A relationship between PWS and supine sleeping is theoretically plausible. Additional studies are necessary, however, to confirm that the incidence of appropriately defined PWS has increased, and that the magnitude and timing of this increase are consistent with the magnitude and timing of increasing supine prevalence. The recommended strategy to prevent any risk for PWS is to rotate the head position during supine sleeping and to use the prone position for supervised awake time. With the combined efforts of primary care physicians and parents, therefore, orthotic devices such as soft helmets or rigid head bands (The Wall Street Journal, Midwest edition. February 23, 1996) should rarely, if ever, be necessary, and surgery for PWS should never be necessary.
- Received May 1, 1996.
- Accepted May 2, 1996.
- Copyright © 1996 by the American Academy of Pediatrics