Sudden death of the child "Incredibly, from the blue and still unresolved causes, babies and toddlers suddenly die in their dreams, which are actually wholly healthy. What's behind SIDS, a sudden baby's death syndrome? What are the reasons for the sudden infant death syndrome? Physicians are still looking for the causes of this phenomenon. We present the theories we are currently discussing.
Entrants are in the process of being pregnant. Sudden Deaths of Infants – One really does not want to hear that a healthy baby suddenly stops breathing. Fear spreads. Can not I really do anything? Are the parents really helpless against this mysterious cause of death? Parents should know how to behave in an emergency.
The most important prevention tips
- Do not smoke around the baby – this is the most important avoidance factor
- If possible, breastfeed for six months
- Allow children up to one year of sleep
- The temperature of the bedroom is 16 to 18 degrees
- The head should not be covered with bedding (air circulation)
- solid, permeable air
- Sleeping babies in the main bedroom
- Avoid overheating and overheating
- Find out what to do in an emergency
What is SIDS?
In English, this is called the sudden death of a baby, so the SIDS abbreviation is also common. The name says everything, it is the sudden, unexpected, inexplicable death of the child, usually at night while she is asleep.
Research and preventive medicine in pediatrics is still a puzzle and a great challenge. For many young parents, it is a threat that scares them, shock and sorrow for the affected people. Since the child was obviously healthy, his parents considered him dead in bed. Therefore, any other cause of death such as infection, metabolic illness, bleeding, accident (poisoning, electric shock, decay) or existing disease is excluded in such cases.
According to a "threefold risk model", SIDS may occur when three conditions occur at the same time: the baby is at an early stage in the development of the nervous and immune system, there are genetic factors, and external stressors are involved.
Infant death syndrome: age and frequency
According to the Federal Bureau of Statistics, 127 children died of the sudden deaths of children in 2015. Most of them (109) were older than 28 days and younger than one year. Two years earlier, the sudden death of a child was the cause of death for 152 children. In 2008, the number of cases in Germany is 215 children, according to the Munich Children's Health Foundation. The frequency decreases. However, in the first year of life, the most common cause of death for children, about 1,400 newborns die in Western industrial countries. The reason is that virtually no other cause of death is due to good medical care and a relatively good standard of living.
The largest accumulation is between the second and fourth months of life, rarely before the second or sixth month of life, almost never after the first year of life. Boys are 60 percent more affected than girls, two thirds of all deaths occur in the winter months.
Causes of sudden deaths of infants Unanswered
There are some theories about this phenomenon, but it's not clear at the moment. For this they were a blamed sleeping position, a bed or a family bed, toxins in the mattresses, plasticizers, disturbed blood flow, or a vaccine reaction. Physicians and scientists are trying to find the causes through interviews, statistics, and exclusion criteria, but they hit the mists.
There are over 200 theories in total. Experts believe that it is necessary to combine several factors, such as infection (external factor) and internal factors such as predisposition. Apart from a desirable position, smoking is currently the most important risk of sudden infant death syndrome that can be prevented. If a mother smokes up to ten cigarettes a day, the risk of SIDS increases three times, with more than 20 cigarettes even nine times.
The Australian study also showed that babies who died from the sudden death of infants have biological similarity. Examined children had a low level of protein-like appetite. Among other things, this is used in people to regulate sleep and sleep cycles. The substance also ensures that someone is awakened when their dream is disturbed, for example because the inflow of oxygen is too low. The disadvantage of this substance, according to doctors at the Westmead Children's Hospital, could be a baby disorder that prevents waking the message in the body.
Risk phase: transition from sleep state to idle state
Other approaches assume that the disorder of regulation of breathing and cardiac activity in the brain trigger. Background: The baby's brain develops very fast in the first year of life, something is constantly developing and the newly formed brain structures are "included".
In addition, the phase between sleep and waking is a very sensitive transition and for the brain to switch between deep sleep and sleep (REM sleep) is very intense. In these critical phases, the brain is somewhat unstable. Sometimes you'll notice it in a short but violent rush when you are overwhelmed or have a short break. This bonding or kicking is normal even in adults.
Breathing and heart rate are short
If this transient phase and the interconnectedness of the brain structure meet with the baby, this can lead to adjustment difficulties. These adjustment problems can in turn disturb the brain function so that breathing and heartbeat control stops for a short time.
Normally, this time is so short that a child can recover from this unstable state to an untreated state. However, if it does not recover in time, breathing and heartbeat will be delayed too long, leading to a sudden infant death syndrome. As the child is older, the brain is more mature and more stable, reducing the risk of SIDS.
Other risk factors for child abortion syndrome
Even children who were born too early or immature seem to be more vulnerable, probably because their brains are less developed. This includes children with low birth weight, multiple births, and babies with multiple older brothers. Hereditary predisposition is possible, as smoking parents and lack of breastfeeding increase the risk. It seems that the children of the drug addicts are more likely to be affected. It is also discussed whether sleeping in the stomach and lateral position can cause or overheat the baby. However, not all these explanations have been scientifically proven.
Sleeping in a parent bed is not recommended
It is not recommended for a child to sleep in a parent bed. The Dutch study found that sharing a baby bed with a baby at the age of one to two months increases the risk of child death for nine times, according to the BVKJ Pediatric Association. The Federal Health Education Center (BZgA) also advises on its own bed – especially if one of the parents or both is a smoker.
The child does not need a pillow. Doctors of the BVKJ advise you to refrain from doing so in the first two years of life. According to the pillow, according to BZgA, there is a risk that the head will sank and cause overheating or back pressure. The best place to sleep in a sleeping bag, the scope of the door may not be bigger than the head. The blanket carries the risk of the baby falling down. The mattress should not be ten centimeters thick and be firm so that the baby does not sink more than two centimeters.
Sudden deaths of newborns: risk groups
From a purely statistical point of view, children of very young mothers, socially vulnerable families, children of single parents or mothers who are addicted to drugs or babies who are abused in their dreams are considered more vulnerable. However, the death of children is unpredictable and occurs in all social groups. These are only statistical frequencies.
Indicate the alarms
Occasionally, mild colds may predispose to sudden infant death syndrome. Described stopping breathing is normal; However, if parents notice it sometimes lasts longer than 20 seconds, then this is a serious warning signal. Similarly, if a child at this so-called apnea stage becomes blue on her hands and feet or lying in bed, she should be examined in detail. Breathing and heartbeat of this child can be recommended – monitor during sleep with the monitor. In such a case, parents would be familiar with the device. However, the benefit of this monitors monitor is controversial.
Parents of a vulnerable child should be involved in revitalizing techniques such as heart massage or revitalizing the mouth. The alarm plan should be prepared and trained with a doctor. The first step would be to excite a child with an answer or a boost (kick, penny). Each parenthood must have first aid knowledge.
SIDS: The Most Important Prevention
Breastfeeding, passive smoking, and a relaxed, unhindered environment make up the best prevention of child dying. In addition, the child should not sleep in the abdominal or lateral position, lying position halves the risk. The bed should be as small as possible without knit toys or thick blankets or pillows.
The baby is best sleeping in a sleeping bag, which is placed like a romp and can not slip. Covers or pillows can slip over the head. Also, sheep skin, hot water bottles or insulating covers should not be in bed. In addition, parents should make sure that the baby's airways are free while they sleep. The pediatric professional association warns, citing the technical contribution in the "Monthly Pediatric Journal".
Since 1991, the position of beds is also recommended as a place of sleep in nurseries and midwives in Germany, so the number of cases of SIDS drastically decreased (from 1285 cases in 1991 to 367 cases in 2002, ie S 1.55 to 0 , 51 thousand children born of children.
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Smoking is the major risk factor for the sudden infant death syndrome
If a mother smokes during pregnancy, it can have an adverse effect on the child's blood pressure control system that is growing. This increases the risk of sudden deaths of infants after childbirth, according to Swedish researchers from the Karolinska institute. They analyzed the blood pressure and heart rate of children whose mothers smoked an average of 15 cigarettes a day during pregnancy.
Abnormal heartbeats and blood pressure have been reported in babies at the age of one week. If scientists raised babies in their dreams, the blood pressure of children jumped up to ten percent. However, in the same years of non-smoking mothers, the increase in blood pressure was only about two percent. At the age of one year, babies smoking mothers react with low blood pressure increase, which can also be harmful to the cardiovascular system. From these results, experts conclude that the hearts of smokers' children are exposed to higher levels of stress, which can obviously lead to a sudden cancellation of the pump body.
Parents are tortured by guilt
Afflicted parents are usually subjected to terrible guilt. Often the whole family falls into a deep mental crisis, up to severe depression, even brothers and sisters suffer from it. Help groups to support and exchange with other stakeholders. Psychological support is often important. Sadness is also a police investigation, which must rule out the possibility that abusing or neglecting has led to death. The horrible diagnosis of "Sudden Death of a Child" does not help parents in their sorrow and forgiveness, they remain alone in search of a cause.
Medical, there is nothing to talk about new pregnancy after losing a child by SIDS. Although no child can be replaced by another, other pregnancy brings new courage to many families.
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