To the Editor: It may seem strange that a gynecologist and obstetrician should send a letter to a pediatric journal, but I feel so moved by an observation that I am compelled to report it.
It has been my practice to keep some follow-up on the children I have delivered who have succumbed to illness or injury. A review of these cases has shown a surprising similarity in a certain kind of death—the so-called crib death or sudden death syndrome. During the last 15 years, I have had personal knowledge of nine cases of so-called sudden death, cause undetermined, during the first year of life. In each and every case the infant had been unduly (my critique) exposed to the outside elements within 24 hours of death. These insults were such as: (1) putting out in a carriage "to get fresh air," (2) a carriage ride "to see the neighbors,"