Document Detail


Maternal and obstetric risk factors for sudden infant death syndrome in the United States.
MedLine Citation:
PMID:  15051553     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objectives of this study were to 1). study the incidence of sudden infant death syndrome (SIDS) among singleton births in the United States and 2). identify maternal and obstetric risk factors for SIDS. METHODS: A cohort of all live births in the United States from 1995 to 1998, formed the source population (n = 15627404). The data were obtained from the National Centers for Health Statistics Linked Births and Infant Deaths File. A nested case-control study was used to examine risk factors for SIDS. From this birth cohort, all SIDS deaths (n = 12404) were first identified (case group). From the remaining non-SIDS births, a 4-fold larger sample (n = 49616) was randomly selected as a control group. RESULTS: The overall incidence of SIDS was 81.7 per 100000 live births. More mothers in the case group than in the control group were reported to have placenta previa (odds ratio [OR]: 1.70; 95% confidence interval [CI] 1.24, 2.33), abruptio placentae (OR 1.57; 95% CI 1.24, 1.98), premature rupture of membranes (OR 1.48; 95% CI 1.33, 1.66), or small for gestational age (OR 1.40; 95% CI 1.30, 1.50 for the 10th percentile). SIDS cases were also more likely to be male. Mothers of cases were more likely to be younger, less educated, and nonwhite, and more of them smoked during pregnancy and did not attend prenatal care. CONCLUSION: This analysis confirms the importance of several well known demographic and lifestyle risk factors for SIDS. In addition, placental abnormalities were risk factors for SIDS. LEVEL OF EVIDENCE: II-2
Authors:
Darios Getahun; Devendra Amre; George G Rhoads; Kitaw Demissie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  103     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-03-30     Completed Date:  2004-05-12     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  646-52     Citation Subset:  AIM; IM    
Affiliation:
Department of Family Medicine, University of Medicine and Dentistry (UMDNJ)-Robert Wood Johnson Medical School, New Brunswick, New Jersey 08903-0019, USA. getahuda@umdnj.edu
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Case-Control Studies
Cohort Studies
Confounding Factors (Epidemiology)
Female
Humans
Infant
Infant Mortality
Infant, Newborn
Male
Maternal Age
Maternal Behavior*
Perinatal Care*
Pregnancy
Pregnancy Complications*
Prenatal Care*
Risk Factors
Smoking*
Socioeconomic Factors
Sudden Infant Death / epidemiology,  etiology*
United States / epidemiology

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


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