Article

[Additional recommendations for safe sleep to prevent SIDS]

Rijnstate Ziekenhuis,afd. Kindergeneeskunde, Arnhem.
Nederlands tijdschrift voor geneeskunde 02/2013; 157(8):A5568.
Source: PubMed

ABSTRACT

- Great progress has been made in reducing the incidence of SIDS in the Netherlands, but the number of SIDS cases has remained constant in recent years.- The American Academy of Pediatrics has new guidelines for safe sleep.- Existing recommendations remain valid such as (a) discouraging prone- and side-sleeping; (b) encouraging parent and child to sleep in one room but not in one bed; and (c) avoiding second-hand smoke.- The new recommendations include: (a) pre-term neonates born after 32 weeks should be placed in a supine position; (b) twins should not sleep in the same bed ('co-bedding'); (c) use of a pacifier is recommended once breastfeeding is well underway; and (d) use of stabilization pillows is not recommended.- There should also be an emphasis on educating parents before discharging their newborn from the hospital.

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Available from: Josanne Munsters, Aug 20, 2014
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    ABSTRACT: - Sudden unexpected death in epilepsy (SUDEP) is the most important direct epilepsy-related cause of death. - Patients with refractory epilepsy are at especially high risk of SUDEP. - SUDEP occurs predominantly at night and unwitnessed, and can best be regarded as a fatal tonic-clonic seizure. - While its pathophysiology is incompletely understood, SUDEP is most probably triggered by a number of predisposing and precipitating factors, including seizure-induced respiratory depression and cardiac arrhythmia.- Achieving seizure freedom is the best way to prevent SUDEP. - Nocturnal supervision may be another alternative preventive strategy, but this requires further research.
    No preview · Article · Nov 2013 · Nederlands tijdschrift voor geneeskunde