Smoking and the Sudden infant death syndrome

Maternal smoking has been shown to be a risk factor for sudden infant death syndrome (SIDS). The effect of smoking by the father and other household members has not previously been examined. A large nationwide case-control study. Four hundred eighty-five SIDS deaths in the postneonatal age group wer...

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Bibliographic Details
Published in:Pediatrics (Evanston) 1993-05, Vol.91 (5), p.893-896
Main Authors: MITCHELL, E. A, FORD, R. P. K, ROBERTS, A. P, STEWART, A. W, TAYLOR, B. J, BECROFT, D. M. O, THOMPSON, J. M. D, SCRAGG, R, HASSALL, I. B, BARRY, D. M. J, ALLEN, E. M
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Babies
Biological and medical sciences
Care and treatment
Case-Control Studies
Causes of
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Family
Fathers
Female
Health aspects
Humans
Infant
Infant care
Infants
Intensive care medicine
Medical sciences
Mothers
Odds Ratio
Passive smoking
Pediatrics
Pregnancy
Prenatal Exposure Delayed Effects
Risk
Risk Factors
SIDS
Smokers
Sudden Infant Death - epidemiology
Sudden Infant Death - etiology
Sudden infant death syndrome
Tobacco smoke
Tobacco Smoke Pollution - adverse effects
Tropical medicine
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Summary:Maternal smoking has been shown to be a risk factor for sudden infant death syndrome (SIDS). The effect of smoking by the father and other household members has not previously been examined. A large nationwide case-control study. Four hundred eighty-five SIDS deaths in the postneonatal age group were compared with 1800 control infants. Infants of mothers who smoked during pregnancy had a 4.09 (95% confidence interval [CI] = 3.28, 5.11) greater risk of death than infants of mothers who did not smoke. Infants of mothers who smoked postnatally also had an increased risk of SIDS compared with infants of nonsmokers and, furthermore, the risk increased with increasing levels of maternal smoking. Smoking by the father and other household members increased the risk (odds ratio [OR] = 2.41, 95% CI = 1.92, 3.02 and OR = 1.54, 95% CI = 1.20, 1.99, respectively). Smoking by the father increased the risk of SIDS if the mother smoked, but had no effect if she did not smoke. In analyses controlled for a wide range of potential confounders, smoking by the mother and father was still significantly associated with an increased risk of SIDS. Passive tobacco smoking is causally related to SIDS.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.91.5.893