PEDIATRICS Vol. 102 No. 4 October 1998, pp. 969-971
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The premature infant is at increased risk
to die of sudden infant death syndrome (SIDS).1
Although the overall risk in Los Angeles County in 1996 was 1.5 per
1000 live births, that for the baby born before 37 weeks' gestation
was approximately five times as high. This increased risk has been
recognized for many years, yet the reasons remain obscure. It would be
highly desirable to be able to identify the individual infant who is at
greatest risk within the group. Without information as to cause, this
has proven impossible thus far. A number of efforts have been made to
identify subpopulations of premature infants in whom the risk is
greater. Only one factor has been reliably associated with risk, and
that is gestational age.2 This has been true in all studies
reporting weeks of gestation, and the association is inverse. The
shorter the gestational interval, the more immature the infant is at
birth. The more immature the infant, the higher the risk is that the
infant will die of SIDS. In our nursery follow-up clinic where we
see infants after discharge whose birth weight was <1500 g,
corresponding to a gestational age