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Our Expert on Pregnancy and Child Birth
Q: I’ve heard that there are new recommendations to prevent Sudden Infant Death Syndrome (SIDS). What do I need to know to protect my baby?Ask Our Expert About Sudden Infant Death Syndrome (SIDS)
Q: I’ve heard that there are new recommendations to prevent Sudden Infant Death Syndrome (SIDS). What do I need to know to protect my baby?A: You’re right. This October, the American Academy of Pediatrics (AAP) expanded its recommendations made in 1992. There are three things you need to know:
Q: Why did the Academy change their recommendations?A: There have been major decreases in the incidence of SIDS over the past decade. But it is still responsible for more infant deaths (except when they are first born) in the United States than any other cause of death during infancy. The new recommendations are based on new research about the risks of SIDS. Q: Won’t my child’s head become flat in the back?A: You can avoid this condition (called positional plagiocephaly) in several ways:
Q: Is a pacifier really good for my baby?A: Yes, during your baby’s first year, research indicates that pacifier used at naptime and bedtime reduces the risk of SIDS. Researchers aren’t sure why, but they think pacifiers might keep babies from going into the deep sleep that could lead to problems. However, if your baby refuses the pacifier or spits it out while sleeping, don’t force it. Q: Won't using a pacifier make it more difficult to encourage breastfeeding?A: You can wait a month before introducing the pacifier. That should give your baby enough time to get used to breastfeeding. And don’t worry about their teeth—pacifiers used within the first year won’t cause dental problems. Q: Is overheating and using warm blankets still a danger?A: Avoid overheating your baby. Use a firm crib mattress, covered by a thin sheet and thin blanket. They should be lightly clothed and the temperature should be kept comfortable—around 70 degrees or slightly above. Keep soft objects such as pillows, comforters, stuffed toys and loose bedding out of the crib, since they can suffocate your baby. If the temperature is too low in your home, add heavier pajamas, rather than the heavier blankets. Q: I purchased a home monitor to prevent SIDS. Isn’t this enough?A: Commercial devices and home monitors haven’t been studied enough to prove they prevent SIDS. So, you should follow the AAP’s recommendations. Q: How do I know if my baby is at risk for SIDS?A: Every baby has some risk, but the following have been consistently identified as risk factors for SIDS:
Q: How can I keep up with the AAP’s latest recommendations?A: Check their website regularly at www.aap.org. The most recent SIDS recommendations can be found at www.aap.org/ncepr/sids.htm. This page last updated 4/1/08 10:56 AM
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