Health & Stats: Large rise in infant sofa deaths

There has been a four-fold increase in infants dying after falling asleep with a parent on a sofa, research shows. A team at Bristol's 'Royal Children's Hospital' warns 'cot death' does not always mean a cot -- about 30 babies die in the UK/year after sharing a sofa. The researchers say parents should never snuggle up with very young children on a sofa if they feel tired. 'The Lancet' study also found more deaths are occurring among poor families, and among those where the mother smokes. The researchers said a very successful public education campaign had helped to slash cot death rates by 75 per cent since 1991. However, their study suggested the appropriate messages had still not got through to many poor young mothers. It is already known that the risk of 'Sudden Infant Death Syndrome' ('SIDS') is higher for babies that are born premature, or have a low birthweight. Male babies also appear to be more at risk, as do those who sleep on their side or front. Smoking during pregnancy, or in the house after a child is born, is another risk factor. And the latest study, led by Professor Mr.Peter Fleming, underlines that sharing a sofa with a child is also a significant risk. The Bristol team examined data on 369 'SIDS' cases that occurred between 1984 and 2003 in Avon. These were compared to information on 1_300 healthy babies from a study carried out between 1993 and 1996. Deprivation link The researchers found that although the number of deaths in the parental bed had fallen by 50 per cent , the number of deaths on a sofa shared with a parent increased four-fold in recent years. However, there are still about 135 bedsharing deaths a year in the UK, compared to the 30 linked to sharing a sofa. Mr.Fleming said:
'Although the reasons for the rise in deaths when a parent sleeps with their infant on a sofa are unclear, we strongly recommend that parents avoid this sleeping environment.'
The study also found that that the proportion of 'SIDS' deaths among poorer families increased from 47 per cent to 74 per cent . The proportion of deaths in which the mother smoked during pregnancy also rose, from 57 per cent to 86 per cent . The researchers are calling for a standard protocol to aid the investigation of cot deaths and to enable as much relevant information to be collected as possible. Director of the Foundation for the Study of Infant Death Ms.Joyce Epstein, said:
'Over 14_000 lives have been saved in the UK since the advice to reduce the risk of cot death was introduced in 1991. 'But still over 300 babies every year in the UK are dying as cot deaths -- that's more babies over one month old than from any other cause. 'The battle against sudden infant death is far from over. 'It is absolutely vital that we get our safe infant care messages across more forcefully, especially among the more vulnerable sections of society, and that we continue our lifesaving research into the causes of cot death.' >>BBC Comments
'Large rise in infant sofa deaths', BBC News, 2006/01/18 15:59:25 GMT Q&A on Cot Death The unexpected death of a baby must rank among the most tragic and stressful events that anybody can endure. Public education campaigns have helped cut the number of cot deaths in the UK -- but too many people are still suffering terrible loss. What is cot death? Cot death -- known technically as 'Sudden Infant Death Syndrome' ('SIDS') -- is the sudden and unexpected death of a baby for no obvious reason. What causes it? Nobody knows for sure. Most experts believe a number of factors probably contribute. Deaths certainly appear to be more common in households where the mother smokes. Some believe the growth of fungus on a baby's mattress may play a role in some deaths. Another theory is that some cases are linked to infection the common bacterium, Helicobacter pylori, which causes gastric ulcers and cancer in adults. There is also a strong body of research linking cot death to the practice of putting babies to sleep on their stomachs. This might be because babies have not yet developed the upper body muscle strength to keep their heads lifted from the pillow, and their airways unobstructed. How can you reduce the risk? Nobody can completely rule out the possibility of a tragedy. However, there are a number of steps you can take to minimise risk:
  • Both parents should avoid smoking during pregnancy;
  • Don't expose your baby to tobacco smoke -- in particular do not smoke in the same room;
  • Place your baby on their back to sleep;
  • Don't allow your baby to get too hot;
  • Keep your baby's head uncovered -- their feet should be to the foot of the cot to stop them wriggling down under the covers;
  • Never fall asleep with your baby on the sofa;
  • Do not share your bed with your baby if you or your partner: smoke; have been drinking alcohol; are taking medication or drugs that causes drowsiness; or are excessively tired;
  • Put your baby's cot in your bedroom for the first six months;
  • Seek medical advice promptly if your baby is unwell.
Who is most at risk? The risk seems to be greater in boys, premature babies and those of low birth weight. Most cot deaths occur when the baby is under the age of six months. Since 1991, the number of cot deaths has fallen by 75 per cent , but seven babies still die every week as cot deaths in the UK. It is the leading kind of death in babies aged between one month and one year. However, nearly 90 per cent of cot deaths have occurred by six months, and very few occur after a year. At what time of year do cot deaths occur? Cot deaths can occur at any time of year but they tend to be more frequent in the winter months. BBC NEWS, 2006/01/17 17:58:58 GMT


Blogger Dave said...

This is a personal choice. My daughter (now 2.5) slept in our room for only the first 3 months because I woke to her every shuffle, cough or sneeze. I had to move her into her own room for my health! With regards to SIDS, I think there is more to the cause of falling asleep with your baby/child on a sofa chair. I used to do this with my daughter all the time to get her to slow down relax and sleep when she was tired. Having said that I am 6ft5 and weigh 19 stone, so I am not moving anywhere and my 12kg daughter is a tiny shell in comparison. I never slept with my daughter, only napped. There could be a difference in the 'type' of sleep also. She never slept in our bed either. Obviously education is the key to avoid similar deaths in the future.
Ceri G, Cardiff, Wales

I am shocked that in your article there is no mention of SIDS being caused by the chemicals that are in most mattresses -- mainly the fire retardants that the mattresses are treated with. A study was done in New Zealand where fire retardants were proven to be a cause of SIDS and they were removed from all mattresses. Since then, SIDS has decreased significantly in NZ.
Susan MacLeod, Norwalk. CT, US

Our son has recently passed the six month mark and has just started sleeping in his own room. I was made to feel like a paranoid mother for following the advice from SIDS that the safest place for a baby to sleep for the first six months is in the same room as the parents. The message has clearly not reached the wider public so please continue the campaign to raise awareness.
Charlotte, Berkshire

I have worked for IKEA in Sweden and remember the how horrified we were when the UK decided to massively increase the fire retardants in UK sofas following several cases of deadly fires from smokers in the mid 1980s. One of the problems with these retardants is that they give off even more deadly (and carcinogenic) gasses. Unfortunately it appears the political 'quick-fix' is coming home to roost. Very, very sad.
Agustin Serra, Malmö, Sweden

On the birth of my baby girl I was advised to have her sleeping in my room until she was 6 months old. I found it convenient just to take her out of her cot and feed her in bed with me, where it is so easy to fall back to sleep with her next to me instead of putting her back in her own bed. When she was 6 weeks old I was worried about this so put her in her own room to ensure I had to get out of bed to feed her then put her back in her own bed before I went back to sleep. I thought this was much safer and found we both had better sleeps.
Caron Longden, Barnoldswick, Lancs

I agree with above. I lost my son Sean to SIDS in 1998. I believe that the dangers of SIDS should be advertised more. I know when you're expecting a baby the last thing you want to read about is cot death but it is a reality that must be faced.
Joanne, Glasgow

As a psychology student I have read literature on sudden infant death, and I think it should be noted that in countries where parents sleep with their baby in the bed, there is little or no 'cot death' compared to countries where cots or cradles are used. These countries, for example Guadeloupe, have no societal taboos about having your child sleep in the same bed as the mother, even up to the age of 8 or 9. The findings regarding cot death has been linked to the baby using the mother (or father's) breathing to regulate their own. I think the advice you have given on the article is good, although it should also be noted that leaving a new born baby in a cot in another room has also been shown to be a higher risk than sleeping in the same bed (dependent upon the parent being under no influence of drugs, alcohol or otherwise.
Caroline Knights, London, England

Our son has recently passed the 6 month mark and has just started sleeping in his own room. I was made to feel like a paranoid mother for following the advice from SIDS that the safest place for a baby to sleep for the first 6 months is in the same room as the parents. The message has clearly not reached the wider public so please continue the campaign to raise awareness.
Charlotte, Berkshire

As a father, I can understand how parents feel comfortable cuddling up to their children on a sofa but we must always be aware of the dangers and risks that surround our children. By feeling tired we are actually one of those risks.
Keith O'Brien, Rushden, UK


1/23/2006 02:40:00 am  

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