sids_flashcards

1
Q

What is the commonest cause of death in the first year of life?

A

Sudden infant death syndrome (SIDS).

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2
Q

At what age is sudden infant death syndrome (SIDS) most common?

A

At 3 months of age.

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3
Q

What are the major risk factors for SIDS?

A

Putting the baby to sleep prone, parental smoking, prematurity, bed sharing, hyperthermia or head covering.

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4
Q

How does putting the baby to sleep prone affect the risk of SIDS?

A

The relative risk or odds ratio varies from 3.5 - 9.3. If not accustomed to prone sleeping, the odds ratio increases to 8.7-45.4.

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5
Q

How does parental smoking affect the risk of SIDS?

A

Studies suggest this increases the risk up to 5 fold.

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6
Q

How does prematurity affect the risk of SIDS?

A

4-fold increased risk.

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7
Q

How does bed sharing affect the risk of SIDS?

A

Odds ratio 5.1.

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8
Q

How does hyperthermia or head covering affect the risk of SIDS?

A

Hyperthermia or head covering increases the risk.

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9
Q

What are some other risk factors for SIDS?

A

Male sex, multiple births, social classes IV and V, maternal drug use, incidence increases in winter.

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10
Q

What are the protective factors against SIDS?

A

Breastfeeding, room sharing (but not bed sharing), the use of dummies (pacifiers).

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11
Q

What should be done for siblings following a cot death?

A

Siblings should be screened for potential sepsis and inborn errors of metabolism.

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