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. 1998 Nov;79(5):386–393. doi: 10.1136/adc.79.5.386

Case-control study of current validity of previously described risk factors for SIDS in the Netherlands

M l'Hoir 1, A Engelberts 1, G T J van Well 1, P Westers 1, G Mellenbergh 1, W Wolters 1, J Huber 1
PMCID: PMC1717734  PMID: 10193249

Abstract

This study aimed to assess whether previously established risk factors for sudden infant death syndrome (SIDS) are still valid now that the incidence in the Netherlands has dropped to 0.26per 1000 liveborn infants. A distinction was made between immutable and mutable risk factors. This case-control study (part of the European Concerted Action on SIDS) comprised 73 SIDS cases and 146 controls and lasted from March 1995 to September 1996. Adjustments were made for sleeping position and bedding factors by treating them as covariables. Apart from these factors, well known risk factors that remain of importance in the Netherlands are: male sex, young maternal age, twins, and low socioeconomic status. These factors are largely immutable. Other well known risk factors which might reflect attitudes to child care and could possibly be mutable are: smoking, alcohol consumption by the mother, bottle feeding, and change of babycare routine. Intervention strategies should focus on early signalling, thereby assisting parents in changing these unfavourable parenting attitudes. Information on optimal child care and extra support by public health nurses specifically aimed at families at risk could help to decrease further the incidence of SIDS in the Netherlands.



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Selected References

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  1. Beckwith J. B. The sudden infant death syndrome. Curr Probl Pediatr. 1973 Jun;3(8):1–36. [PubMed] [Google Scholar]
  2. Blair P. S., Fleming P. J., Bensley D., Smith I., Bacon C., Taylor E., Berry J., Golding J., Tripp J. Smoking and the sudden infant death syndrome: results from 1993-5 case-control study for confidential inquiry into stillbirths and deaths in infancy. Confidential Enquiry into Stillbirths and Deaths Regional Coordinators and Researchers. BMJ. 1996 Jul 27;313(7051):195–198. doi: 10.1136/bmj.313.7051.195. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Cnattingius S., Nordström M. L. Maternal smoking and feto-infant mortality: biological pathways and public health significance. Acta Paediatr. 1996 Dec;85(12):1400–1402. doi: 10.1111/j.1651-2227.1996.tb13943.x. [DOI] [PubMed] [Google Scholar]
  4. Daltveit A. K., Vollset S. E., Otterblad-Olausson P., Irgens L. M. Infant mortality in Norway and Sweden 1975-88: a cause-specific analysis of an increasing difference. Paediatr Perinat Epidemiol. 1997 Apr;11(2):214–227. doi: 10.1046/j.1365-3016.1997.d01-14.x. [DOI] [PubMed] [Google Scholar]
  5. Douglas A. S., Allan T. M., Helms P. J. Seasonality and the sudden infant death syndrome during 1987-9 and 1991-3 in Australia and Britain. BMJ. 1996 Jun 1;312(7043):1381–1383. doi: 10.1136/bmj.312.7043.1381a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Eriksen W. Breastfeeding, smoking and the presence of the child's father in the household. Acta Paediatr. 1996 Nov;85(11):1272–1277. doi: 10.1111/j.1651-2227.1996.tb13910.x. [DOI] [PubMed] [Google Scholar]
  7. Fleming P. J., Blair P. S., Bacon C., Bensley D., Smith I., Taylor E., Berry J., Golding J., Tripp J. Environment of infants during sleep and risk of the sudden infant death syndrome: results of 1993-5 case-control study for confidential inquiry into stillbirths and deaths in infancy. Confidential Enquiry into Stillbirths and Deaths Regional Coordinators and Researchers. BMJ. 1996 Jul 27;313(7051):191–195. doi: 10.1136/bmj.313.7051.191. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Gilbert R. E., Wigfield R. E., Fleming P. J., Berry P. J., Rudd P. T. Bottle feeding and the sudden infant death syndrome. BMJ. 1995 Jan 14;310(6972):88–90. doi: 10.1136/bmj.310.6972.88. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Gilbert R., Rudd P., Berry P. J., Fleming P. J., Hall E., White D. G., Oreffo V. O., James P., Evans J. A. Combined effect of infection and heavy wrapping on the risk of sudden unexpected infant death. Arch Dis Child. 1992 Feb;67(2):171–177. doi: 10.1136/adc.67.2.171. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Hedegaard M., Henriksen T. B., Sabroe S., Secher N. J. Psychological distress in pregnancy and preterm delivery. BMJ. 1993 Jul 24;307(6898):234–239. doi: 10.1136/bmj.307.6898.234. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Jonge G. A., Engelberts A. C., Kostense P. J. Wiegendood in secundaire buikligging; kenmerken en preventie. Ned Tijdschr Geneeskd. 1996 Sep 21;140(38):1890–1894. [PubMed] [Google Scholar]
  12. Kahn A., Blum D. Phenothiazines and sudden infant death syndrome. Pediatrics. 1982 Jul;70(1):75–78. [PubMed] [Google Scholar]
  13. Kandall S. R., Gaines J., Habel L., Davidson G., Jessop D. Relationship of maternal substance abuse to subsequent sudden infant death syndrome in offspring. J Pediatr. 1993 Jul;123(1):120–126. doi: 10.1016/s0022-3476(05)81554-9. [DOI] [PubMed] [Google Scholar]
  14. Kelmanson I. A. An assessment of behavioural characteristics in infants who died of sudden infant death syndrome using the Early Infancy Temperament Questionnaire. Acta Paediatr. 1996 Aug;85(8):977–980. doi: 10.1111/j.1651-2227.1996.tb14197.x. [DOI] [PubMed] [Google Scholar]
  15. Kinney H. C., Filiano J. J., Sleeper L. A., Mandell F., Valdes-Dapena M., White W. F. Decreased muscarinic receptor binding in the arcuate nucleus in sudden infant death syndrome. Science. 1995 Sep 8;269(5229):1446–1450. doi: 10.1126/science.7660131. [DOI] [PubMed] [Google Scholar]
  16. Klonoff-Cohen H. S., Edelstein S. L., Lefkowitz E. S., Srinivasan I. P., Kaegi D., Chang J. C., Wiley K. J. The effect of passive smoking and tobacco exposure through breast milk on sudden infant death syndrome. JAMA. 1995 Mar 8;273(10):795–798. doi: 10.1001/jama.1995.03520340051035. [DOI] [PubMed] [Google Scholar]
  17. MacDorman M. F., Cnattingius S., Hoffman H. J., Kramer M. S., Haglund B. Sudden infant death syndrome and smoking in the United States and Sweden. Am J Epidemiol. 1997 Aug 1;146(3):249–257. doi: 10.1093/oxfordjournals.aje.a009260. [DOI] [PubMed] [Google Scholar]
  18. McCulloch K. Neonatal problems in twins. Clin Perinatol. 1988 Mar;15(1):141–158. [PubMed] [Google Scholar]
  19. Mitchell E. A., Nelson K. P., Thompson J. M., Stewart A. W., Taylor B. J., Ford R. P., Scragg R., Becroft D. M., Allen E. A., Hassall I. B. Travel and changes in routine do not increase the risk of sudden infant death syndrome. Acta Paediatr. 1994 Aug;83(8):815–818. doi: 10.1111/j.1651-2227.1994.tb13151.x. [DOI] [PubMed] [Google Scholar]
  20. Mitchell E. A., Stewart A. W., Ford R. P. Bottle feeding and the sudden infant death syndrome. BMJ. 1995 Jul 8;311(6997):122–123. doi: 10.1136/bmj.311.6997.122c. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Mitchell E. A., Taylor B. J., Ford R. P., Stewart A. W., Becroft D. M., Thompson J. M., Scragg R., Hassall I. B., Barry D. M., Allen E. M. Dummies and the sudden infant death syndrome. Arch Dis Child. 1993 Apr;68(4):501–504. doi: 10.1136/adc.68.4.501. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Mitchell E. A., Thompson J. M., Stewart A. W., Webster M. L., Taylor B. J., Hassall I. B., Ford R. P., Allen E. M., Scragg R., Becroft D. M. Postnatal depression and SIDS: a prospective study. J Paediatr Child Health. 1992;28 (Suppl 1):S13–S16. doi: 10.1111/j.1440-1754.1992.tb02724.x. [DOI] [PubMed] [Google Scholar]
  23. Oyen N., Markestad T., Skaerven R., Irgens L. M., Helweg-Larsen K., Alm B., Norvenius G., Wennergren G. Combined effects of sleeping position and prenatal risk factors in sudden infant death syndrome: the Nordic Epidemiological SIDS Study. Pediatrics. 1997 Oct;100(4):613–621. doi: 10.1542/peds.100.4.613. [DOI] [PubMed] [Google Scholar]
  24. Oyen N., Skjaerven R., Little R. E., Wilcox A. J. Fetal growth retardation in sudden infant death syndrome (SIDS) babies and their siblings. Am J Epidemiol. 1995 Jul 1;142(1):84–90. doi: 10.1093/oxfordjournals.aje.a117549. [DOI] [PubMed] [Google Scholar]
  25. Rutter D. R., Quine L. Inequalities in pregnancy outcome: a review of psychosocial and behavioural mediators. Soc Sci Med. 1990;30(5):553–568. doi: 10.1016/0277-9536(90)90154-k. [DOI] [PubMed] [Google Scholar]
  26. Sasaki C. T., Levine P. A., Laitman J. T., Crelin E. S., Jr Postnatal descent of the epiglottis in man. A preliminary report. Arch Otolaryngol. 1977 Mar;103(3):169–171. doi: 10.1001/archotol.1977.00780200095011. [DOI] [PubMed] [Google Scholar]
  27. Schoendorf K. C., Kiely J. L. Relationship of sudden infant death syndrome to maternal smoking during and after pregnancy. Pediatrics. 1992 Dec;90(6):905–908. [PubMed] [Google Scholar]
  28. Scragg R. K., Mitchell E. A., Stewart A. W., Ford R. P., Taylor B. J., Hassall I. B., Williams S. M., Thompson J. M. Infant room-sharing and prone sleep position in sudden infant death syndrome. New Zealand Cot Death Study Group. Lancet. 1996 Jan 6;347(8993):7–12. doi: 10.1016/s0140-6736(96)91554-8. [DOI] [PubMed] [Google Scholar]
  29. de Jonge G. A., Burgmeijer R. J., Engelberts A. C., Hoogenboezem J., Kostense P. J., Sprij A. J. Sleeping position for infants and cot death in The Netherlands 1985-91. Arch Dis Child. 1993 Dec;69(6):660–663. doi: 10.1136/adc.69.6.660. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. de Jonge G. A., Hoogenboezem J. Wiegedood in Nederland in de periode 1980-1993. Ned Tijdschr Geneeskd. 1994 Oct 22;138(43):2133–2137. [PubMed] [Google Scholar]

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