sudden infant death syndrome ,full description will awesome slideshows, have fun viewing

1. MINISTRY OF HEALTH OF UKRAINE
LUGANSK STATE MEDICAL UNIVERSITY
DEPARTMENT OF PEDIATRICS
REPORT PRESENTED BY RUBEN
GOMBALANDI .
SUPERVISED BY ASST.PROF. OKSANA
BABINOVA.
ON

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3. The next morning ,you find this!!!!!!!!!!!!!!!!!!

4. INTRODUCTION
Sudden infant death syndrome continues to be the most
common cause of post neonatal death, account for 25% of all
death between 1month of age and 1 year of Age.
SIDS Goes , by different names ‘’COT Death , Cribs.
Some environmental risk factors are modifiable
Reducing exposure to modifiable risk factors has lowered the
incidence of SIDS
New research indicates genetic risk factors
Actual risk of SIDS may depend on interaction of environmental
and genetic risk factors

5. DEFINITION
Sudden Infant Death Syndrome (SIDS) is a medical term that describes
the sudden death of an infant which remains unexplained after all
known and possible causes have been carefully ruled out through
autopsy, death scene investigation, and review of the medical history

6. EPIDEMIOLOGY
SIDS is responsible for more deaths than any
other cause in childhood for babies one month
to one year of age, claiming - 7,000 babies
each year -nearly one baby every hour of every
day

8. EPIDEMIOLOGICAL FACTS
Strikes families of all races, ethnic and
socioeconomic origins without warning; neither
parent nor physician can predict that something
is going wrong. In fact, most SIDS victims appear
healthy prior to death

9. DEMOGRAPHY
1.Sids is less frequent in the 1st month of life
2.Peak month of occurance is between 2-4 month
3.Boys are more likely to be affected than girls
4.Low socioeconomic stance enhances SIDS Occurance

10. What Causes SIDS?
No adequate medical explanations for SIDS
deaths, current theories include:
*Tobacco, cocaine and heroin use by mothers during pregnancy
puts the infant at a higher risk for SIDS.
*Infants who sleep on their sides and stomachs have a higher risk
of SIDS than babies who sleep on their backs. (Remember to lay
the baby BACK to bed)
*Babies born to teenage mothers have a higher risk of SIDS than
babies who are born to older mothers.

11. PATHOPHYSIOLOGY
Multifactorial in origin
Triple Risk Hypothesis
Vulnerable infant
Critical developmental period in homeostatic control
Exogenous stressors
Final pathway believed to involve immature cardiorespiratory and autonomic
control along with failure of arousal responsiveness from sleep

12. SIDS FINDINGS
External Appearance:
*Normal state of hydration & nutrition
*Small amount of frothy fluid in or about mouth & nose
*Vomitus present
*Postmortem lividity &/or rigors
*Livormortis
*Disfiguration/Unusual position - dependant blood pooling/pressure
marks
Internal Appearances On Autopsy:
Pulmonary congestion & edema
Intrathoracic petechiae 90% of time
Stomach contents in trachea

13. RISKS FACTORS DIVIDED INTO:
SOCIAL FACTORS
Increased risk with:
Lower socioeconomic
status
Younger maternal age
Lower maternal education
MOTHER RELATED FACTORS
Mothers of SIDS infants:
Less prenatal care
Low birth weight
Preterm birth
IUGR
Shorter intervals between
pregnancies (< 18 mo)

14. SMOKING

15. OVER HEATING

16. PRONE SLEEPING

17. WHEN THE CHILD IS IN PRONE POSITION

19. SUBSTANCE USE AS A PREDISPOSING FACTOR

20. GENETICS RISK
FACTORS
Sodium and Potassium channel
polymorphisms associated with long QT
syndrome
Polymorphisms in serotonin
transporter (5-HTT) gene

21. DIAGNOSIS
By definition, SIDS is a diagnosis of exclusion
 declaration of Sids is made after:
 Complete autopsy, Investigation of child’s death
scene.

22. RISK REDUCTION
POSSIBLE MEASURES TO BE
TAKEN INCLUDE:

23. BACK TO SLEEP IS PARAMOUNT
HARD
Surface
Sleeping clothes
PROTECTIVE GUARD

24. DO NOT SMOKE DURING PREGNANCY AND AROUND THE INFANT

25. AVIOD OVERHEATING THE BABY’S
SURROUNDING

26. BREAST FEED THE INFANT

27. GET A SEPARATE BED FOR THE INFANT

28. CONCLUSIONS
SIDS is:
 Major cause of death in infants after 1st
month of life
 Sudden & silent in an apparently healthy
infant
 Unpredictable & unpreventable
 Quick death with no signs of suffering -
usually during sleep

29. REFERENCE
Hunt CE, Hauck FR. Sudden infant death syndrome. Cmaj. Jun 20
2006;174(13):1861-1869.
Moon RY, Horne RS, Hauck FR. Sudden infant death syndrome. Lancet.
Nov 3 2007;370(9598):1578-1587.
Weese-Mayer DE, Ackerman MJ, Marazita ML, Berry-Kravis EM. Sudden
Infant Death Syndrome: review of implicated genetic factors. Am J Med
Genet A. Apr 15 2007;143A(8):771-788.
Gurbutt D, Gurbutt R. Risk reduction and sudden infant death syndrome.
Community Pract. Jan 2007;80(1):24-27.
Fleming P, Blair PS. Sudden Infant Death Syndrome and parental smoking.
Early Hum Dev. Nov 2007;83(11):721-725.
Damato EG. Safe sleep: can pacifiers reduce SIDS risk? Nurs Womens
Health. Feb 2007;11(1):72-76.

30. THANK YOU FOR YOUR ATTENTION