Sudden infant death syndrome (SIDS) is the sudden death of an infant with no identifiable cause of death. The death usually occurs during sleep and is the leading cause of death in babies 1 month to 1 year old. It is estimated that about 2 or 3 newborns out of every 1,000 die from SIDS.

High risk babies include:
* premature infants,
* babies with a family history of SIDS,
* male babies with a low birth weight,
* babies exposed to cocaine and other drugs in the uterus,
* babies of smoking mothers,
* babies of teenage mothers,
* babies from poor families, and
* babies that sleep on their stomachs.

Parents and caregivers of infants need to know the correct way to position a baby for sleep. The American Academy of Pediatrics recommends that healthy infants be placed on their side or back for sleep. Studies in Europe and in America show a decreased number of SIDS deaths when the back or side lying position is used. Research shows a greater incidence of SIDS in babies who sleep on their stomachs.

Do not make any changes in your baby's sleeping patterns before talking with your pediatrician. Some doctors still recommend the stomach position for babies with certain medical problems. It may be needed for severe breathing or spitting up problems, upper airway disorders, or other medical concerns.

Steps can be taken to minimize the risk of SIDS. Follow these guidelines:
* Place infants on their back or side to sleep.
* Place infants on a firm mattress.
* Do not place soft toys, pillows or bedding in the crib.
* Learn CPR.
* Monitor high risk infants.(This requires special training and equipment.)

Parents often feel guilty, or may even blame each other after the death of an infant. These feelings are normal, even though it was not their fault. Speak to your healthcare provider or clergy to share your grief. Other helpful sources for counseling and information are local chapters of the National Sudden Infant Death Syndrome Foundation and the National SIDS Resource Center at (703) 821-8955.

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