Is the use of dummy or carry-cot of importance for sudden infant death ?
The study was undertaken to test the significance of dummy use and carry-cots for counts of sudden infant death (SID).
Based on the impression that very few SID victims have a dummy (comforter, pacifier) in their mouth at the time of death, and that a high proportion of SID babies were found dead in a carry-cot (portable crib, pram), a case-control study was performed.
Questionnaires were sent to 167 parents of SID victims and to 352 parents of live-infants matched for sex and time of birth.
Questionnaires were returned by 121 parents of SID victims (73%) and 307 parents of controls (87%). Only 4 SID victims (3%) were found dead with a dummy in their mouth.
A quarter of the controls always used a dummy, 24% during night-time and 23% during daytime between 0 and 2 months of age, whereas this was only true for 10% in the SID group, the odds ratios being 0.27 for night-time and 0.36 for daytime.
This trend was also seen until I year of life.
Of the SID victims, 48% were found dead in a carry-cot, 79% during the cold time of the year and two thirds outdoors.
Most deaths occurred during the afternoon (12 pm-5 pm).
In both SID and control groups daytime use of carry-cots was equally frequent.
Approximately 40% in both groups slept in such a cot between 5-7 days a week during the daytime.
Conclusion The use of dummy could be a favourable factor in the prevention of SID. (...)
Mots-clés Pascal : Mort subite, Enfant, Homme, Facteur prédictif, Mannequin, Etude comparative, Enquête par correspondance, Lit, Critère sélection, Evaluation, Pédiatrie
Mots-clés Pascal anglais : Sudden death, Child, Human, Predictive factor, Dummy, Comparative study, Mail inquiry, Bed, Selection criterion, Evaluation, Pediatrics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0020565
Code Inist : 002B18F02. Création : 17/04/1998.