Clinical Trial Summary
In the United States, Sudden Infant Death Syndrome (SIDS)is the leading cause of death in
infants between the ages of 1 and 12 months. The etiology of SIDS is still not clear
although a number of risk factors have been identified. Sleeping on the stomach has been
identified as a major risk for SIDS. The rates of SIDS have dropped substantially in
countries in which the usual sleep position has changed from the stomach to the side or
back. Back sleep has been shown to be the most stable and safest position. The American
Academy of Pediatrics now recommends the back sleeping position for all healthy infants.
Since the American Academy of Pediatrics began advocating the back sleep position, the
incidence of SIDS has decreased by more than 40% in this country. However, the decrease has
not been uniform across segments of the population. Black infants continue to have a higher
rate of SIDS compared with other groups. This discrepancy could be related to infant sleep
position practices. Several studies have shown that infants born to low income, minority,
inner-city families were more likely to be placed on the stomach to sleep. Education appears
to influence choice of sleep position and may explain, at least to some degree, the
difference in choice of sleep position among certain groups. We believe that uniform
education of parents will influence the sleep position that parents choose for their baby.
We will undertake this initial study to document what parents choose to do with their
infants regarding sleep position and why they make these choices so that we can improve our
educational approach.
