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Pacifier Use and Sids: Evidence for a Consistently Reduced Risk

机译:奶嘴的使用和提示:持续降低风险的证据

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摘要

Pacifier use at sleep time decreases sudden infant death syndrome (SIDS) risk. It is yet unclear whether pacifier use can modify the impact of other sleep-related factors upon SIDS risk. The objective of this study was to examine the association between pacifier use during sleep and SIDS in relation to other risk factors and to determine if pacifier use modifies the impact of these risk factors. Data source was a population based case–control study of 260 SIDS deaths and 260 matched living controls. Pacifier use during last sleep decreased SIDS risk (aOR 0.30, 95% CI 0.17–0.52). Furthermore, pacifier use decreased SIDS risk more when mothers were ≥20 years of age, married, nonsmokers, had adequate prenatal care, and if the infant was ever breastfed. Pacifier use also decreased the risk of SIDS more when the infant was sleeping in the prone/side position, bedsharing, and when soft bedding was present. The association between adverse environmental factors and SIDS risk was modified favorably by pacifier use, but the interactions between pacifier use and these factors were not significant. Pacifier use may provide an additional strategy to reduce the risk of SIDS for infants at high risk or in adverse sleep environments.
机译:在睡眠时间使用奶嘴可降低婴儿猝死综合症(SIDS)的风险。尚不清楚奶嘴的使用是否可以改变其他睡眠相关因素对小岛屿发展中国家风险的影响。这项研究的目的是检查在睡眠期间使用奶嘴和与其他危险因素相关的小岛屿发展中国家之间的联系,并确定使用奶嘴是否能改变这些危险因素的影响。数据来源是一项基于人群的病例对照研究,研究了260名SIDS死亡和260名相匹配的生活对照。上一次睡眠期间使用奶嘴可降低SIDS风险(aOR 0.30,95%CI 0.17–0.52)。此外,当母亲≥20岁,已婚,不吸烟者,有足够的产前护理以及婴儿曾进行过母乳喂养时,使用安抚奶嘴可降低SIDS风险。当婴儿以俯卧/侧卧姿势睡觉,卧床睡和有柔软的被褥时,使用安抚奶嘴也可降低SIDS的风险。使用安抚奶嘴可以很好地改善不良环境因素与SIDS风险之间的关联,但是使用安抚奶嘴与这些因素之间的相互作用并不显着。奶嘴的使用可能为降低高危或不良睡眠环境婴儿的SIDS风险提供了额外的策略。

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