comparing advice evidence in this to breastfeed review. with no advice Campaigns • and in some that have countries the advised avoiding incidence of SIDS sleeping had started to fall have before the significantly campaign reduced the started. The incidence of authors found no SIDS. direct information Observational on the effects of studies have advice to additionally promote shown that the soother/pacifier incidence of use in the prone positioning prevention of is dramatically SIDS reduced after national advice The incidence of campaigns. SIDS has also Advice to • been reported to avoid be higher in the exposure siblings of infants seems to reduce who died from the incidence of SIDS. SIDS. National campaigns that *The first of advise mothers these is an SR by to avoid Ip etal 2007 tobacco-smoke which was exposure also located in our seem to lead to search but a reduction in excluded at FT maternal due to their smoking rates. being a more Some • recent SR on the campaigns same topic, included advice covering similar to set of papers. overheating, The overwrapping, is Mc and bed sharing, Vea etal 2000 and advice to which would not breastfeed, have been although it is not
comparing advice to breastfeed with no advice and in some countries the incidence of SIDS had started to fall before the campaign started. The authors found no direct information on the effects of advice to promote soother/pacifier use in the prevention of SIDS The incidence of SIDS has also been reported to be higher in the siblings of infants who died from SIDS. *The first of these is an SR by Ip etal 2007 which was located in our search but excluded at FT due to their being a more recent SR on the same topic, covering similar set of papers. The is Mc Vea etal 2000 which would not have been evidence in this review. • Campaigns that have advised avoiding sleeping have significantly reduced the incidence of SIDS. Observational studies have additionally shown that the incidence of prone positioning is dramatically reduced after national advice campaigns. • Advice to avoid exposure seems to reduce the incidence of SIDS. National campaigns that advise mothers to avoid tobacco-smoke exposure also seem to lead to a reduction in maternal smoking rates. • Some campaigns included advice to overheating, overwrapping, and bed sharing, and advice to breastfeed, although it is not
CDR%20Research%20Evidence%20Review%20SUID%20report%20FINAL%20091014.docx