Sudden Infant Death Syndrome

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Sudden Infant Death Syndrome (SIDS), also known as cot death or crib death, is the sudden unexplained death of a child of less than one year of age.[1]

SIDS remains the leading cause of infant death in many developed countries. There are around 2,700 babies who die from cot death every year in the US – and around 300 in the UK.[2]

Cot death occurs when a seemingly healthy infant – under 12 months of age – dies in their sleep with no cause of death established in a post-mortem investigation. Although many risk factors are known to increase the risk of cot death – such as maternal smoking and bed sharing – nobody is exactly sure why it happens.[2]

The incidence of SIDS is higher in male infants as compared with female infants,[1] with a ratio of 60 male deaths to 40 female deaths.[3]

Contents

The allostasis hypothesis

Allostasis is defined as "the process of achieving equilibrium through fluctuating neuroendocrine responses to physical and psychological stressors."[4] Professor Eran Elhaik (2016) has postulated a hypothesis, based on allopathic (stress) load that may explain the cause of SIDS. According to Elhaik:

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.

See also

External links

References

  1. a b   (31 January 2017). Sudden Infant Death Syndrome (SIDS), www.nichd.nih.gov/, National Institutes of Health. Retrieved 6 July 2020.
  2. a b   Elhaik, Eran (11 January 2019). Neonatal circumcision could increase the risk of sudden infant death syndrome in babies – new research, MedicalXpress. Retrieved 2 July 2020.
  3.   Elhaik, Eran. A "wear and tear" hypothesis to explain Sudden Infant Death Syndrome. Frontiers in Neurology. October 2016; 7 PMID. PMC. DOI. Retrieved 7 July 2020.
  4.   Farlex Medical Dictionary (2012). Allostatis, Farlex. Retrieved 8 July 2020.