Pacifier use and sudden infant death syndrome: results from the CESDI/SUDI case control study

@article{Fleming1999PacifierUA,
  title={Pacifier use and sudden infant death syndrome: results from the CESDI/SUDI case control study},
  author={Peter J Fleming and Peter S Blair and Katie Pollard and Martin Ward Platt and Cea Leach and Isabel M. Smith and Peter J. Berry and Jean Golding},
  journal={Archives of Disease in Childhood},
  year={1999},
  volume={81},
  pages={112 - 116}
}
OBJECTIVES To investigate the relation between pacifier use and sudden infant death syndrome (SIDS). DESIGN Three year population based, case control study with parental interviews for each death and four age matched controls. SETTING Five regions in England (population > 17 million). SUBJECTS 325 infants who had died from SIDS and 1300 control infants. RESULTS Significantly fewer SIDS infants (40%) than controls (51%) used a pacifier for the last/reference sleep (univariate odds ratio (OR), 0… 
Dummy (pacifier) use and sudden infant death syndrome: Potential advantages and disadvantages
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The Epidemiology and Physiology Working Groups of the International Society for the Study and Prevention of Perinatal and Infant Death (ISPID) are comprised of leading SIDS researchers with an objective to provide evidence‐based position statements surrounding the factors associated with SIDS and risk‐reduction strategies.
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There has been reluctance among SIDS researchers and health professionals to recommend pacifier use as a potentially protective measure; they state the need to know more about the mechanisms of its effects and the role of possible confounding factors.
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Caregiver knowledge of the role of pacifiers in SIDS prevention was less than for other recommendations and an ED educational intervention appeared to increase pacifier use, which was not associated with increased otitis media.
Babies sleeping with parents: case-control study of factors influencing the risk of the sudden infant death syndrome. CESDI SUDI research group.
TLDR
There are certain circumstances when bed sharing should be avoided, particularly for infants under four months old, and there is no evidence that bed sharing is hazardous for infants of parents who do not smoke.
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TLDR
Use of a dummy seems to reduce the risk of SIDS and possibly reduces the influence of known risk factors in the sleep environment.
Pacifier Use and Sids: Evidence for a Consistently Reduced Risk
TLDR
The association between adverse environmental factors and SIDS risk was modified favorably by pacifier use, but the interactions between pacifiers use and these factors were not significant.
Do Pacifiers Reduce the Risk of Sudden Infant Death Syndrome? A Meta-analysis
TLDR
It is recommended that pacifiers be offered to infants as a potential method to reduce the risk of SIDS, based on the taxonomy of the 5-point (A–E) scale adopted by the US Preventive Services Task Force.
Infant pacifiers for reduction in risk of sudden infant death syndrome.
TLDR
Whether the use of pacifiers during sleep versus no pacifier during sleep reduces the risk of SIDS is investigated to determine whether it is a cost-effective intervention for SIDS prevention.
Hazardous cosleeping environments and risk factors amenable to change: case-control study of SIDS in south west England
TLDR
The significance of covering the infant’s head, postnatal exposure to tobacco smoke, dummy use, and sleeping in the side position has diminished although a significant proportion of SIDS infants were still found prone, and specific advice needs to be given, particularly on use of alcohol or drugs before cosleeping and cosle sleeping on a sofa.
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