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Can SIDS happen while breastfeeding?

Understanding SIDS and Breastfeeding
Sudden Infant Death Syndrome (SIDS) remains a significant concern for parents and healthcare professionals alike, as it is one of the leading causes of postneonatal infant mortality. However, research indicates that breastfeeding plays a crucial role in reducing the risk of SIDS.
The Protective Effects of Breastfeeding
Numerous studies have shown that breastfeeding significantly lowers the risk of SIDS. For instance, breastfeeding for at least two months can halve the risk of SIDS, and the protective effects increase with the duration of breastfeeding. Even partial breastfeeding offers some level of protection, with any breastfeeding being associated with a reduced risk of SIDS .
Exclusive breastfeeding, where the infant receives only breast milk without any formula, is particularly beneficial. It has been found to confer the strongest protective effect against SIDS. This is attributed to several factors, including the reduced incidence of respiratory and gastrointestinal infections among breastfed infants, which are known risk factors for SIDS.
The Mechanisms Behind the Protection
The protective mechanisms of breastfeeding against SIDS are multifaceted. Breast milk contains antibodies and other immunological factors that help bolster an infant’s immune system, making them less susceptible to infections such as respiratory syncytial virus (RSV), which can increase the risk of SIDS. Additionally, breastfeeding promotes a closer bond between mother and child, which can enhance the infant’s overall well-being and stability during sleep.
Safe Sleep Practices
While breastfeeding is protective, it is essential to combine it with safe sleep practices to further mitigate the risk of SIDS. The American Academy of Pediatrics (AAP) emphasizes the importance of placing infants on their backs to sleep, using a firm sleep surface, and avoiding soft bedding and overheating. Parents should also be cautious about bed-sharing, as it can pose additional risks if not done safely.
Conclusion
In summary, while SIDS can occur in any infant, breastfeeding is a significant protective factor that can reduce the risk. The benefits of breastfeeding extend beyond nutrition, providing essential immunological support and fostering a secure environment for the infant. Parents are encouraged to breastfeed for as long as possible, not only for the nutritional advantages but also for the protective effects against SIDS.

Why is SIDS more common at 3 months?

SIDS is most common at 2-4 months of age when the cardiorespiratory system of all infants is in rapid transition and therefore unstable. So, all infants in this age range are at risk for dysfunction of neurological control of breathing.

How common is SIDS in breastfed babies?

Breastfeeding FAQs
It has been shown that partial or combination feeding (breast milk and formula) and exclusive breastfeeding have been associated with lower SIDS rates. Thankfully SIDS is now very rare.

When can parents stop worrying about SIDS?

Once your baby has the upper-body strength to roll over regularly, at around 5 months, he has the strength to move away from a suffocation hazard, and the SIDS risk goes down. (The greatest risk is during the first six months.)

At what age is cosleeping safe?

1 year old
Co-sleeping with a child over 1 year old has a little less risk than with one under 12 months. At a toddler’s age of 1 to 2 years old, they can roll over and free themselves in case they are trapped in the bed. As a child gets older, it becomes less risky to co-sleep, but it’s still best for them to sleep on their own.

Is it safe to breastfeed a baby while sleeping?

There were nine SIDS cases and 16 other cases which included non-accidental injury, accidental asphyxia, congenital cardiovascular disease and sepsis. Conclusions: Accidental asphyxia is a rare but possible outcome if mothers fall asleep in bed with their infants while breast feeding.

Is side-lying breastfeeding safe for newborns?

A side-lying position might be a good choice when you’re resting, although it’s important to return the baby to the baby’s own bed to sleep. In this position, it can be hard to see how well your baby is latched. So this position may be best once both you and your baby are used to breastfeeding.

When is the highest risk period for SIDS?

The peak incidence of SIDS occurs between 1 – 4 months of age; 90% of cases occur before 6 months of age.

Are there any warning signs of SIDS?

SIDS has no symptoms or warning signs. Babies who die of SIDS seem healthy before being put to bed. They show no signs of struggle and are often found in the same position as when they were placed in the bed.

What is the safest way to breastfeed at night?

Lying on your side
This is a good position if you’ve had a caesarean or difficult delivery, or if you’re breastfeeding in the middle of the night. Start by getting comfy lying on your side. Your baby lies facing you, so you are tummy to tummy.

Can a baby choke on milk in sleep?

No. Babies will not choke if they spit up or vomit while sleeping on their backs.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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