Organizzazione sanitaria
Prevenzione della SIDS: occorre riformulare alcuni messaggi
SIDS PREVENTION: NEED FOR EVIDENCE-BASED INFORMATION
ALBERTO DONZELLI
Direttore del Dipartimento Servizi Sanitari di Base, ASL, Milano
Novembre 2002 - pagg. 589 -594
Abstract
The Author analyses, on the basis of available scientific evidence, the messages conveyed to
parents by a SIDS prevention campaign carried out by the Regional Health Authority in the
Lombardia Region, Italy. Although the main risk factors for SIDS are correctly addressed in
the information material, a few messages should be revised. Avoidance of co-sleeping, in particular,
does not seem to be based on evidence. Discouraging mothers who smoke from
breastfeeding is an inappropriate extension of the correct message that mothers should breastfeed
and avoid smoking.The Author also questions the priority given, within the same campaign,
to ECG screening, since this may divert attention from public health measures which,
if effectively implemented at population level, can decrease the current SIDS incidence ( current
estimates for Italy are about 0.5-0.6 per thousand) as much as 90%.
Classificazione MeSH
Bibliografia
1. Ball HL, et al. Where will the babies sleep?
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2. Blair PS, et al. Babies sleeping with parents: case-control study of factors influencing the risk of the sudden infant death syndrome. BMJ 1999;319:1457-61.
3. Blair P, Fleming P. Babes sleepig with parents and SIDS. BMJ (letters) 2000;321:1019.
4. Barry H, Paxson LM. Infancy and early childhood; cross-cultural codes 2. Ethology 1971;10:466-508.
5. Bradford DG, et al. Association Betveen SIDS and Prone Sleep Position, Bed Sharing, and Sleeping Outside an Infant Crib in Alaska. Pediatrics 2001;108(4):923-7.
6. Brooke H, et al. Case-central study of SIDS in Scotland, 1992-5. BMJ 1997;314:1516.
7. Buzzetti R, Ronfani L. Evidenze sulla SIDS. Medico e Bambino 2000;19:223-33.
8. Davies DP. Cot death in Hong Kong. A rare problem? Lancet 1985;ii:1346-7.
9. Gantler M, et al. SIDS: link with infant care practics. BMJ 1993;306:16-20.
10. Hanck FR, Hunt CE. SIDS in 2000. Current Problems in Pediatrics 2000;30:8.
11. Fleming PJ, et al. Environment of infants during sleep and risk of the sudden infant death syndrome: result from 1993-1995 casecontrol study for confidential inquiry into stillbirths and deaths in infancy. BMJ 1996;313: 191-5.
12. Flick L, et al. Sleep position and the use of soft bedding during bed among African American infants at increased risk for SIDS. J Pediatr 2001;138(3):338-43.
13. Fredrickson DD, et al. Relationship of SIDS of breast-feeding duration and intensity. Am J Dis Child 1993;147:460.
14. Hauck FR, et al. Bedsharing promotes breastfeeding and AAP Task Force on Infant Positioning and SIDS. Pediatrics 1998;102: 662-3.
15. Lozoff B, Britenhan G. Infant care: cache or carry. J Pediatr 1979;95:478-83.
16. Klonoff-Cohen HS, et al. A case-control study of routine and death scene sleep position and sudden infant death syndrome in Southern California. JAMA 1995;273:790-4.
17. Klonoff-Cohen H, Lam-Kruglick P. Maternal and Paternal Recreational Drug USA and SIDS in child Care Settings. Pediatrics Adolesc Med 2001;155:765-70.
18. Klonoff-Cohen HS, et al. The effect of passive smoking and exposure throgh breast milk on SIDS. JAMA 1995;273(10):795-8.
19. Lu NY, et al. SIDS in Hong Kong: confirmation of low incidence. BMJ 1989;298:721.
20. Matroiacovo P, et al. Prevenzione primaria della SIDS. Le evidenze disponibili per fornire raccomandazioni ai genitori. Prospettive in Pediatria 2000;30:289-301.
21. McKenna JJ. The potential benefits of infant- parent cosleep in relation to SIDS prevention: overview and critique of epidemiological been sharing studies. In: Rognum TO (ed.). Sudden Infant Death Syndrome: New Trends in the 90’s Oslo, Norway: Scandinavia University Press, 1995.
22. McKenna JJ. Sudden infant death sindrome in cross-cultural perspective. Is infant-parent cosleeping protective? Ann Rev Antropol 1996;25:201-16.
23. McKenna JJ. Bed-sharing promotes breastfeeding. Pediatrics 1998;102:662-4.
24. McKenna JJ, et al. Bedsharig promotes Breastfeedig. Pediatrics 1997;100(2):214-9.
25. Mitchell EA, Milerad J. Smoking and SIDS. In: International consultation on ETS and child health. Geneva: WHO, 1999:105-29.
26. Mitchell EA, et al. Elsevier Science Ireland Ltd., 1994.
27. Mitchell EA, et al. Risk factors for sudden infant death syndrome following the prevention campaign in New Zealand: a prospective study. Pediatrics 1997;100:835-40.
28. Mitchell EA, et al. Observation on ethnic differences in SIDS mortality in New Zealand. Early Human Dev 1994;38:151-7.
29. Moon R, et al. SIDS in child care setting. Pediatrics 2000;106:295-300.
30. Mosko S, et al. Infant sleep architecture during bedsharing and possible implications for SIDS. Sleep 1996;19:677-84.
31. Mosko S, et al. Parent infant co-sleeping: the appropriate context for the study of infant sleep and implications for the sudden infant death sydrome (SIDS) research. J Behav Med 1993;16:589-610.
32. Person S, et al. Parallel Incidences of SIDS and Infantile Hypertrophics Pyloric Stenosis. A Common Cause? Pediatrics 2001;107:4.
33. Ponsonby AL, et al. Thermal environment and SIDS: case-control study. BMJ 1992;304: 277-82.
34. Scragg R, et al. Public health policy on bed sharing and smoking in the SIDS. N Engl J Med 1995;108:218.
35. Shubiger G, et al. UNICEF/WHO babyfriendly hospital initiative: does the use of bottles and pacifiers in the neonathal mursery prevent successful beastfeeding? Neonatal Study Group. Eur J Pediatrics 1997;156,11:874-7.
36. Takeda KA. A possible mechanism of sudden infant death sindrome (SIDS). J Kyoto Prefecture University Med 1987;96:965-8.
37. Tuohy P, et al. Ann Dis Child 1993;69:664-6.
38. Willinger M, et al. Sleep environment: the NICHD SIDS Cooperative Epidemiological Study (Abstract). Presented at the Fourth SIDS International Conference; Washington, DC; June 23-26, 1996.
39. World Health Organization. Infant feeding - The physiological basis. Bulletin, Suppl. 67, 1989.
2. Blair PS, et al. Babies sleeping with parents: case-control study of factors influencing the risk of the sudden infant death syndrome. BMJ 1999;319:1457-61.
3. Blair P, Fleming P. Babes sleepig with parents and SIDS. BMJ (letters) 2000;321:1019.
4. Barry H, Paxson LM. Infancy and early childhood; cross-cultural codes 2. Ethology 1971;10:466-508.
5. Bradford DG, et al. Association Betveen SIDS and Prone Sleep Position, Bed Sharing, and Sleeping Outside an Infant Crib in Alaska. Pediatrics 2001;108(4):923-7.
6. Brooke H, et al. Case-central study of SIDS in Scotland, 1992-5. BMJ 1997;314:1516.
7. Buzzetti R, Ronfani L. Evidenze sulla SIDS. Medico e Bambino 2000;19:223-33.
8. Davies DP. Cot death in Hong Kong. A rare problem? Lancet 1985;ii:1346-7.
9. Gantler M, et al. SIDS: link with infant care practics. BMJ 1993;306:16-20.
10. Hanck FR, Hunt CE. SIDS in 2000. Current Problems in Pediatrics 2000;30:8.
11. Fleming PJ, et al. Environment of infants during sleep and risk of the sudden infant death syndrome: result from 1993-1995 casecontrol study for confidential inquiry into stillbirths and deaths in infancy. BMJ 1996;313: 191-5.
12. Flick L, et al. Sleep position and the use of soft bedding during bed among African American infants at increased risk for SIDS. J Pediatr 2001;138(3):338-43.
13. Fredrickson DD, et al. Relationship of SIDS of breast-feeding duration and intensity. Am J Dis Child 1993;147:460.
14. Hauck FR, et al. Bedsharing promotes breastfeeding and AAP Task Force on Infant Positioning and SIDS. Pediatrics 1998;102: 662-3.
15. Lozoff B, Britenhan G. Infant care: cache or carry. J Pediatr 1979;95:478-83.
16. Klonoff-Cohen HS, et al. A case-control study of routine and death scene sleep position and sudden infant death syndrome in Southern California. JAMA 1995;273:790-4.
17. Klonoff-Cohen H, Lam-Kruglick P. Maternal and Paternal Recreational Drug USA and SIDS in child Care Settings. Pediatrics Adolesc Med 2001;155:765-70.
18. Klonoff-Cohen HS, et al. The effect of passive smoking and exposure throgh breast milk on SIDS. JAMA 1995;273(10):795-8.
19. Lu NY, et al. SIDS in Hong Kong: confirmation of low incidence. BMJ 1989;298:721.
20. Matroiacovo P, et al. Prevenzione primaria della SIDS. Le evidenze disponibili per fornire raccomandazioni ai genitori. Prospettive in Pediatria 2000;30:289-301.
21. McKenna JJ. The potential benefits of infant- parent cosleep in relation to SIDS prevention: overview and critique of epidemiological been sharing studies. In: Rognum TO (ed.). Sudden Infant Death Syndrome: New Trends in the 90’s Oslo, Norway: Scandinavia University Press, 1995.
22. McKenna JJ. Sudden infant death sindrome in cross-cultural perspective. Is infant-parent cosleeping protective? Ann Rev Antropol 1996;25:201-16.
23. McKenna JJ. Bed-sharing promotes breastfeeding. Pediatrics 1998;102:662-4.
24. McKenna JJ, et al. Bedsharig promotes Breastfeedig. Pediatrics 1997;100(2):214-9.
25. Mitchell EA, Milerad J. Smoking and SIDS. In: International consultation on ETS and child health. Geneva: WHO, 1999:105-29.
26. Mitchell EA, et al. Elsevier Science Ireland Ltd., 1994.
27. Mitchell EA, et al. Risk factors for sudden infant death syndrome following the prevention campaign in New Zealand: a prospective study. Pediatrics 1997;100:835-40.
28. Mitchell EA, et al. Observation on ethnic differences in SIDS mortality in New Zealand. Early Human Dev 1994;38:151-7.
29. Moon R, et al. SIDS in child care setting. Pediatrics 2000;106:295-300.
30. Mosko S, et al. Infant sleep architecture during bedsharing and possible implications for SIDS. Sleep 1996;19:677-84.
31. Mosko S, et al. Parent infant co-sleeping: the appropriate context for the study of infant sleep and implications for the sudden infant death sydrome (SIDS) research. J Behav Med 1993;16:589-610.
32. Person S, et al. Parallel Incidences of SIDS and Infantile Hypertrophics Pyloric Stenosis. A Common Cause? Pediatrics 2001;107:4.
33. Ponsonby AL, et al. Thermal environment and SIDS: case-control study. BMJ 1992;304: 277-82.
34. Scragg R, et al. Public health policy on bed sharing and smoking in the SIDS. N Engl J Med 1995;108:218.
35. Shubiger G, et al. UNICEF/WHO babyfriendly hospital initiative: does the use of bottles and pacifiers in the neonathal mursery prevent successful beastfeeding? Neonatal Study Group. Eur J Pediatrics 1997;156,11:874-7.
36. Takeda KA. A possible mechanism of sudden infant death sindrome (SIDS). J Kyoto Prefecture University Med 1987;96:965-8.
37. Tuohy P, et al. Ann Dis Child 1993;69:664-6.
38. Willinger M, et al. Sleep environment: the NICHD SIDS Cooperative Epidemiological Study (Abstract). Presented at the Fourth SIDS International Conference; Washington, DC; June 23-26, 1996.
39. World Health Organization. Infant feeding - The physiological basis. Bulletin, Suppl. 67, 1989.