PEDIATRICS Vol. 108 No. 4 October 2001, pp. 923-927
Association Between Sudden Infant Death Syndrome and Prone Sleep Position, Bed Sharing, and Sleeping Outside an Infant Crib in Alaska
Received Sep 19, 2000; accepted Jan 26, 2001.
From the Alaska Division of Public Health, Anchorage, Alaska.
Objective. To determine the
contribution of prone sleeping, bed sharing, and sleeping outside an
infant crib to sudden infant death syndrome (SIDS).
Methods. We conducted a retrospective descriptive study of
all SIDS cases in Alaska from January 1, 1992, through December 31, 1997. Reviewed data sources included maternal and infant medical
records, autopsy reports, birth and death certificates, police and
state trooper death scene investigations, and occasionally home
interviews.
Results. The death certificate identified SIDS as a cause
of death for 130 infants (cause-specific infant mortality rate: 2.0 per
1000 live births). Among infants for whom this information was known, 113 (98%) of 115 were found in the prone position, sleeping outside an
infant crib, or sleeping with another person. By contrast, 2 (1.7%)
were found alone and supine in their crib (1 of whom was found with a
blanket wrapped around his face). Of 40 infants who slept with a parent
at the time of death, only 1 infant who slept supine with a
non-drug-using parent on an adult nonwater mattress was identified.
Conclusion. Almost all SIDS deaths in Alaska occurred in
association with prone sleeping, bed sharing, or sleeping outside a
crib. In the absence of other risk factors, SIDS deaths associated with parental bed sharing were rare.
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