title: A reassessment of the SIDS Back to Sleep Campaign.
abstract: The Back to Sleep Campaign was initiated in 1994 to implement the American Academy of Pediatrics' (AAP) recommendation that infants be placed in the nonprone sleeping position to reduce the risk of the Sudden Infant Death Syndrome (SIDS). This paper offers a challenge to the Back to Sleep Campaign (BTSC) from two perspectives: (1) the questionable validity of SIDS mortality and risk statistics, and (2) the BTSC as human experimentation rather than as confirmed preventive therapy. The principal argument that initiated the BTSC and that continues to justify its existence is the observed parallel declines in the number of infants placed in the prone sleeping position and the number of reported SIDS deaths. We are compelled to challenge both the implied causal relationship between these observations and the SIDS mortality statistics themselves.
authors.affiliation: Ames Research Center, National Aeronautics and Space Administration, Moffett Field, CA 94035, USA. Ralph.Pelligra-1@nasa.gov
authors.forename: Ralph
authors.initials: R
authors.lastname: Pelligra
authors.forename: Glen
authors.initials: G
authors.lastname: Doman
authors.forename: Gerry
authors.initials: G
authors.lastname: Leisman
mesh_terms: D002658:Developmental Disabilities / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006805:Human Experimentation; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009026:Mortality / Q000639:trends; D010372:Pediatrics; D049068:Plagiocephaly, Nonsynostotic / Q000453:epidemiology / Q000209:etiology*; D015203:Reproducibility of Results; D012306:Risk; D018570:Risk Assessment; D012890:Sleep; D012955:Societies, Medical; D013398:Sudden Infant Death / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D016683:Supine Position; D014481:United States