Abstract
Background: In the Netherlands, there is a very low incidence of sudden infant death syndrome (SIDS) due to effective preventive campaigns.
Methods: During the period September 1996 to August 2002, nationwide 161 deaths from SIDS (about 85% of all cases of SIDS during that time) were investigated by the Cot Death Committee of the Dutch Paediatric Association.
Results and Discussion: Over 10% of cases of SIDS took place during some type of child care. From a national survey carried out in 2000/01 information was available on the child care attendance of 2000 Dutch infants aged 3–6 months. Based on the hours usually spent in child care by these infants, the number of similarly aged infants that died from SIDS while attending child care was 4.2 times higher than expected. Remarkably, the prevalence of known risk factors for SIDS, such as sleeping position and parental smoking, was favourable in the SIDS cases in child care settings. The adherence of child care facilities to the safe sleeping recommendations is high in the Netherlands, and no explanation as to why child care settings may be associated with an increased risk of SIDS is apparent. The possibility of other explanations, such as stress and change in routine care, is hypothesised.
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Selected References
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- Engelberts A. C., de Jonge G. A. Choice of sleeping position for infants: possible association with cot death. Arch Dis Child. 1990 Apr;65(4):462–467. doi: 10.1136/adc.65.4.462. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moon R. Y., Biliter W. M., Croskell S. E. Examination of state regulations regarding infants and sleep in licensed child care centers and family child care settings. Pediatrics. 2001 May;107(5):1029–1036. doi: 10.1542/peds.107.5.1029. [DOI] [PubMed] [Google Scholar]
- Moon R. Y., Patel K. M., Shaefer S. J. Sudden infant death syndrome in child care settings. Pediatrics. 2000 Aug;106(2 Pt 1):295–300. doi: 10.1542/peds.106.2.295. [DOI] [PubMed] [Google Scholar]
- Simpson J. M. Infant stress and sleep deprivation as an aetiological basis for the sudden infant death syndrome. Early Hum Dev. 2001 Feb;61(1):1–43. doi: 10.1016/s0378-3782(00)00127-4. [DOI] [PubMed] [Google Scholar]
- 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]
- de Jonge G. A., Engelberts A. C., Koomen-Liefting A. J., Kostense P. J. Cot death and prone sleeping position in The Netherlands. BMJ. 1989 Mar 18;298(6675):722–722. doi: 10.1136/bmj.298.6675.722. [DOI] [PMC free article] [PubMed] [Google Scholar]
- van Velzen-Mol H. W., Burgmeijer R. J., Hofkamp M., den Ouden A. L. Consensus preventie van wiegendood. Centraal Begeleidingsorgaan voor de Intercollegiale Toetsing. Ned Tijdschr Geneeskd. 1997 Sep 13;141(37):1779–1783. [PubMed] [Google Scholar]