedtime.Īvoid smoke exposure during pregnancy and after birth.Īvoid alcohol and illicit drug use during pregnancy and after birth. ![]() Room-sharing with the infant on a separate sleep surface is recommended. Sudden unexpected infant death (SUID), or sudden unexpected death in infancy (SUDI): A sudden and unexpected death, whether explained or unexplained (including SIDS), occurring during infancy. Sudden infant death syndrome (SIDS): Cause assigned to infant deaths that cannot be explained after a thorough case investigation, including a scene investigation, autopsy, and review of the clinical history. Sleep-related infant death: SUID that occurs during an observed or unobserved sleep period. Room-sharing: Parent(s) and infant sleeping in the same room on separate surfaces. When used, authors need to make clear whether they are referring to sleeping in close proximity (which does not necessarily entail bed-sharing) or bed-sharing. This document focuses on the subset of SUIDs that occur during sleep.īed-sharing: Parent(s) and infant sleeping together on any surface (bed, couch, chair).Ĭaregivers: Throughout the document, “parents” are used, but this term is meant to indicate any infant caregivers.Ĭosleeping: This term is commonly used, but the task force finds it confusing, and it is not used in this document. Many of the modifiable and nonmodifiable risk factors for SIDS and suffocation are strikingly similar. 1 (See Table 1 for definitions of terms.) The distinction between SIDS and other SUIDs, particularly those that occur during an unobserved sleep period (sleep-related infant deaths), such as unintentional suffocation, is challenging, cannot be determined by autopsy alone, and may remain unresolved after a full case investigation. SIDS is a subcategory of SUID and is a cause assigned to infant deaths that cannot be explained after a thorough case investigation, including a scene investigation, autopsy, and review of the clinical history. After case investigation, SUID can be attributed to suffocation, asphyxia, entrapment, infection, ingestions, metabolic diseases, arrhythmia-associated cardiac channelopathies, and trauma (unintentional or nonaccidental). The rationale for these recommendations is discussed in detail in the accompanying technical report ( Sudden unexpected infant death (SUID), also known as sudden unexpected death in infancy, or SUDI, is a term used to describe any sudden and unexpected death, whether explained or unexplained (including sudden infant death syndrome and ill-defined deaths), occurring during infancy. The recommendations and strength of evidence for each recommendation are included in this policy statement. New evidence is presented for skin-to-skin care for newborn infants, use of bedside and in-bed sleepers, sleeping on couches/armchairs and in sitting devices, and use of soft bedding after 4 months of age. ![]() Additional recommendations for SIDS reduction include the avoidance of exposure to smoke, alcohol, and illicit drugs breastfeeding routine immunization and use of a pacifier. Recommendations for a safe sleep environment include supine positioning, the use of a firm sleep surface, room-sharing without bed-sharing, and the avoidance of soft bedding and overheating. The American Academy of Pediatrics recommends a safe sleep environment that can reduce the risk of all sleep-related infant deaths. Many of the modifiable and nonmodifiable risk factors for SIDS and other sleep-related infant deaths are strikingly similar. After an initial decrease in the 1990s, the overall death rate attributable to sleep-related infant deaths has not declined in more recent years. Approximately 3500 infants die annually in the United States from sleep-related infant deaths, including sudden infant death syndrome (SIDS International Classification of Diseases, 10th Revision, R95), ill-defined deaths (ICD-10 R99), and accidental suffocation and strangulation in bed (ICD-10 W75). ![]()
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