Sudden Infant Death Syndrome: Difference between revisions

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We postulate that while low-level stress can stimulate adaptation, prolonged and repetitive iatrogenic stressful, painful, or traumatic experiences during prenatal, perinatal, neonatal, and postneonatal development constitute allostatic overload and are risk factors for SIDS. Due to their total dependence, the infant’s ability to allostatically regulate exposure to stressors is severely constrained, which increases their vulnerability to disease and premature death. Due to their difficulties in maintaining homeostasis and inability to escape/avoid iatrogenic or non-medically nociceptive exposure, infants are vulnerable to toxic stress with preterm infants being the most vulnerable.<ref name="elhaick2016" /></blockquote>

* intense pain

* bleeding

* shock

* circulatory shock

that can result in death. He points out that post-operative circumcision pain can last for 10-14 days.<ref name="elhaick2016" />

Elhaik (2019) published data from 15 countries and 40 U.S. states to provide evidence of an association between non-therapeutic neonatal [[circumcision]] and SIDS.<ref name="elhaik2019">{{REFjournal

Elhaik found Anglophone countries practice  significantly more non-therapeutic neonatal circumcision than non-Anglophone countries and have a significantly higher SIDS rate than non-Anglophone countries.<ref name="elhaik2019" />

Our finding that MNC is associated with SIDS is not surprising. Circumcision is associated with intra-operative and postoperative risks, including bleeding, shock, sepsis, circulatory shock, hemorrhage, pain, and long-term consequences – all of which contribute toward allostatic load and, thereby, SIDS through various mechanisms. For instance, during circumcision there is an increase in the blood pressure, breathing rate, and heart rate. Even with the most advanced techniques, bleeding occurs in over 15% of the cases, in which case there is a danger that a lower blood volume would result in low blood pressure and reduced amount of oxygen that reaches the tissues. Reduced blood pressure has been associated with obstructive sleep apnea (OSA), a condition where the walls of the throat relax and narrow during sleep, interrupting normal breathing. Unsurprisingly, SIDS victims experienced significantly more frequent episodes of OSA. Preterm neonates experience over twice the rate of bleeding complications than full-term neonates. MNC-related complications are unavoidable. For instance, in 1949, Gairdner reported that 16 out of 100,000 UK boys under 1-year old died due to circumcision. In tandem with the lack of evidence of a meaningful and relevant health benefits to the infant, several countries chose to opt out of the operation.<ref name="elhaik2019" />

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  |publisher=Doctors Opposing Circumcision