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The Spokesman-Review Newspaper
Spokane, Washington  Est. May 19, 1883

Pacifier use may be link to fewer crib deaths

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Linda Searing The Washington Post

The question: No one knows precisely why otherwise-healthy infants suddenly die in their sleep. But babies’ sleeping conditions – whether they sleep on their stomach or back, in their parents’ bed or their own crib, for instance – are believed to have an effect on sudden infant death syndrome, or SIDS. Might it also matter whether babies suck on a pacifier while they sleep?

This study matched 185 infants whose deaths were attributed to SIDS with 312 healthy babies of similar age and race. Infants who used a pacifier were 92 percent less likely to die suddenly in their sleep than were those who did not use one. Pacifier use also appeared to lessen the impact of other risk factors on the likelihood of SIDS. When pacifiers were not used, for example, babies who slept on their stomach or side were nearly three times more likely to die of SIDS than children who slept on their backs; with pacifiers, sleeping position did not change the risk of SIDS.

Who may be affected by these findings? Very young infants. SIDS deaths usually occur to children younger than 1 year, most often to those 2 to 4 months old. Boys appear more prone to SIDS than girls, and the rate among African-American and Native American infants is higher than among Caucasian children.

Caveats: The study suggested a favorable association, not a stronger cause-and-effect relationship, between pacifier use and SIDS prevention.

Find this study: Dec. 9 online edition of BMJ; abstract available at www.bmj.com (click “Online First”).

Learn more about sudden infant death syndrome at http://kidshealth.org/parent and www.sidscenter.org.