Please find below a reference list of recently published, peer-reviewed papers relating to SIDS or SUDI. The references have kindly been supplied by members of ISPID and may include papers in press. Any publication will be listed here for no longer than 2 years.
Neonatal circumcision and prematurity are associated with sudden infant death syndrome (SIDS). Elhaik E. J Clin Transl Res 2019; 4 (2): 136-151. doi:10.18053/jctres.04.201802.005
Sudden infant death syndrome (SIDS) is the most common cause of postneonatal unexplained infant death. The allostatic load hypothesis posits that SIDS is the result of cumulative perinatal painful, stressful, or traumatic exposures that tax neonatal regulatory systems. We collated latitudinal data from 15 countries and 40 US states sampled during 2009 and 2013. We used linear regression analyses and likelihood ratio tests to calculate the association between SIDS and the phenotypes. Epidemiological analyses are useful to generate hypotheses but cannot provide strong evidence of causality. Biological plausibility is provided by a growing body of experimental and clinical evidence linking aversive preterm and early-life SIDS events. Together with historical and anthropological evidence, our findings emphasize the necessity of cohort studies that consider these phenotypes with the aim of improving the identification of at-risk infants and reducing infant mortality.
Maternal smoking before and during pregnancy and the risk of sudden unexpected infant death. Anderson TM, Lavista Ferres JM, Ren SY, Moon RY, Goldstein RD, Ramirez JM, Mitchell EA. Pediatrics 2019: e20183325. doi:10.1542/peds.2018-3325
SUID risk more than doubled (adjusted odds ratio [aOR] = 2.44; 95% confidence interval [CI] 2.31-2.57) with any maternal smoking during pregnancy and increased twofold between no smoking and smoking 1 cigarette daily throughout pregnancy. These data support the need for smoking cessation before pregnancy. If no women smoked in pregnancy, SUID rates in the United States could be reduced substantially.
The association between preterm labour, perinatal mortality and infant death (during the first year) in Bishop Lavis, Cape Town, South Africa. Brink LT, Gebhardt GS, Mason D, Groenewald CA, Odendaal HJ. S Afr Med J. 2019; 109 (2): 102-106. doi:10.7196/SAMJ.2019.v109i2.13438
As part of the Safe Passage Study of the PASS Network in Cape Town, South Africa, the outcomes of 6 866 singleton pregnancies were prospectively followed from recruitment in early pregnancy until the infant was 12 months old to assess pregnancy outcome. Preterm birth and fetal growth restriction play significant roles in fetal, neonatal and infant losses.
Effect of education and cardboard bassinet distribution on newborn bed-sharing. Heere M, Moughan B, Alfonsi J, Rodriguez J, Aronoff S. Glob Pediatr Health 2019; 6: 2333794X19829173. doi:10.1177/2333794X19829173
This study sought to determine if infant sleep education plus a cardboard bassinet reduced bed-sharing, a risk factor for sudden infant death syndrome (SIDS) and sleep-related deaths (SRD), in the first week of life. Bed-sharing rates: Control: 6.3% (5.2,7.4); Intervention: 4.7% (3.5,5.9). Rate ratio (Control/Intervention) was 1.36 (0.95,1.83) and the Bayesian probability that the rate ratio >1 was .96 and .97 by calculation and simulation, respectively. Bed-sharing rates for exclusively breastfed infants: Control: 11% (7.4, 14.6); Intervention: 5.9% (2.7, 9.2); Rate ratio was 2.00 (1.01, 3.15) and the Bayesian probability that the rate ratio >1 was .993. Infant sleep education plus a cardboard bassinet reduced the rate of bed-sharing in the first week of life, particularly among exclusively breastfeeding dyads.
Can we still do something - and what? - for a seemingly missing syndrome? Campi R, Bonati M. Ital J Pediatr 2019; 45 (1): 28. doi:10.1186/s13052-019-0621-2
Italian infant mortality rates were analysed between 1996 and 2015. Interventions that support safe sleep must be maintained, but research is still needed since although these dramatic deaths have been reduced their causes remain unknown. The challenge is now to shift their trend which has been constant for too long.
Impact of a baby-friendly-aligned pacifier policy on pacifier use at 1 month of age. Ekambaram M, Irigoyen MM, Paoletti A, Siddiqui I. Acad Pediatr 2019: S1876-2859(19)30041-5. doi:10.1016/j.acap.2019.02.002
Pacifier use decreases the risk of sudden infant death syndrome, but its impact on breastfeeding remains controversial. A Baby-Friendly-aligned pacifier policy delayed pacifier adoption but did not impact overall pacifier use or breastfeeding rates at 1 month of age. The finding of lower pacifier use rates among female infants post-intervention requires verification in other populations before evaluating public heath relevance.
Can infant sleeping bags be recommended by medical professionals as protection against sudden infant death syndrome? Glover Williams A, Finlay F. Arch Dis Child 2019; 104 (3): 305-307. doi:10.1136/archdischild-2018-316093
Literature review. Sleeping bags are used in 48-95% of infants in the UK and advocated for by the Lullaby Trust for their safety in the prevention of SIDS. The case control studies included found that sleeping bags are as safe, if not safer than other bedding when examining SIDS as an outcome. For sleeping bags to be safe they must be well made and appropriately used, which includes the correct size, Tog, clothing and other bedding for bedroom temperature.
Implementation of a statewide program to promote safe sleep, breastfeeding and tobacco cessation to high risk pregnant women. Ahlers-Schmidt CR, Schunn C, Engel M, Dowling J, Neufeld K, Kuhlmann S. J Community Health 2019; 44 (1): 185-191. doi:10.1007/s10900-018-0571-4
The purpose of this project was to evaluate outcomes of Safe Sleep Instructor-led community baby showers, which included safe sleep promotion, breastfeeding promotion and tobacco cessation education. Certified Safe Sleep Instructors (n = 35) were trained on how to plan and host a Community Baby Shower to provide education to pregnant women of low socioeconomic status or with high risk of infant mortality. Based on the result of the pre- and post-event surveys, certified Safe Sleep Instructors were able to plan and host successful events to increase knowledge and confidence related to risk reduction strategies to reduce sleep-related infant deaths.
Noncardiac genetic predisposition in Sudden Infant Death Syndrome. Gray B, Tester DJ, Wong LC, Chanana P, Jaye A, Evans JM, Baruteau AE, Evans M, Fleming P, Jeffrey I, Cohen M, Tfelt-Hansen J, Simpson MA, Ackerman MJ, Behr ER. Genet Med 2019; 21 (3): 641-649. doi:10.1038/s41436-018-0131-4
We aimed to identify noncardiac genes underpinning SIDS and determine their prevalence compared with ethnically matched controls. A monogenic basis for SIDS amongst the previously implicated noncardiac genes and their encoded biological pathways is negligible.
A comparison of infant sleep safety guidelines in nine industrialized countries. Doering JJ, Salm Ward TC, Strook S, Campbell JK. J Community Health 2019; 44 (1): 81-87. doi:10.1007/s10900-018-0556-3
All guidelines recommended the supine sleep position and avoidance of smoke exposure. While most guidelines addressed the remaining 11 categories, specific recommendations varied among guidelines. These findings can inform the broad context of SIDS reduction work, offer opportunities for collaboration among countries, and promote multi-country and global conversations about how research evidence is translated into recommendations for practice.
Qualitative analysis of serious case reviews into unexpected infant deaths. Garstang JJ, Sidebotham P. Arch Dis Child 2019; 104 (1): 30-36. doi:10.1136/archdischild-2018-315156
Most SUDI cases occurred in hazardous sleep environments and are potentially preventable. They occurred in families well known to services with concerns about neglect, substance misuse and poor engagement. More consideration is needed on how best to support such vulnerable families.
Tricuspid valve hemangioma associated with hypoplastic left heart syndrome presenting as Sudden Infant Death Syndrome. Gupta B, Ghosh S, Kujur M, Khetan K, Kumar T. Turk Patoloji Derg 2019; 35 (1): 55-57. doi:10.5146/tjpath.2015.01362
Primary cardiac tumors are rare in children with a low incidence varying from 0.0017 to 0.28% in autopsy studies. Approximately 90% of the reported primary cardiac tumors in the pediatric population are benign and the most common subtype is rhabdomyomas accounting for approximately 60%, while hemangiomas are rare primary tumors with a 5% incidence. Hypoplastic left heart syndrome is abnormal development of the left-sided cardiac structures, leading to obstruction of blood flow from the left ventricle out-flow tract. Here we report a case of tricuspid hemangioma in association with hypoplastic left heart syndrome, a rare association not previously reported in the literature.
Brief Resolved Unexplained Event (BRUE). Kondamudi NP, Virji M. StatPearls. Treasure Island (FL, USA): StatPearls Publishing; 2019 Jan - 2018 Oct 27.
The American Academy of Pediatrics published a clinical practice guideline in 2016 recommending replacing the term apparent life-threatening event (ALTE) with a new term named brief resolved unexplained event (BRUE).The diagnosis of brief resolved unexplained event can only be made when there is no explanation for a qualifying event after an appropriate history and physical examination. Review of previous apparent life-threatening event literature reveals that a small subset of infants with a diagnosis compatible with a brief resolved unexplained event may have a serious underlying disease or are prone to recurrent episodes. High-risk infants are those younger than two months of age, those with a history of prematurity (higher in less than 32 weeks gestation), and those with more than one event.
The Sudden Infant Death Syndrome mechanism of death may be a non-septic hyper-dynamic shock. Gabbay U, Carmi D, Birk E, Dagan D, Shatz A, Kidron D. Med Hypotheses 2019; 122: 35-40. doi:10.1016/j.mehy.2018.10.018
A hypothesis for increased CO in conjunction with stressors which may provide a mechanism for death.
The influence of bed-sharing on infant physiology, breastfeeding and behaviour: a systematic review. Baddock SA, Purnell MT, Blair PS, Pease AS, Elder DE, Galland BC. Sleep Med Rev 2019; 43: 106-117. doi:10.1016/j.smrv.2018.10.007
"Objective risk arises if the infant is unable to mount an appropriate physiological or behavioural response to their micro-environment. More studies in the bed-sharing setting are needed to identify infant risk, the potential benefits of a safer environment, and how bed-sharing interacts with infant care practices other than sleep."
Qualitative analysis of serious case reviews into unexpected infant deaths. Garstang JJ, Sidebotham P. Arch Dis Child 2019; 104 (1): 30-36. doi:10.1136/archdischild-2018-315156
"Most SUDI cases occurred in hazardous sleep environments and are potentially preventable. They occurred in families well known to services with concerns about neglect, substance misuse and poor engagement. More consideration is needed on how best to support such vulnerable families."
SIDS – Sudden infant and early childhood death: The past, the present and the future. Duncan JR, Byard RW (eds). Adelaide, Australia: University of Adelaide Press; 2018. doi:10.20851/sids
Why mainstream SIDS research is not achieving its goal. Goldwater PN. Am J Pediatr 2018; 4 (4): 104-109. doi:10.11648/j.ajp.20180404.16
Creating a safe sleep environment for the infant: what the pediatric nurse needs to know. Newberry JA. J Pediatr Nurs 2019; 44: 119-122. doi:10.1016/j.pedn.2018.12.001
A review article describing the need for pediatric nurses to model safe sleep practices in hospital.
Thymic changes and Sudden Infant Death Syndrome (SIDS). Byard RW. J Forensic Leg Med 2019; 61: 141. doi:10.1016/j.jflm.2018.09.004
Letter to the Editor requesting improved reporting of SIDS classification in research reports.
Infants who die in shared sleeping situations differ from those who die while sleeping alone. Collins-Praino LE, Byard RW. Acta Paediatr 2018 doi:10.1111/apa.14692
A literature review. "The results demonstrate differences between infants who are sharing a sleeping surface with others, compared to those who die alone. It is likely, therefore, that lethal mechanisms for some shared sleepers are not the same as for SIDS infants sleeping alone, and may involve suffocation."
Response to a national issue: moving beyond "Back to Sleep" at three hospitals. Sleutel MR, True B, Gustus H, Baldwin K, Early B. J Pediatr Nurs 2018; 43: 16-22. doi:10.1016/j.pedn.2018.07.013
Longitudinal quasi-experimental study. "An updated educational tool improved nurses' and parents' knowledge and practices related to current and updated safety factors for infant sleep conditions. Inpatient adherence to infant sleep safety recommendations improved."
A systematic review of molecular autopsy studies in Sudden Infant Death Cases. Heathfield LJ, Martin LJ, Ramesar R. J Pediatr Genet 2018; 7 (4): 143-149. doi:10.1055/s-0038-1668079
"Internationally, molecular autopsies have shown to resolve up to 44% of unexplained cases; however, it is currently unclear how many of these were infants. This systematic literature review showed that significantly fewer infant cases were resolved (median: 4%) compared with cohorts of 1 to 45 years old (median: 32%). Further, no study involving indigenous African participants has yet been published. Overall, molecular autopsies hold immense value to living family members and is motivation to explore new avenues in infant cohorts."
Sudden unexpected infant death characteristics in the French region of West Provence Alpes-Côte d'Azur. Tuchtan L, Delteil C, Levrat F, Bacquet J, Garcia P, Fayol L, Gorincour G, Zandotti C, Girard N, Drancourt M, Léonetti G, Piercecchi Marti MD, Bartoli C. Paediatr Int Child Health 2018:1-7. doi:10.1080/20469047.2018.1533734
Anaysis of infant death records. "Asymptomatic infectious conditions were associated with a high proportion of SUID cases. Non-supine sleep positions were still practised. There is a need to increase SUID prevention campaigns."
Preventing Sudden Infant Death Syndrome and other sleep-related infant deaths. Maged M, Rizzolo D. JAAPA 2018; 31 (11): 25-30. doi:10.1097/01.JAA.0000546475.33947.44
Commentary. "This article describes the different types of SUID, associated risk factors, and highlights recommendations to help parents and caregivers ensure safe sleep environments for infants."
Can infant sleeping bags be recommended by medical professionals as protection against Sudden Infant Death Syndrome? Glover Williams A, Finlay F. Arch Dis Child 2018. doi:10.1136/archdischild-2018-316093
Literature review. "The case control studies included found that sleeping bags are as safe, if not safer than other bedding when examining SIDS as an outcome."
Infant and youth mortality trends by race/ethnicity and cause of death in the United States. Khan SQ, Berrington de Gonzalez A, Best AF, Chen Y, Haozous EA, Rodriquez EJ, Spillane S, Thomas DA, Withrow D, Freedman ND, Shiels MS. JAMA Pediatr 2018; 172 (12): e183317. doi:10.1001/jamapediatrics.2018.3317
"Mortality rates in the United States have generally declined for infants and youths from 1999 to 2015 owing to reductions in sudden infant death syndrome, unintentional injury death, and homicides. However, US mortality rates remain higher than Canada and England/Wales, with particularly elevated rates among black and American Indian/Alaskan Native youth."
Exome-wide rare variant analyses in Sudden Infant Death Syndrome. Tester DJ, Wong LCH, Chanana P, Gray B, Jaye A, Evans JM, Evans M, Fleming P, Jeffrey I, Cohen M, Tfelt-Hansen J, Simpson MA, Behr ER, Ackerman MJ. J Pediatr 2018; 203: 423-428. doi:10.1016/j.jpeds.2018.08.011
"The lack of exome-wide significant genetic associations indicates an extreme heterogeneity of etiologies underlying SIDS. Our approach to understanding the genetic mechanisms of SIDS has far reaching implications for the SIDS research community as a whole and may catalyze new evidence-based SIDS research across multiple disciplines. Perturbations in glucocorticoid biosynthesis may represent a novel SIDS-associated biological pathway for future SIDS investigative research."
Sudden unexpected postnatal collapse. Review. Monnelly V, Becher JC. Early Hum Dev 2018; 126: 28-31. doi:10.1016/j.earlhumdev.2018.09.001
"In comparing SUPC with Sudden Unexpected Death in Infancy (SUDI), the potentially avoidable nature of many SUPC is emphasised and the role of positioning and public awareness explored. The article focusses on the implementation of preventative strategies in the immediate postnatal period and the role of therapeutic hypothermia in ameliorating long term neurological injury."
Transient otoacoustic emissions and auditory brainstem responses in low-risk cohort of newborn and one-month-old infants: assessment of infant auditory system physiology in the Prenatal Alcohol in SIDS and Stillbirth Network Safe Passage Study. Sininger YS, Condon CG, Hoffman HJ, Elliott AJ, Odendaal HJ, Burd LL, Myers MM, Fifer WP; PASS Network. J Am Acad Audiol 2018; 29 (8): 748-763. doi:10.3766/jaaa.17043
Normative ABR and TOAE data collected from a cohort of infants at birth and 1 month. Consistent with published reports in the general population.
Neuropathology of early Sudden Infant Death Syndrome-hypoplasia of the pontine Kolliker-Fuse nucleus: a possible marker of unexpected collapse during skin-to-skin care. Lavezzi AM, Ferrero S, Paradiso B, Chamitava L, Piscioli F, Pusiol T. Am J Perinatol 2018. doi:10.1055/s-0038-1669398
Alterations of neuronal structures found in 19/22 early SIDS cases, 11 /12 while on mother’s chest. Concludes that skin to skin care could be a risk factor for early SIDS.
Noncardiac genetic predisposition in Sudden Infant Death Syndrome. Gray B, Tester DJ, Wong LC, Chanana P, Jaye A, Evans JM, Baruteau AE, Evans M, Fleming P, Jeffrey I, Cohen M, Tfelt-Hansen J, Simpson MA, Ackerman MJ, Behr ER.Genet Med 2018. doi:10.1038/s41436-018-0131-4
"A monogenic basis for SIDS amongst the previously implicated noncardiac genes and their encoded biological pathways is negligible."
Sudden infant death and social justice: a syndemics approach. Bartick M, Tomori C. Matern Child Nutr 2018: e12652. doi:10.1111/mcn.12652
"A coordinated emphasis on reducing infant mortality by reducing tobacco use and preterm birth, addressing poverty and disparities, and promoting breastfeeding would be much more effective than addressing SUID and SIDS in isolation."
Retrospective genetic analysis of 200 cases of Sudden Infant Death Syndrome and its relationship with long QT syndrome in Korea. Son MJ, Kim MK, Yang KM, Choi BH, Lee BW, Yoo SH. J Korean Med Sci. 2018; 33 (32): e200. doi:10.3346/jkms.2018.33.e200
"This genetic investigation of LQTS in SIDS showed a low diagnostic yield. These findings suggest that LQTS molecular autopsy could be cautiously conducted in selected cases with family involvement to improve the available genetic counseling information. Meanwhile, a national SIDS registry should be established to document and evaluate the genetic risk of SIDS in Korea."
Eleventh safe sleeping survey in the Netherlands: parents' habits concerning infant sleep position and location [Dutch]. Konijnendijk AAJ, Engelberts AC, L'Hoir MP, Boere-Boonekamp MM. Ned Tijdschr Geneeskd 2018; 162. pii:D2366
Cross-sectional survey. "Parents do not automatically follow safe sleep recommendations for their child. Prevention may be improved by talking to parents about their reasons for not adhering to recommendations and determining together how to create a safe sleeping environment for the baby."
SIDS - sudden infant and early childhood death: the past, the present and the future. Duncan JR, Byard RW, editors. Adelaide (Australia): University of Adelaide Press; 2018. Book in PDF.
Textbook. "This volume covers aspects of sudden infant and early childhood death, ranging from issues with parental grief, to the most recent theories of brainstem neurotransmitters. It also deals with the changes that have occurred over time with the definitions of SIDS (sudden infant death syndrome), SUDI (sudden unexpected death in infancy) and SUDIC (sudden unexpected death in childhood)."
The effects of sleeping position, maternal smoking and substance misuse on the ventilatory response to hypoxia in the newborn period. Rossor T, Ali K, Bhat R, Trenear R, Rafferty G, Greenough A. Pediatr Res. 2018; 84(3): 411-418. doi:10.1038/s41390-018-0090-0
Case-control study of 22 controls, 23 infants whose mothers smoked and 18 whose mothers misused substances and smoked. "The altered response to hypoxia in the prone position of infants whose mothers substance-misused and smoked in pregnancy may explain their increased vulnerability to SIDS."
Ethnic variation in unexplained deaths in infancy, including sudden infant death syndrome (SIDS), England and Wales 2006-2012: national birth cohort study using routine data. Kroll ME, Quigley MA, Kurinczuk JJ, Dattani N, Li Y, Hollowell J. J Epidemiol Community Health 2018; 72 (10): 911-918. doi:10.1136/jech-2018-210453
"Crude rates per 1000 live singleton births were as follows: 0.1-0.2 for Indian, Bangladeshi, Pakistani, White Non-British, Black African; 0.4 for White British; 0.6-0.7 for Mixed Black-African-White, Mixed Black-Caribbean-White, Black Caribbean. […] Substantial ethnic disparity in risk of unexplained infant death exists in England and Wales. Apparently not attributable to preterm birth or area deprivation, this may reflect cultural differences in infant care. Further research into infant-care practices in low-risk ethnic groups might enable more effective prevention of such deaths in the general population."
Caring about preemies' safe sleep (CaPSS): an educational program to improve adherence to safe sleep recommendations by mothers of preterm infants. Dowling DA, Barsman SG, Forsythe P, Damato EG. J Perinat Neonatal Nurs 2018; 32 (4): 366-372. doi:10.1097/JPN.0000000000000345
Pilot of an online education module for improving safe sleep for premature babies.
Evaluation of nursing school educators' knowledge and attitudes regarding infant sleep safety. Cirelli J, Clymer B, Burgess A, Aguilar J, Bell T, Goodstein M. Nurs Educ Perspect 2018; 39 (4): E7-E13. doi:10.1097/01.NEP.0000000000000334
Cross-sectional survey. "Of 396 educators surveyed, 70 percent identified all sudden infant death syndrome risk factors. Correct responses for individual safe sleep recommendations ranged from 99 percent for correct room temperature to 53 percent for pacifier use; 9 percent said it was safest for infants to sleep in a position other than on the back."
The potential role of substance P in brainstem homeostatic control in the pathogenesis of Sudden Infant Death Syndrome (SIDS). Bright FM, Vink R, Byard RW. Neuropeptides 2018; 70: 1-8. doi:10.1016/j.npep.2018.02.006
"This review focuses on the pathways within the medulla involving SP and its tachykinin NK1 receptor, their potential relationship with the medullary 5-HT system, and possible involvement in the pathogenesis of SIDS."
Smoking in pregnancy is a key factor for sudden infant death among Māori. MacFarlane M, Thompson JMD, Zuccollo J, McDonald G, Elder D, Stewart AW, Lawton B, Percival T, Baker N, Schlaud M, Fleming P, Taylor B, Mitchell EA. Acta Paediatr 2018; 107 (11): 1924-1931. doi:10.1111/apa.14431
New Zealand case-control study. "The association between known SUDI risk factors, including bed sharing and/or smoking in pregnancy and SUDI risk, is the same regardless of ethnicity. Māori infants are exposed more frequently to both behaviours because of the higher Māori smoking rate."
Sudden Infant Death Syndrome: knowledge and practise in parents of preterm infants. Rohana J, Ishak S, Wan Nurulhuda WMZ. Pediatr Int 2018; 60 (8): 710-713. doi:10.1111/ped.13605
Survey in Kuala Lumpur, Malaysia. "Knowledge on SIDS risk reduction measures was generally poor among parents of preterm infants in this study. Cigarette smoking, bed sharing and non-supine sleep positions, which are associated with increased risk of SIDS, were common practise among the present subjects."
Neuropathological developments in Sudden Infant Death Syndrome. Bright FM, Vink R, Byard RW. Pediatr Dev Pathol 2018; 21 (6): 515-521. doi:10.1177/1093526618776439
"The following overview examines recent research developments looking particularly at the potential role of the peptide neurotransmitter substance P and its neurokinin-1 receptor in multiple nuclei within the brainstem, asymmetry and microdysgenesis of the hippocampus, and decreased orexin levels within dorsomedial, perifornical, and lateral levels in the hypothalamus."
The grief of mothers after the sudden unexpected death of their infants. Goldstein RD, Lederman RI, Lichtenthal WG, Morris SE, Human M, Elliott AJ, Tobacco D, Angal J, Odendaal H, Kinney HC, Prigerson HG; PASS Network. Pediatrics 2018; 141 (5). pii:e20173651. doi:10.1542/peds.2017-3651
"Severe symptoms and heightened risk for PGD (prolonged grief disorder) was seen in mothers after their infants died of SIDS, with discernible symptom profiles. Given their involvement with families after SIDS, pediatricians may have a unique role in identifying this problem and helping address its consequences."
Neuronal noise as an origin of sleep arousals and its role in Sudden Infant Death Syndrome. Dvir H, Elbaz I, Havlin S, Appelbaum L, Ivanov PC, Bartsch RP. Sci Adv 2018; 4 (4): eaar6277. doi:10.1126/sciadv.aar6277
Interesting zebrafish experiment. "Our findings indicate a previously unrecognized neurophysiological mechanism that links sleep arousals with temperature regulation, and may explain the origin of the clinically observed higher risk for sudden infant death syndrome with increased ambient temperature."
Is ambient air pollution associated with onset of sudden infant death syndrome: a case-crossover study in the UK. Litchfield IJ, Ayres JG, Jaakkola JJK, Mohammed NI. BMJ Open 2018; 8 (4): e018341. doi:10.1136/bmjopen-2017-018341
"The results indicated ambient air pollutants, particularly PM10 and NO2, may show an association with increased SIDS mortality."
The impact of health messages on maternal decisions about infant sleep position: a randomized controlled trial. Carlin RF, Abrams A, Mathews A, Joyner BL, Oden R, McCarter R, Moon RY. J Community Health 2018; 43 (5): 977-985. doi:10.1007/s10900-018-0514-0
"Over the first 6 months, the proportion of African-American infants placed supine gradually decreased and was unchanged by enhanced education about SIDS, suffocation risk and sleep safety. While initially high self-efficacy against SIDS and suffocation correlated with supine positioning, by 5-6 months self-efficacy did not correspond to sleep position in either group."
Characteristics of infant deaths during sleep while under nonparental supervision. Lagon E, Moon RY, Colvin JD. J Pediatr. 2018; 197: 57-62. doi:10.1016/j.jpeds.2018.01.051
"Infants who died of sleep-related causes under nonparental supervision were more likely to have been placed nonsupine. Among nonparental supervisors, relatives and friends were more likely to use unsafe sleep environments, such as locations other than a crib or bassinet and bed sharing. Pediatricians should educate parents that all caregivers must always follow safe sleep practices."
Sudden Infant Death Syndrome: a global public health issue and nursing's response. Pretorius K, Rew L. Compr Child Adolesc Nurs 2018; 4: 1-10. doi:10.1080/24694193.2018.1451569
Commentary. "Motivated by nursing's ethical and moral obligations, the profession is called to take an active role in educating others regarding this phenomenon, to participate in research, and to develop or advocate for policy that aims to reduce the incidence of SIDS on an international scale."
Analysis of Sudden Infant Death Syndrome coverage in Canadian newspapers. Ahmed S, Mitchell I, Wolbring G. J Child Health Care 2018:1367493518763983. doi:10.1177/1367493518763983
"Blame and misdiagnosis were two dominant themes in the coverage of SIDS with many other aspects around SIDS missing; for example, indigenous people, who are at higher risk for SIDS, were rarely mentioned. Our findings suggest problems in the content and frequency of coverage of SIDS that have the potential to shape the public understanding of SIDS."
Dysfunction of NaV1.4, a skeletal muscle voltage-gated sodium channel, in sudden infant death syndrome: a case-control study. Männikkö R, Wong L, Tester DJ, Thor MG, Sud R, Kullmann DM, Sweeney MG, Leu C, Sisodiya SM, FitzPatrick DR, Evans MJ, Jeffrey IJM, Tfelt-Hansen J, Cohen MC, Fleming PJ, Jaye A, Simpson MA, Ackerman MJ, Hanna MG, Behr ER, Matthews E. Lancet 2018; 391 (10129): 1483-1492. doi:10.1016/S0140-6736(18)30021-7
"These findings indicate that dysfunction of muscle sodium channels is a potentially modifiable risk factor in a subset of infant sudden deaths."
Multiple genetic variations in sodium channel subunits in a case of Sudden Infant Death Syndrome. Denti F, Bentzen BH, Wojciak J, Thomsen NM, Scheinman M, Schmitt N. Pacing Clin Electrophysiol 2018; 41 (6): 620-626. doi:10.1111/pace.13328
"Genetic variation of both sodium channel and its modifiers may contribute to sudden unexplained death in childhood."
Causes of death and infant mortality rates among full-term births in the United States between 2010 and 2012: an observational study. Bairoliya N, Fink G. PLoS Med 2018; 15 (3): e1002531. doi:10.1371/journal.pmed.1002531
"Given the high mortality burden due to SIDS and suffocation, policy efforts to promote compliance with recommended sleeping arrangements could be an effective first step in this direction."
Cardiac genetic predisposition in Sudden Infant Death Syndrome. Tester DJ, Wong LCH, Chanana P, Jaye A, Evans JM, FitzPatrick DR, Evans MJ, Fleming P, Jeffrey I, Cohen MC, Tfelt-Hansen J, Simpson MA, Behr ER, Ackerman MJ. J Am Coll Cardiol 2018; 71 (11): 1217-1227. doi:10.1016/j.jacc.2018.01.030
"Less than 15% of more than 400 SIDS cases had a "potentially informative" variant in a GHD-susceptibility gene, predominantly in the 4- to 12-month age group. Only 4.3% of cases possessed immediately clinically actionable variants. Consistent with previous studies, ultra-rare, nonsynonymous variants within the major cardiac channelopathy-associated genes were overrepresented in SIDS cases in infants of European ethnicity."
Sudden Infant Death Syndrome: a review. Goldberg N, Rodriguez-Prado Y, Tillery R, Chua C. Pediatr Ann 2018; 47(3): e118-e123. doi:10.3928/19382359-20180221-03
"This review focuses on SIDS epidemiology, pathogenesis and risk factors, the American Academy of Pediatrics recommendations on safe infant sleeping environment, and the US Centers for Disease Control and Prevention's multistate registry to improve knowledge on SIDS, evaluate trends, and analyze circumstances and events surrounding SIDS cases."
Certified nurse-midwives' knowledge, attitudes, and behaviors about infant safe sleep. Hodges NL, Anderson SE, McKenzie LB, Katz ML. J Midwifery Womens Health 2018; 63 (2): 196-204. doi:10.1111/jmwh.12706
"Many participants (61%) perceived that there were barriers to providing prenatal infant safe sleep education, but nearly all (94%) indicated that they were interested in providing this education to their patients."
Evaluation of a crib distribution and safe sleep educational program to reduce risk of sleep-related infant death. Salm Ward TC, McClellan MM, Miller TJ, Brown S. J Community Health 2018; 43 (5): 848-855. doi:10.1007/s10900-018-0493-1
A prospective, matched pre- and post-test cohort design of a portable crib distribution and safe sleep educational program. "Knowledge of recommendations regarding position, surface, environment, smoking, breastfeeding, and pacifier use increased significantly between pre- and post-test, with most participants maintaining knowledge at follow-up. The proportion of recommended practices also increased significantly. A group-based safe sleep educational program can be effective in reducing risky infant sleep practices."
Sudden infant death and sleep practices in the black community. Stiffler D, Ayres B, Fauvergue C, Cullen D. J Spec Pediatr Nurs 2018; 23 (2):e12213. doi:10.1111/jspn.12213
Qualitative synthesis of literature to understand why Black families don’t follow SIDS advice. "Black mothers tend to believe that SUIDS/SIDS is a random occurrence and is not preventable, so they see a little reason to make their infant sleep in a cold, hard crib, when they could sleep in a warm, comfortable bed with them. Nurses should work with black mothers to understand their cultural beliefs while educating them about safe sleep practices."
Implementing a statewide safe to sleep hospital initiative: lessons learned. Miller TJ, Salm Ward TC, McClellan MM, Dawson L, Ford K, Polatty L, Walcott RL, Corso PS. J Community Health 2018; 43 (4): 768-774. doi:10.1007/s10900-018-0483-3
"Important lessons include: (1) Engagement is vital to success; (2) A comprehensive implementation guide is critical; (3) Piloting the program provides opportunities for refinement; (4) Ongoing support addresses barriers; and (5) Senior leadership facilitates success."
Exploring lactation consultant views on infant safe sleep. Hodges NL, McKenzie LB, Anderson SE, Katz ML. Matern Child Health J 2018; 22 (8): 1111-1117. doi:10.1007/s10995-018-2495-0
Focus groups. "Major themes that emerged included: lactation consultants' beliefs regarding the importance of bedsharing for supporting breastfeeding success; their disagreement with the infant safe sleep recommendations of the American Academy of Pediatrics; their frustration with policies that restrict consultants' ability to discuss bedsharing; and the impact of infant safe sleep policies on their work and the advice they provide. Conclusions for Practice Lactation consultants interact with mothers of newborns at a critical time for infant safe sleep decision-making and may influence a woman's choices related to this topic. Women may not be receiving messages from lactation consultants that are consistent with the infant safe sleep recommendations of the American Academy of Pediatrics."
National and state trends in sudden unexpected infant death: 1990-2015. Erck Lambert AB, Parks SE, Shapiro-Mendoza CK. Pediatrics 2018; 141 (3). pii:e20173519. doi:10.1542/peds.2017-3519
"Reductions in SUID rates since 1999 have been minimal, and wide variations in state-specific rates remain. States with significant declines in SUID rates might have SUID risk-reduction programs that could serve as models for other states."
Barriers to and interventions that increase nurses' and parents' compliance with safe sleep recommendations for preterm infants. Naugler MR, DiCarlo K. Nurs Womens Health 2018; 22 (1): 24-39. doi:10.1016/j.nwh.2017.12.009
Integrative literature review. "We conclude that hospitals should have current, evidence-based safe sleep policies with clear transition guidelines for premature infants and that consistent and comprehensive nursing and parental education related to safe sleep should include current American Academy of Pediatrics recommendations and should address potential barriers to compliance."
Neuropathology of sudden infant death syndrome: review of the literature and proposal of a protocol for neuropathological examination [French]. Delteil C, Meyronet D, Maues de Paula A, Jouvet A, Piercecchi-Marti MD. Ann Pathol 2018; 38 (2): 103-109. doi:10.1016/j.annpat.2018.01.001
"This article aims to define a detailed sampling protocol based on foreign consensus and current data of science in order to assist pathologists and to promote a homogeneous data bank in France."
Sudden unexpected infant death: time for integrative national registries. Levieux K, Patural H, Harrewijn I, Briand Huchet E, Kugener B, Pidoux O, de Visme S, Adjaoud C, Gras Le Guen C, Hanf M; ANCReMIN. Arch Pediatr 2018; 25 (2): 75-76. doi:10.1016/j.arcped.2017.12.008
"The French referral centers are firmly convinced that this integrative approach concerning SUID should be generalized and applied to other countries. It has the potential to provide an effective response to this major public health issue by helping better appreciate the contributions to SUID of specific risk factors, precisely monitor SIDS and SUID trends, improve the management of SUID cases and their families, and develop fundamental research studies to effectively reduce infant deaths."
Medullary astrogliosis in Sudden Infant Death Syndrome varies with sleeping environment: evidence for different mechanisms of death in alone versus co-sleepers? Spinelli J, Byard RW, Van Den Heuvel C, Collins-Praino LE. J Child Neurol 2018; 33 (4): 269-274. doi:10.1177/0883073817750498
"The amount of glial fibrillary acidic protein (GFAP) staining in alone sleepers was significantly higher than shared sleepers in 3 specific areas of the medulla, the inferior vestibular nucleus, the medial vestibular nucleus and the cochlear nucleus."
The Pēpi-Pod study: overnight video, oximetry and thermal environment while using an in-bed sleep device for sudden unexpected death in infancy prevention. Tipene-Leach D, Baddock SA, Williams SM, Tangiora A, Jones R, McElnay C, Taylor BJ. J Paediatr Child Health 2018; 54 (6): 638-646. doi:10.1111/jpc.13845
"Overall, we found that most differences in infant risk behaviours in a Pēpi-Pod compared to a bassinet were small, with confidence intervals excluding meaningful differences. We noted poorer maternal sleep quality at 1 month. Higher infant heart rates in the Pēpi-Pod group may be related to higher room temperatures. The Pēpi-Pod appears physiologically safe but is associated with lower reported maternal sleep quality."
Bed-sharing in the first 8 weeks of life: an Australian study. Cunningham HM, Vally H, Bugeja L. Matern Child Health J 2018; 22 (4): 556-564. doi:10.1007/s10995-017-2424-7
"Noted gaps in how families are implementing current recommendations about reducing the risk of SUDI were identified for sleep position, sleep location and the sleep environment. Further consideration needs to be given to addressing these gaps and applying these findings of current bed-sharing practices to the development of infant safe sleeping policy and programs."
Cardiovascular autonomic dysfunction in Sudden Infant Death Syndrome. Horne RSC. Clin Auton Res 2018; 28 (6): 535-543. doi:10.1007/s10286-017-0490-y
"This review discusses the association between the three components of the triple risk hypothesis and major risk factors for SIDS, such as prone sleeping, maternal smoking, together with three "protective" factors, and cardiovascular control during sleep in infants, and discusses their potential involvement in SIDS."
Sudden Infant Death Syndrome, attention-deficit/hyperactivity disorder and vaccines: longitudinal population analyses. Yang YT, Shaw J. Vaccine 2018; 36 (5): 595-598. doi:10.1016/j.vaccine.2017.12.065
"We found that state-level childhood vaccine uptake for age appropriate vaccines was neither associated with the decline in the incidence of SIDS nor rise in the prevalence of ADHD. Our findings provide current and evidence-based information to assist providers counseling vaccine-hesitant parents."
Is it time for a Sudden Infant Death Syndrome (SIDS) awareness campaign? Community stakeholders' perceptions of SIDS. Gollenberg A, Fendley K. Child Care Pract 2018; 24 (1): 53-64. doi:10.1080/13575279.2016.1259155
USA: Virgina. "Community leaders perceive that high-risk community members are not fully aware of risk factors that can lead to SIDS. Maternal/child health stakeholders in these Virginia locales suggested more community-based education as a potential solution to SIDS."
Why is a prone sleeping position dangerous for certain infants? Byard RW, Bright F, Vink R. Forensic Sci Med Pathol 2018; 14 (1): 114-116. doi:10.1007/s12024-017-9941-y
"Recent studies have, however, shown a significant reduction in substance P in the inferior portion of the olivo-cerebellar complex in SIDS infants which is crucial for the integration of motor and sensory information for the control of head and neck movement. This deficit may explain why some infants are not able to move their faces away from potentially dangerous sleeping environments."
Cot death: history of an iatrogenic disaster. Obladen M. Neonatology 2018; 113 (2): 162-169. doi:10.1159/000481880
"Cot death disappeared almost entirely wherever prone sleeping was avoided. This strongly supports the assumption that prone sleeping has the greatest influence on the disorder, and that the epidemic resulted from wrong advice."
Risky behaviors of mothers with infants on Sudden Infant Death Syndrome in Turkey. Erdoğan Ç, Turan T. J Pediatr Nurs 2018; 38: e2-e6. doi:10.1016/j.pedn.2017.11.017
"A total of 77.9% of the mothers put their babies in bed in a non-supine position; 65.8% used a pillow when they put their babies in bed, 52.9% used a soft mattress, and 28.5% shared their beds with their babies. Prone sleeping was more likely to occur when smoke was present in the home or a pillow was used."
A statewide hospital-based safe infant sleep initiative: measurement of parental knowledge and behavior. Walcott RL, Salm Ward TC, Ingels JB, Llewellyn NA, Miller TJ, Corso PS. J Community Health 2018; 43 (3): 534-542. doi:10.1007/s10900-017-0449-x
"Implementation of a statewide hospital initiative was associated with high levels of parental knowledge and behavior and may have been successful in reducing the practice of bed sharing among Medicaid parents."
The prone sleeping position and SIDS. Historical aspects and possible pathomechanisms. Sperhake J, Jorch G, Bajanowski T. Int J Legal Med 2018; 132 (1): 181-185. doi:10.1007/s00414-017-1749-5
"Such mechanisms could be occlusion of airways (in particularly associated with face-down position), elevated diaphragm, positional cerebral hypoxia caused by constriction of arteries, rebreathing CO2, and overheating.Irrespective of the specific pathomechanism leading to death in individual cases, it has been established that the prone position is the most important risk factor for SIDS and therefore should be incorporated in the definition of the term SIDS."
Qualitative analysis of infant safe sleep public campaign messaging. Peacock NR, Altfeld S, Rosenthal AL, Garland CE, Massino JM, Smith SL, Rowe HL, Wagener SE. Health Promot Pract 2018; 19 (2): 203-212. doi:10.1177/1524839917690339
"Campaigns frequently targeted priority populations such as African Americans. Fear appeals were used in three quarters of the campaigns, and 60% of the fear-based campaigns used guilt/blame messaging. We did not find published evaluation data for any of the campaigns. More attention is needed in public education campaigns to the full range of AAP recommendations, and evaluations are needed to determine the impact of these interventions on knowledge, behavior, and health outcomes."
Trends and factors associated with breastfeeding and infant sleep oractices in Georgia. Salm Ward TC, Kanu FA, Anderson AK. J Community Health 2018; 43 (3): 496-507. doi:10.1007/s10900-017-0442-4
"Our results suggest the need for targeted education and support for breastfeeding and safe sleep practices."
Infant safe sleep: a survey of the knowledge, attitudes, and behaviors of obstetric physicians. Hodges NL, Anderson SE, McKenzie LB, Katz ML. J Community Health 2018; 43 (3): 488-495. doi:10.1007/s10900-017-0441-5
"Obstetric physicians can influence the infant safe sleep decisions that women make. Improving obstetricians' knowledge and attitudes about infant safe sleep and supporting physicians who wish to provide education on this topic may help to ensure that women are receiving frequent and consistent infant safe sleep messaging throughout the prenatal period."
Prone sleeping position in infancy: implications for cardiovascular and cerebrovascular function. Shepherd KL, Yiallourou SR, Horne RSC, Wong FY. Sleep Med Rev 2018; 39: 174-186. doi:10.1016/j.smrv.2017.10.001
"This review examines the cardiovascular and cerebrovascular effects of prone sleeping in infants born at term, those born preterm after term equivalent age and whilst hospitalized."
Evaluation of a sudden unexpected death in infancy intervention programme aimed at improving parental awareness of risk factors and protective infant care practices. McIntosh C, Trenholme A, Stewart J, Vogel A. J Paediatr Child Health 2018; 54 (4): 377-382. doi:10.1111/jpc.13772
Pepi-Pod vs Usual Care trial. "Bed-sharing and knowledge improvement were similar irrespective of group. It is likely that the impact of the intervention was reduced because the control group received better support than 'usual care' and all participants had a baby bed. New Zealand SUDI rates have declined since sleep space programmes have been available. Sleep space programmes should be prioritised for those with modifiable SUDI risk."
Babies in boxes and the missing links on safe sleep: human evolution and cultural revolution. Bartick M, Tomori C, Ball HL. Matern Child Nutr 2018; 14 (2): e12544. doi:10.1111/mcn.12544
"Distribution of baby boxes may divert resources and attention away from addressing these other risk factors and lead to a false sense of security wherein we overlook that sudden unexplained infant deaths also occur in solitary sleep environments."
Stock photographs do not comply with infant safe sleep guidelines. Goodstein MH, Lagon E, Bell T, Joyner BL, Moon RY. Clin Pediatr (Phila) 2018; 57 (4): 403-409. doi:10.1177/0009922817728698
"Images depicting sleeping infants on stock photography sites do not routinely adhere to AAP recommendations. Media messages inconsistent with health care messages create confusion and misinformation about infant sleep safety and may lead inadvertently to unsafe practices."
Mothers' knowledge and attitudes to Sudden Infant Death Syndrome risk reduction messages: results from a UK survey. Pease AS, Blair PS, Ingram J, Fleming PJ. Arch Dis Child 2018; 103 (1): 33-38. doi:10.1136/archdischild-2017-312927
"Mothers in the higher risk group were disadvantaged when it came to some aspects of knowledge of SIDS risk reduction and attitudes to safer sleep. The initial 'Back-to Sleep' message that dramatically reduced these deaths a generation ago needs more effective promotion for today's generation of mothers."
What do pediatricians tell parents about bed-sharing? Schaeffer P, Asnes AG. Matern Child Health J 2018; 22(1): 51-58. doi:10.1007/s10995-017-2353-5
Qualitative study of 24 primary care paediatricians in the USA. "Some strongly and routinely advise against bed-sharing and identify bed-sharing as a clear risk to infants. Others believe bed-sharing to be both safe and useful. A third group allow the content of anticipatory guidance to be driven by parental concerns."
Wahakura versus bassinet for safe infant sleep: a randomized trial. Baddock SA, Tipene-Leach D, Williams SM, Tangiora A, Jones R, Iosua E, Macleod EC, Taylor BJ. Pediatrics 2017; 139 (2). doi:10.1542/peds.2016-0162
Medullary serotonin neuron abnormalities in an Australian cohort of Sudden Infant Death Syndrome. Bright FM, Byard RW, Vink R, Paterson DS. J Neuropathol Exp Neurol 2017; 76 (10): 864-873. doi:10.1093/jnen/nlx071
Why is a prone sleeping position dangerous for certain infants? Byard RW, Bright F, Vink R. Forensic Sci Med Pathol 2017. doi:10.1007/s12024-017-9941-y
Fetal-growth-restricted preterm infants display compromised autonomic cardiovascular control on the first postnatal day but not during infancy. Cohen E, Wong FY, Wallace EM, Mockler JC, Odoi A, Hollis S, Horne RSC, Yiallourou SR. Pediatr Res 2017; 82 (3): 474-482. doi:10.1038/pr.2017.105
Infection: the neglected paradigm in SIDS research. Goldwater PN. Arch Dis Child 2017; 102: 767-772. doi:10.1136/archdischild-2016-312327
Sudden Infant Death Syndrome, infection, prone sleep position, and vagal neuroimmunology. Goldwater PN. Front Pediatr 2017; 5: 223. doi:10.3389/fped.2017.00223
Research priorities in sudden unexpected infant death: an international consensus. Hauck FR, McEntire BL, Raven LK, Bates FL, Lyus LA, Willett AM, Blair PS. Pediatrics 2017; 140 (2): e20163514. doi:10.1542/peds.2016-3514
The longitudinal effects of persistent apnea on cerebral oxygenation in infants born preterm. Horne RS, Fung AC, NcNeil S, Fyfe KL, Odoi A, Wong FY. J Pediatr 2017; 182: 79-84. doi:10.1016/j.jpeds.2016.11.081
Epidemiology of sudden unexpected death in infancy: evidence from the London metropolitan police project Indigo Investigation. Mage DT, Donner EM. J Paediatr Neonat Dis 2017; 2 (1): 101. Paper
Sleep: A window into autonomic control in children born preterm and growth restricted. Yiallourou SR, Wallace EM, Whatley C, Odoi A, Hollis S, Weichard AJ, Muthusamy JS, Varma S, Cameron J, Narayan O, Horne RSC. Sleep 2017; 40 (5). doi:10.1093/sleep/zsx048