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American Academy of Pediatrics | The Changing Concept of Sudden Infant Death Syndrome | Pediatrics | 2005 |  | http://www.aap.org/ncepr/revisedsids.pdf

"The Changing Concept of Sudden Infant Death Syndrome: Diagnostic Coding Shifts, Controversies Regarding the Sleeping Environment, and New Variables to Consider in Reducing Risk"
En dépit de l'importante baisse de l'incidence des cas de Mort Sbite Inexpliquée du Nourisson lors des dix dernières années, la MSIN est encore responsable de plus de décés durant la période néonatale aux Etats-unis que toute autre cause de décès durant l'enfance. Dans cette "policy statement", l'Académie Américaine de Pédiatrie adresse de nouvelles recommandations depuis sa précèdente communication en la matière en 2000 quant au couchage et au partage du lit ou de la chambre parentale des nouveaux-nés.
Texte en langue anglaise

The policy recommendations include:

* Back to sleep: Infants should be placed for sleep in a supine (wholly on back position) for every sleep.
* Use a firm sleep surface: A firm crib mattress, covered by a sheet, is the recommended sleeping surface.
* Keep soft objects and loose bedding out of the crib: Pillows, quilts, comforters, sheepskins, stuffed toys and other soft objects should be kept out of an infant’s sleeping environment.
* Do not smoke during pregnancy: Also avoiding an infant’s exposure to second-hand smoke is advisable for numerous reasons in addition to SIDS risk.
* A separate but proximate sleeping environment is recommended such as a separate crib in the parent’s bedroom. Bed sharing during sleep is not recommended.
* Consider offering a pacifier at nap time and bedtime: The pacifier should be used when placing infant down for sleep and not be reinserted once the infant falls asleep.
* Avoid overheating: The infant should be lightly clothed for sleep, and the bedroom temperature should be kept comfortable for a lightly clothed adult.
* Avoid commercial devices marketed to reduce the risk of SIDS: Although various devices have been developed to maintain sleep position or reduce the risk of rebreathing, none have been tested sufficiently to show efficacy or safety.
* Do not use home monitors as a strategy to reduce the risk of SIDS: There is no evidence that use of such home monitors decreases the risk of SIDS.
* Avoid development of positional plagiocephaly (flat back of head): Encourage “tummy time.” * Avoid having the infant spend excessive time in car-seat carriers and “bouncers.” Place the infant to sleep with the head to one side for a week and then changing to the other.
* Assure that others caring for the infant (child care provider, relative, friend, babysitter) are aware of these recommendations.







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