Infant mortality risk is increased with sleeping in sitting devices

  • Pediatrics

  • International Clinical Digest
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Takeaway

  • Infants are at risk of dying if left to sleep in sitting devices, such as car seats and strollers, in a nontraveling context. 
  • Odds are increased if the infant is in a childcare setting, such as with a babysitter.
  • The American Academy of Pediatrics recommends against routine use of these devices for infant sleep.

Why this matters

  • Several hundred infants die each year in the United States while in a sitting device.

Key results

  • 3.0% of sleep-related deaths involved a sitting device.
  • 62.9% of those deaths were in a car safety seat, which was being used as directed in
  • A majority of infants who died had a risk factor (e.g., exposure to second-hand smoke, maternal pregnancy complications).
  • 51.6% of deaths occurred in the home.
  • Odds were increased vs parent care if child was: 
    • Supervised by a childcare provider: aOR, 2.8 (95% CI, 1.5-5.2); or
    • With a babysitter: aOR, 2.0 (95% CI, 1.3-3.2).

Study design

  • National Center for Fatality Review and Prevention data, 2004-2014, for 11,779 sleep-related infant deaths.
  • Funding: US Department of Health and Human Services, others. 

Limitations

  • Not all states participate in this reporting system.

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