Sunday, November 24, 2013

How common is SIDS and what can you do for prevention?

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XYZ


My baby sleeps in his crib usually on his stomach and I have a baby breathing monitor. The midwife recommended that he sleep on his stomach and he can really get a good sleep that way. What can I do to prevent SIDS? If he sleeps on my top when we are on my bed, is it safe?
I am not asleep when he is on my top so I can't roll over him. He sleeps in his crib for the night.

I told the midwife that SIDS occurs more often in cases kids are put on their stomachs but she said that's just statistics and has nothing to do with SIDS. I don't know...



Answer
SIDS occurs in roughly 1 in 500 babies(http://www.faqs.org/faqs/misc-kids/sids/), but the rate actually depends on many factors, such as where you live, your lifestyle, your feeding methods, etc.

SIDS can occur up to one year of age, but the most common age for it to occur is between 2 and 4 months. After 4 months, the risk declines. After the 6-7th month, the likelihood of SIDS occurring is very low. It is more common in male babies than female babies.

There is a lot you can do to lower the risk of it occurring.

~don't smoke. AT ALL. Not even outside.

~put your baby to sleep on his back. If he won't sleep that way, you can compromise and put him on his side, using those wedges that keep the baby from rolling over. My first daughter could not sleep on her back due to severe reflux, so we put her on her side.

~don't use pillows, blankets, stuffed animals, or any soft bedding in his crib (or wherever he sleeps)

~don't dress him too warmly

~BREASTFEED. For every 87 babies that die of SIDS, only 3 breastfed babies die of SIDS. Reference: http://www.co.utah.ut.us/dept/healthwic/BreastFeed.asp

Personally, I would not put my baby to sleep on his/her stomach, especially if if they were not past the 4 month mark. If it was needed, I would put them on their side.

As for cosleeping, there is conflicting evidence out there as to whether it lowers or raises the risk of SIDS.

Many parent's beds have blankets and pillows and soft mattress pads, etc, that can raise the risk of SIDS, so cosleeping in that sense would definitely be riskier. However, if you make your bed "baby safe", then I would think that cosleeping would not put your baby at a higher risk and may actually reduce his risk of SIDS, as long as:
~you don't smoke
~your spouse doesn't smoke
~you don't sleep too heavily (as to notice if you roll into your baby's face
~your spouse doesn't sleep too heavily
~neither you nor your spouse are overweight/obese (studies have shown that cosleeping babies with overweight/obese parents are more likely to die of SIDS or be accidentally suffocated by their parents).

As for your son sleeping on top of you, I personally think it's fine, as long as he's on his back and there's no way he can roll off and be injured. If he's on his stomach, but you're awake and watching him the entire time, then that's okay too.

I coslept with both of my daughters, but I slept on my side, and they slept on their sides with their back up against my belly/chest. I would turn them over to nurse and then turn them back when they finished.

How long should a newborn sleep in your bedroom?




Jillian Ir


I am expecting and am new to this all. As a new mother, I know there are going to be things that are going to go wrong but, I'd prefer to keep them to a minimum, as we all do. I am planning on keeping her in a bassinet in our bedroom until she outgrows it. But, I was thinking, once she outgrows her bassinet is it okay to leave her in her crib at night and rely on baby monitors? Or is there a certain amount of time she should spend in our room with us? (Of course not in the same bed obviously).


Answer
You are going to hear from two camps on this issue. Some people believe that kicking your baby out of your bedroom and making him scream until he passes out will teach him independence. Other people have yet to find evidence to support this, and we prefer to allow our babies to sleep where they are happy.

You absolutely may share a bed with your baby if you like, and doing so safely will actually REDUCE the risk of SIDS. Studies that say otherwise fail to differentiate between safe cosleeping and unsafe cosleeping. If you change your mind about cosleeping after baby is born (many parents do, including me), learn how to do it safely and enjoy it. It makes nighttime feedings easier!

You may also move baby out when you want, and there are techniques to do so gently. There is a great book called The No-Cry Sleep Solution by Elizabeth Pantley. If you start from birth, your job will be easy!

There is another book that all new parents need to read, and it addresses sleeping, feeding, development, first aid and medical care and parenting among other topics. It's called The Baby Book by William Sears. Dr Sears will teach you that you already know how to take care of your baby, you just need to tune out bad advice.

To answer your question, There's no way to know what you'll need to do about sleeping arrangements until that time gets here, so make up a tentative plan, and don't be afraid to change it as you go. That's an important lesson in parenting: things rarely go as planned, so go with the flow and keep a sense of humor about your well-laid plans!

Congratulations!




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