SIDS
New Zealand SIDS Death Rate Decreases
New statistics released by the New Zealand Ministry of Health
show that the national rate of Sudden Infant Death Syndrome (SIDS)
fell by 70% after an educational campaign in wrapping mattresses
with special polyethelene covers was begun. The program began after
research by a NZ scientist showed a link between SIDS and the toxic
fumes emitted by mattresses.
According to the statistics, NZ Maori babies are 10 times more
likely than NZ European (Pakeha) babies to die of SIDS.(2) Following
the implementation of mattress-wrapping by the Pakeha community
over the last eleven years (with an 85% reduction in their SIDS
rate), New Zealand has the highest inter-ethnic SIDS disparity
of any country in the world.
In contrast to the US and UK, where back sleeping has been adopted
as a method to prevent crib death, New Zealand began to publicize
mattress-wrapping in 1994, with the practice widely adopted. Since
then, the rate of deaths on unwrapped mattresses has continued
to increase, while no deaths have been reported for babies sleeping
on wrapped mattresses. Another advantage to this solution is that
babies can sleep in a variety of positions and not suffer from
plagiocephaly, or flattened heads.
The results of the New Zealand mattress-wrapping program have
been published in two peer-reviewed journals of environmental medicine(3)
and far exceed the results of any other SIDS prevention program
in the world.
Notes
- Source of statistics: New Zealand Ministry of Health (final
statistics to 2001; provisional statistics for 2002 and 2003;
progress counts for 2004 and 2005).
- NZ Maori SIDS rate: 2.0 deaths per 1000 live births; NZ European/Pakeha
SIDS rate: 0.2 deaths per 1000 live births.
- Journal of Nutritional & Environmental Medicine 2004;14(3):
221–232. Zeitschrift fuer Umweltmedizin 2002; 44: 18–22.
For further information, see: www.cotlife2000.co.nz
October is SIDS Awareness Month
Chiropractic Research May Present Preventative Treatment Options
In case you are not aware, an organization in chiropractic: http://www.stopsids.org
is striving to provide research that SIDS may be caused by birth
trauma and may be prevented by specific, upper cervical care in
infants. During this month, utilize the references on their site
to inform your patients about this. This linked
article does a great job in introducing the concept that
chiropractic care may in fact be a means of correcting the cause
of SIDS.
The I.C.P.A. has a feature
article on the cause of SIDS as well.
Also, be sure to visit our Research
Section on SIDS for the most complete references on this
condition.
Heart rate changes in response to mild mechanical
irritation of the high cervical spinal cord region in infants.
Alterations in the heart rate were monitored before, during and
after the application of a unilateral mechanical impulse to the
high cervical spinal cord region which was administered strictly
in connection with the so called manual therapy (diagnosis= KISS).
The investigation is based on a survey of 695 infants between the
ages of 1 and 12 months.
A notable change in the heart rate was evident in 47.2% of all examined
infants (n= 695). In 40.1%of these infants, the change in heart
rate was characterized by heart rate decrease of 15-83% compared
to control conditions. Infants in their first 3 months of life responded
more often with a severe bradycardia (50-83%decrease), older infants
(7-12 months) more often with a mild bradycardia (15-49.9% decrease).
This comparison revealed a significantly increased occurrence of
severe bradycardia in the younger age group compared to the group
of children >3 months (significance 0.0017). In 12.1% (n= 84)
of the infants, the bradycardia was accompanied by an apnea. We
discuss the hypothesis that mechanical irritation of the high-cervical
region serves as a trigger that may be involved in sudden infant
death (SID).
High cervical stress and apnoea.
The aim of this study was to investigate
vegetative reactions in infants after mechanical irritation of the
suboccipital region. The investigation is based on 199 infants who
were observed while being treated with a suboccipital impulse (manual
therapy). The results revealed vegetative reactions in more than
half of all cases (52.8%, n = 105). The frequency of such vegetative
reactions observed was at follows: flush 48.7% (n = 97), apnea 22.1%
(n = 44), hyperextension 13% (n = 26), and sweating 7.5% (n = 15).
It is pointed out that approximately 25% of all the infants examined
reacted by apnea due to a mechanical irritation of the suboccipital
region. This symptom was part of an extensive vegetative reaction.
This method of inducing an apnea has not yet been described; from
this it follows that there are close relations to sudden infant
death.
Koch LE, Biedermann H, Saternus KS. Forensic Sci
Int. 1998;12;97(1):1-9.