PARENT ALERT: Sudden Infant Death Syndrome (SIDS)

It was announced on February 2, 2010, that preliminary research indicates decreased levels of serotonin in the brain stem are associated with an increased risk for Sudden Infant Death Syndrome (SIDS).  Serotonin is the chemical that helps regulate breathing, blood pressure, and heart rate in the brain during sleep.   Although it is not known if this could be a single cause or a contributing factor, it appears to be a major breakthrough in helping to identify infants at increased risk.

Here are some SIDS prevention tips, as recommended by the National Institutes of Health:

• Always place your baby on his or her back for sleep whether it’s for naps or at night.  Insist all who care for your baby do the same.

• Use a firm sleep surface for your baby, such as a safety-approved mattress and crib

– For more information on crib safety guidelines, contact the Consumer Product Safety Commission online                    or call 1.800.638.2772

• Do not place soft or loose toys or bedding in your baby’s sleep area.  If a blanket is used, place the baby’s feet at the end of the crib and tuck the blanket under the mattress.  Do  not allow the blanket to reach any higher than the baby’s chest.

• Do not let your baby get overheated when sleeping.  Use light sleep clothing, and keep the room at a temperature comfortable for an adult.

• Do not share sleep space with your baby.  Place him or her nearby, but separate.

• Do not allow smoke around your baby. Do not smoke before, during or after your pregnancy.

• Provide “tummy time” when your baby is awake and someone is watching. Change the direction that your baby lies in the crib from one week to the next; and avoid too much time in car seats, carriers, and bouncers.

It is unfortunate that most of us, as pediatric nurses, have witnessed the intense pain and suffering a family experiences when their baby dies suddenly from SIDS.  People grieve so differently, but ultimately SIDS changes their lives forever.  It is encouraging that, as we learn more and more about the causes and prevention of SIDS, parents can rest more comfortably knowing their infants will remain healthy and strong.

As case managers, our goal is to educate and advocate for the prevention of SIDS.  If you have experienced such a loss or you know someone who has, be aware that case managers can provide support to assist families through this difficult time.