- 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.
- 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).
- 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.
- Not all states participate in this reporting system.