studies of would be sufficient quality particularly of the difficult or effectiveness of unethical) advice on soft sleeping Intervention: surfaces. Some Advice to national promote campaigns have soother/pacifier included advice use to avoid bed sharing, in Outcome: addition to Reduction in the recommendations incidence of on other risk SIDS factors, and the contribution of Evidence avoiding bed statement sharing to the Grade K: observed Evidence about reduction in SIDS the effectiveness is unclear. The of this authors found no intervention is clinically lacking important results from RCTs Intervention: comparing advice Advice to to avoid bed promote room sharing with no sharing (without advice. bed sharing) One systematic Outcome: review (23 Reduction in the studies) suggests incidence of an association SIDS between SIDS and lack of Evidence breastfeeding, statement reporting that the Evidence K: overall risk of about the SIDS was effectiveness of doubled for this intervention bottle-fed infants is lacking compared with breastfed infants Author’s (OR 2.11, 95% conclusions: In
studies of sufficient quality of the effectiveness of advice on soft sleeping surfaces. Some national campaigns have included advice to avoid bed sharing, in addition to recommendations on other risk factors, and the contribution of avoiding bed sharing to the observed reduction in SIDS is unclear. The authors found no clinically important results from RCTs comparing advice to avoid bed sharing with no advice. One systematic review (23 studies) suggests an association between SIDS and lack of breastfeeding, reporting that the overall risk of SIDS was doubled for bottle-fed infants compared with breastfed infants (OR 2.11, 95% would be particularly difficult or unethical) Intervention: Advice to promote soother/pacifier use Outcome: Reduction in the incidence of SIDS Evidence statement Grade K: Evidence about the effectiveness of this intervention is lacking Intervention: Advice to promote room sharing (without bed sharing) Outcome: Reduction in the incidence of SIDS Evidence statement K: Evidence about the effectiveness of this intervention is lacking Author’s conclusions: In
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