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 ......
Article |

Sudden Unexpected Death in Infancy Syndrome

Edward B. Shaw, MD
Am J Dis Child. 1968;116(2):115-119. doi:10.1001/archpedi.1968.02100020117001.
Text Size: A A A
Published online


Nasal obstruction due to mild infection may well be the trigger for apnea and asphyxia in the sudden death (SUD) syndrome in infancy. This hypothesis is based on the well known reluctance of infants to breathe through their mouths. Choanal atresia is a recognized cause of neonatal death. Some babies appear to be almost completely unable to adopt oral respiration and this sometimes persists up to 5 or 6 months of age. These unexpected deaths almost always occur at night, when the infant is unobserved and asleep. The postmortem evidence of infection can account for a collection of nasal secretion.

The records of 28 infants (among 19,000 live births) who died with the SUD syndrome and who had carefully recorded "well baby visits" were reviewed. The findings failed to indicate any physical or immunological defect, allergy, or injury sufficient to account for this terminal event. All deaths occurred at less than 6 months of age.


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.

0 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.