SIDS is the sudden and unexpected death in an infant or a toddler from 2 weeks to 1 year of life, in which the autopsy and the investigation of the death of locality as well as the clinical history can be recognizable no cause.

Sudden Infant Death Syndrome (SIDS) is the leading cause of death in children between 2 weeks and 1 year and is responsible for 35-55% of all deaths in this age group. The statistics of cot death in the US is at 0.5 of every 1,000 births, although there are ethnic differences: African American children and Indian origin have a double risk. The summit is located between the 2nd and 4th month. Almost all the deaths occurred a while the child appeared to be sleeping.

SIDS is the sudden and unexpected death in an infant or a toddler from 2 weeks to 1 year of life, in which the autopsy and the investigation of the death of locality as well as the clinical history can be recognizable no cause. Sudden Infant Death Syndrome (SIDS) is the leading cause of death in children between 2 weeks and 1 year and is responsible for 35-55% of all deaths in this age group. The statistics of cot death in the US is at 0.5 of every 1,000 births, although there are ethnic differences: African American children and Indian origin have a double risk. The summit is located between the 2nd and 4th month. Almost all the deaths occurred a while the child appeared to be sleeping. Etiology The cause is unknown, although a dysfunction of neural, cardiorespiratory control mechanism is suspected. The dysfunction can occur intermittently or temporarily, and it seems multiple mechanisms to be involved. Among the factors that may be involved include: insufficient Aufwachimpuls of the child, a lack of recognition of increased CO2 in the blood and cardiac Kanalopathie that affects the heart rhythm. A history of victims of SIDS from an apnea episode is reported before her death, so that it can be assumed that the patient group of children with SIDS and one with recurrent prolonged apnea hardly overlap at less than 5%. Risk Factors The association between a sleeping position in the prone position and an increased risk of SIDS has been heavily documented. When other risk factors (see p. Risk factors for sudden infant death syndrome (SIDS)) are old, unsecured beds, soft mattresses and blankets (wool), water bed mattress, sleeping in the parental bed called (sleep behavior in infants and children), smoking in the home environment and overheated rooms , Siblings of children who die of SIDS have a five times greater risk of dying from SIDS. However, it is not clear whether this suggests that genetics or environment (including a possible abuse) as a cause. Many risk factors for SIDS also apply not caused by SIDS deaths. Risk factors for sudden infant death syndrome (SIDS) African or Indian ethnicity sleeping in the parental bed Cold temperatures / winter episodes of apnea with required revive growth arrest Increased parity Low birth weight Low socio-economic environment Male sex maternal age <20 years Maternal medication during pregnancy Maternal smoking during pregnancy No Dummy old or unsafe cribs overheating (eg. As thick blankets, overheated room) Inadequate prenatal care Premature birth sleeping position in the prone position * Current disease Short distance between pregnancies siblings of SIDS victims smoking in apartment soft mattress Waterbed mattress * Most importantly. Diagnostic exclusion of other causes autopsy Diagnosis is ultimately a diagnosis of exclusion and can only be made for an adequate autopsy, therefore when other causes of sudden and unexpected death does not exist (eg. As intracranial hemorrhage, meningitis, myocarditis). An autopsy is required in many countries. Also, the advisory team should look at (including social workers) the likelihood of choking or trauma nichtakzidentiellen with caution. One concern for this etiology should be increased if the affected child outside the highest-risk age group (1-5 months) was or died another child in the family of SIDS or frequent life-threatening events had (ALTE apparently life-threatening event (ALTE) ). Measures parents who have lost a child through SIDS, are desperate and totally unprepared for this tragic situation. Since a definitive reason for the child's death can not be found, they often have excessive guilt, which will be reinforced by demands from police, social workers and others. Family members need not only in the days immediately after the death of the child, but a few months beyond help and support to cope with their grief and guilt. So should, whenever possible, take place an immediate home visit to record the exact circumstances under which it came to the death of the child, and advise parents on the possible cause of death and calm. A post-mortem examination should be performed as soon as possible. As soon as the first results are fixed (usually within 12 hours), they should be passed on to parents. Some specialists recommend several home visits in the first month, to continue the earlier discussion to answer questions and tell the family the final autopsy results. At the last meeting, it is appropriate to talk with the parents about their attitude to this loss, especially about their attitude to get more children. The advice and support can be specially trained nurses or members of self-help groups, which themselves suffered a similar fate and found a setting to SIDS have to be transferred. Under www.sids.org there to more information. (N. D. Talk .: A German counseling center can be found at www.sids.de). Prevention The American Academy of Pediatrics (s Technical Report SIDS and Other Sleep-Related Infant Deaths:. Expansion of Recommendations for a Safe Infant Sleeping Environment) recommends that infants before going to sleep in the supine position (s Safe to SleepĀ® campaign.) Are brought unless other conditions prevent this. Side sleeping or support is too unstable. The incidence of SIDS increases with overheating (eg. As clothing, blankets, rooms) and cold weather. Therefore it should be ensured that the rooms are not overheated or too cold, the children are not attracted to warm, that soft sleeping mats such as sheep wool blankets, pillows, plush toys, stuffed animals and blankets be removed. A pacifier may be helpful because they help to open the airways. Mothers should not smoke during pregnancy and children should not be exposed to smoke. The parents should not let her sleep in her bed the child. Breastfeeding should be promoted in order to prevent infection. There is no evidence that the application of apnea monitoring devices reduce the incidence of SIDS. They are therefore not recommended for prevention. Summary Specific causes, including child abuse must be excluded by clinical investigation and autopsy. The etiology is unclear, although a number of risk factors have been identified. The most important modifiable risk factors include the sleeping position on the abdomen, along with the sleeping in the parental bed and sleeping on a soft mattress or an unsecured bed. Episodes of apnea and OLD not seem to be among the risk factors.

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