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SIDS risk linked to lack of experience with tummy-sleeping

, babies inexperienced with sleeping prone spent more time fully face down than their more experienced counterparts.

Nuzzling produced only a transient lowering of carbon dioxide levels at the nose, while complete head turns produced larger, sustained decreases in carbon dioxide. Head lifts also reduced carbon dioxide levels, but the decreases lasted only as long as the baby's head was raised.

The researchers suggest that babies learn through experience which head movements decrease the discomfort associated with breathing high carbon dioxide levels. Therefore, babies with experience sleeping prone are better able to avoid conditions that may trigger SIDS. The research results support the hypothesis, advanced by others, that SIDS may result from insufficiently learned airway protective responses.

The findings also indicate that good head-lifting ability while lying prone may not be sufficient to protect a baby from SIDS. "Many parents think that if a baby can lift its head, he or she is okay to sleep prone, but that is a false assurance," Thach says. "Parents and other caregivers should never place an infant in the prone position until he or she shows the ability to spontaneously turn all the way over. Back-sleeping should continue to be strongly encouraged to protect against SIDS."


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Contact: Gwen Ericson
ericsong@wustl.edu
314-286-0141
Washington University School of Medicine
6-Dec-2004


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