mother-father August 28

Sudden infant death syndrome (SIDS)

Sudden infant death syndrome is defined as the unexplained death of a baby with no health problems.

Sudden infant death syndrome is when the baby dies while sleeping without any signs of illness. This condition, usually caused by respiratory reasons, increases the risk of exposure to asphyxia (suffocation due to oxygen deficiency) due to cigarette smoke and smell. The second biggest reason is that he vomits while he sleeps and aspirates him, which means that his lungs eat what he eats.

In developed countries, SIDS is considered to be the most common cause of death in infancy following diseases related to premature and low birth weight and congenital anomalies. 1-12 months age of death is not known who is responsible for 35-55% of the incidence of SIDS in Turkey together exactly as given in the frequency of 0.8 per 1,000 live births in developed countries. 95% of all cases are reported to occur in the first 6 months (2-4 months).

Risk factors

Causes of mother
• Smoking during pregnancy
• Alcohol or substance abuse
• Low socioeconomic level
• Very young mother age (under 20)
• Short interval between pregnancies
• Increase in the number of births and uncontrolled pregnancies

Causes of the baby
• Age (2-4 months)
• Male gender (30-50% higher risk than girls)
• Premature birth (premature)
• Low birth weight
• Prone sleeping position
• A recent history of febrile illness
• Pre-natal or post-natal exposure
• Bed is soft and pillow use
• Sleeping in bed with parents
• The baby is in a very hot environment or dressed too
• Malnutrition with breast milk

Precautions to prevent sudden infant deaths

German Hospital Specialist for Child Health and Diseases Gökçe Baslo lists the measures to be taken as follows:

1. Babies should be laid on their back while sleeping
Healthy infants should be laid on their back from birth. If the side-lying position is preferred, the lower arm should be brought forward (better, the side-lying position should not be preferred) to reduce the possibility of returning to the prone position.

The American Academy of Pediatrics announced its health policy in 1992; He recommended that healthy infants be laid on their back during sleep, thereby reducing the frequency of “sudden infant death syndrome 40 by 40% in 4 years.

2. Babies should be laid in hard bed
It is not right to put babies on surfaces such as soft beds, pillows, duvets or animal skins. The bed should be compatible with the cot, there should be no more than 2 cm between the bed and the bed. There should be no more than 2 fingers or 5 cm wide between the bed railings. 30% of sudden infant deaths are blamed for improper hospitalization.

3. Babies should be prevented from sleeping with their parents
Parental beds are not suitable for the baby and are not recommended because of the risk of contact with cigarette smoke and being under the weight of the parents.

4. Babies should not have toys made of cloth in their bed and their faces should not be covered while sleeping.
Bed linen should be taut and clean, if a blanket is to be used, it should be firmly secured under the bed and covered only by the child's chest. The use of a sleeping bag may be considered.

5. The mother should be prevented from smoking
All researches about sudden infant death syndrome; It makes clear that smoking increases the risk during pregnancy and postpartum. It is known that smoking in the mother's pregnancy increases the risk of sudden infant death by 3.4 times. Smoking during pregnancy also increases the risk of preterm birth and low birth weight infants.

6. Extreme heat should be avoided
Children should be dressed so as not to cause overheating, even in the event of illness. The risk of sudden death may increase especially in infants lying on their prone, over-dressed and covered with blankets. Therefore, babies should be covered slightly while sleeping and ideal room temperature should be provided.

7. Monitor can be used in premature and / or low birth weight infants
The earlier the baby is born, the smaller the risk of sudden infant death. These babies may have respiratory arrest and a slowdown in heart rate, so monitoring at home may be appropriate. However, home monitors have not been proven to prevent SIDS, and the American Academy of Pediatrics does not recommend the use of home monitors for this purpose.

8. Babies should be breastfed
Although there is no conclusive evidence, some studies have shown that infants fed breast milk have a lower risk of sudden death. It is thought that infectious diseases are less common in breast-fed people and the close relationship between mother and baby may reduce the risk of SIDS.

# Sudden infant death syndrome is more common in smoking homes.

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