Document Detail


Maternal smoking: an increasing unique risk factor for sudden infant death syndrome in Sweden.
MedLine Citation:
PMID:  15188973     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To assess the change of risk factors that are specific to sudden infant death syndrome (SIDS) after the initialization of a campaign to reduce the risk (RTR) of SIDS compared to non-SIDS postneonatal deaths. METHODS: Data were extracted from the Swedish Medical Birth Registry, 1982-1991 and 1993-1998. 1105 infants died from SIDS during the postneonatal period. 2115 postneonatal deaths were from other causes and 11,050 live birth controls were selected. Risk factors previously identified to be related to SIDS were defined as high parity, prematurity, young maternal age, low Apgar score, birth during the night, single motherhood, multiple births, maternal smoking, male gender, short length standard deviation score (SDS) and small weight-to-length SDS. RESULTS: Non-SIDS deaths were more significantly related to a low 5-min Apgar score, smaller weight-to-length SDS, and/or short length SDS values; while SIDS deaths were more closely related to mothers with higher parity or multiple births, mothers who smoked during pregnancy and single-parent (mother) families. Maternal smoking was even more prominent among SIDS deaths in the post-campaign period. The adjusted odds ratios, compared with non-SIDS deaths, increased from 1.84 (95% CI: 1.48, 2.28) in the pre-campaign period to 4.11 (95% CI: 2.72, 6.21) in the post-campaign period. CONCLUSIONS: Maternal smoking during pregnancy remains the most important modifiable risk factor for SIDS in the post-campaign period in comparison with non-SIDS postneonatal deaths. Other than putting babies in a supine sleeping position, maternal smoking should be the next most important issue to be considered, if there is to be a second campaign.
Authors:
D S Y Chong; P S F Yip; J Karlberg
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  93     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-06-10     Completed Date:  2004-09-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  471-8     Citation Subset:  IM    
Affiliation:
Clinical Trials Centre, Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, PR China.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Apgar Score
Confidence Intervals
Female
Gestational Age
Humans
Infant, Newborn
Male
Odds Ratio
Parity
Pregnancy
Prevalence
Registries
Risk Factors
Smoking / adverse effects*
Sudden Infant Death / epidemiology,  etiology*,  prevention & control
Sweden / epidemiology
Comments/Corrections
Comment In:
Acta Paediatr. 2004 Apr;93(4):450-2   [PMID:  15188968 ]

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


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