Most unexpected deaths occur while the child is asleep in their cot at night. However, SIDS can also occur when a baby is asleep during the day or, occasionally, while they are awake.
SIDS usually occurs when a baby is asleep, although it can occasionally happen while they're awake. Parents can reduce the risk of SIDS by not smoking while pregnant or after the baby is born, and always placing the baby on their back when they sleep. Find out how to stop smoking.
Infants at the age when SIDS occurs quite frequently spend most of their sleep in a stage known as rapid eye movement or REM sleep. This sleep stage is characterized by the dysregulation of various mechanosensory airway and chemosensory autonomous reflexes that are critical for survival (18, 19).
The peak incidence of SIDS occurs between 1 – 4 months of age; 90% of cases occur before 6 months of age. Babies continue to be at risk for SIDS up to 12 months.
SIDS is most common at 2-4 months of age when the cardiorespiratory system of all infants is in rapid transition and therefore unstable. So, all infants in this age range are at risk for dysfunction of neurological control of breathing.
While the cause of SIDS is unknown, many clinicians and researchers believe that SIDS is associated with problems in the ability of the baby to arouse from sleep, to detect low levels of oxygen, or a buildup of carbon dioxide in the blood. When babies sleep face down, they may re-breathe exhaled carbon dioxide.
White noise reduces the risk of SIDS.
A relatively famous study (famous if you read a lot about baby sleep, so honestly you should be a little proud if you haven't heard of it) showed that babies had a significant reduction in the risk of SIDS if they had a fan in their room.
SIDS and SUDI are rare and the risk of your baby dying from it is very low. The rate of SIDS deaths has declined in Australia due to safe sleeping campaigns. In 2017, 6 babies in every 100,000 died of SIDS. Most deaths happen during the first 3 months of a baby's life.
Babies who share a bed with other children or adults. Mothers who smoke during pregnancy (three times more likely to have a baby die of SIDS) Exposure to passive smoke from smoking by mothers, fathers, and others in the household (doubles a baby's risk of SIDS)
Use a firm, flat (not at an angle or inclined) sleep surface, such as a mattress in a safety-approved crib, covered by a fitted sheet. Keep your baby's sleep area (for example, a crib or bassinet) in the same room where you sleep, ideally until your baby is at least 6 months old.
It may be because babies don't sleep as deeply when they have a pacifier, which helps wake them up if they're having trouble breathing. A pacifier also keeps the tongue forward in the mouth, so it can't block the airway.
Oftentimes, babies who succumb to SIDS have had a “minor infection” in the days before death. Infants' immune systems are immature, and breast milk helps to provide necessary antibodies to fight infections such as RSV, which can contribute to inflammation and lead to SIDS. Breastfeeding promotes safer sleep.
SIDS has no symptoms or warning signs. Babies who die of SIDS seem healthy before being put to bed. They show no signs of struggle and are often found in the same position as when they were placed in the bed.
Goodstein said, when babies sleep in the same room as their parents, the background sounds or stirrings prevent very deep sleep and that helps keeps the babies safe. Room sharing also makes breast-feeding easier, which is protective against SIDS.
The potential factors that contribute to the occurrence of SIDS include inadequate prenatal care, low birth weight (<2499gr), premature infants, intrauterine growth delay, short interval between pregnancies and maternal substance use (tobacco, alcohol, opiates).
However, the rate of SIDS remains high, contributing to almost 50 per cent of all post-neonatal deaths in Western countries and responsible for two infant deaths in Australia every week.
These decreases range from 40% in Argentina to 86% in France. The highest SIDS rates in 1990 (>2.0/1000 live births) were in Ireland, New Zealand, and Scotland. More recently, the highest SIDS rates (>0.5/1000 live births) are in New Zealand and the United States.
Do not let your baby's head become covered. Babies whose heads are covered with bedding are at an increased risk of SIDS. To prevent your baby wriggling down under the covers, place them in the "feet to foot" position. This means their feet are at the end of the crib, cot or moses basket.
This is because swallowing rate is reduced significantly, and there is no compensatory increase in arousal. The reduction in airway protective reflexes when in the prone position and in active sleep may be the mechanism for the increased risk of SIDS in the prone position.
The Moro reflex is the cause of your newborn baby to sleep with his arms above his head. This reflex, commonly referred to as the “startle reflex”, disappears by 6 months of age. It occurs when light or noise startles your baby, even if the noise is not enough to fully wake the baby.
Other things that SIDS is not: SIDS is not the same as suffocation and is not caused by suffocation. SIDS is not caused by vaccines, immunizations, or shots. SIDS is not contagious.
Babies should be placed skin-to-skin on their mother's chest right after birth for at least the first hour. Babies benefit from skin-to-skin contact when breastfeeding as well as when being bottle fed. Sharing a bed with your baby puts them at a higher risk of SIDS, suffocation, or strangulation.
Breastfeeding of any kind for less than two months does not reduce (or increase) SIDS risk. Any breastfeeding for 2-4 months reduces the risk of SIDS by about 40%. That means for every 10 non-breastfed babies who were going to die of SIDS, four of them would survive if all of them were breastfed instead.