We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Sudden Infant Death Syndrome Should Bed Sharing Be Discouraged?

Edwin A. Mitchell, FRACP, DSc
Arch Pediatr Adolesc Med. 2007;161(3):305-306. doi:10.1001/archpedi.161.3.305.
Text Size: A A A
Published online


Public health advice or action is often needed before the evidence supporting that advice or action is conclusive. The initial recommendation not to place infants prone to sleep was made on the basis of the findings from case-control studies that showed that infants who were placed prone to sleep were at an increased risk of sudden infant death syndrome (SIDS).1 No randomized controlled study was undertaken. A dramatic decline in SIDS mortality rates was observed in the Netherlands,2 New Zealand,3 and the United Kingdom (Avon, England).4 This provided additional information for various authorities in other countries, including the American Academy of Pediatrics, to also recommend the supine sleeping position for healthy infants (“Back to Sleep” campaign).5 There was concern that deaths from aspiration of gastric contents would increase, but this was not seen. However, an unexpected consequence of the Back to Sleep campaign has been the epidemic of positional or deformational plagiocephaly.6 Thus, any public health intervention has to balance the benefits against the harms.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

9 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles