The recommendations are based on epidemiologic studies that include infants up to 1 year of age.Therefore, recommendations for sleep position and the sleep environment, unless otherwise specified, are for the first year after birth.Infants should be immunized in accordance with recommendations of the AAP and Centers for Disease Control and Prevention.There is no evidence that there is a causal relationship between immunizations and SIDS.12.After case investigation, SUID can be attributed to suffocation, asphyxia, entrapment, infection, ingestions, metabolic diseases, arrhythmia-associated cardiac channelopathies, and trauma (unintentional or nonaccidental).SIDS is a subcategory of SUID and is a cause assigned to infant deaths that cannot be explained after a thorough case investigation, including a scene investigation, autopsy, and review of the clinical history.Many of the modifiable and nonmodifiable risk factors for SIDS and other sleep-related infant deaths are strikingly similar.
There is evidence that sleeping in the parents’ room but on a separate surface decreases the risk of SIDS by as much as 50%.11.
Approximately 3500 infants die annually in the United States from sleep-related infant deaths, including sudden infant death syndrome (SIDS; International Classification of Diseases, 10th Revision [ICD-10], R95), ill-defined deaths (ICD-10 R99), and accidental suffocation and strangulation in bed (ICD-10 W75).
After an initial decrease in the 1990s, the overall death rate attributable to sleep-related infant deaths has not declined in more recent years.
The evidence-based recommendations that follow are provided to guide health care providers in conversations with parents and others who care for infants.
Health care providers are encouraged to have open and nonjudgmental conversations with families about their sleep practices.
In addition, because certain behaviors, such as smoking, can increase risk for the infant, some recommendations are directed toward women who are pregnant or may become pregnant in the near future.