SIDS and Other Sleep-Related Infant Deaths: Evidence Base for 2016 Updated Recommendations for a Safe Infant Sleeping Environment
Abstract
Approximately 3500 infants die annually in the United States from sleep-related infant deaths, including sudden infant death syndrome (SIDS), ill-defined deaths, and accidental suffocation and strangulation in bed. After an initial decrease in the 1990s, the overall sleep-related infant death rate has not declined in more recent years. Many of the modifiable and nonmodifiable risk factors for SIDS and other sleep-related infant deaths are strikingly similar. The American Academy of Pediatrics recommends a safe sleep environment that can reduce the risk of all sleep-related infant deaths. Recommendations for a safe sleep environment include supine positioning, use of a firm sleep surface, room-sharing without bed-sharing, and avoidance of soft bedding and overheating. Additional recommendations for SIDS risk reduction include avoidance of exposure to smoke, alcohol, and illicit drugs; breastfeeding; routine immunization; and use of a pacifier. New evidence and rationale for recommendations are presented for skin-to-skin care for newborn infants, bedside and in-bed sleepers, sleeping on couches/armchairs and in sitting devices, and use of soft bedding after 4 months of age. In addition, expanded recommendations for infant sleep location are included. The recommendations and strength of evidence for each recommendation are published in the accompanying policy statement, “SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment,” which is included in this issue.
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Such devices have caused frustration in the pediatric medical community due to unsubstantiated claims that may encourage parents to use these devices to monitor infants for conditions such as sudden infant death syndrome and potentially deliver unnecessary or harmful interventions.
“Such devices have caused frustration in the pediatric medical community due to unsubstantiated claims that may encourage parents to use these devices to monitor infants for medical conditions such as sudden infant death syndrome and potentially deliver unecessary or even harmful interventions [123].”
From Wearables and the Medical Revolution (2018) · cites this paper as [123]
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Policy Statement: Breastfeeding and the Use of Human Milk
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Contactless Infant Monitoring using White Noise
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Association between pacifier use and bottle-feeding and unfavorable behaviors during breastfeeding
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Sudden Infant Death Syndrome: A Review
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Bedsharing and Breastfeeding: The Academy of Breastfeeding Medicine Protocol #6, Revision 2019
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TodaysBaby Quality Improvement: Safe Sleep Teaching and Role Modeling in 8 US Maternity Units
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Sleep in parents of preterm infants: A systematic review
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Sudden Infant Death Syndrome: An Overview
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Transition to a Safe Home Sleep Environment for the NICU Patient
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Sleep location and parent-perceived sleep outcomes in older infants
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Beyond “Back to Sleep”: Ways to Further Reduce the Risk of Sudden Infant Death Syndrome
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Self-citationHalf Century Since SIDS: A Reappraisal of Terminology
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Characteristics of Sudden Unexpected Infant Deaths on Shared and Nonshared Sleep Surfaces
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Self-citationNon-pharmacological care for opioid withdrawal in newborns
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Back to sleep: Teaching adults to arrange safe infant sleep environments
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Transition to a Safe Home Sleep Environment for the NICU Patient
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Types of Objects in the Sleep Environment Associated With Infant Suffocation and Strangulation
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Assessing infant and maternal readiness for newborn discharge
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Exclusive breastfeeding changes in Brazil attributable to pacifier use
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Newborn Falls in a Large Tertiary Academic Center Over 13 Years
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Tummy time without the tears: The impact of parent positioning and play
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Melatonin Supplementation in Undetermined Pediatric Deaths
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Pierre Robin sequence causes position-dependent obstructive sleep apnoea in infants
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- Authors
- Moon, R. Y., TASK FORCE ON SUDDEN INFANT DEATH SYNDROME, Darnall, R. A., Feldman-Winter, L., Goodstein, M. H., & Hauck, F. R.
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2016-11-01
- Volume
- 138
- Issue
- 5
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2533090234
- Cited by
- 583
- References
- 388
- Citations by year
- 2026: 22 · 2025: 26 · 2024: 43 · 2023: 42 · 2022: 78 · 2021: 88 · 2020: 86 · 2019: 77 · 2018: 72 · 2017: 44 · 2016: 3
- FWCI
- 6.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Keywords
- sudden infant death syndrome, sleep-related infant death, supine position, soft bedding, breastfeeding, pacifier use, skin-to-skin care, SIDS risk factors
- MeSH terms
- Bedding and Linens, Cause of Death, Environment, Female, Humans, Infant, Infant Mortality, Infant, Newborn, Male, Sleep Wake Disorders, Sudden Infant Death, United States, Prone Position, Practice Guidelines as Topic, Safety Management, Risk Assessment, Evidence-Based Medicine, Advisory Committees, Pacifiers
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