Møller L F
Sundhedsstyrelsen, København.
Ugeskr Laeger. 1994 Nov 28;156(48):7197-9.
Sudden Infant Death Syndrome (SIDS) is a death where autopsy and other examinations cannot explain the proper cause of death. Epidemiologic studies have recognized some risk factors, namely prone sleeping position, lack of breast feeding, overheating, and maternal smoking. In Denmark, the official recommendation concerning the prone sleeping position was changed in December 1991, and since then the incidence of SIDS has been diminished by approximately 60-70%. A large number of epidemiologic studies find that there is a possible risk for SIDS in connection with maternal smoking. The odds ratio for a pregnant smoker to lose an infant to SIDS is about 2-4. Thirty to forty percent of Danish women smoke during pregnancy, and about half of all children are exposed to passive smoking in their homes. These data show that about 20% of the SIDS cases are due to maternal smoking. Further information and individual advice to pregnant, smoking women and their partners are needed. The authors suggest that this advice should become part of the existing ante-natal care programme.
婴儿猝死综合征(SIDS)是一种经尸检和其他检查无法明确死因的死亡情况。流行病学研究已确认了一些风险因素,即俯卧睡眠姿势、缺乏母乳喂养、过热以及母亲吸烟。在丹麦,1991年12月有关俯卧睡眠姿势的官方建议发生了改变,自那时起,婴儿猝死综合征的发病率已降低了约60% - 70%。大量流行病学研究发现,母亲吸烟与婴儿猝死综合征存在潜在风险。孕期吸烟的母亲其婴儿死于婴儿猝死综合征的比值比约为2 - 4。丹麦30%至40%的女性在孕期吸烟,约一半的儿童在家中会接触到被动吸烟。这些数据表明,约20%的婴儿猝死综合征病例是由母亲吸烟导致的。需要向孕期吸烟的女性及其伴侣提供更多信息和个性化建议。作者建议,这种建议应成为现有产前护理计划的一部分。