Getting parents to stop smoking during pregnancy and to follow safe sleeping advice is key to tackling sudden unexplained infant deaths, according to an article in this weeks BMJ. The term sudden infant death syndrome (SIDS) was introduced in 1969 as a recognised category of natural death that carried no implication of blame for bereaved parents.
Since then, however, a lot has been learnt about risk factors, such as smoking and the role of parenting in cot death, undermining the popular myth that cot death is a bolt from the blue that can strike any child from any family. So, in a special report, freelance journalist Jonathan Gornall asks whether it is time to stop classifying unexplained infant deaths as SIDS and instead focus on reducing the risks that we now know account for most sudden infant deaths.
In October, Britains leading SIDS research team concluded that maternal smoking during pregnancy already a recognised factor in 90% of cot death cases was directly responsible for 60% of such deaths. The Foundation for the Study of Infant Death endorsed this, saying: If no women smoked in pregnancy, about 60% of cot deaths could be avoided, reducing the number of deaths in the UK from around 300 to 120 a year.
Heeding advice on sleeping position has also had an impact. Since the 1991 Back to Sleep campaign, the number of cases in the UK has fallen by 75%. However, a 2006 study found that the proportion of SIDS babies who died while co-sleeping with their parents had risen from 12% in 1984 to 50% in 2003.