Abstract | AIM: METHODS: A five year population based case-control study with parental interviews conducted for each case and three controls matched for age, place of birth, and last sleep period. A total of 203 SIDS cases and 622 control infants born 1994-98 were studied. RESULTS: In a multivariate analysis, co-sleeping significantly increased the risk of SIDS both as a usual practice (adjusted OR 4.31; 95% CI 1.07 to 17.37) and during the last sleep period (adjusted OR 16.47; 95% CI 3.73 to 72.75). The associated risk was dependent on maternal smoking (OR 21.84; 95% CI 2.27 to 209.89), and was not significant for infants who were > or =20 weeks of age (OR 2.63; 95% CI 0.49 to 70.10) or placed back in their own cot/bed to sleep (OR 1.07; 95% CI 0.21 to 5.41). The use of pillows, duvets, and bedding with tog value > or =10 were not significant risk factors when adjusted for the effects of confounding variables, including maternal smoking and social disadvantage. However, the prone sleeping position remains a significant SIDS risk factor, and among infants using soothers, the absence of soother use during the last sleep period also significantly increased the SIDS risk (OR 5.83; CI 2.37 to 14.36). CONCLUSION: Co-sleeping should be avoided in infants who are <20 weeks of age, or whose mothers smoked during pregnancy. The prone position remains a factor in some SIDS deaths, and the relation between soother use and SIDS is a complex variable requiring further study.
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Authors | C McGarvey, M McDonnell, A Chong, M O'Regan, T Matthews |
Journal | Archives of disease in childhood
(Arch Dis Child)
Vol. 88
Issue 12
Pg. 1058-64
(Dec 2003)
ISSN: 1468-2044 [Electronic] England |
PMID | 14670769
(Publication Type: Journal Article)
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Topics |
- Beds
- Case-Control Studies
- Crowding
- Humans
- Infant
- Infant Equipment
(statistics & numerical data)
- Ireland
(epidemiology)
- Multivariate Analysis
- Pacifiers
(statistics & numerical data)
- Prevalence
- Prone Position
- Risk Factors
- Sleep
- Sudden Infant Death
(epidemiology)
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