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Imagine the thought of a mother going in to her childs room and kissing her baby good night expecting to hear the gentle breath of her baby Instead all that she hears is silence Sudden Infant Death Syndrome SIDS is the sudden death of an infant under one year of age which remains unexplained after a thorough case investigation including performance of a complete autopsy examination of the death scene and review of the clinical history Willinger 1991 More children die of SIDS in a year than all who die of cancer heart disease pneumonia child abuse AIDS cystic fibrosis and muscular dystrophy combined Many researchers now believe that babies who die of SIDS are born with one or more conditions that make them especially vulnerable to stresses that occur in the normal life of an infant including both internal and external influences SIDS is unexpected usually occurring in otherwise apparently healthy infants from 1 month to 1 year of age Most deaths from SIDS occur by the end of the sixth month with the greatest number taking place between 2 and 4 months of age A SIDS death occurs quickly and is often associated with sleep with no signs of suffering More deaths are reported in the fall and winter and there is a 60-to-40-percent male-to-female ratio A death is diagnosed as SIDS only after all other alternatives have been eliminated SIDS is a diagnosis of exclusion Willinger 1991 Risk factors are those environmental and behavioral influences that can provoke ill health Any risk factor may be a clue to finding the cause of a disease but risk factors in and of themselves are not causes Researchers now know that the mothers health and behavior during her pregnancy and the babys health before birth seem to influence the occurrence of SIDS but these variables are not reliable in predicting how when why or if SIDS will occur Maternal risk during pregnancy low and poor
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