Sudden Infant Death Syndrome By: Kim Peterson

 For infants under the age of one, will breastfeeding as compared to bottle-feeding formula prevent the incidence of Sudden Infant Death Syndrome (SIDS)  What is SIDS?  Most common cause of death in infants.

 Key words  Breastfeeding, formula fed, bottle fed, & SIDS  Search engine  CINAHL  Results  Breastfeeding reduces SIDS by ~50%  Formative evaluation through education questionnaires improved the compliance with the recommendations given about SIDS prevention.

 D’Halluin A. R., Roussey, M., Branger, B., Venisse, A., Pladys, P. (2010). Formative evaluation to improve prevention of sudden infant death syndrome (SIDS): a prospective study. Acta Paediatrica, 803(5253),  Vennemann, M. M., Bajanowski, T., Brinkmann, B., Jorch, G., Yücesan, K., Sauerland, C. (2009). Does breastfeeding reduce the risk of sudden infant death syndrome. Official Journal of the American Academy of Pediatrics, 123(406),

 Article - Formative Evaluation to Improve Prevention of SIDS: A Prospective Study.  Prospective & randomized study  Observation & telephone interview  Article - Does Breastfeeding Reduce the Risk of SIDS?  Large  Population based  Case control study

 Theory  Formative evaluation could enhance maternal awareness on SIDS risk factors to obtain their compliance with health care advice.  Type of Study  Qualitative  Design  Randomized  Observation & Interviews  Methods  Mothers in the test group were given an educative questionnaire  Telephone interview three months later  Compared to control group  Findings  Formative evaluations using an educative questionnaire can improve awareness of the risk factors associated with SIDS.

 Theory  To examine the relationship between breastfeeding and SIDS.  Type of Study  Quantitative  Design  Population-based, case-control study of 333 SIDS victims & 998 age matched infants for the control group.

 Methods  Two groups  Case group  Control group  All cases were autopsied using a standard protocol  Questionnaires were given to parents to collect the type of feeding for each month  All data was entered into a databases and analyzed  Findings  Breastfeeding reduces SIDS by ~ 50%

 Both studies  HIPAA  Low socioeconomic status

 Strength & Quality  Formative evaluation  Prospective study  Statistical analysis  Data software utilized  Credibility  Authors are affiliated within a professional group related to the topic.  Peer-reviewed  Level of Evidence  Level 6- Single descriptive or qualitative study  Contribute to EBP  Yes!

 Strength & Quality  Large controlled study  Autopsies completed by standard protocol  Case workers to determine cause of death  Limitation-response rate of the cases was high; control group was low  Credibility  Authors are affiliated within a professional group related to the topic.  Peer reviewed article  Level of Evidence  Level 4-Case control study  Contribution to EBP  Yes!

 Communication level  Standard of care  Implications for practice change related to quality and safety of care?  Educating patients  Further research

 Patient must be willing to learn  Compliant with recommendations  Patients socioeconomic status  Produce enough breast milk

In pregnant women, does breastfeeding and SIDS education beginning in pre-natal care compared to waiting until the baby is born, result in more breastfed infants?

 Breastfeeding & Education  Unexplained syndrome  Continuing research