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Breast feeding and the sudden infant death syndrome in Scandinavia, 1992-95.

Journal article
Authors Bernt Alm
Göran Wennergren
Gunnar Norvenius
R Skjaerven
H Lagercrantz
K Helweg-Larsen
L M Irgens
Published in Archives of disease in childhood
Volume 86
Issue 6
Pages 400-2
ISSN 1468-2044
Publication year 2002
Published at Institute for the Health of Women and Children, Dept of Paediatrics
Pages 400-2
Language en
Keywords Breast Feeding, statistics & numerical data, Case-Control Studies, Humans, Infant, Infant, Newborn, Odds Ratio, Prevalence, Scandinavian and Nordic Countries, epidemiology, Sudden Infant Death, epidemiology
Subject categories Public health science, Epidemiology, Pediatrics


To assess the effects of breast feeding habits on sudden infant death syndrome (SIDS).The analyses are based on data from the Nordic Epidemiological SIDS Study, a case-control study in which parents of SIDS victims in the Scandinavian countries between 1 September 1992 and 31 August 1995 were invited to participate, each with parents of four matched controls. The odds ratios presented were computed by conditional logistic regression analysis.After adjustment for smoking during pregnancy, paternal employment, sleeping position, and age of the infant, the adjusted odds ratio (95% CI) was 5.1 (2.3 to 11.2) if the infant was exclusively breast fed for less than four weeks, 3.7 (1.6 to 8.4) for 4-7 weeks, 1.6 (0.7 to 3.6) for 8-11 weeks, and 2.8 (1.2 to 6.8) for 12-15 weeks, with exclusive breast feeding over 16 weeks as the reference. Mixed feeding in the first week post partum did not increase the risk.The study is supportive of a weak relation between breast feeding and SIDS reduction.

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