You can do the research, but sleeping position doesn't increase SIDS - here's 10 years of data to help:
After a decade of research on SIDS, I can confidently tell you that BTS has NOT reduced SIDS deaths, and yet the media continues to not only put a false sense of security in the minds of new (and veteran) moms, but also scare moms to the point of truly believing that they must wedge their rolling children because the minute they get on their tummies they will die.
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Here's more information so that each mom can make an educated choice (information that you can find on an Internet search):
There is less than a .5 (yes, that's POINT five) chance of SIDS from even a newborn tummy-sleeper. You actually have a higher risk of injuring or death to a child in an auto accident by age five than your baby suffering crib death.
Several factors can be attributed to the "drop" in SIDS statistics: parents became more conscious about removing stuffed animals, pillows, and fluffy blankets from cribs, thus eliminating true suffocation deaths; and the medical profession is now under much more rigid standards to be more specific on the actual cause of death in infants. It used to be that any death, unless obvious trauma, to a baby was simply called SIDS. SIDS is not suffocation, heart defects, other physical abnormalities, or any other health issue - doctors don't know exactly WHAT it is...
More and more studies are being released that indicate SIDS may be genetic - which means it doesn't matter how your child sleeps, if the gene is present, there's frankly nothing a parent can do about it.
Recent studies and in the May 2005 issue of Pediatrics magazine, they showed that the reduction in SIDS deaths was not due to BTS but rather in a stringent campaign forcing States to find a cause of death in newborns instead of just labeling it SIDS. http://www.nlm.nih.gov/medlineplus/news/fullstory_24409.html
Another study came out in February of 2005 from Cambridge University showing a correlation between maternal levels of alpha-fetoprotein (AFP) and SIDS. Women with the highest AFP levels were three times likely to have a baby die of SIDS.
Keeping your child at a comfortable temperature and keeping the crib free of obstructions is common sense. Remember - SIDS is NOT suffocation.
Before the BTS campaign, we were TOLD to put babies on their bellies. Then about a decade ago, that got switched to recommending ONLY side-sleeping. Then this BTS stuff started. So you see, the next publication could revert back. It's frankly up to each parent, and just like any recommendation, parents must do research.
Babies have died from SIDS on their backs AND bellies, at home AND in hospitals, and even in their mother's arms. Believe what you will, but I (like many others, medical professionals and parents) am absolutely convinced that the position that a child sleeps in has nothing to do with SIDS.
And of course, there is a contradicting argument to virtually every statistic you will read.
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"...Further more, much depends on how statistics are gathered. Until recently most autopsies on infants were carried out in a haphazard fashion. Often, no autopsies were performed. Now, in most parts of the western world, strict criteria are applied and autopsies performed by specialist teams. Many cases that previously would be considered as qualifying for the diagnosis of SIDS are now excluded. This artificially reduces the incidence compared to pre-autopsy and specialised consideration times. To accurately follow recent trends one needs to look at the overall infant mortality rate. This is the bottom line and cannot be easily manipulated."--Dr Kalokerinos MD (Medical Pioneer of the 20th century p178) - from http://www.whale.to/vaccine/quotes18.html
"...In summary, this study has shown that infants who die of SIDS have a higher proportion of airway smooth muscle in their small airways than age-matched infants who die suddenly from causes no associated with underlying cardiorespiratory pathology. The increase in smooth muscle may contribute to excessive airway narrowing which, along with other factors such as immature ventilatory control mechanisms, may result in sudden death, but the precise significance of this finding remains unknown." from http://ajrccm.atsjournals.org/cgi/content/full/160/1/313
"...The tragic mystery (MYSTERY - meaning there is NO CAUSE OR CURE - my words) of sudden infant death syndrome (SIDS) is a bit closer to being solved. New research shows that genetics may play a role." from http://my.webmd.com/content/article/92/101949.htm
"...A new study has identified mutations in genes pertinent to the autonomic nervous system among babies who died of sudden infant death syndrome (SIDS) that might explain why they died..." from http://www.docguide.com/dg.nsf/PrintPrint/8848BC53E7ED852...
"...In other words, the more we look for fine abnormalities the more we find. Unfortunately, apart from a few factors such as the recognition of the dangers of cigarette smoking, nothing had been found that dramatically reduces the incidence of the syndrome..." from http://www.pnc.com.au/~cafmr/newsl/kalo.html
I had this quote from somewhere..."Weese-Mayer's own research, published in 2003, found that infants who succumbed to SIDS were more likely to have a certain pattern in the serotonin transporter gene. Serotonin, among other things, influences the regulation of breathing, the heart and temperature. Another study published during 2001 found that a small subset of SIDS cases occurs in babies who have a mutation in a gene called SCN5A, which causes subtle cardiac rhythm disturbances during sleep."
So you see from these studies, genetics and other factors are what are believed to cause SIDS. But alas, no one still really knows! But it is clear to me that sleeping position is unrelated to true SIDS.
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Let me put this in perspective about the misleading stats. For example:
- 10 years ago, 10 babies suffered crib death. No autopsies performed, so all 10 called SIDS.
- Now 10 babies suffer crib death. Autopsies completed - 2 suffocated, three had tracheal abnormalities or other heart/health problems... 5 are mysteries, ala SIDS.
Viola. A 50 eduction in SIDS deaths in the past decade. BTS is taking the credit for it, and it's absolutely no-questions-asked false statistics.
Info regarding this can be found on: http://www.msnbc.msn.com/id/7706456/
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Some sites are connecting immunizations to SIDS, however I am still a strong supporter in childhood immunizations. That's a whole other debate that I'm not interested in getting into.
Why I am such a strong opposer to BTS? I am carrying on the work of my now-deceased MIL who spent the last decade of her life compiling the information contradicting the validity of BTS. She was a brilliant medical professional for over 40 years. Her main concern was mothers getting a false sense of security that their babies could not suffer SIDS if they were put on their backs. That's blatantly wrong, and she wanted her moms to know that.
What are the wonderful results from the scare tactic of BTS?
Some think a link to PPD may be derived from moms not sleeping well at all because their back-sleeping babies can't sleep (why anyone would take an infant that had been snugly curled and secure for 9 months and lay them out on their back is still beyond me). Now there are increasing reports of plagiocephaly (flat heads) and the progressive health problems that can come from it - from poor babies having to wear helmets and all the way to mental retardation from compression of the brain. This comes from forced back-sleeping. We have babies with delayed development - not a big deal, but yet another side effect of forced back-sleeping - they're not developing the arm and leg strength to crawl as quickly as their predecessors. There are also lots of reports on the dangers of sleep positioners - supply and demand, right? These manufacturers are brilliant. Sleep positioners are suffocation hazards and should never be used (the AAP won't endorse them), but the hype over BTS makes a mom believe that her child must be "pinned down" in order to survive, when in effect they are risking crib death.
There are a few sites, and I won't argue that there are many that still claim BTS has reduced the stats. I believe otherwise, and that's my perogative; I, like you, must do what I feel best for my babies and myself.
All three of my infants were tummy sleepers from the hospital on, and so will any future babies of mine. I am 110% confident that their risk of SIDS is not increased.
EDITED 9/30: PLEASE PLEASE DON'T USE SLEEP POSITIONERS - THEY'RE A TRUE SUFFOCATION HAZARD - THE AAP WON'T EVEN ENDORSE THEM.