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Area-based study shows most parents follow advice to reduce risk of sudden infant death syndrome.

Journal article
Authors Frida Strömberg Celind
Göran Wennergren
Per Möllborg
Emma Goksör
Bernt Alm
Published in Acta Paediatrica
Volume 104
Issue 4
Pages 579–585
ISSN 0803-5253
Publication year 2017
Published at Institute of Clinical Sciences, Department of Pediatrics
Pages 579–585
Language en
Keywords Bed sharing, prone sleeping position, side sleeping position, smoking, sudden infant death syndrome
Subject categories Public health science, Epidemiology, Pediatrics


Guidance on reducing the risk of sudden infant death syndrome (SIDS) was successfully introduced to a number of countries in the early 1990s. The most important recommendations were supine sleeping for infants and non-smoking for mothers. This 2012-2014 study examined adherence to the national Swedish SIDS advice.We asked 1,000 parents with infants registered at child healthcare centres in western Sweden to complete a questionnaire on infant care from birth to 12 months of age.We analysed 710 responses and found that, in the first three months, 1.3% of the infants were placed in the prone sleeping position and 14.3% were placed on their side. By three to five months this had risen to 5.6% and 23.6%. In the first three months, 83.1% were breastfed, 84.1% used a pacifier and 44.2% shared their parents' bed, while 5.8% slept in another room. Bed sharing was more likely if infants were breastfed and less likely if they used pacifiers. During pregnancy, 2.8% of the mothers smoked and the mothers who had smoked during pregnancy were less likely to bed share.Overall adherence to the SIDS advice was good, but both prone and side sleeping practices should be targeted. This article is protected by copyright. All rights reserved.

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