Many infants move from position in which they are put to sleep

BMJ 1996;313:1333 (23 November)

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Many infants move from position in which they are put to sleep

EDITOR,--Peter J Fleming and colleagues' paper emphasises theimportance of methods of caring for babies in the risk of thesudden infant death syndrome.¹ It does not, however, mentionan important potential confounding factor for the risk attributedto sleeping position. In all seven Dutch national surveys onsleeping positions of infants between 1985 and November 1994more boys than girls were placed to sleep prone.² ³ The samesurprising difference was found in Flanders (Belgium) and Munsterand Detmold (Germany).⁴ Half of the high sex ratio for the suddeninfant death syndrome in these years in the Netherlands is "explained"by the fact that boys are more commonly placed prone than girls.The odds ratio of 9 for being placed prone should thereforebe adjusted for sex.

One would expect that infants who died after the "Back to Sleep"campaign would be relatively older than infants who died ofthe . . . [Full text of this article]

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Relevant Article

Environment of infants during sleep and risk of the sudden infant death syndrome: results of 1993-5 case-control study for confidential inquiry into stillbirths and deaths in infancy: Peter J Fleming, Peter S Blair, Chris Bacon, David Bensley, Iain Smith, Elizabeth Taylor, Jem Berry, Jean Golding, and John Tripp
BMJ 1996 313: 191-195. [Abstract] [Full Text]

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