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The American Academy of Pediatrics (AAP) recently released new recommendations regarding the prevention of sudden infant death syndrome (SIDS).1 Among the 11 recommendations, the following are most controversial:
- Side sleeping is not considered as effective as supine sleeping in preventing SIDS and is no longer recommended
- Bed sharing may be hazardous, the AAP recommends a separate but proximate sleeping environment
- Use of a dummy at both nap time and bedtime should be considered after breast-feeding is well established
Why the new recommendations, why the controversy? First, there is increasing evidence, much of it from the UK, that certain factors in the infant sleeping environment are related to SIDS. For example, in this issue, Blair and colleagues explore the very complicated relationship between small at birth, side sleeping position, bed-sharing, and routine dummy use. Second, a recent meta-analysis that included seven studies that examined the relationship between dummys and SIDS found
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