Sudden unexpected infant death in Auckland: a retrospective case review
Article first published online: 22 MAR 2011
© 2011 The Author(s)/Acta Pædiatrica © 2011 Foundation Acta Pædiatrica
Volume 100, Issue 8, pages 1108–1112, August 2011
How to Cite
Lynne Hutchison, B., Rea, C., Stewart, A. W., Koelmeyer, T. D., Tipene-Leach, D. C. and Mitchell, E. A. (2011), Sudden unexpected infant death in Auckland: a retrospective case review. Acta Paediatrica, 100: 1108–1112. doi: 10.1111/j.1651-2227.2011.02221.x
- Issue published online: 5 JUL 2011
- Article first published online: 22 MAR 2011
- Accepted manuscript online: 18 FEB 2011 09:34AM EST
- Received 6 December 2010; revised 2 February 2011; accepted 11 Februry 2011.
- Sudden infant death syndrome;
- Sudden unexpected death in infancy;
Aim: To review autopsy reports of all SUDI deaths in the Auckland region, New Zealand, from October 2000 to December 2009.
Methods: Information on all SUDI cases from 2000 to 2009 was extracted from autopsy and police reports from the National Forensic Pathology Service at Auckland Hospital.
Results: Of the 332 post-mortems in this period, 221 were classified as SUDI. Of these, 83% were Māori or Pacific infants. The median age at death was 11 weeks and 11% occurred in 7- to 28-day-olds. At the time of death, 64% overall were bedsharing; this was more common in 7–28 day olds (92%). Bedsharing infants were significantly younger at death than non-bedsharing infants (p = 0.008). Where sleep position was known, 57% were placed in non-supine at the last sleep. There was no evidence of diagnostic shift and the prevalence of bedsharing did not change over the decade.
Conclusions: Bedsharing was associated with a high proportion of SUDI cases, especially in the youngest infants, and non-supine sleep positions were common. There is a need to enhance SUDI prevention messages and consider innovative ways of promoting safe sleeping environment and supine sleep position in Māori and Pacific communities.