Beyond "Back to Sleep": Ways to Further Reduce the Risk of Sudden Infant Death Syndrome

Pediatr Ann. 2017 Aug 1;46(8):e284-e290. doi: 10.3928/19382359-20170721-01.


Sudden infant death syndrome (SIDS) remains the leading cause of postneonatal mortality in the United States, despite reduction in rates of more than 50% since the initiation of the "Back to Sleep" (now called "Safe to Sleep") campaign in 1994. In recent years, the rate of decline in SIDS deaths has plateaued, even with the ongoing educational efforts that promote safe sleep and other risk reduction measures. The 2016 American Academy of Pediatrics guidelines for reducing the risk of SIDS focus heavily on sleep practices, bedding, and location, but also include factors that often receive less attention (ie, prenatal care, maternal smoking, alcohol and drug use, and childhood vaccinations). This review describes these factors that are less often addressed and identifies interventions that have resulted in positive behavioral changes that not only benefit infants, but also promote the health and well-being of their mothers. [Pediatr Ann. 2017;46(8):e284-e290.].

Publication types

  • Review

MeSH terms

  • Female
  • Health Promotion / methods*
  • Humans
  • Infant
  • Infant Care / methods*
  • Pregnancy
  • Prenatal Care / methods
  • Risk Factors
  • Risk Reduction Behavior*
  • Sudden Infant Death / epidemiology
  • Sudden Infant Death / etiology
  • Sudden Infant Death / prevention & control*
  • United States / epidemiology