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Table 5-12

ConcernFacts
CauseUnknown (possibly related to delayed maturation of cardiorespiratory system)
IncidenceAlmost 2500 cases annually; leading cause of death between ages 1 month and 1 year
WhenOccurs during sleep (nap, night)
AgePeak at 2–4 months; 95% of cases occur by age 6 months
SexMore common in boys
RaceMore common in African Americans, Native Americans, and Hispanics
SeasonMore common in winter, peaks in January
SiblingsMay have greater incidence
PerinatalMore common in preterm infants, in multiple births, in infants with low Apgar scores, and with maternal smoking
SocioeconomicMore common in lower socioeconomic classes
Feeding habitsMore common in infants who are bottle-fed, less common in infants who are breastfed.
Means of preventionbulbImageSupine (on back) sleeping position (mnemonic: “back to sleep”); avoid soft bedding and overheating during sleep; avoid cigarette smoking in house.