Sudden Infant Death Syndrome
Sudden Infant Death Syndrome (SIDS) or Cot Death or Crib Death is defined as the sudden and the unexpected death of seemingly healthy infant, whose death remains unexplained even after thorough investigation, clinical history and complete autopsy
FACTORS EFFECTING SIDS
- AGE -2 weeks to 2 years
- SEX – Male child is slightly more disposing
- TWINS – It is more seen in twin child
- GEOGRAPHY – Its distribution is worldwide with slight increased in developed countries
- TIME OF DEATH– Mostly night and sometimes early morning hour
- PREMATURITY – Has highest risk
- SOCIOECONOMIC CONDITION – Slightly higher in lower socioeconomic condition
- SEASON– more seen in winter season
- BREAST FEEDING- immunizes SIDS
- RACE– Asian American & African American are more prone to SIDS
- AREAS– it occurs more in city areas than rural areas
- CIGARETTE SMOKING – Smoker mother is more risk for SIDS
- ALCOHOL – Alcoholic parents have more risk
- MATERNAL AGE – It increases with maternal age but most in teenage mother
SIDS and SLEEP
- Baby who sleep in prone position
- Baby who sleep on their sides
- Unaccustomed tummy sleeper
- Soft sleep surface
- Cluttered sleep area
- Bed Sharing with multiple person
- Overheating night temperature
PATHOPHYSIOLOGY
- Prolonged sleep apnea
- Respiratory tract infection
- Gastro-esophageal reflux
- Overlying
- Suffocation by soft pillow or bed
- House-mite allergy
- Metabolic disorder
- Upper airway deformity