Neonatology - Sudden Infant Death Syndrome

Question 1

When does SIDS usually occur?

Answer 1

Within first 6 months

Question 2

What are the risk factors for cot death?

Answer 2

Prematurity
Low birth weight
Smoking during pregnancy
Male (only slight increased risk)

Question 3

How is cot death risk reduced?

Answer 3

• Put baby on back when not directly supervised
• Head uncovered
• Feet at foot of the bed to prevent them sliding down and under blanket
• Keep cot clear of lots of toys and blankets
• Comfortable temperature
• Avoid smoking
• Avoid handling baby after smoking
• Avoid co-sleeping, on sofa or chair
• If co-sleeping avoid alcohol, drugs, smoking, sleeping tablets or deep sleepers

Question 4

How do you counsel a parent worried about SIDS?

Answer 4

Empathise and be understanding of their anxiety

Give advice that does not imply blame and non-judgemental

Talk about things which increase risk but not cause it

Frame in a positive way, e.g. lots of things to reduce risk

Question 5

What support is available for SIDS?

Answer 5

Lullaby trust

Charity to help support families affected

Bereavement services and counselling

Question 6

What is the CONI team?

Answer 6

Care of next infant

Supports parents with next infant after a cot death

Provides extra support and home visits, resuscitation training and access to equipment e.g. movement monitors that alarm if baby stops breathing for a prolonged period