Usually the baby is found dead, after he has been put to bed, and shows no signs of suffered.
SIDS is a diagnosis of exclusion. It should be applied only to a child whose death is sudden and unexpected and remains an adequate post mortem examination including unexplained after the performance
Investigation of the scene and circumstances of the death;
Exploration of the medical history of the child and the family.
SIDS was responsible for 0,543 deaths per 1,000 live births in the United States in 2005. It is responsible for far fewer deaths than congenital disorders and disorders relating to short pregnancy, although it is the most common cause of death among healthy babies after one month old.
2,247 In 2004 decreased from 4.895 in 1992, SIDS deaths in the United States. But in a similar time period 1989-2004, SIDS listed as the cause of death for sudden infant death (SID) from 80% to 55% decreased. According to Dr. John Kattwinkel, Chairman of the Center for disease control (CDC) special task force on SIDS “many of us are concerned that the rate (of SIDS) is significantly lowered not, but a large part of it just code shifting.”
Australia and New Zealand are moving on the concept of sudden unexplained deaths in infancy (SUDI) for professional, scientific and coronial clarity.
The term SUDI now often used instead of sudden infant death syndrome (SIDS) as some investigating judges prefer the term Ndetermined for a death before SIDS applies. Diagnostic move cause this change in the mortality data.
SIDS back to sleep campaign: history and theory
1985 Reported Davies, that in Hong Kong, where Chinese custom supine infant sleep position (open), was asked SIDS a rare problem. In 1987, the Netherlands began a campaign, the advice of parents, their newborn children sleep on their backs (supine) rather than to place your stomach (prone position). Infant supine sleep position in 1992 campaigns in the UK, New Zealand and Australia 1991, United States and Sweden and Canada 1993 followed.
This opinion was based on the epidemiology of SIDS and physiological evidence that shows that children who sleep on their backs have lower arousal thresholds and less slow-wave sleep (SWS) compared to infants, sleeping on the belly. In human infants sleep develops faster during the early stages of development. This development includes an increase in the non-REM sleep (NREM sleep) also quiet sleep (QS) in the first 12 months of life in conjunction with a decrease in REM sleep (REM sleep) named, also known as active sleep (AS). Sleep (SWS) is also slow wave stage 3 and stage NREM appears sleeping 2 months old and it is the theory that some babies have a brainstem deficiency the risk increases by unable to wake from SWS (also called deep sleep) and therefore have an increased risk of SIDS due to their reduced ability of SWS to wake up.
Studies have shown that premature babies, final infants and older children have larger periods of time-quiet sleep and time when she are awake decreased, sleep on the belly. Human infants and rats arousal thresholds have been proven at higher levels in the electroencephalography (EEG) during slow-wave sleep to be.
1992 Was a SIDS risk reduction strategy reduction of arousal thresholds during SWS on the basis of the American Academy of Pediatrics (AAP) recommend that healthy infants be placed to sleep on their backs (supine) or side (lateral position), instead of the stomach (prone position), began at the down to the go to sleep. 1994 A number of organizations in the United States combined to communicate this not prone sleep position recommendations further and it became officially known as the ACK, sleep campaign. In 1996 expanded the AAP your sleep position recommendation by stating that only infants sleep should be placed in the supine position and not in the prone or lateral positions.
In 1992, which became first national infant to determine the usual position in the United States mothers their babies sleep position (NISPS) household survey conducted, brought sleep: lateral (side), other or no usual position tend (stomach), supine (back). According to survey NISPS 1992 were 13.0% of US children in the supine position to the sleeping position. According to the 2006 NISPS were survey 75.7% of infants in the supine sleep position.
Since 1998, several are published