Document Detail


Sudden unexpected infant death and bedsharing: referrals to the Wellington Coroner 1997-2006.
MedLine Citation:
PMID:  19680305     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To describe the factors associated with sudden unexpected infant deaths, for which there was no clear medical diagnosis, referred to the Wellington-based coronial paediatric pathology service over the decade from 1997 to 2006. METHODS: The postmortem report, Police 47 file, Coroner's findings and deceased infant's medical records were used to create a profile for each sudden and unexpected infant death. RESULTS: There were 64 deaths in the period: 54 of these occurred during sleep and did not have a clear medical diagnosis. Maori and Pacific infants and infants from low decile areas were over-represented in the group. The majority (88.7%) of infants were < 6 months of age at death. Overall, 50% of infants had been placed to sleep in a non-recommended sleep position and 38% usually slept in a non-recommended location. Bedsharing was associated with 53.7% of deaths. There was a significant association between bedsharing and being found dead on a Sunday morning (p=0.04). CONCLUSION: Sudden unexpected death in infancy is associated with unsafe sleep environments and sleep positions. Every effort should be made to ensure that information about safe infant sleep practices reaches the caregivers of those particularly at risk.
Authors:
Alistair Escott; Dawn E Elder; Jane M Zuccollo
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-07-03
Journal Detail:
Title:  The New Zealand medical journal     Volume:  122     ISSN:  1175-8716     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-08-14     Completed Date:  2009-08-28     Revised Date:  2010-10-22    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  59-68     Citation Subset:  IM    
Affiliation:
School of Medicine andHealth Sciences, University of Otago, Wellington, PO Box 7343, Wellington, New Zealand. dawn.elder@otago.ac.nz
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Beds*
Cause of Death
Cohort Studies
European Continental Ancestry Group / statistics & numerical data
Female
Humans
Infant
Infant Equipment
Infant Mortality / ethnology
Male
New Zealand
Oceanic Ancestry Group / statistics & numerical data
Posture
Retrospective Studies
Risk Factors
Sleep*
Sudden Infant Death / epidemiology*
Young Adult

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


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