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.
The rate of SIDS deaths per 100,000 live births has declined in Australia since the beginning of national public education campaigns about risk factors associated with SIDS in 1991 (AIHW 2012). Between 2007 and 2017 the rate declined from 28 per 100,000 to 6 in 2017, following a peak in 2009 of 32 per 100,000.
SUDI in Aboriginal and Torres Strait Islander infants
There is a large gap in infant and child mortality between Aboriginal and Torres Strait Islander people and non-Indigenous Australians. SUDI has been reported as a predominant cause of Aboriginal and Torres Strait Islander infant death.
When it comes to statistics, here's an important one to start with: SIDS cases have been on the decline since 1994. "The incident of SIDS has declined by more than 50% in the U.S. since the early 1990s when the 'Back to Sleep' campaign was launched," says Dr. Ambler.
More than 90% of all SIDS deaths occur before 6 months of age. 72% of SIDS deaths occur in Months 1–4. To reduce the risk of SIDS and other sleep-related causes of infant death: Always place baby on his or her back to sleep, for naps and at night.
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.
After 6-months old, babies are typically able to lift their heads, roll over, or wake up more easily, and the risk of SIDS decreases dramatically. However, 10% of SIDS happens between 6 and 12 months of age and safe sleep recommendations should be followed up to a baby first birthday.
White noise reduces the risk of SIDS.
We DO know that white noise reduces active sleep (which is the sleep state where SIDS is most likely to occur).
Even though the thought can be deeply unsettling, experts agree that there aren't any warning signs for SIDS. And since SIDS isn't diagnosed until after an infant has died and the death has been investigated, you can't catch SIDS while it's happening and stop it, for instance, by performing CPR.
However, it can happen wherever your baby is sleeping, such as when in a pushchair or even in your arms. It can also happen sometimes when your baby isn't sleeping – some babies have died in the middle of a feed.
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.
Rates of infant deaths from Sudden Infant Death Syndrome (SIDS) and undetermined causes ranged between 0.16 and 0.52 per 1,000 live births. Child mortality rates varied between 19.7 and 81.1 per 100,000 population aged 0–17 years.
Scientists in Australia have found that some babies at risk of sudden infant death syndrome, or SIDS, have low levels of an enzyme called butyrylcholinesterase (BChE) in their blood.
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.
Sleep position:
Babies who are used to sleeping on their backs but who are placed on their stomachs or sides for sleep, like for a nap, are at very high risk of SIDS.
We conclude that there has been a further fall in SIDS following the initial considerable decline in SIDS following the recommendation to avoid placing infants prone to sleep, and this is likely to be due to the substantial increase in the proportion of infants placed to sleep on their back rather than on their side.
Creating a Safe Sleep Area for Babies
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.
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.
He should sleep in his own crib or bassinet (or in a co-sleeper safely attached to the bed), but shouldn't be in his own room until he is at least 6 months, better 12 months. This is because studies have shown that when babies are close by, it can help reduce the risk of Sudden Infant Death Syndrome, or SIDS.
What are the symptoms? 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.
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).
As a rule of thumb, babies should not be exposed to noise levels over 60 decibels. The noise level recommended for hospital nurseries is actually lower, at 50 dB. For reference, a quiet conversation is between 50 and 55 dB and an alarm clock is 80 dB.
Babies who are breastfed or are fed expressed breastmilk are at lower risk for SIDS compared with babies who were never fed breastmilk. According to research, the longer you exclusively breastfeed your baby (meaning not supplementing with formula or solid food), the lower his or her risk of SIDS.
SIDS occurs between the first month and before the first year of an infant's life. Infants aged 2-4 months endanger greater risk of SIDS, while most deaths occur in infants during the sixth month of their life6.