Document Detail


Breastfeeding and the risk of sudden infant death syndrome.
MedLine Citation:
PMID:  8282468     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The New Zealand Cot Death Study, a multicentre case-control study, was set up to identify risk factors associated with sudden infant death syndrome (SIDS). In the 3 years of the study there were 485 infant deaths classified as SIDS in the study areas and 1800 infants who were randomly selected as controls. Data were collected by parent interviews and from obstetric notes. A full set of data for this analysis was available from 356 cases and 1529 control infants. The relationship between length of any breastfeeding and SIDS was examined: 92% of the controls were initially breastfed compared to 86% of the cases. As time went by, cases stopped breastfeeding sooner than controls: by 13 weeks, 67% controls were breastfed versus 49% cases. A reduced risk for SIDS in breastfed infants persisted during the first 6 months after controlling for confounding demographic, maternal and infant factors. Infants exclusively breastfed 'at discharge from the obstetric hospital' (odds ratio [OR] = 0.52, 95% confidence interval (CI): 0.35-0.71) and during the last 2 days (OR = 0.65, 95% CI: 0.46-0.91) had a significantly lower risk of SIDS than infants not breastfed after controlling for potential confounders. We have shown a substantial association of breastfeeding with a lowered risk for SIDS. This supports the need for more positive promotion and active community support to further enhance the level and length of exclusive breastfeeding.
Authors:
R P Ford; B J Taylor; E A Mitchell; S A Enright; A W Stewart; D M Becroft; R Scragg; I B Hassall; D M Barry; E M Allen
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of epidemiology     Volume:  22     ISSN:  0300-5771     ISO Abbreviation:  Int J Epidemiol     Publication Date:  1993 Oct 
Date Detail:
Created Date:  1994-02-17     Completed Date:  1994-02-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7802871     Medline TA:  Int J Epidemiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  885-90     Citation Subset:  IM    
Affiliation:
Community Paediatric Unit, Christchurch, New Zealand.
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MeSH Terms
Descriptor/Qualifier:
Breast Feeding / statistics & numerical data*
Case-Control Studies
Female
Humans
Infant
Infant Food
Infant, Newborn
New Zealand / epidemiology
Proportional Hazards Models
Regression Analysis
Risk Factors
Sudden Infant Death / epidemiology*,  prevention & control
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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