Sudden Infant Death Syndrome (SIDS) - Topic Overview
What is sudden infant death syndrome (SIDS)?
Sometimes a baby who seems healthy dies during sleep. This is called
sudden infant death syndrome or SIDS.
In most cases, a parent or caregiver places the baby down to sleep and
returns later to find the baby has died. It's no one's fault. SIDS can happen
even when you do everything right.
Although SIDS is rare, it is
one of the most common causes of death in babies between 1 and 12 months of
age. Most babies who die of SIDS are between the ages of 2 and 4 months.
What causes SIDS?
Doctors don't know what causes
SIDS. It seems to happen more often in
premature and low-birth-weight babies. It also is seen
more often in babies whose mothers didn't get medical care during the
pregnancy and in babies whose mothers smoke. SIDS may also be more likely in
babies who were part of a multiple pregnancy (for example, twins or triplets)
or whose mothers are younger than 20.
When babies sleep on their
bellies, they may not breathe well. Not too long ago, side sleeping was said to
be okay. But babies placed on their sides can easily roll onto their bellies
and could have trouble breathing.
Researchers are studying the
possibility that SIDS may be caused by problems with how well the brain
controls breathing, heart rate and rhythm, and temperature during the first
few months of life. More research on this is needed.
What are the symptoms?
SIDS has no symptoms or
warning signs. Babies who die of SIDS seem healthy before being put to bed.
They show no signs of struggle and are often found in the same position as when
they were placed in the bed.
How is SIDS diagnosed?
SIDS is named the cause of
death only when no other cause is found. To find out why a baby died, medical
experts review the baby's and parents' medical histories, study the area where
the baby died, and do an
What can you do to reduce the risk of SIDS?
Doing certain things may help protect a
baby from SIDS and/or other deaths related to sleep:1
- The most important thing you can do is to
always place your baby to sleep on his or her back
rather than on the stomach or side.
- Don't use tobacco, alcohol, or drugs while you are
pregnant. And don't expose your baby to secondhand smoke during or after your pregnancy.
- For the first 6 months, have your baby sleep in a crib, cradle, or bassinet in
the same room where you sleep. The American Academy of Pediatrics recommends that you don't ever sleep with your baby in the same bed, especially if you smoke or have used alcohol, illegal drugs, or medicine that
makes you sleep very soundly (sedatives). Never sleep
with a baby on a couch or armchair.
- Keep soft items and loose bedding out of the crib. Items such as blankets, stuffed animals, toys, and pillows could suffocate or trap your baby. Dress your baby in sleepers instead of using blankets.
- Make sure that your baby's crib has a firm
mattress (with a fitted sheet). Don't
use bumper pads or other products that attach to crib slats or sides. They could suffocate or trap your baby.
- Keep the room at a comfortable temperature so that your baby can sleep in lightweight clothes without a blanket. Usually, the
temperature is about right if an adult can wear a long-sleeved T-shirt and
pants without feeling cold. Make sure that your baby doesn't get too warm.
Your baby is likely too warm if he or she
sweats or tosses and turns a lot.
- Breast-feed your baby and have your baby immunized.
- Consider giving your baby a pacifier at nap
time and bedtime. This may help prevent SIDS, though experts don't know why.
breast-feed, wait until your baby is about a month old
before you start giving him or her a pacifier.