Escott Alistair, Elder Dawn E, Zuccollo Jane M
School of Medicine andHealth Sciences, University of Otago, Wellington, PO Box 7343, Wellington, New Zealand.
N Z Med J. 2009 Jul 3;122(1298):59-68.
To describe the factors associated with sudden unexpected infant deaths, for which there was no clear medical diagnosis, referred to the Wellington-based coronial paediatric pathology service over the decade from 1997 to 2006.
The postmortem report, Police 47 file, Coroner's findings and deceased infant's medical records were used to create a profile for each sudden and unexpected infant death.
There were 64 deaths in the period: 54 of these occurred during sleep and did not have a clear medical diagnosis. Maori and Pacific infants and infants from low decile areas were over-represented in the group. The majority (88.7%) of infants were < 6 months of age at death. Overall, 50% of infants had been placed to sleep in a non-recommended sleep position and 38% usually slept in a non-recommended location. Bedsharing was associated with 53.7% of deaths. There was a significant association between bedsharing and being found dead on a Sunday morning (p=0.04).
Sudden unexpected death in infancy is associated with unsafe sleep environments and sleep positions. Every effort should be made to ensure that information about safe infant sleep practices reaches the caregivers of those particularly at risk.
描述1997年至2006年这十年间转至惠灵顿地区验尸官儿科病理服务中心的、无明确医学诊断的婴儿意外猝死相关因素。
利用尸检报告、警方47号文件、验尸官调查结果及已故婴儿的病历，为每例婴儿意外猝死建立档案。
该时期共有64例死亡：其中54例发生在睡眠期间且无明确医学诊断。毛利族和太平洋岛民婴儿以及来自低社会经济区域的婴儿在该群体中占比过高。大多数（88.7%）婴儿死亡时年龄小于6个月。总体而言，50%的婴儿被放置在非推荐的睡眠姿势入睡，38%的婴儿通常在非推荐的地点睡眠。同床睡眠与53.7%的死亡有关。同床睡眠与在周日上午被发现死亡之间存在显著关联（p=0.04）。
婴儿意外猝死与不安全的睡眠环境和睡眠姿势有关。应尽一切努力确保有关安全婴儿睡眠习惯的信息传达给那些尤其处于风险中的婴儿的照料者。
