HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) All Versions of this Article: adc.2005.088328v1 91/11/915    most recent Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this link to a friend Similar articles in ADC Online Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Alm, B Articles by Wennergren, G Search for Related Content PubMed PubMed Citation Articles by Alm, B Articles by Wennergren, G Topic Collections Child abuse Relevant Article

SIDS risk factors and factors associated with prone sleeping in Sweden

¹ Department of Paediatrics, Göteborg University, Sweden
² Central Infant Welfare Bureau, Uddevalla Hospital, Sweden
³ Paediatric Outpatient Clinic, Skene, Sweden
⁴ Department of Paediatrics, Skaraborg Hospital, Skövde, Sweden

Correspondence to:
Correspondence to:
Dr Bernt Alm
Department of Paediatrics, Göteborg University, The Queen Silvia Children’s Hospital, SE-416 85 Göteborg, Sweden; bernt.alm{at}medfak.gu.se

Objective: To compare the current prevalence of risk factors for sudden infant death syndrome (SIDS) in Sweden with a decade earlier, and assess factors associated with prone sleeping.

Methods: The results of a cohort study (Infants of Western Sweden) and a population based case-control study (Nordic Epidemiological SIDS Study) were examined. Subjects were 5600 healthy 6 month old infants born in 2003 in the Western Sweden region and 430 healthy Swedish infants born between 1991 and 1995.

Results: Prone sleeping decreased from 31.8% to 5.6% and supine sleeping increased from 35.3% to 47.3%. Side or side/supine sleeping increased from 25.2% to 43.8%. Maternal smoking during pregnancy decreased from 23.5% to 9.5%. The risk for prone sleeping increased if the mother was unemployed (OR 2.4, 95% CI 1.5 to 4.0), if she was a heavy smoker in the third trimester (OR 44.1, 95% CI 1.6 to 1199.6), and if the child was irritable (OR 2.5, 95% CI 1.3 to 5.1), shared a bedroom with siblings (OR 2.6, 95% CI 1.0 to 6.6), or never used a dummy (OR 3.2, 95% CI 1.9 to 5.4).

Conclusions: Parents have complied with advice to prevent SIDS given at infant welfare centres for the last 10 years. A change in the preferred sleeping position from side variants to exclusively supine, and reducing the number of pregnant women smoking may be beneficial. Use of a prone sleeping position was associated with maternal employment status, maternal smoking, temperament of the child, dummy use, and sharing a bedroom with siblings.

Keywords: epidemiologic factors; maternal smoking; prone position; SIDS incidence; sudden infant death syndrome

Relevant Article

A brief digest of the November issue
Arch. Dis. Child. 2006 91: e7. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

				F. R. Hauck and K. O. Tanabe International Trends in Sudden Infant Death Syndrome: Stabilization of Rates Requires Further Action Pediatrics, September 1, 2008; 122(3): 660 - 666. [Full Text] [PDF]

				B. Alm, L. Erdes, P. Mollborg, R. Pettersson, S. G. Norvenius, N. Aberg, and G. Wennergren Neonatal Antibiotic Treatment Is a Risk Factor for Early Wheezing Pediatrics, April 1, 2008; 121(4): 697 - 702. [Abstract] [Full Text] [PDF]