Most infant suffocations occur when babies are placed face down on
a soft surface that they sink into. Babies from birth to 6 months
old have the greatest risk of suffocating. These young infants
don't have enough strength to lift their heads and turn their
faces so that they can breathe. Many of these deaths occur when a
baby naps at the home of a friend who doesn't have a crib or
doesn't know the importance of having the baby sleep on his back.
Another cause of suffocation in young infants should be mentioned.
Small babies have been smothered by mothers who inadvertently fell
asleep on top of them. If you nurse your baby in your bed at
night, be careful. Keep your baby in a crib next to your bed.
There's another reason not to let your baby sleep in your bed
during the first 6 months. The mattresses in most adult beds are
too soft for babies. Blankets and pillows also increase the risk
of suffocation.
Prevention of Suffocation in Infants
To be safe, always place your young baby to sleep on his back in a
crib with a firm mattress. Also do this for naps. This is the
sleep position recommended by the American Academy of Pediatrics
for healthy infants during the first 6 months of life. Sleeping on
the side is not an acceptable alternative because it is an
unstable position and has a 2 times greater risk of SIDS then
sleeping on the back. Sleeping on the tummy (face-down) has a 5
times greater risk.
Soft surfaces are unsafe for babies even if they are placed on
their backs. Someone, such as another child or baby sitter, might
turn them over.
You can prevent these tragic deaths by suffocation by never
putting young infants down to sleep on the following soft
surfaces:
- waterbeds or featherbeds
- sheepskin rugs or mattress covers
- any weak, spongy surfaces, including soft mattresses and
comforters
- mattresses covered with plastic bags
- soft pillows, such as bean-bag or bead-filled pillows.
Also, avoid stuffed toys, quilts, comforters, blankets, or other
soft objects that could bunch up around your child's face. Dress
your child warmly enough so blankets are not needed.
Prevention of Suffocation in Toddlers
Older infants and toddlers can be suffocated by plastic bags or
sheets of plastic. These accidents usually occur when they pull
the plastic over their heads or crawl into plastic bags. Carefully
dispose of any plastic bags or keep them away from children less
than 3 years old. Examples of such products are:
- plastic dry-cleaning bags
- plastic shopping bags
- plastic trash bags.
Written by B.D. Schmitt, MD, author of "Your Child's Health," Bantam Books.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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