Sudden Infant Death Syndrome Essays - Pediatrics, Infancy, RTT

Sudden Infant Death Syndrome Imagine the thought of a mother going in to her child's room and kissing her baby good night. Expecting to hear the gentle breath of her baby all that she hears is silence. Sudden Infant Death Syndrome (SIDS) is the ?sudden death of an infant under one year of age which remains unexplained after a thorough case investigation, including performance of a complete autopsy, examination of the death scene, and review of the clinical history? (Willinger, et al., 1991). More children die of SIDS in a year that all who die of cancer, heart disease, pneumonia, child abuse, AIDS, cystic fibrosis and muscular dystrophy combined. Many researchers now believe that babies who die of SIDS are born with one or more conditions that make them especially vulnerable to stresses that occur in the normal life of an infant, including both internal and external influences. SIDS occurs in all types of families and is largely indifferent to race or socioeconomic level. SIDS is unexpected, usually occurring in otherwise apparently healthy infants from 1 month to 1 year of age. Most deaths from SIDS occur by the end of the sixth month, with the greatest number taking place between 2 and 4 months of age. A SIDS death occurs quickly and is often associated with sleep, with no signs of suffering. More deaths are reported in the fall and winter and there is a 60-to-40-percent male-to-female ratio. A death is diagnoses as SIDS only after all other alternatives have been elim inated: SIDS is a diagnosis of exclusion (Willinger, et al., 1991). Risk factors are those environmental and behavioral influences that can provoke ill health. Any risk factor may be a clue to finding the cause of a disease, but risk factors in and of themselves are not causes. Researchers now know that the mother's health and behavior during her pregnancy and the baby's health before birth seem to influence the occurrence of SIDS, but these variables are not reliable in predicting how, when, why, or if SIDS will occur. Maternal risk factors include : Maternal age less than 20 years Poor prenatal care Low weight gain Anemia Use of illegal drugs History of Sexually transmitted diseases Urinary tract infection These factors, which often may be subtle and undetected, suggest that SIDS may Somehow associated with a harmful prenatal environment. After birth, there also are numerous risk factors which can significantly influence the chance of SIDS. These include such things as: (Corr, et al., 1991) Sleeping position Crib and bedding materials Breast feeding By definition, the causes of SIDS are not known. Attempts to explain the sudden and unexpected death of an infant adequately have been difficult since earliest times. Initially, if a baby died suddenly and unexpectedly in a bed shared with adults, it was thought to be due to an adult rolling on to the infant during sleep. This was called ?over-laying' (Goyco, et al., 1990). Later, it was suggested that babies may have choked on something or that death was caused by prenatal neglect. It is clear now that in most cased none of these explanations was correct~that they were, in all probability, the victims of what is now known as SIDS (Goyco, et al., 1990). No consistent warning signs occur that might alert us to the risk of SIDS. Sometimes the infant was not feeding so well on the day he or she died, or there may have been symptoms of a slight cold or tummy upset (Goyco, et al., 1990). The National Center for Health Statistics (NCHS) reported that, in 1988 in the United States, 5,476 infants under 1 year of age died from SIDS; in 1989, the number of SIDS deaths was 5,634 (NCHS, 1990, 1992). However, other sources estimate that the number of SIDS in this country each year may actually be closer to 7,000 (Goyco and Beckerman, 1990). The larger estimate represents additional cases that are unreported. Then considering the overall number of live births each year, SIDS remains the leading cause of death in the United States among infants between 1 month and 1 year of age and second only to congenital anomalies as the leading overall cause of death for all infants less than 1 year of age