Document Detail

Sleeping position and infant bedding may predispose to hyperthermia and the sudden infant death syndrome.
MedLine Citation:
PMID:  2563105     Owner:  NLM     Status:  MEDLINE    
Southern New Zealnd has one of the highest postneonatal mortality rates in the developed world (8.1/1000 livebirths) and 77% of these deaths are attributed to the sudden infant death syndrome (SIDS). Both hyperthermia and sleeping position have previously been implicated in SIDS. A theoretical model to estimate the thermal balance of infants used here shows that the head, and particularly the face, becomes the main route for heat loss when thick clothing and bedding are used. This thermoregulatory role could be compromised by the prone sleeping position. It is postulated that particular cultural combinations of infant care practices (sleeping position, clothing, bedding, and room heating) may facilitate hyperthermia and explain widely disparate rates of SIDS in different countries and ethnic groups.
E A Nelson; B J Taylor; I L Weatherall
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Lancet     Volume:  1     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:  1989 Jan 
Date Detail:
Created Date:  1989-02-23     Completed Date:  1989-02-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  199-201     Citation Subset:  AIM; IM    
Department of Paediatrics and Child Health, University of Otago, Medical School, Dunedin, New Zealand.
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MeSH Terms
Bedding and Linens*
Body Temperature Regulation
Cultural Characteristics
Fever / etiology*
Models, Biological
New Zealand
Skin Temperature
Sudden Infant Death / epidemiology,  ethnology,  etiology*

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