[Sudden infant death: characteristics of later "SIDS" victims during pregnancy and labor].
We analysed the pregnancy and delivery courses in 23 children, who subsequently died of SIDS in Berlin. 83% (n = 19) of these children had died by the 6th month of their life, and more than 90% by the 8th month. The first precautionary health examination during pregnancy was performed markedly late, in 22% of the pregnant women only after the 20th week of gestation. 55% of all "SIDS mothers" had smoked more than 10 cigarettes daily during the pregnancy period (control group: 8%). Preterm delivery rate was 30%, i.e. almost three times that of the control group. Almost one-third of all the examined children had a birth weight below the 10th percentile (control group: less than 7%). 61% of all mothers of the examined group by us were unmarried or divorced (control group: 16%). Whether these anomalies--which must of course also be considered as being somehow connected with one another--are causally connected with SIDS, requires to be clarified by more extensive studies. At the present time we can only recommend to make an effort to convince families, in whom several of the above mentioned anomalies occur, to accept special counselling and care as well as meaningfully employed home monitoring.
Brandt-Niebelschütz
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Institut für Perinatale Medizin der Freien Universität Berlin.
Saling
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D001724:Birth Weight; D005260:Female; D005317:Fetal Growth Retardation / Q000150:complications; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D007744:Obstetric Labor Complications / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*; D012189:Retrospective Studies; D012307:Risk Factors; D013398:Sudden Infant Death / Q000209:etiology*
Plötzlicher Säuglingstod: Besonderheiten der späteren "SIDS"-Opfer während Schwangerschaft und Geburt.