When the etiology for infant death is unknown, it is called as SIDS. SIDS is a term that refers to any sudden, un-expected and/or unexplained death of any infant (<1 years of age) that occurs during sleep that remains detectable even after a complete investigation (complete autopsy, assessment of death circumstances and clinical history). Though the incidence of SIDS has dramatically declined in the past 2 decades, it forms the biggest cause of infant deaths in developed countries. In 2015, 113 infants (0.4 per 1,000 Births) have died suddenly as well as unexpectedly in Australia (including SIDS). This was found to be decreased from a higher rate of 0.84 per 1,000 live births in 2014. Nearly 90% of the SIDS deaths occur below 6 months of age, with peak incidences from 2 - 4 months. More boy babies are found to die of SIDS than girls. Higher rate of SIDS is noted in racial discriminated groups (indigenous Australians, New Zealand- Maoris, etc).
The risk reduction policies to prevent SIDS in Australia includes placing all the infants on back while sleeping except sick infants who requires prone position (continuously monitored for cardiac-respiratory status and nurse observation), providing safe cots as per Australian- standards (AS/NZS 2172), providing smoke-free and separate environment , allowing use of pacifiers in premature infants as per Australian standards (AS 243-1991). In Australia, before implementing risk-reduction policies, sudden-unexpected infantile deaths (SUDI) (1989- 2014) was found to be 4,808. After implementing risk reduction strategy campaigns, 80% of the SUDI deaths were decreased significantly and 8,959 infant lives were saved. This shows that the number of SIDS was reduced significantly after the implementation of risk- reduction policies.
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